NR668 Week 5 exam with |! |! |! |! |!
precise detailed answers |! |!
Jane is a 27 year old female with no previous psychiatric hx. She was
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employed at a large company within the outside sales division. The company
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recently downsized and eliminated 50% of its workforce. Jane was let go 1
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month ago. She had recently purchased a condominium near her former
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employer and expressed worry about the mortgage payment. She stopped
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attending her weekly outings with her friends from college and no longer
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attends yoga. She is often tearful and notes that 1-2x a week, she will feel
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overwhelmed with hopelessness. She denies SI. She denies changes in |! |! |! |! |! |! |! |! |! |!
appetite, weight, sleep or energy level. She has been able to update her
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resume and denies trouble concentrating. She finds pleasure walking her dog,
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but is seeking help with her "crying".
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Given the current info above, what disorder best describes Jane's symptoms? -
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Correct answer ✔adjustment disorder with depressed mood
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*key is that it is not chronic
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Susan is a 22 year old female who has a marked fear of elevators, Uber rides
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and public transportation. She never shops or travels alone. She is now
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experiencing "nervousness" when she waits in line at the grocery store. Her |! |! |! |! |! |! |! |! |! |! |! |!
husband suggested that she receive counseling after she recently refused to go
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into Walmart alone.
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1. What disorder best describes Susan's behavior?
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, 2. What 1st line pharmacological tx would reduce relapse? - Correct answer
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✔1. Agoraphobia|!
2. SSRI's
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*note: one can be diagnosed with agoraphobia and not necessarily panic
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disorder
Michelle, a 28 year old female began having recurring thoughts about people
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dying somewhere in the USA. One month later, she learns on social media
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that an act of terrorism occurred on the opposite coast. She felt strongly that
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she played a role in the act by merely thinking of the act. She complains that
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the more she tries to not think about the thought, the more often she has the
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unwanted thought. |! |!
1. Michelle linking of the terrorist act to her previous unwanted thought is an
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example of what?
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2. What common disorder is this associated with?
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3. When treating this disorder with pharmacotherapy, would the PMHNP
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expect to prescribe lower or higher dosing of medication compared to the
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pharmacotherapy of depression? - Correct answer ✔1. Magical thinking |! |! |! |! |! |! |! |!
2. OCD
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3. Higher
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Jim is an 73 year old male with a dx of Major Neurocognitive Disorder. Jim
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developed parkinsonism around the same time his cognitive impairment
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became more pronounced. Jim was admitted to a nursing home after his wife
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could no longer care for him at home at night. Some nights he would
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hallucinate and some nights he would fall out of bed or act out his dreams.
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precise detailed answers |! |!
Jane is a 27 year old female with no previous psychiatric hx. She was
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
employed at a large company within the outside sales division. The company
|! |! |! |! |! |! |! |! |! |! |! |!
recently downsized and eliminated 50% of its workforce. Jane was let go 1
|! |! |! |! |! |! |! |! |! |! |! |! |!
month ago. She had recently purchased a condominium near her former
|! |! |! |! |! |! |! |! |! |! |!
employer and expressed worry about the mortgage payment. She stopped
|! |! |! |! |! |! |! |! |! |!
attending her weekly outings with her friends from college and no longer
|! |! |! |! |! |! |! |! |! |! |! |!
attends yoga. She is often tearful and notes that 1-2x a week, she will feel
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
overwhelmed with hopelessness. She denies SI. She denies changes in |! |! |! |! |! |! |! |! |! |!
appetite, weight, sleep or energy level. She has been able to update her
|! |! |! |! |! |! |! |! |! |! |! |! |!
resume and denies trouble concentrating. She finds pleasure walking her dog,
|! |! |! |! |! |! |! |! |! |!
but is seeking help with her "crying".
|! |! |! |! |! |! |! |!
Given the current info above, what disorder best describes Jane's symptoms? -
|! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔adjustment disorder with depressed mood
|! |! |! |! |! |! |!
*key is that it is not chronic
|! |! |! |! |! |!
Susan is a 22 year old female who has a marked fear of elevators, Uber rides
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
and public transportation. She never shops or travels alone. She is now
|! |! |! |! |! |! |! |! |! |! |! |!
experiencing "nervousness" when she waits in line at the grocery store. Her |! |! |! |! |! |! |! |! |! |! |! |!
husband suggested that she receive counseling after she recently refused to go
|! |! |! |! |! |! |! |! |! |! |!
into Walmart alone.
|! |! |! |!
1. What disorder best describes Susan's behavior?
|! |! |! |! |! |! |!
, 2. What 1st line pharmacological tx would reduce relapse? - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |!
✔1. Agoraphobia|!
2. SSRI's
|! |!
*note: one can be diagnosed with agoraphobia and not necessarily panic
|! |! |! |! |! |! |! |! |! |! |!
disorder
Michelle, a 28 year old female began having recurring thoughts about people
|! |! |! |! |! |! |! |! |! |! |! |!
dying somewhere in the USA. One month later, she learns on social media
|! |! |! |! |! |! |! |! |! |! |! |! |!
that an act of terrorism occurred on the opposite coast. She felt strongly that
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
she played a role in the act by merely thinking of the act. She complains that
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
the more she tries to not think about the thought, the more often she has the
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
unwanted thought. |! |!
1. Michelle linking of the terrorist act to her previous unwanted thought is an
|! |! |! |! |! |! |! |! |! |! |! |! |!
example of what?
|! |! |!
2. What common disorder is this associated with?
|! |! |! |! |! |! |!
3. When treating this disorder with pharmacotherapy, would the PMHNP
|! |! |! |! |! |! |! |! |! |!
expect to prescribe lower or higher dosing of medication compared to the
|! |! |! |! |! |! |! |! |! |! |! |!
pharmacotherapy of depression? - Correct answer ✔1. Magical thinking |! |! |! |! |! |! |! |!
2. OCD
|!
3. Higher
|!
Jim is an 73 year old male with a dx of Major Neurocognitive Disorder. Jim
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
developed parkinsonism around the same time his cognitive impairment
|! |! |! |! |! |! |! |! |!
became more pronounced. Jim was admitted to a nursing home after his wife
|! |! |! |! |! |! |! |! |! |! |! |! |!
could no longer care for him at home at night. Some nights he would
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
hallucinate and some nights he would fall out of bed or act out his dreams.
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