NR 547 Week 2
1. Brain involvement with hoarding disorder: ventromedial prefrontal/anteriorcingulate
cortices
2. What are the five feared situations in agoraphobia: using public transportation
being in open spaces being in enclosed spaces
standing in line or being in a crowdbeing outside of the home alone
3. What class of medications are effective in treating akathisia: benzodiazepines
4. How many symptoms bust be present to diagnosed a panic attack: four ofthirteen
palpitation, sweating, shaking, sob, feeling of choking, chest discomfort, gi distress,dizzy,
chills, paresthesia, derealization, fear of losing control, fear of dying
5. GAD7 moderate score: 10-14
6. GAD7 severe anxiety score: 15-21
7. GAD7 mild anxiety score: 5-9
8. The major value of The Hamilton Anxiety Rating Scale (HAM-A) is to: mostuseful for
evaluating a patient's response to treatment
9. What is performance anxiety: anxiety experienced in performance situationsstemming
from a fear of negative evaluation of one's ability to perform
10. Diagnostic criteria for panic disorder: - persistent or Recurrent unexpectedpanic attacks
- At least one attack has been followed by significant worry or maladaptive changein behavior
- Not attributable to substance use
- Not better explained by another mental disorder
11. Etiology of adjustment disorder: trauma or stress
12. When does symptoms begin with adjustment d/o: 3 months of stressoridentification
13. HAM-A score for mild anxiety: less than 17
14. HAM-A score for mild to moderate anxiety: 18-24
15. HAM-A score for moderate to severe anxiety: 25-30
16. Which two medications can be used for performance anxiety that occursrarely: Beta
blockers and benzos 30-60 min before
17. Which treatment for GAD should only be used on an as needed basis toavoid adverse
effects: Benzos
18. What is the first line treatment for recurrent performance anxiety: CBT
19. What is the name of the herbal supplement sold OTC that has shownefficacy in the
, treatment of GAD: Silexan
20. Which drug class requires complete excretion of serotonin containingdrugs prior to
beginning?: MAOIs
21. What is the first line drug class for panic disorder?: SSRIs
22. Yale-Brown Obsessive Compulsive Scale (Y-BOCS) mild: 8-15
23. Yale-Brown Obsessive Compulsive Scale (Y-BOCS) moderate: 16-23
24. Yale-Brown Obsessive Compulsive Scale (Y-BOCS) severe: 24-31
25. Yale-Brown Obsessive Compulsive Scale (Y-BOCS) extreme: 32-40
26. Treatment for ocd: high dose SSRI
SEROTONIN basis and exposure and respponse prevention
27. Which of the following correctly defines the differential diagnosis?a.It is the provider's
initial hypothesis
b. It is a critical step in providing cost effective care
c. It is a process that utilizes subjective data only
d. It is a means to address the client's medical diagnoses: a
28. A patient presents with intense worry that has lasted over 6 months. ThePMHNP decides
to perform the GAD-7 scale on the patient which consists of
7 questions scored between 0-3. The patient scores 18 points on the scale.What can the
PMHNP determine about this patient's level of anxiety? a.The patient has no anxiety
b.The patient has mild anxiety c.The patient has moderate anxietyd.The patient has severe
anxiety: d
29. Which of the following is an example of a compulsion? Select all thatapply.
a.Checking the lock of the door multiple times before leavingb.Fears of germs
c.Counting
d.Taking several hours to clean a deske.Handwashing: A, C, D, E
30. Examples of Obsessions: ËThoughts of contamination, doubt, intrusivethoughts about
harm, violence, sex, religion
31. Examples of Compulsions: ËHandwashing, counting, hoarding, maintainingsymmetry/
position, taking hours to perform a task
32. The PMHNP prescribed fluoxetine 80 mg orally and therapy to a client newly diagnosed
with OCD. Which of the following types of therapies wouldbest benefit this patient?
