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Maryville NURS 623 Exam 3 Questions and Answers Graded A 2024

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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 ma...

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NURS 623 Exam 3



Maryville NURS 623 Exam 3 Questions
and Answers Graded A 2024
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)


NURS 623 Exam 3

,NURS 623 Exam 3



What are concerns in elderly taking medication for major depression? -Correct Answer
✔a slower metabolism requires lower dosing; greater risk of falls, osteoporosis,
fractures

What are the pharmacologic versus nonpharmacologic treatment for management for
general anxiety disorder? -Correct Answer ✔non-pharmacological interventions of
cognitive behavioral therapy has proven equal results to SSRI pharmacologic therapy

DIGFAST for bipolar because your digging yourself into hole -Correct Answer
✔Distractibility
Indiscretion/Insomnia
Grandiosity
Flight of ideas
Activities ↑
Sleep Deficit
Talkativeness

What is the symptom criteria for BD I ? -Correct Answer ✔identification of at least one-
lifetime mania episode must have occurred

What is the symptom criteria for BD II ? -Correct Answer ✔identification of at least one
hypomania episode and one major depressive episode must have occurred

What is the symptom criteria for diagnosing unipolar (depression) -Correct Answer
✔persistently depressed mood or loss of interest in activities, causing significant
impairment in daily life (no mania/hypomania)

How do you assess suicide risk (consider mnemonic SAD PERSONS) -Correct Answer
✔S-ex
A-ge
D-epression
P-revious attempt
E-thanol abuse
R-ational thinking loss
S-ocial support loss
O-rganized plan
N-o spouse
S-ickness

How would you identify intimate partner violence? -Correct Answer ✔*reluctant to speak
in front of partner
*gives evasive answers
*Overly protective or controlling partner



NURS 623 Exam 3

, NURS 623 Exam 3


What are the stages of grieving? (DABDA) -Correct Answer ✔Denial
Anger
Bargaining
Depression
Acceptance

What are the phases of grief? (Aca) -Correct Answer ✔Avoid
Confront
Accomadate

Acknowledge the loss
Reacting to the separation
Recollecting and Re-experiencing the Relationship w/deceased

How would you identify intimate partner violence? -Correct Answer ✔1) a patient who is
reluctant to speak in front of her partner and gives evasive answers
2) Overly protective or controlling partner

What is the clinical presentation of post-traumatic stress disorder (PTSD)? -Correct
Answer ✔A: INTRUSIVE thoughts, nightmares or flashbacks
B: AVOIDANCE any situation of activity that brings memories
C: HYPERAROUSAL: Hypersensitive or on edge, unprovoked anger, jumpiness, and on
guard

What are the DSM-5 criteria for a diagnosis of PTSD? -Correct Answer ✔1 SYMPTOM
of intrusive, avoidance, or hyper-arousal MUST HAVE PERSISTED FOR MORE THAN
1 MONTH

What is the management for PTSD? -Correct Answer ✔PHARMACOLOGY: SSRI's
paroxetine (paxil) or sertaline (Zoloft), anxiolytic buspirone (BuSpar)
NON-PHARMACOLOGICAL: cognitive behavioral therapies, brief eclectic
psychotherapy, narrative exposure therapy

potential complications of over-prescription of opiate pain meds -Correct Answer
✔Constipation
Sedation
Resp Depression
Dizziness
N/V

Medications that can cause Constipation? -Correct Answer ✔Antacids, anticholinergics,
Anti convulsive, Antidepressants (TCAs), Antihypertensives, NSAIDs, Opioids

What are the warning signs that the patient has Anorexia? -Correct Answer
✔Substantial weight loss


NURS 623 Exam 3

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