Deck 25: Anxiety and Depression

Question 1

Which portion of the diencephalon works in conjunction with the limbic system?

A) Interbrain
B) Epithalamus
C) Hypothalamus
D) Thalamus

Answer 1

Epithalamus

Question 2

Which neurotransmitter has a role in aggression, anxiety, appetite, mood, cognition, and circadian rhythm?

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

Answer 2

Serotonin

Question 3

During the "fight or flight" response, what occurs in the kidneys?

A) Potassium is excreted, while sodium and water are reabsorbed.
B) Potassium and sodium are excreted, while water is reabsorbed.
C) Sodium and water are excreted, while potassium is reabsorbed.
D) Sodium and potassium are excreted, while water is reabsorbed.

Answer 3

Potassium is excreted, while sodium and water are reabsorbed.

Question 4

Which condition is caused by changes in the hippocampus and may have a genetic component with the overproduction of the protein cholecystokinin?

A) Panic attacks
B) Depression
C) Obsessive compulsive disorder (OCD)
D) Post-traumatic stress disorder (PTSD)

Question 5

Neuroimaging of an individual with post-traumatic stress disorder (PTSD) would show what changes in blood flow?

A) Decreased to Broca's area and increased to the amygdala
B) Increased to Broca's area and decreased to the amygdala
C) Decreased to Wernicke's area and increased to the hippocampus
D) Increased to Wernicke's area and decreased to the hippocampus

Question 6

Which vitamin deficiency impacts the synthesis of neurotransmitters?

A) Vitamin A
B) Vitamin B₆
C) Vitamin B₁₂
D) Vitamin D

Question 7

When diagnosing a patient with depression, it is important to focus on

A) Abnormal sleep patterns
B) Anxiety symptoms
C) Careful interviewing and active listening
D) Obtaining an accurate family history

Question 8

Which of the following is a symptom of serotonin syndrome?

A) Dry skin
B) Hypotension
C) Disorientation
D) Constipation

Question 9

A patient who began taking an antidepressant 1 week ago calls the clinic and states the medication is not working. Which instruction should the nurse practitioner provide?

A) "You will need to start a different medication."
B) "Begin increasing your dosage by 50%."
C) "You will need to take an antianxiety medication too."
D) "The medication may take 2 to 4 weeks to take effect."

Question 10

Which intervention used to treat anxiety and depression utilizes a stimulating coil that is placed on the skull and delivers magnetic impulses to the areas of the brain responsible for mood regulation?

A) Vagus nerve stimulation (VNS)
B) Transcranial magnetic stimulation (TMS)
C) Cognitive-behavioral therapy (CBT)
D) Electroconvulsive therapy (ECT)

Question 11

Physiological symptoms of a panic attack may mimic those of

A) Stroke
B) Myocardial infarction
C) Diabetic ketoacidosis
D) Pulmonary embolism

Question 12

When using the Cornell Scale for Depression in Dementia, the nurse practitioner should conduct an interview by

A) Asking the patient questions about how they have been feeling for the past week
B) Listening to the patient explain how they are feeling in their own words
C) Asking the patient's caregiver about their observations of the patient the week prior
D) Asking the patient's caregiver about how they are feeling

Question 13

Which medication is the first-line and only antidepressant approved to treat children 8 and older?

A) Amitriptyline
B) Bupropion
C) Escitalopram
D) Fluoxetine

Question 14

Which class of antidepressants should be avoided in older adults?

A) Tricyclic antidepressants (TCA)
B) Monoamine oxidase inhibitors (MAOIs)
C) Selective serotonin reuptake inhibitors (SSRI)
D) Serotonin norepinephrine reuptake inhibitors (SNRIs)

Question 15

When referring to Case Study 6: Attention Deficit-Hyperactivity Disorder (ADHD), which ADHD subtype predominantly affects females?

A) Predominantly inattentive
B) Predominantly hyperactive
C) Combination
D) All of the above