Depressed patients taking highly effective and popular SSRIs such as Prozac or Paxil show the following change after a period of drug treatment:…

Week 5 Mid Range Nursing Theory Analysis
October 18, 2020
leadership nursing2-2 healthcare organizations accredited by the Joint Commission. Once the cause is identified and a plan of action established it is useful to conduct a failure mode and effects analysis (FMEA) to reduce the likelihood that a process would fail.
October 18, 2020

Depressed patients taking highly effective and popular SSRIs such as Prozac or
Paxil show the following change after a period of drug treatment:
Select one:
a. immediate reduction cortisol levels but no significant clinical improvement
b. immediate significant clinical improvement but gradual change in cortisol
levels (wrong)
c. gradual reduction in cortisol levels coinciding with significant clinical
d. immediate and significant clinical improvement (i.e., the patient reports
feeling better)
e. immediate reduction in cortisol and CRH levels
For treating the symptoms of the following disorders, which would you predict the
SSRIs would be the least efficacious?
Select one:
a. Obsessive-compulsive disorder
b. Schizophrenia
c. Major depression (wrong)
d. Generalized Anxiety Disorder
In OCD, the repetitive behaviors are called ______________, whereas the recurrent
thoughts are called ______________.
Select one:
a. Compulsions; obsession
b. Obsession; compulsions
c. Rituals; intrusive cognitions (wrong)
d. Intrusive cognitions; rituals
Neuroleptic (antipsychotic) drugs, like the ones used to treat schizophrenia are …
Select one:
a. GABA inhibitors
b. dopamine agonists (wrong)
c. dopamine reuptake inhibitors
d. dopamine antagonists
e. monoamine oxidase inhibitors
The impulsivity displayed in a subset of cases of suicide has been associated with…
Select one:
a. high norepinephrine
b. high dopamine (wrong)
c. low dopamine
d. low serotonin
e. high serotonin
The type of mood disorder that results from a clear antecedent event is called:
Select one:
a. reactive depression
b. bi-polar depression (wrong)
c. endogenous depression
d. exogenous depression
e. melancholia
Typical age of onset for schizophrenia (as typically diagnosed) is…
Select one:
a. middle adulthood
b. preteens
c. early adulthood
d. adolescence (wrong)
e. senescence
Which of the following is most commonly co-morbid with Major Depression?
Select one:
a. opiate abuse
b. alcohol abuse
c. antidepressant abuse (wrong)
d. sedative abuse
e. cocaine abuse
Which of the following is NOT a component of obsessive-compulsive disorder?
Select one:
a. amelioration of symptoms by SSRIs
b. recurrent and intrusive thoughts concerning safety and order
c. the compulsions provide a source of pleasure
d. stereotyped rituals that are recognized as repugnant and useless (wrong)
e. the dysregulation of the connectivity between the frontal cortex and the
limbic system
Which of the following is NOT a diagnostic criterion for a developmental disorder:
Select one:
a. results in substantial functional limitations in three or more of areas of major
life activity
b. manifests before the individual reaches the age of 18
c. involves a failure to meet expected milestones in one or more areas of
d. is attributable to a mental or physical impairment
e. is likely to continue indefinitely (wrong)
Which of the following is NOT an effect of high dose psychostimulant use?
Select one:
a. stereotypy
b. hallucinations (wrong)
c. schizophrenia
d. psychosis
e. anxiety
Which of the following treatments is not associated with normalizing the neural and
endocrine abnormalities commonly observed with Major Depression?
Select one:
a. SSRIs
b. Psychotherapy with medication
c. Electroconvulsive therapy (wrong)
d. Benzodiazepines
e. Tricyclics
Which of the following is NOT an anxiety disorder?
Select one:
a. bi-polar disorder
b. obsessive compulsive disorder (wrong)
c. agoraphobia
d. panic disorder
e. phobic disorder
Which one of the following pieces of evidence does NOT support the notion that
schizophrenia is a neurologically based disorder that can be identified at ages before
typical age of onset.
Select one:
a. social withdrawal and inappropriate affect in adolescence
b. oppositional defiance tendencies in adolescence
c. abnormal hand posturing in infancy (wrong)
d. psychomotor developmental delays
e. being viewed by others as “odd” in childhood


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