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Clinical PMHNP(Psychiatric Mental Health Nursing Practitioner) Exam 1 study questions

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Health Nursing Practitioner) Exam 1 study questions Which theory of depression was developed based on observing that patients who were being treated for Hep C developed depressive symptoms? A. T... he monoamine theory B. The inflammation theory C. The HPA axis theory D. The stress-diathesis theory correct answer: b. The inflammation theory Which of the following health conditions have a high co-morbidity with depression? A. Hypertension B. Asthma C. Diabetes mellitus D. Cardiovascular disease E. Celiac disease F. Cognitive impairment G. Obesity H. Cancer correct answer: A. Hypertension C. Diabetes Mellitus D. Cardiovascular disease F. Cognitive impairment G. Obesity H. Cancer In the Cutler video on depression, he highlights that there are 200 different ways to meet the diagnostic criteria for depression. A. True B. False correct answer: A. True You have diagnosed a 53-year-old male with moderate MDD and he has declined psychotherapy but has agreed to pharmacotherapy. He has diagnoses of Type 2 D.M. with a BMI of 32.1. Which of the following antidepressants would provide a dual benefit for this patient? A. Sertraline B. Fluoxetine C. Duloxetine D. Mirtazapine correct answer: C. Duloxetine Your patient was started on fluoxetine and after ten weeks of treatment his PhQ 9 score is 9. What is your assessment of the efficacy of treatment based on this score? A. The patient is in remission B. The response is adequate but not in remission C. The response is possibly inadequate D. The response is inadequate correct answer: B. The response is adequate but not in remission In the Star*D trial what percentage of patients treated for depression failed to respond to initial pharmacotherapy? A. 20% B. 30% C. 40% D. 50% correct answer: D. 50% In the Star D trial for patients that achieved remission what percentage relapsed after 4.4 months? A. 25% B. 33% C. 42% D. 53% correct answer: B. 33% When should adjunctive therapy be considered in treating MDD? (select all that apply) A. Already tried 3 or > antidepressants B. Initial antidepressant well tolerated C. Partial response (>50% improvement) D. Specific residual symptoms or side effects that can be targeted E. Severity of depression, more functional impairment F. Patient preference correct answer: B. Initial antidepressant well tolerated D. Specific residual symptoms or side effects that can be targeted E. Severity of depression, more functional impairment F. Patient preference Rates of remission increased with each additional change in therapy, especially when switching. A. True B. False correct answer: B. False [Show More]

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