NCA 622 MODULE 1 WITH COMPLETE
SOLUTIONS 100% VERIFIED!!
What must be ruled out before a mental illness is diagnosed? - ANSWER Rule out
underlying non-psychological medical diseases (ex. thyroid disease, dementia)
What is the most consistent sign consistent with the diagnosis of depression? -
ANSWER Diminished cognitive ability
What is the most common mental health problem of late life? - ANSWER Depression
What are signs and symptoms of vegetative major depressive disorder? - ANSWER
Insomnia
Anorexia
Weight loss
Constipation
What are some s/s of Major depression w seasonal onset/ seasonal affective disorder? -
ANSWER -Depression that occurs in Fall and winter d/t decreased exposure to sun
-Carbohydrate cravings
Lethargy
-Hyperphagia
-Hypersomnia
What does bipolar disorder have a higher incidence of? - ANSWER hypothyroidism
,What is the difference between Bipolar I and bipolar II? - ANSWER -Bipolar I - pt has
manic episodes
-Bipolar II - pt have hypomanic episodes w/o frank mania
What is the difference between mania and schizophrenia? - ANSWER -Manic people
have:
-more effective interpersonal skills
-More sensitive to social maneuvers of others
-More able to utilize weakness and vulnerability in others to their own advantage
An NP is doing an assessment on a 30 yo F w suspected depression. What is most
important to ask? - ANSWER Have you thought of harming yourself?
A pt w a history of bipolar depression is brought to the ER by his mother d/t change in
behavior. He has been very impulsive and not sleeping for the past two weeks. What is
the most appropriate question to ask?
-How much sleep is he getting?
-What kind of impulsive behavior is he exhibiting?
-Is he still taking his bipolar meds?
-How old was he when he was diagnosed? - ANSWER -Is he still taking his bipolar
meds?
Which statement by the NP student shows a lack of understanding of the risk factors of
suicide?
-Losing one's job is a risk factor for committing suicide in a pt with depression
-Someone who feels better after starting antidepressant is not a risk of committing
suicide
-Women attempt suicide at higher rates than men
-Have a chronic medical condition is a risk factor for suicide - ANSWER -Someone who
feels better after starting antidepressant is not a risk of committing suicide
, -Men attempt suicide more and are more successful
-Elderly ppl are most successful
When choosing an antidepressant to prescribe a 50yo M w BPH, which of these should
be avoided?
-Amitriptyline (Elavil)
-Citalopram (Celexa)
-Duloxetine (Cymbalta)
-Escitalopram (Lexapro) - ANSWER Amitriptyline - TCAs have anticholinergic effects
-Citalopram, escitalopram - SSRIs
-Duloxetine (cymbalta) - SNRI
Which statement by starting an MAOI shows need for education regarding the
medication?
-I should not stop taking the med without talking to my doctor.
-I should take the med as prescribed
-I should not expect the med to work immediately
-I can eat red meats - ANSWER I can eat red meats
-MAOIs require a tyramine free diet
Which of the following medications can be used in someone w depression and sleep
problems?
-Mirtazapine (Remeron)
-Trazadone (Desyrel)
-Bupropion (Wellbutrin)
-A+B - ANSWER A+B
SOLUTIONS 100% VERIFIED!!
What must be ruled out before a mental illness is diagnosed? - ANSWER Rule out
underlying non-psychological medical diseases (ex. thyroid disease, dementia)
What is the most consistent sign consistent with the diagnosis of depression? -
ANSWER Diminished cognitive ability
What is the most common mental health problem of late life? - ANSWER Depression
What are signs and symptoms of vegetative major depressive disorder? - ANSWER
Insomnia
Anorexia
Weight loss
Constipation
What are some s/s of Major depression w seasonal onset/ seasonal affective disorder? -
ANSWER -Depression that occurs in Fall and winter d/t decreased exposure to sun
-Carbohydrate cravings
Lethargy
-Hyperphagia
-Hypersomnia
What does bipolar disorder have a higher incidence of? - ANSWER hypothyroidism
,What is the difference between Bipolar I and bipolar II? - ANSWER -Bipolar I - pt has
manic episodes
-Bipolar II - pt have hypomanic episodes w/o frank mania
What is the difference between mania and schizophrenia? - ANSWER -Manic people
have:
-more effective interpersonal skills
-More sensitive to social maneuvers of others
-More able to utilize weakness and vulnerability in others to their own advantage
An NP is doing an assessment on a 30 yo F w suspected depression. What is most
important to ask? - ANSWER Have you thought of harming yourself?
A pt w a history of bipolar depression is brought to the ER by his mother d/t change in
behavior. He has been very impulsive and not sleeping for the past two weeks. What is
the most appropriate question to ask?
-How much sleep is he getting?
-What kind of impulsive behavior is he exhibiting?
-Is he still taking his bipolar meds?
-How old was he when he was diagnosed? - ANSWER -Is he still taking his bipolar
meds?
Which statement by the NP student shows a lack of understanding of the risk factors of
suicide?
-Losing one's job is a risk factor for committing suicide in a pt with depression
-Someone who feels better after starting antidepressant is not a risk of committing
suicide
-Women attempt suicide at higher rates than men
-Have a chronic medical condition is a risk factor for suicide - ANSWER -Someone who
feels better after starting antidepressant is not a risk of committing suicide
, -Men attempt suicide more and are more successful
-Elderly ppl are most successful
When choosing an antidepressant to prescribe a 50yo M w BPH, which of these should
be avoided?
-Amitriptyline (Elavil)
-Citalopram (Celexa)
-Duloxetine (Cymbalta)
-Escitalopram (Lexapro) - ANSWER Amitriptyline - TCAs have anticholinergic effects
-Citalopram, escitalopram - SSRIs
-Duloxetine (cymbalta) - SNRI
Which statement by starting an MAOI shows need for education regarding the
medication?
-I should not stop taking the med without talking to my doctor.
-I should take the med as prescribed
-I should not expect the med to work immediately
-I can eat red meats - ANSWER I can eat red meats
-MAOIs require a tyramine free diet
Which of the following medications can be used in someone w depression and sleep
problems?
-Mirtazapine (Remeron)
-Trazadone (Desyrel)
-Bupropion (Wellbutrin)
-A+B - ANSWER A+B
