SOLUTION
◉ 2. Which medication is not FDA approved for treatment of OCD?
a. Paroxetine (Paxil)
b. Citalopram (Celexa)
c. Fluoxetine (Prozac)
d. Sertraline (Zoloft). Answer: b. Citalopram (Celexa)
◉ 3. A 25-year-old man has thoughts about hating his younger
brother and wishing he would die. He becomes very anxious about
these thoughts because he has developed the idea that if anything
really happened to his brother, it would be his fault. For no
explainable reason, Tony starts mentally counting by odd numbers
each time he walks past his brother's room and discovers that this
activity makes him less anxious. Tony's behavior can be described as
a. A phobia of going into his brother's room because he is afraid his
hatred will actually hurt him
b.A compulsive ritual designed to make him like his brother
c. c. A mental compulsion developed to neutralize his bad thoughts -
correct one
d. An attempt to be better in math than his brother to gain parental
acceptance. Answer: b.A compulsive ritual designed to make him like
his brother
,◉ 4. A teenage girl had recently been having panic attacks while
shopping at the mall. She was sitting in her room feeling very
depressed. To cheer her up, a friend suggested that they both go to
an exercise class. Shortly after the warm-up started, however, she
had another panic attack. What is the best explanation for this
occurrence?
a. The exercise class was an unconditioned stimulus that resulted in
a panic attack
b. She was angry with the friend for insisting that she go out
c. The medication that had been prescribed for her was only
treating the depression, not the anxiety
d. The physical sensations experienced during exercise had become
an internal cue for panic to occur. Answer: d. The physical sensations
experienced during exercise had become an internal cue for panic to
occur
◉ 5. According to the DSM 5 which of the following terms is
associated with generalized anxiety disorder
a. Fear
b. Worry
c. Panic
d. Emotion. Answer: b. Worry
,◉ 6. A 25-year-old patient with a five-year history of generalized
anxiety disorder arrives at the ED. She complains of severe
shortness of breath, chest pain, sweating profusely and is crying
uncontrollably. She just got fired from her job and she has what
would you do first.
a. Treat her for acute psychosis
b. Assess her for medical condition
c. Prescribe IV benzodiazepines stat
d. Treat her for generalized anxiety. Answer: b. Assess her for
medical condition
◉ 7. Which herbal preparation is not associated with inducing
symptoms of anxiety
a. St. John's Wort
b. Ma Huang
c. Yohimbine
d. Kava. Answer: d. Kava
◉ 8. A patient has been taking a benzodiazepine for 5 weeks. The
psychiatric NP wants to replace this medication with Buspar. How
long will it take the new medication to be felt at its full potential?
a. 10-12 weeks
b. 7-10 days
c. 30-45 days
, d. 72 hours. Answer: c. 30-45 days
◉ 9. A patient has been taking a benzodiazepine for 5 weeks. The
psychiatric NP wants to replace this medication with Buspar. How
long will it take the new medication to be felt at its full potential?
a. 6-8 weeks
b. 7-14 days
c. 3-4 weeks
d. 72 hours. Answer: c. 3-4 weeks
◉ 10. Which of the following is not a characteristic common to
specific phobias
a. significant attempts by the anxious individual to avoid the phobic
situation
b. strong and persistent anxiety related to a specific object or
situation
c. recognition by the person with the phobia that the anxiety is
excessive or unreasonable
d. decreased arousal of the autonomic nervous system. Answer: d.
decreased arousal of the autonomic nervous system
◉ 11. A relative of yours who suffers from panic disorder ask you
which treatment would have the longest lasting benefits. Since you
have just read about the double-blind NIMH research study