MARYVILLE NURS 623 question well ellabolated 2023/2024
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Course
Mar ville nurse 623
Institution
Mar Ville Nurse 623
Alice, age 48, has a benign thyroid nodule. The most common treatment involves: -answers Watchful waiting with an annual follow-up
ACE inhibitors are given to clients with diabetes who have -answers persistent proteinuria
A newly diagnosed client with diabetes who has an HbA1c of 7.5 is start...
What is the most common psychiatric disorder in the U.S? - answer Anxiety
What are the DSM-5 symptom criteria for a diagnosis of general anxiety disorder? - answer excessive
anxiety and worry of variety of things for at least 6 months
What are the DSM-5 symptom criteria for a major depressive disorder? - answer Five or more symptoms
including at least one depressed mood or loss of interest present in the same two weeks and present
nearly every day
differential diagnoses that would mimic the symptoms of depression? - answer *Anxiety
*PTSD
*Substance Abuse
What are the risk factors for major depression? - answer *Age
What are the common presenting symptoms of depression in the geriatric patient? - answer Somatic
(general pain)
,Psychology (feeling of guilt/worry, suicidal, memory)
Psychomotor (anxiety/agitation)
Vegetative (poor appitite/sleep)
What are the NON-pharmacologic treatments for management for major depressive disorder? - answer
Interpersonal and cognitive behavior therapy
What are the pharmacologic treatments for management for major depressive disorder? - answer SSRI,
SNRI, TCA, MAO
Names of common SSRIs - answer Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (paxil)
Citalopram (celexa)
Escitalopram (Lexapro)
Names of common SNRIs - answer Duloxetine (Cymbalta)
Venlafaxine (Effexor)
Desvenlafaxine (Pristiq)
What are concerns in elderly taking medication for major depression? - answer a slower metabolism
requires lower dosing; greater risk of falls, osteoporosis, fractures
What are the pharmacologic versus nonpharmacologic treatment for management for general anxiety
disorder? - answer non-pharmacological interventions of cognitive behavioral therapy has proven equal
results to SSRI pharmacologic therapy
, DIGFAST for bipolar because your digging yourself into hole - answer Distractibility
Indiscretion/Insomnia
Grandiosity
Flight of ideas
Activities ↑
Sleep Deficit
Talkativeness
What is the symptom criteria for BD I ? - answer identification of at least one-lifetime mania episode
must have occurred
What is the symptom criteria for BD II ? - answer identification of at least one hypomania episode and
one major depressive episode must have occurred
What is the symptom criteria for diagnosing unipolar (depression) - answer persistently depressed mood
or loss of interest in activities, causing significant impairment in daily life (no mania/hypomania)
How do you assess suicide risk (consider mnemonic SAD PERSONS) - answer S-ex
A-ge
D-epression
P-revious attempt
E-thanol abuse
R-ational thinking loss
S-ocial support loss
O-rganized plan
N-o spouse
S-ickness
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