NR546 Week 5 Carefully Structured Questions
with Correct Verified Solutions Graded A+ 2026
1
,Pharmacologic Treatment of Major Depressive Disorder ANSWER >> Selective
serotonin reuptake inhibitors (SSRIs)
Serotonin-norepinephrine reuptake inhibitors (SNRIs)
Norepinephrine and dopamine reuptake inhibitors (NDRIs)
Serotonin antagonists and reuptake inhibitors (SARIs)
Miscellaneous antidepressants
Monoamine oxidase (MAO)-B inhibitors
Adjunct: antipsychotics
Pharmacologic Treatment of Bipolar Disorder ANSWER >> Lithium
Anticonvulsants
Second generation antipsychotics
Mood disorders: role of the psychiatric mental health nurse practitioner (PMHNP) is to:
ANSWER >> determine the malfunctioning brain circuit responsible for the client's
presenting symptoms and select the appropriate medication that targets the associated
neurotransmitter(s)
Mood disorders manifest across a spectrum from: ANSWER >> mania to major
depressive disorder (MDD)
2
,Unipolar depression ANSWER >> major depressive disorder (MDD)
one of the most common mental disorders
-Approximately 7.1% of adults in the U.S. had episode in last year, prevalence highest
(13.1%) among individuals aged 18-25
S/S
-depressed mood
-loss of interest or pleasure in daily activities
-irritability
-withdrawal
-problems with sleep, eating, energy, concentration, or self-worth
-severe depression: may experience thoughts of suicide or psychotic symptoms.
Bipolar disorder (BD) ANSWER >> Chronic condition characterized by extreme
fluctuations in mood, energy, and ability to function
-Moods may be manic, hypomanic, or depressed and may include mixed mood or
psychotic features
-many have only experienced only one manic episode in their lifetime
3
, -Mood fluctuations may be separated by periods of high stability or may cycle rapidly
-diagnosed when a client has one or more episodes of mania or hypomania with a
history of one or more major depressive episodes
-high risk for suicide
mania ANSWER >> characterized by a persistently elevated, expansive, or irritable
mood. Related symptoms may include inflated self-esteem, increased goal-directed
activity or energy, including grandiosity, decreased need for sleep, excessive
talkativeness, racing thoughts, flight of ideas (FOI), distractibility, psychomotor agitation,
and a propensity to be involved in high-risk activities. Mania leads to significant
functional impairment and may include psychotic features or necessitate hospitalization
Bipolar Type I: ANSWER >> requires at least one episode of mania for at least one
week (or any duration if hospitalization due to symptoms is required)
Bipolar Type II: ANSWER >> diagnosis requires a current or past hypomanic episode
and a current or past major depressive episode. Symptoms last for at least 4 days but
fewer than seven.
-Hypomanic symptoms are not of sufficient duration or severity to cause significant
functional impairment, psychosis, or hospitalization.
-Anger and irritability are common.
-Clients often enjoy the elevation of mood and are reluctant to report these symptoms,
making bipolar more difficult to diagnose if the client presents in the depression phase.
Cyclothymia: ANSWER >> involves the chronic presentation of hypomanic and
depressive symptoms that do not meet the diagnostic criteria for a major depressive or
manic/hypomanic episode.
4
with Correct Verified Solutions Graded A+ 2026
1
,Pharmacologic Treatment of Major Depressive Disorder ANSWER >> Selective
serotonin reuptake inhibitors (SSRIs)
Serotonin-norepinephrine reuptake inhibitors (SNRIs)
Norepinephrine and dopamine reuptake inhibitors (NDRIs)
Serotonin antagonists and reuptake inhibitors (SARIs)
Miscellaneous antidepressants
Monoamine oxidase (MAO)-B inhibitors
Adjunct: antipsychotics
Pharmacologic Treatment of Bipolar Disorder ANSWER >> Lithium
Anticonvulsants
Second generation antipsychotics
Mood disorders: role of the psychiatric mental health nurse practitioner (PMHNP) is to:
ANSWER >> determine the malfunctioning brain circuit responsible for the client's
presenting symptoms and select the appropriate medication that targets the associated
neurotransmitter(s)
Mood disorders manifest across a spectrum from: ANSWER >> mania to major
depressive disorder (MDD)
2
,Unipolar depression ANSWER >> major depressive disorder (MDD)
one of the most common mental disorders
-Approximately 7.1% of adults in the U.S. had episode in last year, prevalence highest
(13.1%) among individuals aged 18-25
S/S
-depressed mood
-loss of interest or pleasure in daily activities
-irritability
-withdrawal
-problems with sleep, eating, energy, concentration, or self-worth
-severe depression: may experience thoughts of suicide or psychotic symptoms.
Bipolar disorder (BD) ANSWER >> Chronic condition characterized by extreme
fluctuations in mood, energy, and ability to function
-Moods may be manic, hypomanic, or depressed and may include mixed mood or
psychotic features
-many have only experienced only one manic episode in their lifetime
3
, -Mood fluctuations may be separated by periods of high stability or may cycle rapidly
-diagnosed when a client has one or more episodes of mania or hypomania with a
history of one or more major depressive episodes
-high risk for suicide
mania ANSWER >> characterized by a persistently elevated, expansive, or irritable
mood. Related symptoms may include inflated self-esteem, increased goal-directed
activity or energy, including grandiosity, decreased need for sleep, excessive
talkativeness, racing thoughts, flight of ideas (FOI), distractibility, psychomotor agitation,
and a propensity to be involved in high-risk activities. Mania leads to significant
functional impairment and may include psychotic features or necessitate hospitalization
Bipolar Type I: ANSWER >> requires at least one episode of mania for at least one
week (or any duration if hospitalization due to symptoms is required)
Bipolar Type II: ANSWER >> diagnosis requires a current or past hypomanic episode
and a current or past major depressive episode. Symptoms last for at least 4 days but
fewer than seven.
-Hypomanic symptoms are not of sufficient duration or severity to cause significant
functional impairment, psychosis, or hospitalization.
-Anger and irritability are common.
-Clients often enjoy the elevation of mood and are reluctant to report these symptoms,
making bipolar more difficult to diagnose if the client presents in the depression phase.
Cyclothymia: ANSWER >> involves the chronic presentation of hypomanic and
depressive symptoms that do not meet the diagnostic criteria for a major depressive or
manic/hypomanic episode.
4
