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NR606 WEEK 2 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NR606 WEEK 2 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NR606 WEEK 2 QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
full spectrum of perinatal mental health disorders - ANSWER -can occur during pregnancy & the first year
postpartum
• depression
• bipolar II disorder
• anxiety
• OCD
• PTSD
• psychosis
-mild to severe
Anxiety - ANSWER -Increased brain activity in the amygdala & prefrontal cortex
-PET scans have also shown reduced serotonin binding in patients with anxiety
-GAD
• persistent, uncontrollable worrying that causes emotional distress, symptoms on most days, for a
period of at least 6 months
-Symptoms:
• worrying, restlessness, irritability, muscle tension, fatigue, sleep disturbances
Risk factors for developing anxiety - ANSWER -genetic predisposition (family history of anxiety)
-being female
-recent life stressors
-chronic physical illness
-lack of support during childhood
Anxiety meds - ANSWER -Anxiolytic
• Buspirone
➣↓ drug interactions
,➣↓ adverse effects
-SSRIs/SNRIs
• escilatopram (Lexapro)
• paroxetine (Paxil)
• duloxetine (Cymbalta)
➣highly effective
➣↑ drug interactions
➣risk of hyponatremia
-Benzodiazepines
• alprazolam (Xanax)
• clonazepam (Klonopin)
➣multiple adverse effects
➣risk of misuse
➣fall risk
➣highly effective
➣rapid onset
➣can be used PRN
Symptoms of Psychosis - ANSWER -Hallucinations
• Auditory, Visual, Tactile, Olfactory, Gustatory
-Delusions
• Persecution, Somatic, Grandeur, Control
-Thought Disorder
• incoherent speech, loose associations, meaningless words, perseveration
, -Disorganized behavior
• childlike silliness, unpredictable agitation, inappropriate clothing for the weather, poor hygiene
Depression - ANSWER -Decreased brain activity in the prefrontal cortex
-symptoms that last >2 weeks
-Symptoms:
• depressed or irritable mood, diminished interest in activities, significant weight or appetite changes,
fatigue, feelings of worthlessness, sleep disturbances, diminished ability to concentrate
-can be influenced by genetic & environmental factors, stressful life events
• giving birth or experiencing emotional trauma
-linked to neurotransmitter imbalances
prefrontal cortex controls: - ANSWER attention, memory, mood, & personality
MDD - ANSWER -primary feature of MDD is the occurrence of at least 1 episode of major depression
lasting at least 2 weeks
-must experience 5 or more of the following symptoms in 2 weeks to be diagnosed with a major
depressive episode:
• feeling low most of the day for most days
• decreased interest in activities
• substantial weight loss, significant change in appetite
• fidgeting, random movement (i.e. pacing)
• decreased energy
• sense of guilt or worthlessness
• lack of focus or ability to make decisions
• repeated thoughts of death and suicide
Depression meds - ANSWER -SSRIs
-SNRIs
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