NURS 663- EXAM 1 QUIZZES WITH
DETAILED, VERIFIED ANSWERS
all antidepressants carry what 5 warnings? - correct
answer- - increased risk of suicide (especially in children and
young adults)
- mania activation
- serotonin syndrome
-discontinuation syndrome
- bleeding risk
behavioral therapy - correct answer- focuses on changing
behavior by identifying problem behaviors, replacing them with
appropriate behaviors, and using rewards or other
consequences to make the changes
,•Behavioural therapy is based on the concept that a deficit of
'reinforcers', such as pleasant activities and positive
interpersonal contacts, leaves patients vulnerable to depression
•Sample interventions: increase activity level, structured goal
setting, interpersonal skills training
Carbamazepine (Tegretol) - correct answer- mood
stabilizer
indication: bipolar disorder
major side effects:
CYP 450: (inducer- speeds up metabolism of other drugs)
patient education:
Case: 26 year old woman without a psychiatric history who
presents for treatment of depression after her mother died. It
has been over a year but she is still struggling with frequent
bouts of sadness, has lost 15 lbs in the last four months, is
,unable to sleep past 4am, and is getting poor performance
reviews at work due to impaired concentration and memory.
She feels like nothing in life is enjoyable anymore.
diagnosis and medications to consider? - correct answer-
MDD
-Sertraline
-Escitalopram
-Fluoxetine
-Mirtazapine
case: 35 year old woman with a history of major depressive
disorder who presents complaining of persistent depression
despite treatment with maximum dose sertraline and
escitalopram in the past. She has been depressed for over eight
months, and spends up to 16 hours per day lying in bed. She
reports that she doesn't have the energy to get up in the
morning, and that there is nothing that she enjoys doing,
anyway. She has gained 35 lbs in the last eight months, reports
feeling like she has failed everyone in her life, and states that
she only leaves the house about once a week to shop for
groceries. Recently, she has begun hearing vague voices when
, she feels especially badly, although she cannot make out specific
words.
diagnosis and medications? - correct answer- MDD
-Bupropion
-Venlafaxine
-Duloxetine
-Maybe fluoxetine
case: 39 year old man with a history of PTSD and depression
who presents after returning from a recent deployment to
Afghanistan. He is having trouble sleeping because of
nightmares about combat, is unable to tolerate being in
crowded places, and visibly jumps at small noises during your
interview. His unwillingness to leave the house is exacerbated by
a lower spinal injury that has left him with chronic leg pain and a
limp that he thinks makes him look "like an easy target." He also
reports that he has difficulty sleeping through the night, is
having trouble enjoying doing anything with his family, feels
extremely guilty for the time that he was away from them while
deployed, has low energy and concentration, but adamantly
denies suicidal thoughts. He has tried maximum dose sertraline
DETAILED, VERIFIED ANSWERS
all antidepressants carry what 5 warnings? - correct
answer- - increased risk of suicide (especially in children and
young adults)
- mania activation
- serotonin syndrome
-discontinuation syndrome
- bleeding risk
behavioral therapy - correct answer- focuses on changing
behavior by identifying problem behaviors, replacing them with
appropriate behaviors, and using rewards or other
consequences to make the changes
,•Behavioural therapy is based on the concept that a deficit of
'reinforcers', such as pleasant activities and positive
interpersonal contacts, leaves patients vulnerable to depression
•Sample interventions: increase activity level, structured goal
setting, interpersonal skills training
Carbamazepine (Tegretol) - correct answer- mood
stabilizer
indication: bipolar disorder
major side effects:
CYP 450: (inducer- speeds up metabolism of other drugs)
patient education:
Case: 26 year old woman without a psychiatric history who
presents for treatment of depression after her mother died. It
has been over a year but she is still struggling with frequent
bouts of sadness, has lost 15 lbs in the last four months, is
,unable to sleep past 4am, and is getting poor performance
reviews at work due to impaired concentration and memory.
She feels like nothing in life is enjoyable anymore.
diagnosis and medications to consider? - correct answer-
MDD
-Sertraline
-Escitalopram
-Fluoxetine
-Mirtazapine
case: 35 year old woman with a history of major depressive
disorder who presents complaining of persistent depression
despite treatment with maximum dose sertraline and
escitalopram in the past. She has been depressed for over eight
months, and spends up to 16 hours per day lying in bed. She
reports that she doesn't have the energy to get up in the
morning, and that there is nothing that she enjoys doing,
anyway. She has gained 35 lbs in the last eight months, reports
feeling like she has failed everyone in her life, and states that
she only leaves the house about once a week to shop for
groceries. Recently, she has begun hearing vague voices when
, she feels especially badly, although she cannot make out specific
words.
diagnosis and medications? - correct answer- MDD
-Bupropion
-Venlafaxine
-Duloxetine
-Maybe fluoxetine
case: 39 year old man with a history of PTSD and depression
who presents after returning from a recent deployment to
Afghanistan. He is having trouble sleeping because of
nightmares about combat, is unable to tolerate being in
crowded places, and visibly jumps at small noises during your
interview. His unwillingness to leave the house is exacerbated by
a lower spinal injury that has left him with chronic leg pain and a
limp that he thinks makes him look "like an easy target." He also
reports that he has difficulty sleeping through the night, is
having trouble enjoying doing anything with his family, feels
extremely guilty for the time that he was away from them while
deployed, has low energy and concentration, but adamantly
denies suicidal thoughts. He has tried maximum dose sertraline
