Examl 2:l NRl 326l /l NR326l (Latestl 2026/l
2027l Update)l Mentall Healthl Guide|l Q/Al |l Gradel A|l 100%l Correctl (Verifiedl Answers)l -Chamberlain
Q:l majorl depressivel disorderl (MDD)
Answer:
-l leadingl causel ofl disabilityl inl thel USl -l mildl tol severel withl orl withoutl psychoticl features -l mustl havel 5l symptomsl everydayl forl atl leastl 2l weeksl -l hypothyroidisml isl thel mostl commonl medicall disorderl tol causel depressivel symptomsl
(SCREEN!!)
-l postl partuml onset,l seasonall affectivel disorderl (SAD)
Symptoms:
-l impairedl memoryl andl concentration -l helpless,l hopeless,l worthless,l anhedonial (lackl ofl pleasure) -l appetitel andl sleepl changes,l anergial (lackl ofl energy)
^^^l alll arel seenl inl dysthymial asl welll butl MDDl includesl morel ...l -l suicidall ideations,l hallucinationsl -l pain -l crying,l withdrawn -l lackl ofl ADLs,l disheveled,l psychomotorl retardationl (slowl tol movel andl respond)
Treatment:
-l bestl isl ALWAYSl combinationl ofl therapyl andl medicationsl -l exercise,l CBT,l ECT,l TMS,l lightl therapyl (vitaminl Dl levels) -l SSRI,l SNRI,l atypical,l tricyclic,l MAOI,l herball supplementsl andl vitamins
Q:l bipolarl disorder
Answer: 1 / 4
-l moodl canl bel veryl highl orl veryl lowl -l usuallyl beginsl inl latel adolescencel (oftenl appearingl asl depressionl duringl teenl years) -l equall menl andl womenl develop;l menl beginl withl manic,l womenl withl depressionl
Rapidl cyclingl =l goingl backl andl forthl betweenl hypomanial andl majorl depressionl (DSMl - l atl leastl 4l moodl episodesl inl 12l months)
Atl risk:
-l 80%l genetic -l stressl inducedl (childl birth,l lackl ofl sleep,l lifel changes,l substancel induced)
Bipolarl I:
-l atl leastl 1l episodel ofl manial andl MDD -l possiblel psychosis -l largestl extreme;l worsel (alll thel wayl upl tol manial andl alll thel wayl downl tol MDD)
Bipolarl II:
-l atl leastl 1l episodel ofl hypomanial andl MDD -l nol psychosisl -l NEVERl goesl tol manial
Cyclothymia:
-l mildl bipolarl II -l combiningl hypomanial andl dysthymial (mild,l longl terml depression)
Q:l manial symptomsl (+10)
**l hypomanial isl likel al +5l -->l notl severel enoughl forl hospitalizationl andl doesl notl includel psychoticl features
Answer:
-l onlyl occursl inl bipolarl Il -l won'tl seekl treatmentl becausel theyl feell amazingl (usuallyl familyl willl tryl andl initiatel treatment) -l willl notl bel compliantl withl meds -l requiresl morel calories;l theyl mayl bel "tool busy"l tol eatl orl drinkl
s/s: 2 / 4
-l flightl ofl ideas,l grandiosel (betterl thanl everyonel else),l poorl concentration -l euphoria,l labilel (upl andl downl emotions),l irritablel -l nonl stopl activity,l minimall foodl intake,l littlel orl nol sleep -l rapidl speech,l sexuall indiscretion,l impulsivity,l manipulative,l excessivelyl spendingl money,l dress/makeupl isl crazy
Q:l Whatl isl thel priorityl inl bipolarl disorder?
Answer:
harml tol othersl duel tol impulsivityl andl recklessness..l harml tol selfl isl next
Q:l Canl maniacl patientsl gol tol group?
Answer:
nol becausel theyl canl bel veryl disruptivel andl easilyl agitated
Q:l interventionsl forl bipolarl disorder
Answer:
-l reducel stimulil -l setl limitsl onl client'sl behavior -l channell needl forl movementl (takel al walk,l dol pushl ups) -l clearl simplel sentencesl (theyl havel al smalll attentionl span) -l fingerl foods,l highl calorie,l protein -l promotel restl andl sleep
Q:l anxietyl disorder
-l generalizedl anxietyl disorderl (GAD) -l phobias -l sociall anxietyl disorder -l obsessivel compulsivel disorderl (OCD) -l panicl disorder -l separationl anxietyl disorder 3 / 4
Answer:
-l feeling/motionl -l healthyl responsel tol stressl thatl isl essentiall forl survivall -l beginsl withl al cognitivel responsel thenl fearl leadsl tol anl emotionall responsel -l reall orl perceivedl threat -l canl becomel al disorderl andl causel behaviorl changesl andl impairmentl inl functioningl
Examples:
-l anxietyl ofl flyingl comesl froml fearl ofl dying -l anxietyl aboutl testl takingl comesl froml fearl ofl failing
Q:l generalizedl anxietyl disorderl (GAD)
Answer:
uncontrollable,l excessivel worryl forl atl leastl 6l months
Q:l phobias
Answer:
irrationall fearl ofl al certainl objectl orl situationl
Example:
-l agoraphobial =l fearl ofl beingl inl placesl orl situationsl (inl whichl escapel isl difficult)
Q:l sociall anxietyl disorder
Answer:
sociall phobia;l excessivel fearl ofl sociall orl performancel situations
Q:l obsessivel compulsivel disorderl (OCD)
Answer:
-l attemptl tol controll thel environmentl duel tol anxietyl
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