Podcast
Questions and Answers
Which of the following is a common side effect associated with SSRIs?
Which of the following is a common side effect associated with SSRIs?
Which medication class requires dietary restrictions avoiding tyramine-containing foods?
Which medication class requires dietary restrictions avoiding tyramine-containing foods?
Which of these medications has a Black Box Warning regarding the risk of agranulocytosis?
Which of these medications has a Black Box Warning regarding the risk of agranulocytosis?
Which antidepressant class is most associated with causing a hypertensive crisis?
Which antidepressant class is most associated with causing a hypertensive crisis?
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Which medication is known for its potential to cause priapism?
Which medication is known for its potential to cause priapism?
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Which of the following medications is NOT typically used for acute mania treatment although it can be used for maintenance?
Which of the following medications is NOT typically used for acute mania treatment although it can be used for maintenance?
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Which medication is especially useful in treatment-resistant mania and weight loss?
Which medication is especially useful in treatment-resistant mania and weight loss?
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Which of the following drug classes has a specific contraindication for use with alcohol or should not be cut or crushed?
Which of the following drug classes has a specific contraindication for use with alcohol or should not be cut or crushed?
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Which characteristic is associated with mild anxiety?
Which characteristic is associated with mild anxiety?
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What is a common symptom of moderate anxiety?
What is a common symptom of moderate anxiety?
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Which of the following is considered an adaptive coping strategy for anxiety?
Which of the following is considered an adaptive coping strategy for anxiety?
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How long must symptoms generally persist to be considered an anxiety disorder in adults?
How long must symptoms generally persist to be considered an anxiety disorder in adults?
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Which of the following is a temperamental trait that can be considered a risk factor for anxiety disorders?
Which of the following is a temperamental trait that can be considered a risk factor for anxiety disorders?
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What is a common psychological complementary treatment for anxiety?
What is a common psychological complementary treatment for anxiety?
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Which of the following medical conditions is cited as a risk factor for anxiety disorders?
Which of the following medical conditions is cited as a risk factor for anxiety disorders?
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What is an example of a maladaptive coping strategy for dealing with anxiety?
What is an example of a maladaptive coping strategy for dealing with anxiety?
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What is a defining characteristic of Generalized Anxiety Disorder (GAD)?
What is a defining characteristic of Generalized Anxiety Disorder (GAD)?
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Which symptom is specifically associated with Panic Disorder?
Which symptom is specifically associated with Panic Disorder?
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What is the primary fear associated with separation anxiety?
What is the primary fear associated with separation anxiety?
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What does selective mutism primarily affect?
What does selective mutism primarily affect?
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Which outcome is a risk associated with Panic Disorder?
Which outcome is a risk associated with Panic Disorder?
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How long must symptoms persist before a diagnosis of Generalized Anxiety Disorder can be considered in children?
How long must symptoms persist before a diagnosis of Generalized Anxiety Disorder can be considered in children?
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Which of these is a common physical symptom of a Panic Attack?
Which of these is a common physical symptom of a Panic Attack?
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What additional disorder frequently co-occurs with separation anxiety?
What additional disorder frequently co-occurs with separation anxiety?
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Which symptom is MOST characteristic of a panic state?
Which symptom is MOST characteristic of a panic state?
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What differentiates a panic attack from a state of severe anxiety?
What differentiates a panic attack from a state of severe anxiety?
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An individual experiencing agoraphobia would MOST likely exhibit which behavior?
An individual experiencing agoraphobia would MOST likely exhibit which behavior?
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What is the typical duration for symptoms of a phobia-related disorder to be considered persistent?
What is the typical duration for symptoms of a phobia-related disorder to be considered persistent?
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What is a defining characteristic of social anxiety disorder?
What is a defining characteristic of social anxiety disorder?
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Which situation would BEST indicate a maladaptive use of defense mechanisms?
Which situation would BEST indicate a maladaptive use of defense mechanisms?
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What is the primary reason a physical exam is important when assessing a patient with anxiety symptoms?
What is the primary reason a physical exam is important when assessing a patient with anxiety symptoms?
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Substance use is associated with anxiety by which of the following?
Substance use is associated with anxiety by which of the following?
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A client states, "I'm feeling very anxious about my upcoming procedure." Which response best exemplifies 'offering self'?
