ANCC PMHNP Board Exam (Latest 2023 - 2024) New Full Exam Questions and Answers ( Included ) 100% Correct
1. MOOD D/O:
MDD CRITERIA A
Answer: A. Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure.
Note: Do not include symptoms that are clearly attributable to another medical
condition.
- Depressed mood daily
- Loss of pleasure of joy in activities/inerests
- Significant weight loss/gain
- insomnia/hypersomnia
- fatigue or loss of energy daily
- psychomotor retardationagitation
- feelings of worthlessness or guilt
- diminished ability to think/concentrate, indecisiveness
- recurrent thoughts of death, SI, or SI attempt
2. MOOD D/O: MDD CRITERIA B-E
Answer:
- The symptoms cause clinically significant distress or impairment in social,
- The episode is not attributable to the physiological effects of a substance or to
- The occurrence of the major depressive episode is not better explained by
- There has never been a manic episode or a hypomanic episode.
occupational, or other important areas of functioning.
another medical condition.
schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or other specified and unspecified schizophrenia spectrum and other psychotic disor- ders.
Note: This exclusion does not apply if all of the manic-like or hypomanic-like episodes are substance-induced or are attributable to the physiological effects of another medical condition.
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3. MOOD D/O: MDD PREVALENCE
Answer: Twelve-month prevalence of major depressive disorder in the United States is approximately 7%, with marked differences by age group such that the prevalence in 18- to 29-year-old individuals is threefold higher than the prevalence in individuals age 60 years or older. Females experience 1.5- to 3-fold higher rates than males beginning in early adolescence.
4. MOOD D/O: MDD DEVELOPMENT AND COURSE
Answer:
-Recovery typically begins within 3 months of onset for two in five individuals with major depression and within 1 year for four in five individuals.-The risk is higher in individuals whose preceding episode was severe, in younger individuals, and in individuals who have already experienced multiple episodes.-The persistence of even mild depressive symptoms during remission is a powerful predictor of recurrence.
5. MOOD D/O: MDD RISK FACTORS
Answer:
-Neuroticism (negative affectivity) is a well-established risk factor for the onset of major depressive disorder -Adverse childhood experiences, particularly when there are multiple experiences of diverse types, constitute a set of potent risk factors for major depressive disorder.-Stressful life events are well recognized as precipitants of major depressive episodes,but the presence or absence of adverse life events near the onset of episodes does not appear to provide a useful guide to prognosis or treatment selection.-First-degree family members of individuals with major depressive disorder have a risk for major depressive disorder two- to fourfold higher than that of the general population.-Relative risks appear to be higher for early-onset and recurrent forms. Heritability is approximately 40%, and the personality trait neuroticism accounts for a substantial portion of this genetic liability.
6. MOOD D/O: PDD (DYSTHYMIA) DSM5 CRITERIA
Answer: Depressed mood for most of the day, for more days than not, as indicated by eithersubjective account or observation by others, for at least 2 years.Note: In children and adolescents, mood can be irritable and duration must be at least
- year.
B. Presence, while depressed, of two (or more) of the following:
- Poor appetite or overeating.
- Insomnia or hypersomnia. 2 / 3
- Low energy or fatigue.
- Low self-esteem.
- Poor concentration or difficulty making decisions.
- Feelings of hopelessness.
- During the 2-year period (1 year for children or adolescents) of the disturbance,
- Criteria for a major depressive disorder may be continuously present for 2 years.
- There has never been a manic episode or a hypomanic episode, and criteria have
- The disturbance is not better explained by a persistent schizoaffective disorder,
- The symptoms are not attributable to the physiological effects of a substance
- The symptoms cause clinically significant distress or impairment in social, occu-
the individual has never been without the symptoms in Criteria A and B for more than 2 months at a time.
never been met for cyclothymic disorder.
schizophrenia, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorder.
(e.g., a drug of abuse, a medication) or another medical condition (e.g. hypothy- roidism).
pational, or other important areas of functioning.
Note: Because the criteria for a major depressive episode include four symptoms
that are absent from the symptom list for persistent depressive disorder (dysthymia), a very limited number of individuals will have depressive symptoms that have persisted longer than 2 years but will not meet criteria for persistent depressive disorder. If full criteria for a major depressive episode have been met at some point during the current episode of illness, they should be given a diagnosis of major depressive disorder. Otherwise, a diagnosis of other specified depressive disorder or unspecified depressive disorder is warranted.
7. MOOD D/O: DYSTHYMIA PREVALENCE
Answer: The 12-month prevalence in the Unit- ed States is approximately
0.5% for persistent depressive disorder and 1.5% for chronic major depressive disorder.
8. MOOD D/O: DYSTHYMIA DEVELOPMENT COURSE
Answer: Persistent depressive dis- order often has an early and insidious onset (i.e., in childhood, adolescence, or early adult life) and, by definition, a chronic course.Among individuals with both persistent depressive disorder and borderline personality disorder, the covariance of the corresponding features over time suggests the operation of a common mechanism.Early onset (i.e., before age 21 years) is associated with a higher likelihood of comorbid personality disorders and substance use disorders.
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