Chapter 8 Mood Disorders
27 questions in this chapter
Chapter notesQ1A 22-year-old male with type 1 diabetes mellitus and generalized anxiety disorder has been successfully treated for recurrent major depressive disorder with sertraline 100 mg daily. He has been completely symptom-free for 6 months and asks to stop his medication. What is the PMHNP's most appropriate clinical rationale when counseling him to maintain antidepressant therapy?
Q2Which of the following statements is false regarding the diagnosis of major depression?
Q3Karen, a 48-year-old married woman with two teenage children who works as an administrative assistant at the local community college, presents for concerns about irritability. You administer a PHQ-9 and she scores a 17. With this score, you assess that she has
Q4Which of the following is not a DSM-5-TR criterion for a major depressive episode?
Q5A 28-year-old man who works as an accountant is being treated with paroxetine 20 mg daily for major depressive disorder. After six weeks of therapy, he reports minimal improvement, and his Zung depression scale score remains elevated at 65. Which of the following clinical strategies would NOT be recommended?
Q6A 26-year-old married woman with a 2-year-old daughter presents for evaluation of depression that she believes began after the birth of her daughter. She has a Beck Depression Inventory score of 23, indicating moderate depression. She relates that she is overall healthy and is currently 16 weeks pregnant. Which of the following would NOT be an appropriate course of action?
Q7A 28-year-old man who works at an accounting firm is being treated with paroxetine 20 mg for major depressive disorder. After six weeks, there is little improvement and he continues to feel depressed, having a difficult time focusing at work and low interest in his usual enjoyable activities. Prior to therapy, his Zung score was 68. Currently, his score is 65 and his symptoms are not remarkably different. After six weeks of paroxetine therapy, which of the following would not be recommended for this patient?
Q8Which of the following is false when considering a discontinuation of treatment for stable major depressive disorder?