ANCC Certification PMHNP Chapter 7 exam questions and answers (verified for accuracy)
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Course
ANCC PMHNP
Institution
Oxford University (OX)
Mood Disorders
Most common psych illnesses
Primary characteristic is persistent disturbance in mood
Major Depressive Disorder
Often occurs without precipitating event
MDD
Object loss theory
Fairbairn, Winnicott & guntrip
Aggression turned inward theory of MDD
Freud
...
ANCC Certification PMHNP Chapter 7
exam questions and answers (verified
for accuracy)
Mood Disorders - answer Most common psych illnesses
Primary characteristic is persistent disturbance in mood - answer Major Depressive Disorder
Often occurs without precipitating event - answer MDD
Object loss theory - answer Fairbairn, Winnicott & guntrip
Aggression turned inward theory of MDD - answer Freud
Cognitive Theory - answer Beck
Learned Helplessness-Hopelessness Theory - answer Seligman
Genetic predisposition - answer Strong genetic load for depression for child of depressed parent
-having 3 fold increase in lifetime risk of MDD & 40% chance of depressive episode before age
18.
Endocrine dysfunction Theory - answer Probably related to etiology of MDD
Sleep disturbances, appetite disturbances, libido disturbances, lethargy, anhedonia are
neurovegitative symptoms that are related to functions of the - answer Hypothalamus and
pituitary gland secretions
, Endocrine dysfunction and pregnancy - answer A high incidence of postpartum mood
disturbances is suggested with this
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
HPA axis - answer Controls the physiological response to stress and is composed of
interconnective feedback pathways between the hypothalamus, pituitary gland, and adrenal
gland.
Adrenocorticotropin hormone (ACTH) - answer Released by pituitary in response to CRH by
hypothalamus
Cortisol - answer Released by adrenal glands in response to ACTH by pituitary gland
Hyperactivity of the HPA axis - answer Demonstrated to be present in individuals with MDD.
May also have elevated cortisol levels
Elevated cortisol levels - answer Over time damages the CNS by altering neurotransmission and
electrical signal conduction. Cortisol over time can cause changes in size and function of brain
tissue
Dexamethasone suppression test (DST) - answer Not commonly used in clinical practice for
screening of depression as it is too non specific.
Hypovolemic hippocampus and hypovolemic prefrontal cortex-limbic striatal regions - answer
Abnormalities demonstrated by neuroimaging in individuals with chronic and severe depression
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