Psychiatric Disorders and Treatments, Exams of Nursing

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NRNP 6635 Midterm Study NRNP 6635 MIDTERM

EXAM ACTUAL EXAM 120 QUESTIONS AND

CORRECT DETAILED ANSWER |ALREADY

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Potassium - Correct Answer Select the serum assessment that is used when

prescribing drugs to treat psychiatric disorders in psychosomatic patients

Erickson - Correct Answer Select the theorist who developed the eight stages of

the psychosocial life cycle

Sexual abuse and Partner Betrayal - Correct Answer Select two causes of

dissociative amnesia

AIMS - Correct Answer Select the patient evaluation scale to be used before and

during prescribing antipsychotic drugs

Autism and Intellectual disability - Correct Answer Select the two comorbid

disorders with which Pica occurs most commonly 20% recover, 10% mild symptoms, 40% moderate symptoms, 30% no change or worse

• Correct Answer Select the prognosis range of untreated PTSD patients

Sequential events - Correct Answer Select the memory category retained in

transient global amnesia that is absent in dissociative amnesia

Eating with friends but not Family - Correct Answer The following is NOT an

endocrine change noted with anorexia nervosa

Psychiatrist History and mental status examination - Correct Answer Select the

two most important elements of the psychiatric interview to establish a mental illness diagnosis.

Patient Resistance - Correct Answer Select the greatest impediment to treat

anorexia nervosa patients.

Central Apnea - Correct Answer Select the sleep disorder in which cataplexy is a

common symptom

Hoarding - Correct Answer Select the obsessive-compulsive disorder for which a

patient is likely to initially seek help from a Primary Care Provider

CAPS - Correct Answer Select the rating scale used to assess obsessive-

compulsive disorder

4 - Correct Answer Select age after which encopresis may be correctly

diagnosed

Dysthymia - Correct Answer Select the mood disorder that is worsened by

chronic exposure to observing violence in television, movies, and video games

Medical history - Correct Answer Select a provider's most important knowledge

area essential to a successful mental health interview of a child

6-8 weeks - Correct Answer Select the minimum treatment time to assess the

effectiveness of antidepressant drug therapy

PTSD has recurrent, distressing dreams - Correct Answer What is one main

difference between acute stress disorder and PTSD?

Short duration of symptoms - Correct Answer Factors that indicate a good

prognosis for PTSD disorders include all the following EXCEPT:

Angina Pectoris - Correct Answer Select the medical condition that must be

excluded as a cause of somatic symptom disorder or hypochondriasis

Appetite - Correct Answer What is the most IMMEDIATE consideration in

assessing depression in adolescents?

Acetylcholine - Correct Answer Select the neurotransmitter that is most involved

in the pathophysiology of schizophrenia.

Privacy - Correct Answer Select the most important component of the patient-

provider rapport.

Cognitive-behaviour therapy CBT and SSRI antidepressants - Correct

Answer Select the most effective treatment for social anxiety disorder in children

Echolalia - Correct Answer All the following are key psychiatric findings when

assessing speech and language in children EXCEPT:

Concurrent substance abuse - Correct Answer Select the factor that is required

to cause PTSD from a stressor

Generativity versus - Correct Answer All the following are classes of coping

mechanisms in the Model of Mental Health as Resilience where humans overcome stressful situations EXCEPT:

Caudate - Correct Answer Anatomical and functional neuroimaging studies have

associated a decreased activation in what part of the brain with obsessive-compulsive behaviors?

Secracy of eating rituals and Insisting weight loss has a medical cause - Correct

Answer Select the two complications in diagnosing patients with anorexia nervosa

separation - Correct Answer Select the anxiety disorder that emerges in ages 9

to 18 months.

Dizziness and Constipation - Correct Answer Select the two most common

peripheral symptoms of anxiety

Melatonin - Correct Answer Select the hormone or neurotransmitter that is

involved in regulating the 24-hour circadian sleep-wake cycle.

unplanned travel - Correct Answer Select the event most associated with the

occurrence of dissociative fugue

Intellect - Correct Answer Select the neurodevelopmental disorder typically

diagnosed in childhood

negligent parenting - Correct Answer Select the primary cause of reactive

attachment disorder in children

Depersonalisation disorder - Correct Answer Select the psychiatric disorder for

which drug and non-drug treatments are least effective

Experienced Violence and natural disaster - Correct Answer Select two events

that are causes of dissociative trance disorder

6 months - Correct Answer Select the time from occurrence of the stressor in

which symptoms must appear to diagnose an adjustment disorder

Magnesium - Correct Answer Select the serum substance that should be

measured to aid the diagnosis of restless leg syndrome.

