Maryville NURS 623 Exam 3 questions and answers with complete solutions

Maryville NURS 623 Exam 3 What is the most common psychiatric disorder in the U.S? Correct Answer: Anxiety What are the DSM-5 symptom criteria for a diagnosis of general anxiety disorder? Correct Answer: excessive anxiety and worry of variety of things for at least 6 months What are the DSM-5 symptom criteria for a major depressive disorder? Correct Answer: Five or more symptoms including at least one depressed mood or loss of interest present in the same two weeks and present nearly every day differential diagnoses that would mimic the symptoms of depression? Correct Answer: *Anxiety *PTSD *Substance Abuse What are the risk factors for major depression? Correct Answer: *Age *Gender *Personal Hx (migrains, PUD, chronic pain) *Fx Hx (depression, suicide, alcholism, substance abuse) What are the common presenting symptoms of depression in the geriatric patient? Correct Answer: Somatic (general pain) Psychology (feeling of guilt/worry, suicidal, memory) Psychomotor (anxiety/agitation) Vegetative (poor appitite/sleep) What are the NON-pharmacologic treatments for management for major depressive disorder? Correct Answer: Interpersonal and cognitive behavior therapy What are the pharmacologic treatments for management for major depressive disorder? Correct Answer: SSRI, SNRI, TCA, MAO Names of common SSRIs Correct Answer: Fluoxetine (Prozac) Sertraline (Zoloft) Paroxetine (paxil) Citalopram (celexa) Escitalopram (Lexapro) Names of common SNRIs Correct Answer: Duloxetine (Cymbalta) Venlafaxine (Effexor) Desvenlafaxine (Pristiq) What are concerns in elderly taking medication for major depression? Correct Answer: a slower metabolism requires lower dosing; greater risk of falls, osteoporosis, fractures