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Maryville NURS 623 Exam 3

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Maryville NURS 623 Exam 3

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Maryville NURS 623
Course
Maryville NURS 623

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Maryville NURS 623 Exam 3
What is the most common psychiatric disorder in the U.S? - ANSWER: Anxiety


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
Activities ↑
Sleep Deficit
Talkativeness


What is the symptom criteria for BD I ? - ANSWER: identification of at least one-lifetime mania episode must
have occurred


What is the symptom criteria for BD II ? - ANSWER: identification of at least one hypomania episode and one
major depressive episode must have occurred

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Maryville NURS 623

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