Dissociative disorder - Correct Answer Select the DSM-5 disorder formerly called

multiple personality disorder

Seizures, Substance abuse, Narcissistic Personality Disorder - Correct

Answer Differential diagnosis for consideration when suspecting a cyclothymic

disorder include:

Chelation Therapy - Correct Answer The following psychotherapy interventions is

NOT a recommended in the treatment of PTSD:

2% placebo 4% drugs - Correct Answer Select the difference in rates of suicidal

thoughts and behaviors between placebo and drug in children and adolescents observed from random controlled trials of nine antidepressant drugs that resulted in the 2004 FDA "black box" warning in labeling of antidepressant drugs.

Fluoxetine - Correct Answer Select the drug that has been effective in treating

social anxiety in children.

6 to 7 - Correct Answer Select the youngest age range at which alarm therapy is

effective to treat enuresis

Prefrontal Cortex - Correct Answer Which part of the brain is essential to the

maintenance of attention? Weekly binge eating for at least 3 months and abuse of emetic drugs and substances -

Correct Answer Select two signs and symptoms of bulimia nervosa.

withdrawal - Correct Answer Select the behavior that best describes early onset

bipolar disorder in children and adolescents

Sexual assault - Correct Answer Select the most common stressor of PTSD in

women

Vehicle accident - Correct Answer Select the most likely stressor to cause an

adjustment disorder

Dopamine - Correct Answer Select the neurotransmitter involved in obsessive-

compulsive disorder (OCD) in children and adolescents based on the common comorbidity of tic disorder

Opioid Analgesics - Correct Answer Select the class of drugs most effective in

treating pain disorder

anorexia nervosa - Correct Answer The most commonly occurring eating disorder

Pain - Correct Answer the disorder in which inflicting injury to self or others is

common

TMS and MRI - Correct Answer Two imaging methods used to study anxiety

disorders

20% incidence by age 18 - Correct Answer Epidemiological fact about major

depression in children and adolescents

Hippocampus - Correct Answer Brain region most implicated in the function of

memory

Insomnia - Correct Answer Most common sleep disorder

Intense Horror - Correct Answer Factor that is required to cause PTSD from a

stressor

Male infants from 3-12 months - Correct Answer The population in which

rumination disorder occurs most frequently

Suicidal Ideation - Correct Answer the symptom least associated with manic and

hypomanic episodes

Psychosis - Correct Answer Third most commonly reported psychiatric symptom

Mildly depressed - Correct Answer Characteristic in long sleepers (longer than 9

hours) that is absent in short sleepers (less than 6 hours)

Cognitive Therapy and Hypnosis - Correct Answer The two methods to treat

dissociative amnesia

Franz Gabriel Alexander - Correct Answer Theorist who is credited with

establishing the area of psychosomatic medicine

persistent depression - Correct Answer disorder in children and adolescents that

is described by depressed or irritable mood for most of the day for a majority of days in at least one year

generalized dissociative amnesia - Correct Answer The type of dissociative

amnesia is described by the inability to recall any events in a particular lifespan period

60%-90% - Correct Answer Frequency range for heritability of Bipolar disorder

Hallucinations and Irritability - Correct Answer The two symptoms that result from

prolonged sleep deprivation

Voluntary Motor - Correct Answer The function that is most affected by

conversion disorder

cognitive behavioral therapy - Correct Answer The therapy for Insomnia that can

be effective up to three years after discontinuation

Well-Being - Correct Answer The mental health model that is most associated

with human interpersonal connection

Anorexia and Seizures - Correct Answer two medical conditions in which

derealization and depersonalization are common

adolescence - Correct Answer The age stage of life in which identity crisis

emerges

History of substance abuse and duration of therapy - Correct Answer the two

most important factors that guide the decision to prescribe benzodiazepines to treat general anxiety

