mood disorder questions from APEA Flashcards
An 86 year old male reports feelings of anhedonia for the last month. What should be part of the NPs initial assessment? A. libido B. suicidal ideations C. mania D. depression
B. suicidal ideations
A patient with acute anxiety will experience the fastest relief of symptoms when he is treated with: A. an SSRI B. a TCA C. a benzodiazepine D. a beta blocker
C. a benzodiazepine
Which symptom listed below is typical of depression: A. difficulty falling asleep B. snoring C. early morning wakening D. keeping late hours reading
C. early morning wakening
A patient has been diagnosed with anxiety. What sleep disturbance might she have? A. early morning wakening B. difficulty remaining asleep C. difficulty falling asleep D. never feeling tired
C. difficulty falling asleep
Depression is diagnosed on clinical presentation. What time frame is important for distinguishing between depressed mood and clinical depression A. 1 week B. 2 weeks C. 3 weeks D. 4 weeks
B. 2 weeks
A patient with an eating disorder might exhibit evidence of A. thyroid disease B. sleep disorders C. anxiety disorders D. sexual abuse
C. anxiety disorders
Four days ago, a 79 year old female lost her husband of 55 years. She presents today with her daughter because she believes that she is “going crazy”. She reports that she often hears her husbands voice though she realizes that he has died. She has not slept well since his death and hasn’t eaten much. She has taken her usual medications for hypertension, osteoporosis, osteoarthritis and hypothyroidism. She has no history of psychiatric illness. How should the NP manage this
A. prescribe a benzodiazepine for relief of anxiety
B. tell her that this is a normal response and that it will resolve
C. encourage her daughter to consider assisted living
D. prescribe an anti-depressant and follow up in 1-2 weeks
B. tell her that this is a normal response and that it will resolve
A patient with bipolar disease has purchased a $10,000 baby grand piano. He does not play the piano. This behavior is typical during: A. depression B. mania C. hypomania D. psychosis
B. mania
Serotonin syndrome may result from taking an SSRI and: A. dextromethorphan B. loratadine C. pravastatin D. niacin
A. dextromethorphan
The preferred medication class to treat patients with an initial episode of minor depressive disorder is:
A. TCAs
B. MOAs
C. SSRIs
D. any class, there is no preferred class
C. SSRIs
What is the usual age of onset of symptoms for patients with bipolar disorder? A. childhood B. third decade C. between 15-30 years D. adolescence
C. between 15-30 years
A depressed patient is started on an SSRI. When should another anti-depressant be tried if there is no response? A. 3-7 days B. 2-3 weeks C. 4-6 weeks D. 8-12 weeks
D. 8-12 weeks
An adolescent female patient with anorexia nervosa must exhibit 4 criteria for diagnosis. Which criterion listed below is NOT part of the diagnostic criteria? A. intense fear of weight gain B. significantly low weight C. severe body image disturbance D. absence of menstrual cycle
D. absence of menstrual cycle
A patient is taking a generic SSRI. She reports intermittent nausea and mild headache daily since she started taking this medication 5 days ago. How should the NP respond?
A. brand name medication may help the side effects resolve
B. these are typical complaints of patients who take SSRIs
C. this sounds like a viral syndrome. Continue the SSRI
D. these symptoms are common in patients with depression.
B. these are typical complaints of patients who take SSRIs
The clinical difference between minor and major depression is:
A. the length of time symptoms have lasted
B. the number of symptoms present
C. the severity of the symptoms
D. presence of suicidal ideations.
B. the number of symptoms present
