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Author Question: A community health nurse is planning a depression screening clinic for those members of the ... (Read 22 times)

crazycityslicker

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A community health nurse is planning a depression screening clinic for those members of the community who are statistically most likely to experience depression. Which of the following statements regarding depression and gender is correct?
 
  A) Depressive disorders are more common in men than in women.
  B) Depressive disorders are more common in women than in men.
  C) Depressive disorders equally affect men and women.
  D) Depressive disorders affect young men more than older women.

Question 2

The hypothalamic-pituitary-adrenal (HPA) axis is considered the stress axis. How is the HPA axis implicated in the etiology of mood disorders?
 
  A) Increased activity of the HPA axis results in hypersecretion of adrenal glucocorticoids and corticotrophin-releasing hormone (CRH), which contributes to mood disorders.
  B) Decreased activity of the HPA axis results in hyposecretion of adrenal glucocorticoids and CRH, which contributes to mood disorders.
  C) Increased activity of the HPA axis results in depletion of adrenal glucocorticoids and CRH, which contributes to mood disorders.
  D) Decreased activity of the HPA axis results in excessive amounts of adrenal glucocorticoids and CRH, which contributes to mood disorders.



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heyhey123

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Answer to Question 1

Ans: B
Feedback:
Depressive disorders are more prevalent in women than in men (NIMH, 2006). Genetics, sociocultural factors, hormones, and other elements may account for this disparity.

Answer to Question 2

Ans: A
Feedback:
Uncontrollable stressors lead to sustained hyperactivity of the HPA axis. The result is hypersecretion of adrenal glucocorticoids and CRH. In major depression, protracted elevation of glucocorticoid levels desensitizes the central glucocorticoid receptors and probably also those receptors located on macrophages, an important component of the immune response.





 

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