50-100 - Correct Answer The mg/dL blood alcohol level range that is associate

with causing impaired judgement and coordination

Electronic Media - Correct Answer The exposure to violence that is excluded as a

DSM-5 diagnostic criterion for PTSD in children and adolescents

Infancy - Correct Answer The life stage at which emotional and social behavior

begin

Substance abuse and appropriate drug therapy - Correct Answer The two events

that are excluded as causes of dissociative trance disorder

Cognitive therapy - Correct Answer The non-drug therapy with the greatest

evidence of effectiveness in treating major depression disorder

few or lack of somatic symptoms and frequent provider visits - Correct

Answer The two common characteristics of illness anxiety disorder

Dysthymia - Correct Answer The alternate name for persistent depressive

disorder

Piaget - Correct Answer The scientist most associated with the development of

learning theory

Paroxetine - Correct Answer The drug proven most effective in treating PTSD

40% - 50% - Correct Answer The percentage that most accurately represents the

rate of heritability of major depression disorder

Dopamine and GABA - Correct Answer Two neurotransmitters associated with

anxiety

Valproate - Correct Answer The drug with the most rapid onset of action to treat

acute mania

Major depression - Correct Answer The mental health disorder that commonly

coexists with generalized anxiety disorder

20% - 30% - Correct Answer The percentage range of correlation between

obesity and psychiatric disorders

Psychoanalytical and Behavioral - Correct Answer Two types of theories that

have contributed to causes of anxiety

Childhood - Correct Answer The age group in which adjustment disorder occur

most frequently

Lithium - Correct Answer The drug used to treat bipolar disorder that may cause

hypothyroidism

Anxiety - Correct Answer The psychiatric disorder that occurs most commonly in

patients hospitalized for medical problems and surgery

Public Speaking - Correct Answer The public performance that is most

associated with social anxiety in children

6 months - Correct Answer The maximum time period recommended for

treatment of insomnia with hypnotic drugs

Serotonin - Correct Answer The neurotransmitter that is most genetically involved

in childhood and adolescent depression

Impramine - Correct Answer The antidepressant drug most likely to cause death

when taken in an overdose

Amitriptyline - Correct Answer The antidepressant most likely to cause sexual

dysfunction

Concentration - Correct Answer The cognitive function category in a mental

examination that is represented by the question, "starting at 3 A.M., count back the time 2 hours at a time."

0.6 - 1.2 - Correct Answer The therapeutic plasma concentration range for lithium

in mEq/L

CBCL - Correct Answer The rating scale used to assess children and

adolescents for ADHD

CAGE - Correct Answer The rating scale used to assess significant alcohol

problem

Mania - Correct Answer the criterion that differentiates Bipolar II and Bipolar I

disorder

33% - Correct Answer The largest percentage prevalance of psychiatric disorders

in patients hospitalized for medical conditions

HAM-D - Correct Answer The rating scale used to assess response to

antidepressant drug therapy

antianxiety drugs - Correct Answer The treatment of choice for Identity Crisis

Dreaming - Correct Answer The most exclusive feature rapid eye movement

(REM) sleep

Reliability and Validity - Correct Answer The two primary psychometric properties

of psychiatric rating scales

2/3 - Correct Answer The percent of OCD patients who also have depressive

symptoms

Weight Gain - Correct Answer The potential adverse effect of SSRI

antidepressant drugs approved to treat children with major depressive disorder

Intrusive thoughts and contamination - Correct Answer The two types of

symptom patterns common to OCD patients

BPRS - Correct Answer The rating scale used to screen for Alzheimer's disease

and other dementia's

Persistent for at least 6 months and lack of medical evidence - Correct

Answer The two diagnostic criteria of somatic symptom disorder or hypochondriasis

pleasure seeking and committing actions - Correct Answer Two Characteristics of

impulses that are usually absent from compulsions

3 days - Correct Answer the period of time after most recent use that THC

(marijuana) can be detected in urine specimens

6 months to 5 years - Correct Answer The delay of time between exposure to the

stressor and onset of PTSD symptoms

transcranial magnetic stimulation (TMS) - Correct Answer The non-drug therapy

approved use for patients who have failed to achieve satisfactory improvement with correctly prescribed antidepressant drugs

