Question 1

Low levels of anxiety experienced in normal daily living may be beneficial in heightening an individual's alert state and awareness of surroundings.

Accepted Answer

A) True 
 B)False  True

Question 2

What type of behavioral intervention helps the person identify the trigger or stimulus that causes or maintains anxiety with the individual, making the person aware of the trigger so he or she may slowly gain control over the effect of the stimuli to develop a range of coping strategies and tools?

Accepted Answer

A)   Relaxation techniques
B)   Cognitive restructuring
C)   Exposure-response prevention
D)   Behavioral counseling B

Question 3

Unless attributable to a medical condition, somatic symptoms should prompt investigation into possible depression.

Accepted Answer

A) True 
 B)False  True

Question 4

Which of the following is the safest class of antidepressant agents, and which is the most effective for use in older individuals with the least interactions with other medications and fewest side effects?

Accepted Answer

A)   Benzodiazepines
B)   Selective serotonin reuptake inhibitors
C)   Selective-serotonin-norepinephrine reuptake inhibitors
D)   Dopamine-norepinephrine reuptake inhibitors

Question 5

Showing no emotions or feeling excessively or inappropriately guilty is a characteristic of what form of depression?

Accepted Answer

A)   Psychotic depression
B)   Catatonic depression
C)   Melancholic depression
D)   Atypical depression

Question 6

What anxiety disorder is characterized by an individual fearing that he or she will be humiliated, embarrassed, or negatively evaluated, and leads to rejection or offending others?

Accepted Answer

A)   Agoraphobia
B)   Social phobia
C)   Panic disorder
D)   Generalized anxiety disorder

Question 7

SSRIs have a lower side effect profile than many other antidepressants and are often preferred over other classes of medication to treat depression.

Accepted Answer

A) True 
 B)False

Question 8

Individuals with excessive anxiety tend to be self-absorbed, possibly related to an attempt to protect one's body image and maintain a sense of control.

Accepted Answer

A) True 
 B)False

Question 9

What class of medications have been the most commonly prescribed anxiolytic agent for managing anxious symptoms in the older population, but should be used very cautiously and only when absolutely necessary?

Accepted Answer

A)   Benzodiazepines
B)   Selective serotonin reuptake inhibitors
C)   Selective-serotonin-norepinephrine reuptake inhibitors
D)   Dopamine-norepinephrine reuptake inhibitors

Question 10

A depressive episode in which an individual experiences pervasive feelings of anxiety and sadness that coincide with anhedonia is characteristic of what medical condition?

Accepted Answer

A)   Dysthymia
B)   Major depression
C)   Minor depression
D)   Recurrent depression

Question 11

Because the onset of depression in older adults can often coincide with onset of an illness, it is frequently misattributed to a somatic cause and not properly diagnosed.

Accepted Answer

A) True 
 B)False

Question 12

Older adults with what type of depression often display functional activity impairments such as changes in regular activities of daily living, decreased socialization, and poor compliance with medication therapy and healthcare recommendations?

Accepted Answer

A)   Dysthymia
B)   Major depression
C)   Minor depression
D)   Recurrent depression

Question 13

For both men and women, self-inflicted gunshot wounds are the most frequently used method for completed and successful suicides.

Accepted Answer

A) True 
 B)False

Question 14

What medical condition, one of the most common psychiatric complaints throughout the lifespan, can be difficult to diagnose in the older patient due to atypical presentations?

Accepted Answer

A)   Anxiety
B)   Depression
C)   Delirium
D)   Dementia

Question 15

What class of medications, sometimes call dual reuptake inhibitors, may also assist with managing the symptoms of fibromyalgia and chronic fatigue syndrome?

Accepted Answer

A)   Benzodiazepines
B)   Selective serotonin reuptake inhibitors
C)   Selective-serotonin-norepinephrine reuptake inhibitors
D)   Dopamine-norepinephrine reuptake inhibitors

Question 16

Which of the following is predominant in the clinical presentation of substance- or medication-induced anxiety disorder?

Accepted Answer

A)   Depression
B)   Delirium
C)   Panic attacks
D)   Agoraphobia

Question 17

Of which of the following would a score of 12 on the PGQ-9 questionnaire be indicative?

Accepted Answer

A)   Minimal depressive symptoms
B)   Dysthymia
C)   Moderately severe major depression
D)   Need for psychotherapy and antidepressant therapy

Question 18

People with what type of insurance are entitled to screening for mental health issues as part of the initial preventive physical examination?

Accepted Answer

A)   Medicare
B)   Medicaid
C)   TRICARE
D)   Medigap

Question 19

What behavior intervention may be used with individuals with both panic disorders and obsessive-compulsive disorder?

Accepted Answer

A)   Relaxation techniques
B)   Cognitive restructuring
C)   Exposure-response prevention
D)   Behavioral counseling

Question 20

Medical events such as waking during surgery and anaphylactic shock could cause an individual to develop what anxiety disorder?

Accepted Answer

A)   Agoraphobia
B)   Panic disorder
C)   Generalized anxiety disorder
D)   Post-traumatic stress disorder

Exam 14: Anxiety and Depression in the Older Adult

Low levels of anxiety experienced in normal daily living may be beneficial in heightening an individual's alert state and awareness of surroundings.

What type of behavioral intervention helps the person identify the trigger or stimulus that causes or maintains anxiety with the individual, making the person aware of the trigger so he or she may slowly gain control over the effect of the stimuli to develop a range of coping strategies and tools?

Unless attributable to a medical condition, somatic symptoms should prompt investigation into possible depression.

Which of the following is the safest class of antidepressant agents, and which is the most effective for use in older individuals with the least interactions with other medications and fewest side effects?

Showing no emotions or feeling excessively or inappropriately guilty is a characteristic of what form of depression?

What anxiety disorder is characterized by an individual fearing that he or she will be humiliated, embarrassed, or negatively evaluated, and leads to rejection or offending others?

SSRIs have a lower side effect profile than many other antidepressants and are often preferred over other classes of medication to treat depression.

Individuals with excessive anxiety tend to be self-absorbed, possibly related to an attempt to protect one's body image and maintain a sense of control.

What class of medications have been the most commonly prescribed anxiolytic agent for managing anxious symptoms in the older population, but should be used very cautiously and only when absolutely necessary?

A depressive episode in which an individual experiences pervasive feelings of anxiety and sadness that coincide with anhedonia is characteristic of what medical condition?

Because the onset of depression in older adults can often coincide with onset of an illness, it is frequently misattributed to a somatic cause and not properly diagnosed.

Older adults with what type of depression often display functional activity impairments such as changes in regular activities of daily living, decreased socialization, and poor compliance with medication therapy and healthcare recommendations?

For both men and women, self-inflicted gunshot wounds are the most frequently used method for completed and successful suicides.

What medical condition, one of the most common psychiatric complaints throughout the lifespan, can be difficult to diagnose in the older patient due to atypical presentations?

What class of medications, sometimes call dual reuptake inhibitors, may also assist with managing the symptoms of fibromyalgia and chronic fatigue syndrome?

Which of the following is predominant in the clinical presentation of substance- or medication-induced anxiety disorder?

Of which of the following would a score of 12 on the PGQ-9 questionnaire be indicative?

People with what type of insurance are entitled to screening for mental health issues as part of the initial preventive physical examination?

What behavior intervention may be used with individuals with both panic disorders and obsessive-compulsive disorder?

Medical events such as waking during surgery and anaphylactic shock could cause an individual to develop what anxiety disorder?