A client states, "I'm feeling very anxious about my upcoming procedure." Which response best exemplifies 'offering self'?
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A nurse says to a client, "You've handled difficult situations before." What therapeutic communication technique is being used?
A nurse says to a client, "You've handled difficult situations before." What therapeutic communication technique is being used?
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A client states, "I barely drink anymore." The nurse responds, "But you mentioned drinking frequently last weekend." This is an example of which communication technique?
A client states, "I barely drink anymore." The nurse responds, "But you mentioned drinking frequently last weekend." This is an example of which communication technique?
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During a session, a client is describing a distressing auditory hallucination. Which response demonstrates 'encouraging perception'?
During a session, a client is describing a distressing auditory hallucination. Which response demonstrates 'encouraging perception'?
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A nurse asks a client, “Why haven’t you started exercising?” This is an example of:
A nurse asks a client, “Why haven’t you started exercising?” This is an example of:
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When a client shifts from discussing their feelings about surgery to the weather, which nursing response is most appropriate?
When a client shifts from discussing their feelings about surgery to the weather, which nursing response is most appropriate?
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A nurse states, “You’re handling this stressful situation very well.” Which of the following is the best classification for this response?
A nurse states, “You’re handling this stressful situation very well.” Which of the following is the best classification for this response?
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A nurse says, "If it were me, I would take the medication." Which nontherapeutic communication technique is this?
A nurse says, "If it were me, I would take the medication." Which nontherapeutic communication technique is this?
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Which of the following best describes a person with a 'dependent' personality?
Which of the following best describes a person with a 'dependent' personality?
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Which of the following is NOT a typical characteristic of someone with narcissistic personality disorder?
Which of the following is NOT a typical characteristic of someone with narcissistic personality disorder?
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What is the most recommended first-line therapy for preschool-aged children diagnosed with ADHD?
What is the most recommended first-line therapy for preschool-aged children diagnosed with ADHD?
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A common side effect of stimulant medications used to treat ADHD is the suppression of which of the following?
A common side effect of stimulant medications used to treat ADHD is the suppression of which of the following?
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Which age group typically shows typical symptoms of Oppositional Defiant Disorder (ODD)?
Which age group typically shows typical symptoms of Oppositional Defiant Disorder (ODD)?
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Which of the following is a common symptom associated with autism spectrum disorder (ASD)?
Which of the following is a common symptom associated with autism spectrum disorder (ASD)?
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Which of the following is true of atomoxetine, an SNRI used in treating ADHD?
Which of the following is true of atomoxetine, an SNRI used in treating ADHD?
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What is a key difference between loners and individuals with schizotypal personality disorder?
What is a key difference between loners and individuals with schizotypal personality disorder?
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What is a distinguishing factor between ODD and conduct disorder?
What is a distinguishing factor between ODD and conduct disorder?
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Which of these is not a recommended educational strategy for children with ODD?
Which of these is not a recommended educational strategy for children with ODD?
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Which of the following is most likely to be a symptom of histrionic personality disorder?
Which of the following is most likely to be a symptom of histrionic personality disorder?
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Which of the following best describes the behaviors of someone with obsessive-compulsive personality disorder (OCPD)?
Which of the following best describes the behaviors of someone with obsessive-compulsive personality disorder (OCPD)?
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What is the separation anxiety symptom onset beginning at ages 8 months to preschool?
What is the separation anxiety symptom onset beginning at ages 8 months to preschool?
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What is a specific risk factor associated with low birth weight, as it relates to the information provided?
What is a specific risk factor associated with low birth weight, as it relates to the information provided?
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Which of the following conditions is least likely to coexist with Oppositional Defiant Disorder (ODD)?
Which of the following conditions is least likely to coexist with Oppositional Defiant Disorder (ODD)?
