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ANCC PMHNP Exam Chapter 8 Questions2024 Updated Questions and Verified Answers, 100% Guarantee Pass

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  • September 5, 2024
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  • 2024/2025
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ANCC PMHNP Chapter 8.pdf file:///C:/Users/HP/Desktop/New%20folder/ANCC%20PMHNP%20C




ANCC PMHNP CHAPTER 8



1. Mood Disorders

Answer Most common psych illnesses

2. Primary characteristic is persistent disturbance in mood

Answer Major Depressive Disorder

3. Often occurs without precipitating event

Answer MDD

4. Object loss theory

Answer Fairbairn, Winnicott & guntrip

5. Aggression turned inward theory of MDD

Answer Freud

6. Cognitive Theory

Answer Beck

7. Learned Helplessness-Hopelessness Theory

Answer Seligman






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8. Genetic predisposition

Answer Strong genetic load for depression for child of de- pressed parent -having 3 fold

increase in lifetime risk of MDD & 40% chance of depressive episode before age 18.

9. Endocrine dysfunction Theory

Answer Probably related to etiology of MDD

10. Sleep disturbances, appetite disturbances, libido disturbances, lethargy, anhedonia

are neurovegitative symptoms that are related to functions of the

Answer Hypothalamus and pituitary gland secretions

11. Endocrine dysfunction and pregnancy

Answer A high incidence of postpartum mood disturbances is suggested with this

12. Hypothalamic-pituitary-adrenal axis (HPA)

Answer A theory of MDD, may be a result of an abnormal stress response related to

dysregulation of this system

13. HPA axis

Answer Controls the physiological response to stress and is composed of interconnective

feedback pathways between the hypothalamus, pituitary gland, and adrenal gland.

14. Hypothalamus releases

Answer corticotropin-releasing hormone (CRH)





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15. Adrenocorticotropin hormone (ACTH)

Answer Released by pituitary in response to CRH by hypothalamus

16. Cortisol

Answer Released by adrenal glands in response to ACTH by pituitary gland

17. Hyperactivity of the HPA axis

Answer Demonstrated to be present in individuals with MDD. May also have elevated cortisol

levels

18. Elevated cortisol levels

Answer Over time damages the CNS by altering neurotrans- mission and electrical signal

conduction. Cortisol over time can cause changes in size and function of brain tissue

19. Dexamethasone suppression test (DST)

Answer Not commonly used in clinical prac- tice for screening of depression as it is too non

specific.

20. Hypovolemic hippocampus and hypovolemic prefrontal cortex-limbic stri- atal regions

Answer Abnormalities demonstrated by neuroimaging in individuals with chronic and severe

depression

21. Brain damage, including that from stroke and trauma

Answer Depression is a acom- mon comorbidity in individuals who have experienced these





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events









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