Nurs 623 exam 3
QUESTIONS AND VERIFED
CORRECT ANSWERS
GRADED A+ [LATEST] 100%
GUARANTEED PASS
Differential diagnosis for major mood disorder - CORRECT ANSWER-Thyroid disorder
•Sleep disorder
•Unrecognized bipolar
•Neurological
•Medications
•Substance use
•Adrenal functioning
Clinical features of Major depressive disorder - CORRECT ANSWER-The DSM-5 symptom criteria
for major depression state that five (or more) of the following symptoms have been present
during the same 2-week period and represent a change from previous functioning.
At least one of the symptoms is either (1) depressed mood or (2) anhedonia, meaning loss of
interest or pleasure:
• Depressed mood expressed as feelings of sadness or hopelessness. Irritability may be the
primary symptom in adolescents and children.
• Markedly diminished interest (apathy) in most activities.
,• Change in appetite.
• Insomnia or hypersomnia.
• Behavioral agitation or retardation.
• Loss of energy.
• Feelings of worthlessness or guilt.
• Loss of concentration.
• Recurrent thoughts of death or suicide.
• These symptoms cause significant functional impairment and are not related to a medical
illness or from the effects of a substance.
Risk factor for major depression - CORRECT ANSWER-Age: Adolescent or older adult
Gender: Female
Family History: Strong family history of depression, suicide or attempt, alcohol abuse, or other
substance abuse
History: History of migraine headaches, back pain, recent myocardial infarction, and/or peptic
ulcer disease
Current Medical Condition: Current chronic disease (especially multiple diseases)
Lifestyle: Insomnia Stress Poverty Less than high school education Recent traumatic event
Parent or caregiver of a child or children with behavioral disorders, especially hyperactivity
Retired
What are the common presenting symptoms of depression in the geriatric patient? - CORRECT
ANSWER-•Vegetative—poor appetite, disrupted sleep, early morning awakening
•Somatic—pain throughout body or out of proportion with underlying pathology
, •Psychological—obsessive feelings of guilt and worry, ruminations throughout the night;
suicidal ideation; memory problems
•Psychomotor— anxiety; psychomotor agitation
•Diurnal variation in symptoms—cannot "get moving" in morning, or specific time of day when
depression is worst
pharmacologic treatment for major depressive disorder - CORRECT ANSWER-Selective
Serotonin Reuptake Inhibitors (SSRIs)
Advise patients that antidepressant effect may take from 4 to 8 weeks (up to 12 weeks) to
manifest.
SSRIs are also first-line therapy for elderly patients because they have fewer side effects
*Contraindications
Avoid SSRIs within 14 days of taking an MAOI (serotonin syndrome)
· Fluoxetine (Prozac): Longest half-life of all SSRIs and the first SSRI (useful for noncompliant
patients)
· Paroxetine (Paxil): Shortest half-life
· Citalopram (Celexa): Has fewer drug interactions compared with other SSRIs
· Escitalopram (Lexapro): Compound derived from citalopram (Celexa)
Other SSRIs: Sertraline (Zoloft), fluvoxamine (Luvox
postpartum depression - CORRECT ANSWER-Recognize it is a real MMD
Risk:
•Few days after delivery up to six months after childbirth
QUESTIONS AND VERIFED
CORRECT ANSWERS
GRADED A+ [LATEST] 100%
GUARANTEED PASS
Differential diagnosis for major mood disorder - CORRECT ANSWER-Thyroid disorder
•Sleep disorder
•Unrecognized bipolar
•Neurological
•Medications
•Substance use
•Adrenal functioning
Clinical features of Major depressive disorder - CORRECT ANSWER-The DSM-5 symptom criteria
for major depression state that five (or more) of the following symptoms have been present
during the same 2-week period and represent a change from previous functioning.
At least one of the symptoms is either (1) depressed mood or (2) anhedonia, meaning loss of
interest or pleasure:
• Depressed mood expressed as feelings of sadness or hopelessness. Irritability may be the
primary symptom in adolescents and children.
• Markedly diminished interest (apathy) in most activities.
,• Change in appetite.
• Insomnia or hypersomnia.
• Behavioral agitation or retardation.
• Loss of energy.
• Feelings of worthlessness or guilt.
• Loss of concentration.
• Recurrent thoughts of death or suicide.
• These symptoms cause significant functional impairment and are not related to a medical
illness or from the effects of a substance.
Risk factor for major depression - CORRECT ANSWER-Age: Adolescent or older adult
Gender: Female
Family History: Strong family history of depression, suicide or attempt, alcohol abuse, or other
substance abuse
History: History of migraine headaches, back pain, recent myocardial infarction, and/or peptic
ulcer disease
Current Medical Condition: Current chronic disease (especially multiple diseases)
Lifestyle: Insomnia Stress Poverty Less than high school education Recent traumatic event
Parent or caregiver of a child or children with behavioral disorders, especially hyperactivity
Retired
What are the common presenting symptoms of depression in the geriatric patient? - CORRECT
ANSWER-•Vegetative—poor appetite, disrupted sleep, early morning awakening
•Somatic—pain throughout body or out of proportion with underlying pathology
, •Psychological—obsessive feelings of guilt and worry, ruminations throughout the night;
suicidal ideation; memory problems
•Psychomotor— anxiety; psychomotor agitation
•Diurnal variation in symptoms—cannot "get moving" in morning, or specific time of day when
depression is worst
pharmacologic treatment for major depressive disorder - CORRECT ANSWER-Selective
Serotonin Reuptake Inhibitors (SSRIs)
Advise patients that antidepressant effect may take from 4 to 8 weeks (up to 12 weeks) to
manifest.
SSRIs are also first-line therapy for elderly patients because they have fewer side effects
*Contraindications
Avoid SSRIs within 14 days of taking an MAOI (serotonin syndrome)
· Fluoxetine (Prozac): Longest half-life of all SSRIs and the first SSRI (useful for noncompliant
patients)
· Paroxetine (Paxil): Shortest half-life
· Citalopram (Celexa): Has fewer drug interactions compared with other SSRIs
· Escitalopram (Lexapro): Compound derived from citalopram (Celexa)
Other SSRIs: Sertraline (Zoloft), fluvoxamine (Luvox
postpartum depression - CORRECT ANSWER-Recognize it is a real MMD
Risk:
•Few days after delivery up to six months after childbirth
