Maryville NURS 623 Exam 3 With Complete
Solution
What is the most common psychiatric disorder in the U.S? - ANSWER>>Anxiety
What are the DSM-5 symptom criteria for a diagnosis of general anxiety disorder?
- ANSWER>>excessive anxiety and worry of variety of things for at least 6 months
What are the DSM-5 symptom criteria for a major depressive disorder? -
ANSWER>>Five or more symptoms including at least one depressed mood or loss
of interest present in the same two weeks and present nearly every day
differential diagnoses that would mimic the symptoms of depression? -
ANSWER>>*Anxiety
*PTSD
*Substance Abuse
What are the risk factors for major depression? - ANSWER>>*Age
*Gender
*Personal Hx (migrains, PUD, chronic pain)
*Fx Hx (depression, suicide, alcholism, substance abuse)
What are the common presenting symptoms of depression in the geriatric
patient? - ANSWER>>Somatic (general pain)
Psychology (feeling of guilt/worry, suicidal, memory)
Psychomotor (anxiety/agitation)
Vegetative (poor appitite/sleep)
What are the NON-pharmacologic treatments for management for major
depressive disorder? - ANSWER>>Interpersonal and cognitive behavior therapy
, What are the pharmacologic treatments for management for major depressive
disorder? - ANSWER>>SSRI, SNRI, TCA, MAO
Names of common SSRIs - ANSWER>>Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (paxil)
Citalopram (celexa)
Escitalopram (Lexapro)
Names of common SNRIs - ANSWER>>Duloxetine (Cymbalta)
Venlafaxine (Effexor)
Desvenlafaxine (Pristiq)
What are concerns in elderly taking medication for major depression? -
ANSWER>>a slower metabolism requires lower dosing; greater risk of falls,
osteoporosis, fractures
What are the pharmacologic versus nonpharmacologic treatment for
management for general anxiety disorder? - ANSWER>>non-pharmacological
interventions of cognitive behavioral therapy has proven equal results to SSRI
pharmacologic therapy
DIGFAST for bipolar because your digging yourself into hole -
ANSWER>>Distractibility
Indiscretion/Insomnia
Grandiosity
Flight of ideas
Activities ↑
Sleep Deficit
Talkativeness
Solution
What is the most common psychiatric disorder in the U.S? - ANSWER>>Anxiety
What are the DSM-5 symptom criteria for a diagnosis of general anxiety disorder?
- ANSWER>>excessive anxiety and worry of variety of things for at least 6 months
What are the DSM-5 symptom criteria for a major depressive disorder? -
ANSWER>>Five or more symptoms including at least one depressed mood or loss
of interest present in the same two weeks and present nearly every day
differential diagnoses that would mimic the symptoms of depression? -
ANSWER>>*Anxiety
*PTSD
*Substance Abuse
What are the risk factors for major depression? - ANSWER>>*Age
*Gender
*Personal Hx (migrains, PUD, chronic pain)
*Fx Hx (depression, suicide, alcholism, substance abuse)
What are the common presenting symptoms of depression in the geriatric
patient? - ANSWER>>Somatic (general pain)
Psychology (feeling of guilt/worry, suicidal, memory)
Psychomotor (anxiety/agitation)
Vegetative (poor appitite/sleep)
What are the NON-pharmacologic treatments for management for major
depressive disorder? - ANSWER>>Interpersonal and cognitive behavior therapy
, What are the pharmacologic treatments for management for major depressive
disorder? - ANSWER>>SSRI, SNRI, TCA, MAO
Names of common SSRIs - ANSWER>>Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (paxil)
Citalopram (celexa)
Escitalopram (Lexapro)
Names of common SNRIs - ANSWER>>Duloxetine (Cymbalta)
Venlafaxine (Effexor)
Desvenlafaxine (Pristiq)
What are concerns in elderly taking medication for major depression? -
ANSWER>>a slower metabolism requires lower dosing; greater risk of falls,
osteoporosis, fractures
What are the pharmacologic versus nonpharmacologic treatment for
management for general anxiety disorder? - ANSWER>>non-pharmacological
interventions of cognitive behavioral therapy has proven equal results to SSRI
pharmacologic therapy
DIGFAST for bipolar because your digging yourself into hole -
ANSWER>>Distractibility
Indiscretion/Insomnia
Grandiosity
Flight of ideas
Activities ↑
Sleep Deficit
Talkativeness
