Maryville NURS 623 Exam 3 Questions with
Verified Correct Answers
What is the most common psychiatric disorder in the U.S?
Anxiety
What are the DSM-5 symptom criteria for a diagnosis of general anxiety disorder?
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?
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?
*Anxiety
*PTSD
*Substance Abuse
What are the risk factors for major depression?
*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?
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?
Interpersonal and cognitive behavior therapy
What are the pharmacologic treatments for management for major depressive
disorder?
SSRI, SNRI, TCA, MAO
Names of common SSRIs
Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (paxil)
Citalopram (celexa)
Escitalopram (Lexapro)
Names of common SNRIs
Duloxetine (Cymbalta)
Venlafaxine (Effexor)
Desvenlafaxine (Pristiq)
What are concerns in elderly taking medication for major depression?
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?
, non-pharmacological interventions of cognitive behavioral therapy has proven equal results
to SSRI pharmacologic therapy
DIGFAST for bipolar because your digging yourself into hole
Distractibility
Indiscretion/Insomnia
Grandiosity
Flight of ideas
Activities ↑
Sleep Deficit
Talkativeness
What is the symptom criteria for BD I ?
identification of at least one-lifetime mania episode must have occurred
What is the symptom criteria for BD II ?
identification of at least one hypomania episode and one major depressive episode must have
occurred
What is the symptom criteria for diagnosing unipolar (depression)
persistently depressed mood or loss of interest in activities, causing significant impairment in
daily life (no mania/hypomania)
How do you assess suicide risk (consider mnemonic SAD PERSONS)
S-ex
A-ge
D-epression
Verified Correct Answers
What is the most common psychiatric disorder in the U.S?
Anxiety
What are the DSM-5 symptom criteria for a diagnosis of general anxiety disorder?
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?
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?
*Anxiety
*PTSD
*Substance Abuse
What are the risk factors for major depression?
*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?
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?
Interpersonal and cognitive behavior therapy
What are the pharmacologic treatments for management for major depressive
disorder?
SSRI, SNRI, TCA, MAO
Names of common SSRIs
Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (paxil)
Citalopram (celexa)
Escitalopram (Lexapro)
Names of common SNRIs
Duloxetine (Cymbalta)
Venlafaxine (Effexor)
Desvenlafaxine (Pristiq)
What are concerns in elderly taking medication for major depression?
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?
, non-pharmacological interventions of cognitive behavioral therapy has proven equal results
to SSRI pharmacologic therapy
DIGFAST for bipolar because your digging yourself into hole
Distractibility
Indiscretion/Insomnia
Grandiosity
Flight of ideas
Activities ↑
Sleep Deficit
Talkativeness
What is the symptom criteria for BD I ?
identification of at least one-lifetime mania episode must have occurred
What is the symptom criteria for BD II ?
identification of at least one hypomania episode and one major depressive episode must have
occurred
What is the symptom criteria for diagnosing unipolar (depression)
persistently depressed mood or loss of interest in activities, causing significant impairment in
daily life (no mania/hypomania)
How do you assess suicide risk (consider mnemonic SAD PERSONS)
S-ex
A-ge
D-epression