Corticotropin-releasing hormone (CRH) - Correct Answer The most important

mediator of the stress response

Sleep Problems - Correct Answer The symptom most likely to improve early in

the drug treatment of major depression

At least 5 symptoms including irritable mood for 2 weeks - Correct Answer The

criteria in DSM-5 to diagnose a child with major depressive disorder

Potassium - Correct Answer Select the serum assessment that is used when

prescribing drugs to treat psychiatric disorders in psychosomatic patients

Erickson - Correct Answer Select the theorist who developed the eight stages of

the psychosocial life cycle

Sexual abuse and Partner Betrayal - Correct Answer Select two causes of

dissociative amnesia

AIMS - Correct Answer Select the patient evaluation scale to be used before and

during prescribing antipsychotic drugs

Autism and Intellectual disability - Correct Answer Select the two comorbid

disorders with which Pica occurs most commonly 20% recover, 10% mild symptoms, 40% moderate symptoms, 30% no change or worse

• Correct Answer Select the prognosis range of untreated PTSD patients

Sequential events - Correct Answer Select the memory category retained in

transient global amnesia that is absent in dissociative amnesia

Eating with friends but not Family - Correct Answer The following is NOT an

endocrine change noted with anorexia nervosa

Psychiatrist History and mental status examination - Correct Answer Select the

two most important elements of the psychiatric interview to establish a mental illness diagnosis.

Patient Resistance - Correct Answer Select the greatest impediment to treat

anorexia nervosa patients.

Central Apnea - Correct Answer Select the sleep disorder in which cataplexy is a

common symptom

Hoarding - Correct Answer Select the obsessive-compulsive disorder for which a

patient is likely to initially seek help from a Primary Care Provider

CAPS - Correct Answer Select the rating scale used to assess obsessive-

compulsive disorder

4 - Correct Answer Select age after which encopresis may be correctly

diagnosed

Dysthymia - Correct Answer Select the mood disorder that is worsened by

chronic exposure to observing violence in television, movies, and video games

Medical history - Correct Answer Select a provider's most important knowledge

area essential to a successful mental health interview of a child

6-8 weeks - Correct Answer Select the minimum treatment time to assess the

effectiveness of antidepressant drug therapy

PTSD has recurrent, distressing dreams - Correct Answer What is one main

difference between acute stress disorder and PTSD?

Short duration of symptoms - Correct Answer Factors that indicate a good

prognosis for PTSD disorders include all the following EXCEPT:

Angina Pectoris - Correct Answer Select the medical condition that must be

excluded as a cause of somatic symptom disorder or hypochondriasis

Appetite - Correct Answer What is the most IMMEDIATE consideration in

assessing depression in adolescents?

Acetylcholine - Correct Answer Select the neurotransmitter that is most involved

in the pathophysiology of schizophrenia.

Privacy - Correct Answer Select the most important component of the patient-

provider rapport.

Cognitive-behaviour therapy CBT and SSRI antidepressants - Correct

Answer Select the most effective treatment for social anxiety disorder in children

Echolalia - Correct Answer All the following are key psychiatric findings when

assessing speech and language in children EXCEPT:

Concurrent substance abuse - Correct Answer Select the factor that is required

to cause PTSD from a stressor

Generativity versus - Correct Answer All the following are classes of coping

mechanisms in the Model of Mental Health as Resilience where humans overcome stressful situations EXCEPT:

Caudate - Correct Answer Anatomical and functional neuroimaging studies have

associated a decreased activation in what part of the brain with obsessive-compulsive behaviors?

Secracy of eating rituals and Insisting weight loss has a medical cause - Correct

Answer Select the two complications in diagnosing patients with anorexia nervosa

separation - Correct Answer Select the anxiety disorder that emerges in ages 9

to 18 months.

Dizziness and Constipation - Correct Answer Select the two most common

peripheral symptoms of anxiety

Melatonin - Correct Answer Select the hormone or neurotransmitter that is

involved in regulating the 24-hour circadian sleep-wake cycle.

unplanned travel - Correct Answer Select the event most associated with the

occurrence of dissociative fugue

Intellect - Correct Answer Select the neurodevelopmental disorder typically

diagnosed in childhood

negligent parenting - Correct Answer Select the primary cause of reactive

attachment disorder in children

Depersonalisation disorder - Correct Answer Select the psychiatric disorder for

which drug and non-drug treatments are least effective

Experienced Violence and natural disaster - Correct Answer Select two events

that are causes of dissociative trance disorder

6 months - Correct Answer Select the time from occurrence of the stressor in

which symptoms must appear to diagnose an adjustment disorder

Magnesium - Correct Answer Select the serum substance that should be

measured to aid the diagnosis of restless leg syndrome.

