Deck 18: Psychosocial Problems

Question 1

Cocaine acts as a stimulant by blocking the reuptake of which neurotransmitter?

A)GABA
B)Acetylcholine
C)Dopamine
D)Serotonin

Answer 1

Dopamine

Question 2

The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision) state that excessive worry or apprehension must be present more days than not for at least:

A)1 month
B)3 months
C)6 months
D)12 months

Answer 2

6 months

Question 3

Which of the following is considered first-line treatment for panic disorders?

A)Benzodiazepines
B)Selective serotonin reuptake inhibitors (SSRIs)
C)Tricyclic antidepressants
D)Cognitive behavioral therapy

Answer 3

Cognitive behavioral therapy

Question 4

After discontinuing fluoxetine, how long must a person wait before starting a monoamine oxidase inhibitor?

A)2 weeks
B)3 weeks
C)4 weeks
D)5 weeks

Question 5

The clinician has chosen to prescribe an SSRI instead of a tricyclic antidepressant (TCA) for a patient fitting the diagnostic criteria for depression.Which of the following is not true concerning SSRIs in comparison to tricyclic antidepressants?

A)SSRIs are more effective than TCAs.
B)SSRIs take less time to work than TCAs.
C)SSRIs have a more favorable side-effect profile than TCAs.
D)SSRIs are not lethal in overdose.

Question 6

Rapid eye movement (REM) sleep occurs how frequently during non-REM sleep?

A)Every 30 minutes
B)Every 60 minutes
C)Every 90 minutes
D)Every 180 minutes

Question 7

Which of the following is the only drug for bulimia approved by the U.S.Food and Drug Administration?

A)Sertraline
B)Fluoxetine
C)Citoprolam
D)Imipramine

Question 8

Which of the following symptoms is not part of the diagnostic criteria for post-traumatic stress disorder (PTSD)?

A)Hypersomnolence
B)Blunted feelings
C)Loss of interest in significant activities
D)Intrusive recurrent recollections of the event

Question 9

According to KŸbler-Ross, the stages of grief occur in which order?

A)Anger, denial, depression, bargaining, acceptance
B)Anger, denial, bargaining, acceptance, depression
C)Denial, anger, depression, bargaining, acceptance
D)Denial, anger, bargaining, depression, acceptance

Question 10

The clinician is educating a patient about the effects of marijuana.The patient stated she has been smoking for years and believes the use does not interfere with her life.What is a significant long-term sequelae of marijuana use that the clinician should educate this patient about?

A)Memory impairment
B)Sexual dysfunction
C)Dry mouth
D)There are no long-term consequences of marijuana use.

Question 11

The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of the following neurotransmitters plays a role in anxiety?

A)Acetylcholine
B)Gamma-aminobutyric acid (GABA)
C)Dopamine
D)Serotonin

Question 12

A patient presents to the clinician after experiencing four episodes in the last month of sweating, palpitations, chest pain, nausea, and shaking.Each episode lasted about 10 minutes.The patient is now becoming very fearful of future events and has been reluctant to leave the house.The clinician suspects panic disorder but wants to rule out any possible medical causes.Which of the following medical conditions can mimic the symptoms of a panic attack?

A)Pheochromocytoma
B)Hyperthyroidism
C)Cardiac arrhythmias
D)All of the above

Question 13

A patient is experiencing extrapyramidal side effects from his antipsychotic medications.The clinician would most likely take which of the following approaches to treating these side effects?

A)Give the patient a "drug holiday" until the symptoms resolve and then restart the medication.
B)Switch the patient to a different antipsychotic.
C)Treat the patient with anticholinergics.
D)Treat the patient with anticonvulsants.

Question 14

Which of the following is a laboratory finding commonly found in patients with anorexia nervosa?

A)Hypercholesterolemia
B)Hypermagnesmia
C)Leukocytosis
D)Decreased TRH

Question 15

What blood alcohol level corresponds with the signs of stupor and confusion?

A)0.05
B)0.1
C)0.2
D)0.3

Question 16

Which of the following neuroendocrine abnormalities is implicated in depression?

A)Decrease in adrenal size
B)Increased cortisol and corticotrophin-releasing hormone
C)An exaggerated response of thyrotropin (TRH) to infusion of thyroid-releasing hormone
D)Increased inhibitory response of glucocorticoids to dexamethasone

Question 17

It is important for the clinician to discuss the long-term effects of sexual assault with survivors.Which of the following is the most common long-term effect of sexual assault?

A)Depression
B)Obsessive-compulsive disorder
C)Substance abuse
D)PTSD

Question 18

Women are at the highest risk for developing postpartum depression for up to how long after childbirth?

A)2 weeks
B)1 month
C)3 months
D)6 months

Question 19

Which of the following would be important to monitor in a child receiving methylphenidate for treatment of attention deficit-hyperactivity disorder (ADHD)?

A)Liver function
B)Vision
C)Growth parameters
D)Renal function

Question 20

It is important to educate patients with depression and their family members about reporting signs of increasing depression and suicidal thoughts.This is especially true during which time period?

A)Before the initiation of treatment
B)1 to 2 weeks after the initiation of treatment
C)When switching to a different medication
D)1 to 2 weeks after tapering off medications

Question 21

The best predictor of suicide risk is a history of suicide attempts.

Question 22

Bipolar disorder requires differential diagnosis from all of the following except?

A)Substance abuse and medication effects
B)Medical and neurological disorders
C)Cluster B personality disorders and depression
D)Obsessive-compulsive disorder

Question 23

Assessing for adherence with prescribed medications and developing a plan for what to do if they are stopped is a major treatment issue for which of the following diagnostic groups?

A)ADHD
B)Bipolar
C)Depression
D)Anxiety

Question 24

Which of the following may be used to evaluate a person's suicide risk?

A)CAGE
B)SANE
C)SAD PERSONAS
D)DIGFAST

Question 25

Clozapine (Clozaril) requires laboratory monitoring at specified frequencies with results reported to a national registry.

Question 26

When combined with certain other medications, serotonin-specific antidepressants can have significant liver P450-interaction effects.

Question 27

Adults must show childhood onset of symptoms to receive a diagnosis of ADHD.

Question 28

What is recorded as clinical category two of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision)?

A)Clinical disorder or focus of clinical attention
B)Personality or environmental problems
C)Environmental and psychosocial stressors
D)Global assessment of functioning

Question 29

Women in abusive relationships have a greater chance of being killed by their batterers when they leave the relationship than women who stay.

Question 30

Parkinson's disease and dementing illnesses may commonly manifest depressive symptoms.

Question 31

A no-suicide contract can prevent a suicide attempt.

Question 32

Depressive episodes associated with bipolar disorder are treated the same as major depressive disorder.

Question 33

Depression is the most chronic disabling and economically catastrophic medical disorder of the severe mental illnesses.

Question 34

The use of benzodiazepines in the patient with generalized anxiety disorder and comorbid depression can exacerbate depressive symptoms.

Question 35

Which is the most prevalent psychiatric condition in the United States?

A)Depression
B)Anxiety
C)Substance-related addictions
D)Gambling