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Study Notes
Antidepressants
- SSRI (2-4 weeks, group 1)
- TCAs (group 2)
- MAOIs (group 3)
- NDRI (group 1)
- SNRI (group 1)
- SA/RIs (group 1):
- Libido
- Nerve pain
- Insomnia
- Symptoms of increased heart rate and confusion in young adults
- Dizzy spells
- Anticholinergic (anti-anxiety effects)
- Do not consume alcohol and do not take with other stimulants and antidepressants
- Orthostatic Hypotension
- Tyramine hypertensive crisis
- Serotonin syndrome
- Increased (SI) in young patients
- Risk of orthostatic hypotension
- risk of falls
- No St. John's Wort
Mood Stabilizers/ Antiseizure Meds
- Lamotrigine (2.5-15)
- Topiramate
- Oxcarbazepine
- Mood stabilizers:
- Acute mania or resistant mania
- Lab monitoring: (WBC, liver, bone marrow)
- Antiseizure Meds:
- Acute Mania or resistant form
- Anticholinergic effects
Mood Stabilizer: Lithium
- 0.6-1.2 (1-3 weeks)
- First-line mood stabilizer for mania
- Daily intake of 1.5-3 liters of water with daily meals recommended
- Should be consumed with food
- Monitoring of blood counts is required regularly
Stimulants
- Calming effect, enhancing focus/concentration
- Potential for misuse and dependence
Sleep aids (ZZZ) and Beta Blockers
- Relieve physical symptoms (e.g., heart rate, trembling, sweating)
- Short term use; use cautiously in patients with asthma, diabetes, and those who are elderly
- Use short term and PRN
Maintenance Medications (Detox)
- Methadone (opioid maintenance)
- Naltrexone (opioid and alcohol maintenance)
- Acamprosate (alcohol maintenance)
- Disulfiram (alcohol maintenance)
- Clonidine/Lofexidine (opioid withdrawal)
- Flumazenil (benzodiazepine withdrawal)
Cluster A Personality Disorders
- Paranoid: Distrust, suspicion, perceived attacks
- Schizoid: Detachment from social relationships, preference for solitude
- Schizotypal: Social and interpersonal deficits, unusual beliefs, eccentricities
Cluster B Personality Disorders
- Antisocial: Disregard for rights of others, lack of remorse
- Borderline: Instability in relationships, self-image, impulsivity
- Histrionic: Excessive emotionality, attention-seeking behavior
- Narcissistic: Grandiosity, need for admiration, lack of empathy
Cluster C Personality Disorders
- Avoidant: Social inhibition, fear of rejection
- Dependent: Excessive need to be taken care of
- Obsessive-Compulsive: Preoccupation with orderliness, perfectionism
ADHD
- Inattentive, hyperactive, impulsivity
- Causes
- Brain injury
- Alcohol consumption during pregnancy
- Premature birth
- Low birth weight
- Therapy:
- Preschool (4-5): Behavioral therapy prior to medication.
- Medications:
- Stimulants
- SNRIs (atomoxetine)
- Alpha 2 Adrenergic Agonists (clonidine)
Separation Anxiety Disorder
- Definition: Fear of separation from attachment figures
- Symptoms: Fear of harm to loved ones, avoidance, nightmares, physical symptoms
- Duration: 4+ weeks in children, 6+ months in adults
Anxiety Disorders
- Mild Anxiety (Normal and beneficial)
- Moderate Anxiety (Narrowed perceptual field)
- Severe Anxiety (Reduced perceptual field, potential for confusion and automatic behavior)
- Panic (Loss of touch with reality)
- Agoraphobia (Fear of situations, escape/help difficulty)
- Generalized Anxiety Disorder (Excessive worry about multiple areas for 6+ months)
- Phobia-Related Disorders (Intense fear of specific objects)
- Selective Mutism (Inability to speak in certain social settings)
- Social Anxiety Disorder (Fear of scrutiny in social situations)
Therapeutic Techniques
- Acceptance
- Clarification
- Focusing
- Exploring
- Giving Recognition
- Open-Ended Questions
- Paraphrasing
- Presenting Reality
- Restating
- Reflecting
- Providing Silence
- Making Observations
- Offering Self
- Encouraging Perception
- Encouraging Comparisons
- Offering Hope
- Offering Humor
- Confronting
- Summarizing
Client Rights
- Informed Consent (permission for treatment)
- Right to Refuse Treatment
- Rights of Involuntarily Committed Clients (restrictions minimized)
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Description
Test your knowledge on antidepressants and mood stabilizers, including their categories, uses, and potential side effects. This quiz covers important medications such as SSRIs, TCAs, and Lithium, offering insights into their mechanisms and patient considerations. Perfect for students and professionals in psychology and psychiatry fields.
