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Psychiatric Care for the PC NP Exam With Complete Solutions Latest Update
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Psychiatric Care for the PC NP Exam With CompleteSolutions Latest Update
Anxiety Tx- answer SSRI:
-only 2 approved for pediatrics:
1. Escitalapram (lexapro)
2. Fluoxetine (prozac)
-more effective w/ anxiety than depression
SNRI-Venlafaxine(Effexor)
-hard to wean people off
Cognitive behavioral therapy- is a short term, goal oriented psychotherapy treatment
that takes a hands-on practical approach to problem-solving
psychotherapy
short term use of benzodiazepines
-ativan/xanax short acting
-klonopin longer acting
Grief / Bereavement - Answer Normal rx to stress / same sx as adjustment disorder but
due to death or loss
The often referred to stages identified by Elizabeth Kubler Ross:
Shock and Denial
, Anger
Bargaining
Depression
Acceptance
Although the DSM-IV included the bereavement exclusion not contained in the DSM-V, it
sought to safeguard individuals who, within less than 2 months following the passing of
a close family member or friend presented depressive symptoms, from being diagnosed
with MDD.
The new edition defines bereavement as a severe psychological stressor that may
provoke a major depressive episode even within a short period following the loss of a
loved one.
Depression - Answer Major depressive disorder (MDD or depression) is the most
common of the depressive disorders. Criteria must be met for at least one major
depressive episode. 5 or more of the following have been present during the same 2
week period Depressed mood Anhedonia (loss of interest) Weight loss Insomnia or
hypersomnia Psychomotor agitation or retardation Fatigue or loss of energy Feelings of
worthlessness Decreased concentration Recurrent thoughts of death
Dysthymic disorder-Answer Presence of depressed mood for more days than not during
a 2 year period of time accompanied by 2 of the following
Poor appetite or overeating
Insomnia or hypersomnia
Low energy
Low self-esteem
Poor concentration
Feelings of hopelessness
Symptoms may not be better accounted for by another medical or psychological
disorder
Clinical presentation of depression-Answer Depressed mood & Anhedonia (absence of
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