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Maryville NURS 623 Exam 3, Exam 3 NURS 623 Qs & As
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Maryville NURS 623 Exam 3, Exam 3 NURS 623 Qs & As
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Maryville NURS 623 Exam 3, Exam 3 NURS 623 Qs & AsWhat is the symptom criteria for diagnosing unipolar (depression) Correct Ans-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) Correct Ans-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
How would you identify intimate partner violence? Correct Ans-*reluctant to speak in
front of partner
*gives evasive answers
*Overly protective or controlling partner
What are the stages of grieving? (DABDA) Correct Ans-Denial
, Maryville NURS 623 Exam 3, Exam 3 NURS 623 Qs & As
Anger
Bargaining
Depression
Acceptance
What are the phases of grief? (Aca) Correct Ans-Avoid
Confront
Accomadate
Acknowledge the loss
Reacting to the separation
Recollecting and Re-experiencing the Relationship w/deceased
How would you identify intimate partner violence? Correct Ans-1) a patient who is
reluctant to speak in front of her partner and gives evasive answers
2) Overly protective or controlling partner
What is the clinical presentation of post-traumatic stress disorder (PTSD)? Correct Ans-A:
INTRUSIVE thoughts, nightmares or flashbacks
B: AVOIDANCE any situation of activity that brings memories
C: HYPERAROUSAL: Hypersensitive or on edge, unprovoked anger, jumpiness, and on guard
, Maryville NURS 623 Exam 3, Exam 3 NURS 623 Qs & As
What are the DSM-5 criteria for a diagnosis of PTSD? Correct Ans-1 SYMPTOM of intrusive,
avoidance, or hyper-arousal MUST HAVE PERSISTED FOR MORE THAN 1 MONTH
What is the management for PTSD? Correct Ans-PHARMACOLOGY: SSRI's paroxetine (paxil)
or sertaline (Zoloft), anxiolytic buspirone (BuSpar)
NON-PHARMACOLOGICAL: cognitive behavioral therapies, brief eclectic psychotherapy,
narrative exposure therapy
potential complications of over-prescription of opiate pain meds Correct Ans-Constipation
Sedation
Resp Depression
Dizziness
N/V
What is the most common psychiatric disorder in the U.S? Correct Ans-Anxiety
What are the DSM-5 symptom criteria for a diagnosis of general anxiety disorder? Correct
Ans-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? Correct Ans-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
, Maryville NURS 623 Exam 3, Exam 3 NURS 623 Qs & As
differential diagnoses that would mimic the symptoms of depression? Correct Ans-
*Anxiety
*PTSD
*Substance Abuse
What are the risk factors for major depression? Correct Ans-*Age
*Gender
*Personal Hx (migrains, PUD, chronic pain)
*Fx Hx (depression, suicide, alcholism, substance abuse)
What are the common presenting symptoms of depression in the geriatric patient? Correct
Ans-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?
Correct Ans-Interpersonal and cognitive behavior therapy
What are the pharmacologic treatments for management for major depressive disorder?
Correct Ans-SSRI, SNRI, TCA, MAO
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