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Test your knowledge by answering over 1900 psychiatric-mental health NP questions, specifically targeting the 2016 ANCC mental health examination (and updated with the December 2015 test changes). Then review detailed rationales for every question and correct your answers as you go to receive credit.
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—Meghan Farrell, PMHNP-BC
To diagnose Tourette's disorder, symptoms must present before what age?
Correct: (C) 18. Explanation: According to the DSM-5 (307.23), criteria for Tourette's disorder include: (1) multiple motor and 1 or more vocal tics, (2) tics can wax and wane but are persistent for >1 year since onset, and (3) symptoms must have onset before age 18.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. Arlington, VA: American Psychiatric Publishing. 2013.
A 34-year-old woman presents with symptoms of generalized anxiety disorder (GAD) that have been present for the past 8 weeks. How long must the symptoms of GAD be present in order to make the diagnosis?
A) 1 month
B) 2 months
C) 3 months
D) 6 months
D) 1 year
D) 6 months
Correct: (D). 6 months. Explanation: Generalized anxiety disorder is characterized by excessive anxiety and worry that causes impairment of at least 1 area of the patient's life without panic disorder and lasting ≥6 months. Patients with GAD often worry about small things and have plenty of fear while expecting the worst from most situations. They might also present with muscle tension, sleep problems, fatigue, or irritability. Prevalence of GAD is highest among women and the elderly as well as patients with low socioeconomic status. Major depression and other anxiety disorders are commonly comorbid with GAD (up to 59%). Treatment of GAD includes the use of SSRI and SNRI drugs as well as buspirone. Benzodiazepines may be effective in reducing the physical symptoms of anxiety, and beta-blockers like propranolol may reduce palpitations and tremors.
Hollander E, Simeon D. Chapter 12. Anxiety Disorders. American Psychiatric Publishing Textbook of Psychiatry, 5th ed. Hales RE, Yudofsky SC, Gabbard GO, eds. Arlington, VA: American Psychiatric Publishing. 2011.