NURS 623 Exam 3 - Questions and Answers
QUESTION: What are the DSM-5 symptom criteria for a diagnosis of general anxiety
disorder? ✓✓Correct Answer: excessive anxiety and worry of variety of things for at least 6
months
QUESTION: What are the DSM-5 symptom criteria for a major depressive disorder?
✓✓Correct 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
QUESTION: differential diagnoses that would mimic the symptoms of depression?
✓✓Correct Answer: *Anxiety
*PTSD
*Substance Abuse
QUESTION: What are the risk factors for major depression? ✓✓Correct Answer: *Age
*Gender
*Personal Hx (migrains, PUD, chronic pain)
*Fx Hx (depression, suicide, alcholism, substance abuse)
QUESTION: What are the common presenting symptoms of depression in the geriatric
patient? ✓✓Correct Answer: Somatic (general pain)
Psychology (feeling of guilt/worry, suicidal, memory)
Psychomotor (anxiety/agitation)
Vegetative (poor appitite/sleep)
Page 1 of 32
,QUESTION: What are the NON-pharmacologic treatments for management for major
depressive disorder? ✓✓Correct Answer: Interpersonal and cognitive behavior therapy
QUESTION: What are the pharmacologic treatments for management for major depressive
disorder? ✓✓Correct Answer: SSRI, SNRI, TCA, MAO
QUESTION: Names of common SSRIs ✓✓Correct Answer: Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (paxil)
Citalopram (celexa)
Escitalopram (Lexapro)
QUESTION: Names of common SNRIs ✓✓Correct Answer: Duloxetine (Cymbalta)
Venlafaxine (Effexor)
Desvenlafaxine (Pristiq)
QUESTION: What are concerns in elderly taking medication for major depression?
✓✓Correct Answer: a slower metabolism requires lower dosing; greater risk of falls,
osteoporosis, fractures
QUESTION: What are the pharmacologic versus nonpharmacologic treatment for
management for general anxiety disorder? ✓✓Correct Answer: non-pharmacological
interventions of cognitive behavioral therapy has proven equal results to SSRI pharmacologic
therapy
Page 2 of 32
,QUESTION: DIGFAST for bipolar because your digging yourself into hole ✓✓Correct Answer:
Distractibility
Indiscretion/Insomnia
Grandiosity
Flight of ideas
Activities ↑
Sleep Deficit
Talkativeness
QUESTION: What is the symptom criteria for BD I ? ✓✓Correct Answer: identification of at
least one-lifetime mania episode must have occurred
QUESTION: What is the symptom criteria for BD II ? ✓✓Correct Answer: identification of at
least one hypomania episode and one major depressive episode must have occurred
QUESTION: What is the symptom criteria for diagnosing unipolar (depression) ✓✓Correct
Answer: persistently depressed mood or loss of interest in activities, causing significant
impairment in daily life (no mania/hypomania)
QUESTION: How do you assess suicide risk (consider mnemonic SAD PERSONS) ✓✓Correct
Answer: S-ex
A-ge
D-epression
P-revious attempt
Page 3 of 32
, E-thanol abuse
R-ational thinking loss
S-ocial support loss
O-rganized plan
N-o spouse
S-ickness
QUESTION: How would you identify intimate partner violence? ✓✓Correct Answer:
*reluctant to speak in front of partner
*gives evasive answers
*Overly protective or controlling partner
QUESTION: What are the stages of grieving? (DABDA) ✓✓Correct Answer: Denial
Anger
Bargaining
Depression
Acceptance
QUESTION: What are the phases of grief? (Aca) ✓✓Correct Answer: Avoid
Confront
Accomadate
Acknowledge the loss
Page 4 of 32
QUESTION: What are the DSM-5 symptom criteria for a diagnosis of general anxiety
disorder? ✓✓Correct Answer: excessive anxiety and worry of variety of things for at least 6
months
QUESTION: What are the DSM-5 symptom criteria for a major depressive disorder?
✓✓Correct 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
QUESTION: differential diagnoses that would mimic the symptoms of depression?
✓✓Correct Answer: *Anxiety
*PTSD
*Substance Abuse
QUESTION: What are the risk factors for major depression? ✓✓Correct Answer: *Age
*Gender
*Personal Hx (migrains, PUD, chronic pain)
*Fx Hx (depression, suicide, alcholism, substance abuse)
QUESTION: What are the common presenting symptoms of depression in the geriatric
patient? ✓✓Correct Answer: Somatic (general pain)
Psychology (feeling of guilt/worry, suicidal, memory)
Psychomotor (anxiety/agitation)
Vegetative (poor appitite/sleep)
Page 1 of 32
,QUESTION: What are the NON-pharmacologic treatments for management for major
depressive disorder? ✓✓Correct Answer: Interpersonal and cognitive behavior therapy
QUESTION: What are the pharmacologic treatments for management for major depressive
disorder? ✓✓Correct Answer: SSRI, SNRI, TCA, MAO
QUESTION: Names of common SSRIs ✓✓Correct Answer: Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (paxil)
Citalopram (celexa)
Escitalopram (Lexapro)
QUESTION: Names of common SNRIs ✓✓Correct Answer: Duloxetine (Cymbalta)
Venlafaxine (Effexor)
Desvenlafaxine (Pristiq)
QUESTION: What are concerns in elderly taking medication for major depression?
✓✓Correct Answer: a slower metabolism requires lower dosing; greater risk of falls,
osteoporosis, fractures
QUESTION: What are the pharmacologic versus nonpharmacologic treatment for
management for general anxiety disorder? ✓✓Correct Answer: non-pharmacological
interventions of cognitive behavioral therapy has proven equal results to SSRI pharmacologic
therapy
Page 2 of 32
,QUESTION: DIGFAST for bipolar because your digging yourself into hole ✓✓Correct Answer:
Distractibility
Indiscretion/Insomnia
Grandiosity
Flight of ideas
Activities ↑
Sleep Deficit
Talkativeness
QUESTION: What is the symptom criteria for BD I ? ✓✓Correct Answer: identification of at
least one-lifetime mania episode must have occurred
QUESTION: What is the symptom criteria for BD II ? ✓✓Correct Answer: identification of at
least one hypomania episode and one major depressive episode must have occurred
QUESTION: What is the symptom criteria for diagnosing unipolar (depression) ✓✓Correct
Answer: persistently depressed mood or loss of interest in activities, causing significant
impairment in daily life (no mania/hypomania)
QUESTION: How do you assess suicide risk (consider mnemonic SAD PERSONS) ✓✓Correct
Answer: S-ex
A-ge
D-epression
P-revious attempt
Page 3 of 32
, E-thanol abuse
R-ational thinking loss
S-ocial support loss
O-rganized plan
N-o spouse
S-ickness
QUESTION: How would you identify intimate partner violence? ✓✓Correct Answer:
*reluctant to speak in front of partner
*gives evasive answers
*Overly protective or controlling partner
QUESTION: What are the stages of grieving? (DABDA) ✓✓Correct Answer: Denial
Anger
Bargaining
Depression
Acceptance
QUESTION: What are the phases of grief? (Aca) ✓✓Correct Answer: Avoid
Confront
Accomadate
Acknowledge the loss
Page 4 of 32
