1
NCA 622 Test 1 Questions with Answers (100% Correct
Answers)
What must be ruled out before a mental illness is diagnosed? Answer:
Rule out underlying non-psychological medical diseases (ex. thyroid
disease, dementia)
What is the most consistent sign consistent with the diagnosis of
depression? Answer: Diminished cognitive ability
What is the most common mental health problem of late life? Answer:
Depression
What are signs and symptoms of vegetative major depressive disorder?
Answer: Insomnia
Anorexia
Weight loss
Constipation
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,2
What are some s/s of Major depression w seasonal onset/ seasonal
affective disorder? Answer: -Depression that occurs in Fall and winter
d/t decreased exposure to sun
-Carbohydrate cravings
Lethargy
-Hyperphagia
-Hypersomnia
What does bipolar disorder have a higher incidence of? Answer:
hypothyroidism
What is the difference between Bipolar I and bipolar II? Answer: -
Bipolar I - pt has manic episodes
-Bipolar II - pt have hypomanic episodes w/o frank mania
What is the difference between mania and schizophrenia? Answer: -
Manic people have:
-more effective interpersonal skills
-More sensitive to social maneuvers of others
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,3
-More able to utilize weakness and vulnerability in others to their own
advantage
An NP is doing an assessment on a 30 yo F w suspected depression.
What is most important to ask? Answer: Have you thought of harming
yourself?
A pt w a history of bipolar depression is brought to the ER by his
mother d/t change in behavior. He has been very impulsive and not
sleeping for the past two weeks. What is the most appropriate question
to ask?
-How much sleep is he getting?
-What kind of impulsive behavior is he exhibiting?
-Is he still taking his bipolar meds?
-How old was he when he was diagnosed? Answer: -Is he still taking his
bipolar meds?
Which statement by the NP student shows a lack of understanding of
the risk factors of suicide?
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, 4
-Losing one's job is a risk factor for committing suicide in a pt with
depression
-Someone who feels better after starting antidepressant is not a risk of
committing suicide
-Women attempt suicide at higher rates than men
-Have a chronic medical condition is a risk factor for suicide Answer: -
Someone who feels better after starting antidepressant is not a risk of
committing suicide
-Men attempt suicide more and are more successful
-Elderly ppl are most successful
When choosing an antidepressant to prescribe a 50yo M w BPH, which
of these should be avoided?
-Amitriptyline (Elavil)
-Citalopram (Celexa)
-Duloxetine (Cymbalta)
© 2025 All rights reserved
NCA 622 Test 1 Questions with Answers (100% Correct
Answers)
What must be ruled out before a mental illness is diagnosed? Answer:
Rule out underlying non-psychological medical diseases (ex. thyroid
disease, dementia)
What is the most consistent sign consistent with the diagnosis of
depression? Answer: Diminished cognitive ability
What is the most common mental health problem of late life? Answer:
Depression
What are signs and symptoms of vegetative major depressive disorder?
Answer: Insomnia
Anorexia
Weight loss
Constipation
© 2025 All rights reserved
,2
What are some s/s of Major depression w seasonal onset/ seasonal
affective disorder? Answer: -Depression that occurs in Fall and winter
d/t decreased exposure to sun
-Carbohydrate cravings
Lethargy
-Hyperphagia
-Hypersomnia
What does bipolar disorder have a higher incidence of? Answer:
hypothyroidism
What is the difference between Bipolar I and bipolar II? Answer: -
Bipolar I - pt has manic episodes
-Bipolar II - pt have hypomanic episodes w/o frank mania
What is the difference between mania and schizophrenia? Answer: -
Manic people have:
-more effective interpersonal skills
-More sensitive to social maneuvers of others
© 2025 All rights reserved
,3
-More able to utilize weakness and vulnerability in others to their own
advantage
An NP is doing an assessment on a 30 yo F w suspected depression.
What is most important to ask? Answer: Have you thought of harming
yourself?
A pt w a history of bipolar depression is brought to the ER by his
mother d/t change in behavior. He has been very impulsive and not
sleeping for the past two weeks. What is the most appropriate question
to ask?
-How much sleep is he getting?
-What kind of impulsive behavior is he exhibiting?
-Is he still taking his bipolar meds?
-How old was he when he was diagnosed? Answer: -Is he still taking his
bipolar meds?
Which statement by the NP student shows a lack of understanding of
the risk factors of suicide?
© 2025 All rights reserved
, 4
-Losing one's job is a risk factor for committing suicide in a pt with
depression
-Someone who feels better after starting antidepressant is not a risk of
committing suicide
-Women attempt suicide at higher rates than men
-Have a chronic medical condition is a risk factor for suicide Answer: -
Someone who feels better after starting antidepressant is not a risk of
committing suicide
-Men attempt suicide more and are more successful
-Elderly ppl are most successful
When choosing an antidepressant to prescribe a 50yo M w BPH, which
of these should be avoided?
-Amitriptyline (Elavil)
-Citalopram (Celexa)
-Duloxetine (Cymbalta)
© 2025 All rights reserved
