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Summary ANCC PMHNP BOARD EXAM questions and answers 2024
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ANCC PMHNP BOARD EXAM questionsand answers 2024
MOOD D/O:
MDD CRITERIA A - A. Five (or more) of the following symptoms have been present
during the same 2-week
period and represent a change from previous functioning; at least one of the
symptoms
is either (1) depressed mood or (2) loss of interest or pleasure.
Note: Do not include symptoms that are clearly attributable to another medical
condition.
1. Depressed mood daily
2. Loss of pleasure of joy in activities/inerests
3. Significant weight loss/gain
4. insomnia/hypersomnia
5. fatigue or loss of energy daily
6. psychomotor retardationagitation
7. feelings of worthlessness or guilt
8. diminished ability to think/concentrate, indecisiveness
9. recurrent thoughts of death, SI, or SI attempt
,ANCC PMHNP BOARD EXAM questions
and answers 2024
MOOD D/O: MDD CRITERIA B-E - B. The symptoms cause clinically significant
distress or impairment in social, occupational,
or other important areas of functioning.
C. The episode is not attributable to the physiological effects of a substance or to
another
medical condition.
D. The occurrence of the major depressive episode is not better explained by
schizoaffective
disorder, schizophrenia, schizophreniform disorder, delusional disorder, or
other specified and unspecified schizophrenia spectrum and other psychotic
disorders.
E. There has never been a manic episode or a hypomanic episode.
Note: This exclusion does not apply if all of the manic-like or hypomanic-like
episodes
are substance-induced or are attributable to the physiological effects of another
medical
condition.
MOOD D/O: MDD PREVALENCE - Twelve-month prevalence of major depressive
disorder in the United States is approximately
,ANCC PMHNP BOARD EXAM questions
and answers 2024
7%, with marked differences by age group such that the prevalence in 18- to 29-
year-old individuals
is threefold higher than the prevalence in individuals age 60 years or older.
Females experience
1.5- to 3-fold higher rates than males beginning in early adolescence.
MOOD D/O: MDD DEVELOPMENT AND COURSE - -Recovery typically begins within
3 months of onset for two in five individuals with major
depression and within 1 year for four in five individuals.
-The risk is higher in individuals whose preceding episode was severe,
in younger individuals, and in individuals who have already experienced multiple
episodes.
-The persistence of even mild depressive symptoms during remission is a powerful
predictor of recurrence.
MOOD D/O: MDD RISK FACTORS - -Neuroticism (negative affectivity) is a well-
established risk factor for the
onset of major depressive disorder
, ANCC PMHNP BOARD EXAM questions
and answers 2024
-Adverse childhood experiences, particularly when there are multiple experiences
of diverse types, constitute a set of potent risk factors for major depressive
disorder.
-Stressful life events are well recognized as precipitants of major depressive
episodes,but the presence or absence of adverse life events near the onset of
episodes does not appear to provide a useful guide to prognosis or treatment
selection.
-First-degree family members of individuals with major depressive disorder have a
risk for major depressive disorder two- to fourfold higher than that of the general
population.
-Relative risks appear to be higher for early-onset and recurrent forms. Heritability
is approximately 40%, and the personality trait neuroticism accounts
for a substantial portion of this genetic liability.
MOOD D/O: PDD (DYSTHYMIA) DSM5 CRITERIA - Depressed mood for most of the
day, for more days than not, as indicated by either
subjective account or observation by others, for at least 2 years.
Note: In children and adolescents, mood can be irritable and duration must be at
least
1 year.
B. Presence, while depressed, of two (or more) of the following:
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