Week 3: Test Your Knowledge

 Due Mar 21 at 11:59pm

 Points 10

 Questions 5

 Time Limit 7 Minutes

Instructions
The late assignment policy does not apply to quizzes and exams. All quizzes and
exams close at the time they are due. For quizzes and exams not submitted by the
specified due date and time, a score of zero will be assigned.
The Week 3 practice quiz has 5 questions (multiple choice- worth two points each). You
will have one attempt.
The Week 3 practice quiz must be completed by Sunday, 11:59 p.m. MT at the end of
Week 3.

Attempt History
Attempt Time Score

LATEST Attempt 1 7 minutes 6 out of 10

Score for this quiz: 6 out of 10

Submitted Mar 21 at 9:35am

This attempt took 7 minutes.
 

Question 1
2 / 2 pts
Symptoms of depression, which are distinct to the elderly, include which of the
following?
Correct!

  
lack of emotions
 

  
flat affect
 

  
appetite and weight disturbances
 

  
loss of pleasure in usual activities
 

Lack of emotions, a symptom distinct to the elderly, is thought to be due to

unwillingness to discuss emotions and fear of social stigma, leading to underdiagnosis.
Kennedy p. 452
 

Question 2
2 / 2 pts
The criteria for diagnosing generalized anxiety disorder (GAD), in the American
Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, 5th
edition (DSM V), states that excessive worry or apprehension must be present more
days than not for what length of time?
Correct!
   
6 months
 

  
1 month
 

  
3 months
 

  
2 months
 

DSM criteria required GAD symptoms be present for a minimum of 6 months for this
diagnosis. Dunphy p. 1129
 

Question 3
2 / 2 pts
A 57-year-old female presents to the office. She describes feeling irritable, difficulty
concentrating, and difficulty falling and staying asleep. She states she is worried about
her finances because her husband just lost his job. The nurse practitioner diagnoses
anxiety. Which of the following is a first-line treatment for anxiety?
Correct!

  
paroxetine
 

  
aripiprazole
 

  
diazepam
 

  
cariprazine
 

SSRIs are first line treatment for anxiety. Of the options listed, paroxetine is the only
SSRI listed. Aripiprazole and cariprazine are atypical antipsychotics, diazepam is a
benzodiazepine. Dunphy p. 1131
 

Question 4
0 / 2 pts
What is the first-line treatment for chronic insomnia?
Correct Answer

  
Cognitive behavioral therapy (CBT)
 

  
over the counter (OTC) sleep aids, such as ZzzQuil
 
You Answered

  
zolpidem
 

  
ramelteon
 

Cognitive behavioral therapy is the recommended first line treatment for insomnia prior
to initiation of OTC or prescribed medications. Dunphy p. 1169
 

Question 5
0 / 2 pts
Which study states that up to 25% of the primary care population suffers from
generalized anxiety disorder (GAD) that originates from childhood trauma?

  
PHQ-9
 

  
DSM-5
 
Correct Answer

  
ACES
 
You Answered

  
GABA
 

The ACES study has proven that exposure to childhood trauma can result in anxiety.
Dunphy p.1129
Quiz Score: 6 out of 10

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Submission Details:
Dr. Wallace

The primary action of Sertraline is to inhibit presynaptic reuptake of serotonin. While

Sertraline originally was created and marketed for the treatment of major depressive disorder it is

now approved for the management of panic disorder, obsessive-compulsive disorder and post-

traumatic stress disorder (Lochmann, & Richardson, 2019; Woroń, Siwek, & Gorostowicz,

2019).
 The pharmacokinetic of Sertraline is that of a slow absorption after oral administration

and it undergoes extensive first-pass oxidation to make N-desmethyl-sertraline, which is a

weakly active metabolite that easily accumulates to form a greater concentration in blood

plasma. The fact that sertraline is mainly excreted by the kidneys 22-36 hours after

administration once therapeutic levels are achieved. However, only minimal data have been

published to support useful correlations between sertraline plasma concentrations and therapeutic

or adverse effects. Generally, all medication carries secondary side effects that can potentially

cause serious health issues, furthermore these side effect can impact certain groups of people

more than others, however these side can effect certain groups more drastically than others and

this is due to the pharmacokinetics of Zoloft and the, there are several side effects that hold

different levels of danger (Woroń, Siwek, & Gorostowicz, 2019).

One side effect of sertraline which is the generic name for Zoloft is a condition called

serotonin syndrome, besides this side effects such as irregular heartbeat, loss of appetite, vision

changes, tremors, decreased sexual drive and increased sweating are among the side effects

experienced by taking Zoloft (Lochmann, & Richardson, 2019; Woroń, Siwek, & Gorostowicz,

2019).

References:

Lochmann, D., & Richardson, T. (2019). Selective serotonin reuptake inhibitors. Handbook of

experimental pharmacology, 250, 135–144. https://doi.org/10.1007/164_2018_172

Woroń, J., Siwek, M., & Gorostowicz, A. (2019). Adverse effects of interactions between

antidepressants and medications used in treatment of cardiovascular disorders. 53(5), 977–995.

https://doi.org/10.12740/PP/OnlineFirst/96286