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NR 547 MIDTERM EXAM 2024/2025 QUIZ QUESTIONS AND ANSWERS (VERIFIED) 100% CORRECT |RATED A+
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NR 547 MIDTERM EXAM 2024/2025 QUIZQUESTIONS AND ANSWERS (VERIFIED)
100% CORRECT |RATED A+
low vitamin D levels can cause what? Correct Answer
depression, anxiety, psychosis
how to measure vitamin D levels and what are normal levels
Correct Answer 25-hyroxy vitamin D blood test
normal level 20-50
less than 12= deficiency
What is SNAPPS Correct Answer Summarize, narrow, analyze,
prove, plan, select
define circumstantiality Correct Answer Overinclusion of trivial or
irrelevant details that impede the sense of getting to the point.
define clang associations Correct Answer Thoughts are
associated by the sound of words rather than by their meaning
(e.g., through rhyming or assonance
define derailment Correct Answer (loose associations)- A
breakdown in both the logical connection between ideas and the
overall sense of goal directedness. The words make sentences,
but the sentences do not make sense.
define flight of ideas Correct Answer A succession of multiple
associations so that thoughts seem to move abruptly from idea to
idea; often (but not invariably) expressed through rapid, pressured
speech.
,define neologism Correct Answer The invention of new words or
phrases or the use of conventional words in idiosyncratic ways.
define perseveration Correct Answer Repetition of out of context
words, phrases, or ideas
define tangentiality Correct Answer In response to a question, the
patient gives a reply that is appropriate to the general topic
without actually answering the question.
define thought blocking Correct Answer A sudden disruption of
thought or a break in the flow of ideas.
define malingering Correct Answer based on motivation, clearly
recognizable goal (insurance, legal, obtaining drugs)
define factitious disorder Correct Answer deceptive behavior
present even in the absence of external rewards
things to watch for when ruling out malingering or factitious
disorder Correct Answer external incentives, cluster of symptoms
conforms to a lay perception of mental illness, symptoms shift
radically each encounter, when manipulative or suggestive
what is the first step in creating a differential dx Correct Answer
R/O malingering or factitious disorder
what is the second step in creating a DDx Correct Answer r/o
substance etiology
DSM 5 criteria for substance and medication induced presentation
Correct Answer psych symptoms can be attributed to substance
abuse use if they stop within one month of stopping the substance
is psych symptoms persist without substances, then psych
disorder is primary
,if symptoms improve when substance is gone, then substance is
primary
what is the 3rd step in creating a DDx Correct Answer R/O
disorder d/t a medical condition
rule of thumb for knowing that psych symptoms are caused by a
medical condition Correct Answer -if the psych symptoms begin
following onset of medical condition
-if they vary in severity with the severity of the med condition
-if they disappear when the med condition resolves
when does a general medical condition need to be considered in
the DDx Correct Answer if the psych presentation is atypical in
symptom pattern, age at onset, or course
ex: severe memory loss accompanies depression- this does not
go together- could be due to a medical issue
What is the 4th step in creating a DDx Correct Answer determine
the specific primary disorder- use the DSM 5
what is the 5th step in creating a DDx Correct Answer
differentiate adjustment disorders from the residual other
specified or unspecific disorders
how do you know if something is an adjustment disorder? Correct
Answer if symptoms have developed as a result of maladaptive
response to a psych stressor
how do you know if a psych dx falls under the "other specific/
unspecified" category? Correct Answer is a stressor is not
responsible for the development of clinically significant symptoms
, what is step 6 of creating a DDx Correct Answer establish a
boundary with no mental disorder- not everyone qualifies for
mental dx
Define: DDx Correct Answer choosing a single dx from among a
group of competing, mutually exclusive Dxs to best explain a
given symptom presentation
how long should meds be continued for anxiety after remission?
Correct Answer 6-12 mo
what are good characteristics of screening tools? Correct Answer
brief
have negative predictive value= is they screen negative, high
level of confidence that they don't have it
good sensitivity
patient administered
top 3 residual problems of MDD Correct Answer cognitive
problems, lack of energy, sleep problems
Define anhedonia Correct Answer inability to feel pleasure,
positive emotions, or motivation
OCD is characterized by Correct Answer persistent,
uncontrollable thoughts or actions that occur over an hour or more
per day
dx criteria for panic disorder
DSM 5 criteria Correct Answer acute intense attack of anxiety
(panic attack) accompanied by feelings of impending from
occurs during discrete periods of intense fear that can vary from
several attacks in 1 day to only a few/ year
1 mo of worry afterr 1 panic attack
may have avoidance behavior or anticipatory anxiety 1+ month
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