MARYVILLE NURS 623 EXAM 2 ACTUAL
QUESTIONS AND CORRECT ANSWERS
◉ 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
QUESTIONS AND CORRECT ANSWERS
◉ 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
