MARYVILLE NURS 624 TEST 4 Questions with Answers
(100% Correct Answers)
Acute protatitis —Answer: - caused by aerobic gram negative bacteria
● with abrupt onset, always asstd with UTI
● swollen, tender and warm.
SEPTICEMIA. —Answer: ● Vigorous massage and palpation of infected prostate may cause
chronic prostatitis —Answer: - E Coli -
● gradual onset
● prostate can feel normal or slightly boggy, usually with older men
Depression First Line Therapy: —Answer: Mild or moderate depression, medication and
psychotherapy is recommended.
Medication effective in front line MDD are the —Answer: SSRIs, SNRI, TCA's, and DA
SSRI: —Answer: ● Escitalopram (lexapro) ages 12-17 , increased insomnia
● Paroxetine (paxil) monitor liver, kidneys Severe d/c syndrome, N,V, insomnia, tremor,
● Sertraline (zoloft) N,V,D, drowsiness, headache, Monitor LFT, TSH, weight
● Citalopram (Clexa) monitor TSH
SNRI —Answer: ● Venlafaxine (effexor) Monitor B/P and Cholesterol
● Duloxetine (Cymbalta) no for liver impairment or seizure
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, Anxiety First Line Therapy: —Answer: Self Care management coping skills and focus on
developing more effective awareness and relaxation skills. Avoid simulants such as caffeine,
nicotine
can be helpful with acute management of GAD. —Answer: • Benzodiazepine (alprazolam,
Diazepam)
can worsen depression, and dependence can occur —Answer: • Benzodiazepine
• Antidepressants, SSRI —Answer: for long term treatment of GAD with coexisting depression
Escitalopram (Lexapro), Paroxetine (Paxil), Sertaline (Zoloft)
• SNRIs Venlafaxine (Effexor —Answer: are effective in the acute treatment of GAD
The criteria for diagnosing generalized anxiety disorder in the American Psychiatric
Association's Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision)
state that excessive worry or apprehension must be present more days than not for at least: —
Answer: 6 months
Why are SSRI favorable over TCA's? —Answer: SSRI have less adverse side effects
citalopram, escitalopram, fluoxetine, paroxetine, sertraline —Answer: SSRI'S
● avoid sudden discontinuation
● do not prescribe with MAOIs
● excreted via the liver so monitor LFT's
● if agitation, weakness, dizziness, headache or drowsiness is noted the need to dose in the
evening
● Dose in in the morning if insomnia is noted
● SSRI induced mania
● Start low and slow and adjust slowly
© 2025 All rights reserved
(100% Correct Answers)
Acute protatitis —Answer: - caused by aerobic gram negative bacteria
● with abrupt onset, always asstd with UTI
● swollen, tender and warm.
SEPTICEMIA. —Answer: ● Vigorous massage and palpation of infected prostate may cause
chronic prostatitis —Answer: - E Coli -
● gradual onset
● prostate can feel normal or slightly boggy, usually with older men
Depression First Line Therapy: —Answer: Mild or moderate depression, medication and
psychotherapy is recommended.
Medication effective in front line MDD are the —Answer: SSRIs, SNRI, TCA's, and DA
SSRI: —Answer: ● Escitalopram (lexapro) ages 12-17 , increased insomnia
● Paroxetine (paxil) monitor liver, kidneys Severe d/c syndrome, N,V, insomnia, tremor,
● Sertraline (zoloft) N,V,D, drowsiness, headache, Monitor LFT, TSH, weight
● Citalopram (Clexa) monitor TSH
SNRI —Answer: ● Venlafaxine (effexor) Monitor B/P and Cholesterol
● Duloxetine (Cymbalta) no for liver impairment or seizure
© 2025 All rights reserved
, Anxiety First Line Therapy: —Answer: Self Care management coping skills and focus on
developing more effective awareness and relaxation skills. Avoid simulants such as caffeine,
nicotine
can be helpful with acute management of GAD. —Answer: • Benzodiazepine (alprazolam,
Diazepam)
can worsen depression, and dependence can occur —Answer: • Benzodiazepine
• Antidepressants, SSRI —Answer: for long term treatment of GAD with coexisting depression
Escitalopram (Lexapro), Paroxetine (Paxil), Sertaline (Zoloft)
• SNRIs Venlafaxine (Effexor —Answer: are effective in the acute treatment of GAD
The criteria for diagnosing generalized anxiety disorder in the American Psychiatric
Association's Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision)
state that excessive worry or apprehension must be present more days than not for at least: —
Answer: 6 months
Why are SSRI favorable over TCA's? —Answer: SSRI have less adverse side effects
citalopram, escitalopram, fluoxetine, paroxetine, sertraline —Answer: SSRI'S
● avoid sudden discontinuation
● do not prescribe with MAOIs
● excreted via the liver so monitor LFT's
● if agitation, weakness, dizziness, headache or drowsiness is noted the need to dose in the
evening
● Dose in in the morning if insomnia is noted
● SSRI induced mania
● Start low and slow and adjust slowly
© 2025 All rights reserved
