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Chapter 20. Depression MTM Data Set

Which statement is correct regarding the symptoms included in the diagnostic criteria for major depressive episode?

a. At least one symptom must be insomnia.

b. Symptoms should be present for at least 6 months.

c. Symptoms may include fatigue or loss of energy.

d. Symptoms may be directly caused by a drug of abuse.

Answer c.

All of the following questions are appropriate when assessing the patient with depression EXCEPT:

a. “Have you recently experienced changes in your sleep patterns?”

b. “How often do you miss a dose of your blood pressure medication?”

c. “How long have you had depression?”

d. “Have you ever felt so depressed that you have had thoughts of harming yourself?”

Answer b.

What is the treatment goal for a patient in the “maintenance” phase of depression therapy?

a. Reduce symptoms

b. Induce remission

c. Prevent relapse

d. Prevent another depressive episode

Answer d.

Which statement is the most appropriate explanation of the term “neurotransmitter” using living room language?

a. Neurotransmitters are chemicals that help different areas of your brain communicate with each other to carry out a function.

b. Serotonin, norepinephrine, and dopamine are examples of neurotransmitters.

c. Neurotransmitters are neurochemicals that transfer nerve impulses across a synapse.

d. Neurotransmitters are chemicals that allow the transition of signals from one neuron to the next via a synapse.

Answer a.

A 48-year-old patient has been taking escitalopram for 4 weeks for a recent diagnosis of a major depressive episode. She reports that she has felt very drowsy since starting her medication. Her mood has improved, and she feels like she is responding, but she is very bothered by the constant fatigue. She is currently taking 10 mg daily at breakfast.

Which statement is correct regarding the medication action plan for this patient?

a. The medication action plan should include a ...

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