NURS 3381 EXAM 2 2025 LATEST FALL SESSION |
UNIVERSITY OF TEXAS AT ARLINGTON| APPROVED
EXAM |GRADED A
Psychiatrist vs psychologist
psychiatrist: medical doctor, prescriptive
psychologist: degree in psychology, talk therapy
Side effects of phenelzine which is a _______(type of drug). (3)
MAOI
orthostatic hypotension
hypomania
headache
SSRIs commonly have this side effect
bruxism aka teeth gnashing/clenching
In terms of chronic medical conditions, depression is secondary only to ________.
hypertension
Who is at a higher risk of depression?
people with co-occurring chronic conditions (HTN, backaches, diabetes, heart problems,
arthritis)
Who is most likely to experience depression, men or women?
women
70% more likely
Which demographic is most often misdiagnosed and underdiagnosed for depression?
older adults
Which demographic has a high recurrence rate of depression?
children and adolescents
,Define anhedonia
complete loss of pleasure in life
major depressive disorder vs persistent depressive disorder
major: severe change in usual functioning, acute onset/duration
persistent: less severe, chronic depression, at least 2 year duration
Adolescents are more likely to experience _______ whereas older adults are more
likely to experience ______.
adolescents: MDD
older: PDD
(think, PDD is longterm! 2+ years)
What are the primary considerations when prescribing an antidepressant? (4)
Secondary? (3)
primary:
previous response to antidepressants
ease of administration
safety & medical considerations (diabetes, heart dz)
symptoms of comorbidity (OCD, PTSD, bipolar, energy level)
secondary:
neurotransmitter specificity
family hx of response
cost
What is the saying to remember when prescribing antidepressants, especially TCAs?
start low, go slow
regardless of TCA, dosage should always be low initially and increased gradually
What time of day would it be best to administer TCAs? Why?
at nighttime
TCAs have sedative effects which will aid in sleep & undesirable side effects
(anticholinergic) will occur during sleep
What are the most serious side effects of TCAs?
cardiovascular (tachycardia, dysrhythmias)
caution in older adults!
Which type of antidepressant is preferred for older adults?
Why?
TCA (over SSRI)
, SSRIs present more adverse effects to older adults: falls, strokes, seizures
What are the primary neurotransmitters involved with depression? (2)
norepinephrine
serotonin
Private insurance typically covers which one of the following?
a. all illnesses regardless of duration
b. all illnesses except mental illnesses
c. all mental illnesses over a lifetime
d. mental illness with a lifetime cap
d. mental illness with a lifetime cap
Supplemental Security Income (SSI) benefits typically cover needs based on which one
of the following?
A. Mental illness
B. Unemployment
C. Homelessness
D. Economic need
D. Economic need
Treatment options for trauma/stress (4)
cognitive behavioral therapy (help identify negative thoughts)
SSRIs
group therapy
family therapy
What is the treatment of choice for PTSD?
psychotherapy (talk, no meds)
medications can be used if target symptoms arise/become serious
What medication is prescribed to treat nightmares in patients with PTSD?
Prazosin aka Minipress
What is used to treat panic attacks in PTSD? (3)
antidepressants
MAOI
benzodiazepines
PTSD vs ASD
(acute stress disorder)
similarities: same triggers, similar manifestations
UNIVERSITY OF TEXAS AT ARLINGTON| APPROVED
EXAM |GRADED A
Psychiatrist vs psychologist
psychiatrist: medical doctor, prescriptive
psychologist: degree in psychology, talk therapy
Side effects of phenelzine which is a _______(type of drug). (3)
MAOI
orthostatic hypotension
hypomania
headache
SSRIs commonly have this side effect
bruxism aka teeth gnashing/clenching
In terms of chronic medical conditions, depression is secondary only to ________.
hypertension
Who is at a higher risk of depression?
people with co-occurring chronic conditions (HTN, backaches, diabetes, heart problems,
arthritis)
Who is most likely to experience depression, men or women?
women
70% more likely
Which demographic is most often misdiagnosed and underdiagnosed for depression?
older adults
Which demographic has a high recurrence rate of depression?
children and adolescents
,Define anhedonia
complete loss of pleasure in life
major depressive disorder vs persistent depressive disorder
major: severe change in usual functioning, acute onset/duration
persistent: less severe, chronic depression, at least 2 year duration
Adolescents are more likely to experience _______ whereas older adults are more
likely to experience ______.
adolescents: MDD
older: PDD
(think, PDD is longterm! 2+ years)
What are the primary considerations when prescribing an antidepressant? (4)
Secondary? (3)
primary:
previous response to antidepressants
ease of administration
safety & medical considerations (diabetes, heart dz)
symptoms of comorbidity (OCD, PTSD, bipolar, energy level)
secondary:
neurotransmitter specificity
family hx of response
cost
What is the saying to remember when prescribing antidepressants, especially TCAs?
start low, go slow
regardless of TCA, dosage should always be low initially and increased gradually
What time of day would it be best to administer TCAs? Why?
at nighttime
TCAs have sedative effects which will aid in sleep & undesirable side effects
(anticholinergic) will occur during sleep
What are the most serious side effects of TCAs?
cardiovascular (tachycardia, dysrhythmias)
caution in older adults!
Which type of antidepressant is preferred for older adults?
Why?
TCA (over SSRI)
, SSRIs present more adverse effects to older adults: falls, strokes, seizures
What are the primary neurotransmitters involved with depression? (2)
norepinephrine
serotonin
Private insurance typically covers which one of the following?
a. all illnesses regardless of duration
b. all illnesses except mental illnesses
c. all mental illnesses over a lifetime
d. mental illness with a lifetime cap
d. mental illness with a lifetime cap
Supplemental Security Income (SSI) benefits typically cover needs based on which one
of the following?
A. Mental illness
B. Unemployment
C. Homelessness
D. Economic need
D. Economic need
Treatment options for trauma/stress (4)
cognitive behavioral therapy (help identify negative thoughts)
SSRIs
group therapy
family therapy
What is the treatment of choice for PTSD?
psychotherapy (talk, no meds)
medications can be used if target symptoms arise/become serious
What medication is prescribed to treat nightmares in patients with PTSD?
Prazosin aka Minipress
What is used to treat panic attacks in PTSD? (3)
antidepressants
MAOI
benzodiazepines
PTSD vs ASD
(acute stress disorder)
similarities: same triggers, similar manifestations