Dissociative disorder - Correct Answer Select the DSM-5 disorder formerly called

multiple personality disorder

Seizures, Substance abuse, Narcissistic Personality Disorder - Correct

Answer Differential diagnosis for consideration when suspecting a cyclothymic

disorder include:

Chelation Therapy - Correct Answer The following psychotherapy interventions is

NOT a recommended in the treatment of PTSD:

2% placebo 4% drugs - Correct Answer Select the difference in rates of suicidal

thoughts and behaviors between placebo and drug in children and adolescents observed from random controlled trials of nine antidepressant drugs that resulted in the 2004 FDA "black box" warning in labeling of antidepressant drugs.

Fluoxetine - Correct Answer Select the drug that has been effective in treating

social anxiety in children.

6 to 7 - Correct Answer Select the youngest age range at which alarm therapy is

effective to treat enuresis

Prefrontal Cortex - Correct Answer Which part of the brain is essential to the

maintenance of attention? Weekly binge eating for at least 3 months and abuse of emetic drugs and substances -

Correct Answer Select two signs and symptoms of bulimia nervosa.

withdrawal - Correct Answer Select the behavior that best describes early onset

bipolar disorder in children and adolescents

Sexual assault - Correct Answer Select the most common stressor of PTSD in

women

Vehicle accident - Correct Answer Select the most likely stressor to cause an

adjustment disorder

Dopamine - Correct Answer Select the neurotransmitter involved in obsessive-

compulsive disorder (OCD) in children and adolescents based on the common comorbidity of tic disorder

Opioid Analgesics - Correct Answer Select the class of drugs most effective in

treating pain disorder

anorexia nervosa - Correct Answer The most commonly occurring eating disorder

Pain - Correct Answer the disorder in which inflicting injury to self or others is

common

TMS and MRI - Correct Answer Two imaging methods used to study anxiety

disorders

20% incidence by age 18 - Correct Answer Epidemiological fact about major

depression in children and adolescents

Hippocampus - Correct Answer Brain region most implicated in the function of

memory

Insomnia - Correct Answer Most common sleep disorder

Intense Horror - Correct Answer Factor that is required to cause PTSD from a

stressor

Male infants from 3-12 months - Correct Answer The population in which

rumination disorder occurs most frequently

Suicidal Ideation - Correct Answer the symptom least associated with manic and

hypomanic episodes

Psychosis - Correct Answer Third most commonly reported psychiatric symptom

Mildly depressed - Correct Answer Characteristic in long sleepers (longer than 9

hours) that is absent in short sleepers (less than 6 hours)

Cognitive Therapy and Hypnosis - Correct Answer The two methods to treat

dissociative amnesia

Franz Gabriel Alexander - Correct Answer Theorist who is credited with

establishing the area of psychosomatic medicine

persistent depression - Correct Answer disorder in children and adolescents that

is described by depressed or irritable mood for most of the day for a majority of days in at least one year

generalized dissociative amnesia - Correct Answer The type of dissociative

amnesia is described by the inability to recall any events in a particular lifespan period

60%-90% - Correct Answer Frequency range for heritability of Bipolar disorder

Hallucinations and Irritability - Correct Answer The two symptoms that result from

prolonged sleep deprivation

Voluntary Motor - Correct Answer The function that is most affected by

conversion disorder

cognitive behavioral therapy - Correct Answer The therapy for Insomnia that can

be effective up to three years after discontinuation

Well-Being - Correct Answer The mental health model that is most associated

with human interpersonal connection

Anorexia and Seizures - Correct Answer two medical conditions in which

derealization and depersonalization are common

adolescence - Correct Answer The age stage of life in which identity crisis

emerges

History of substance abuse and duration of therapy - Correct Answer the two

most important factors that guide the decision to prescribe benzodiazepines to treat general anxiety