a.Exposure and response therapyb.Interpersonal psychotherapy c.Mindfulness-based CBT
1. Brain involvement with hoarding disorder: ventromedial prefrontal/anteriorcingulate
cortices
2. What are the five feared situations in agoraphobia: using public transportation
being in open spaces being in enclosed spaces
standing in line or being in a crowdbeing outside of the home alone
3. What class of medications are effective in treating akathisia: benzodiazepines
4. How many symptoms bust be present to diagnosed a panic attack: four ofthirteen
palpitation, sweating, shaking, sob, feeling of choking, chest discomfort, gi distress,dizzy,
chills, paresthesia, derealization, fear of losing control, fear of dying
5. GAD7 moderate score: 10-14
6. GAD7 severe anxiety score: 15-21
7. GAD7 mild anxiety score: 5-9
8. The major value of The Hamilton Anxiety Rating Scale (HAM-A) is to: mostuseful for
evaluating a patient's response to treatment
9. What is performance anxiety: anxiety experienced in performance situationsstemming
from a fear of negative evaluation of one's ability to perform
10. Diagnostic criteria for panic disorder: - persistent or Recurrent unexpectedpanic attacks
- At least one attack has been followed by significant worry or maladaptive changein behavior
- Not attributable to substance use
- Not better explained by another mental disorder
11. Etiology of adjustment disorder: trauma or stress
12. When does symptoms begin with adjustment d/o: 3 months of stressoridentification
13. HAM-A score for mild anxiety: less than 17
14. HAM-A score for mild to moderate anxiety: 18-24
15. HAM-A score for moderate to severe anxiety: 25-30
16. Which two medications can be used for performance anxiety that occursrarely: Beta
blockers and benzos 30-60 min before
17. Which treatment for GAD should only be used on an as needed basis toavoid adverse
effects: Benzos
18. What is the first line treatment for recurrent performance anxiety: CBT
19. What is the name of the herbal supplement sold OTC that has shownefficacy in the
, treatment of GAD: Silexan
20. Which drug class requires complete excretion of serotonin containingdrugs prior to
beginning?: MAOIs
21. What is the first line drug class for panic disorder?: SSRIs
22. Yale-Brown Obsessive Compulsive Scale (Y-BOCS) mild: 8-15
23. Yale-Brown Obsessive Compulsive Scale (Y-BOCS) moderate: 16-23
24. Yale-Brown Obsessive Compulsive Scale (Y-BOCS) severe: 24-31
25. Yale-Brown Obsessive Compulsive Scale (Y-BOCS) extreme: 32-40
26. Treatment for ocd: high dose SSRI
SEROTONIN basis and exposure and respponse prevention
27. Which of the following correctly defines the differential diagnosis?a.It is the provider's
initial hypothesis
b. It is a critical step in providing cost effective care
c. It is a process that utilizes subjective data only
d. It is a means to address the client's medical diagnoses: a
28. A patient presents with intense worry that has lasted over 6 months. ThePMHNP decides
to perform the GAD-7 scale on the patient which consists of
7 questions scored between 0-3. The patient scores 18 points on the scale.What can the
PMHNP determine about this patient's level of anxiety? a.The patient has no anxiety
b.The patient has mild anxiety c.The patient has moderate anxietyd.The patient has severe
anxiety: d
29. Which of the following is an example of a compulsion? Select all thatapply.
a.Checking the lock of the door multiple times before leavingb.Fears of germs
c.Counting
d.Taking several hours to clean a deske.Handwashing: A, C, D, E
30. Examples of Obsessions: ËThoughts of contamination, doubt, intrusivethoughts about
harm, violence, sex, religion
31. Examples of Compulsions: ËHandwashing, counting, hoarding, maintainingsymmetry/
position, taking hours to perform a task
32. The PMHNP prescribed fluoxetine 80 mg orally and therapy to a client newly diagnosed
with OCD. Which of the following types of therapies wouldbest benefit this patient?
a.Exposure and response therapyb.Interpersonal psychotherapy c.Mindfulness-based CBT
