NR668 WEEK 5 QUESTIONS AND
CORRECT VERIFIED ANSWERS
Q Jane is a 27 year old female with no previous psychiatric hx. She
was employed at a large company within the outside sales
division. The company recently downsized and eliminated 50% of
its workforce. Jane was let go 1 month ago. She had recently
purchased a condominium near her former employer and
expressed worry about the mortgage payment. She stopped
attending her weekly outings with her friends from college and no
longer attends yoga. She is often tearful and notes that 1-2x a
week, she will feel overwhelmed with hopelessness. She denies SI.
She denies changes in appetite, weight, sleep or energy level. She
has been able to update her resume and denies trouble
concentrating. She finds pleasure walking her dog, but is seeking
help with her "crying".
Given the current info above, what disorder best describes Jane's
symptoms?
,Ans: adjustment disorder with depressed mood
*key is that it is not chronic
Q: Susan is a 22 year old female who has a marked fear of
elevators, Uber rides and public transportation. She never shops or
travels alone. She is now experiencing "nervousness" when she
waits in line at the grocery store. Her husband suggested that she
receive counseling after she recently refused to go into Walmart
alone.
1. What disorder best describes Susan's behavior?
2. What 1st line pharmacological tx would reduce relapse?
Ans: 1. Agoraphobia
2. SSRI's
*note: one can be diagnosed with agoraphobia and not
necessarily panic disorder
, Q: Michelle, a 28 year old female began having recurring thoughts
about people dying somewhere in the USA. One month later, she
learns on social media that an act of terrorism occurred on the
opposite coast. She felt strongly that she played a role in the act by
merely thinking of the act. She complains that the more she tries
to not think about the thought, the more often she has the
unwanted thought.
1. Michelle linking of the terrorist act to her previous unwanted
thought is an example of what?
2. What common disorder is this associated with?
3. When treating this disorder with pharmacotherapy, would the
PMHNP expect to prescribe lower or higher dosing of medication
compared to the pharmacotherapy of depression?
Ans: 1. Magical thinking
2. OCD
3. Higher
Q: Jim is an 73 year old male with a dx of Major Neurocognitive
Disorder. Jim developed parkinsonism around the same time his
CORRECT VERIFIED ANSWERS
Q Jane is a 27 year old female with no previous psychiatric hx. She
was employed at a large company within the outside sales
division. The company recently downsized and eliminated 50% of
its workforce. Jane was let go 1 month ago. She had recently
purchased a condominium near her former employer and
expressed worry about the mortgage payment. She stopped
attending her weekly outings with her friends from college and no
longer attends yoga. She is often tearful and notes that 1-2x a
week, she will feel overwhelmed with hopelessness. She denies SI.
She denies changes in appetite, weight, sleep or energy level. She
has been able to update her resume and denies trouble
concentrating. She finds pleasure walking her dog, but is seeking
help with her "crying".
Given the current info above, what disorder best describes Jane's
symptoms?
,Ans: adjustment disorder with depressed mood
*key is that it is not chronic
Q: Susan is a 22 year old female who has a marked fear of
elevators, Uber rides and public transportation. She never shops or
travels alone. She is now experiencing "nervousness" when she
waits in line at the grocery store. Her husband suggested that she
receive counseling after she recently refused to go into Walmart
alone.
1. What disorder best describes Susan's behavior?
2. What 1st line pharmacological tx would reduce relapse?
Ans: 1. Agoraphobia
2. SSRI's
*note: one can be diagnosed with agoraphobia and not
necessarily panic disorder
, Q: Michelle, a 28 year old female began having recurring thoughts
about people dying somewhere in the USA. One month later, she
learns on social media that an act of terrorism occurred on the
opposite coast. She felt strongly that she played a role in the act by
merely thinking of the act. She complains that the more she tries
to not think about the thought, the more often she has the
unwanted thought.
1. Michelle linking of the terrorist act to her previous unwanted
thought is an example of what?
2. What common disorder is this associated with?
3. When treating this disorder with pharmacotherapy, would the
PMHNP expect to prescribe lower or higher dosing of medication
compared to the pharmacotherapy of depression?
Ans: 1. Magical thinking
2. OCD
3. Higher
Q: Jim is an 73 year old male with a dx of Major Neurocognitive
Disorder. Jim developed parkinsonism around the same time his