50-100 - Correct Answer The mg/dL blood alcohol level range that is associate

with causing impaired judgement and coordination

Electronic Media - Correct Answer The exposure to violence that is excluded as a

DSM-5 diagnostic criterion for PTSD in children and adolescents

Infancy - Correct Answer The life stage at which emotional and social behavior

begin

Substance abuse and appropriate drug therapy - Correct Answer The two events

that are excluded as causes of dissociative trance disorder

Cognitive therapy - Correct Answer The non-drug therapy with the greatest

evidence of effectiveness in treating major depression disorder

few or lack of somatic symptoms and frequent provider visits - Correct

Answer The two common characteristics of illness anxiety disorder

Dysthymia - Correct Answer The alternate name for persistent depressive

disorder

Piaget - Correct Answer The scientist most associated with the development of

learning theory

Paroxetine - Correct Answer The drug proven most effective in treating PTSD

40% - 50% - Correct Answer The percentage that most accurately represents the

rate of heritability of major depression disorder

Dopamine and GABA - Correct Answer Two neurotransmitters associated with

anxiety

Valproate - Correct Answer The drug with the most rapid onset of action to treat

acute mania

Major depression - Correct Answer The mental health disorder that commonly

coexists with generalized anxiety disorder

20% - 30% - Correct Answer The percentage range of correlation between

obesity and psychiatric disorders

Psychoanalytical and Behavioral - Correct Answer Two types of theories that

have contributed to causes of anxiety

Childhood - Correct Answer The age group in which adjustment disorder occur

most frequently

Lithium - Correct Answer The drug used to treat bipolar disorder that may cause

hypothyroidism

Anxiety - Correct Answer The psychiatric disorder that occurs most commonly in

patients hospitalized for medical problems and surgery

Public Speaking - Correct Answer The public performance that is most

associated with social anxiety in children

6 months - Correct Answer The maximum time period recommended for

treatment of insomnia with hypnotic drugs

Serotonin - Correct Answer The neurotransmitter that is most genetically involved

in childhood and adolescent depression

Impramine - Correct Answer The antidepressant drug most likely to cause death

when taken in an overdose

Amitriptyline - Correct Answer The antidepressant most likely to cause sexual

dysfunction

Concentration - Correct Answer The cognitive function category in a mental

examination that is represented by the question, "starting at 3 A.M., count back the time 2 hours at a time."

0.6 - 1.2 - Correct Answer The therapeutic plasma concentration range for lithium

in mEq/L

CBCL - Correct Answer The rating scale used to assess children and

adolescents for ADHD

CAGE - Correct Answer The rating scale used to assess significant alcohol

problem

Mania - Correct Answer the criterion that differentiates Bipolar II and Bipolar I

disorder

33% - Correct Answer The largest percentage prevalance of psychiatric disorders

in patients hospitalized for medical conditions

HAM-D - Correct Answer The rating scale used to assess response to

antidepressant drug therapy

antianxiety drugs - Correct Answer The treatment of choice for Identity Crisis

Dreaming - Correct Answer The most exclusive feature rapid eye movement

(REM) sleep

Reliability and Validity - Correct Answer The two primary psychometric properties

of psychiatric rating scales

2/3 - Correct Answer The percent of OCD patients who also have depressive

symptoms

Weight Gain - Correct Answer The potential adverse effect of SSRI

antidepressant drugs approved to treat children with major depressive disorder

Intrusive thoughts and contamination - Correct Answer The two types of

symptom patterns common to OCD patients

BPRS - Correct Answer The rating scale used to screen for Alzheimer's disease

and other dementia's

Persistent for at least 6 months and lack of medical evidence - Correct

Answer The two diagnostic criteria of somatic symptom disorder or hypochondriasis

pleasure seeking and committing actions - Correct Answer Two Characteristics of

impulses that are usually absent from compulsions

3 days - Correct Answer the period of time after most recent use that THC

(marijuana) can be detected in urine specimens

6 months to 5 years - Correct Answer The delay of time between exposure to the

stressor and onset of PTSD symptoms

transcranial magnetic stimulation (TMS) - Correct Answer The non-drug therapy

approved use for patients who have failed to achieve satisfactory improvement with correctly prescribed antidepressant drugs

Corticotropin-releasing hormone (CRH) - Correct Answer The most important

mediator of the stress response

Sleep Problems - Correct Answer The symptom most likely to improve early in

the drug treatment of major depression

At least 5 symptoms including irritable mood for 2 weeks - Correct Answer The

criteria in DSM-5 to diagnose a child with major depressive disorder