Registered Practical Nurse (RPN) Practice Test

Which of the following is not typically included in a treatment plan for major depressive disorder?

1. Anxiety medication

2. Antidepressants

3. Cognitive behavioral therapy

4. Mood stabilizers

The correct answer is: Anxiety medication

In the context of a treatment plan for major depressive disorder, anxiety medication is not typically included as a primary treatment option. The focus for managing major depressive disorder primarily revolves around antidepressants, cognitive behavioral therapy, and, in some cases, mood stabilizers, especially if the patient presents with co-occurring mood disorders. Antidepressants are the cornerstone of pharmacological treatment, as they directly address the neurochemical imbalances associated with depression. Cognitive behavioral therapy is a widely accepted and effective form of psychotherapy that helps patients identify and change negative thought patterns and behaviors contributing to their depression. Mood stabilizers may also be used if the individual has symptoms that overlap with bipolar disorder or if there are significant mood fluctuations; however, their use is more specific and not universally necessary for all patients diagnosed with major depressive disorder. Anxiety medications might be prescribed if the patient also exhibits significant anxiety symptoms, but they are not the primary focus of treatment for major depressive disorder itself. Thus, incorporating anxiety medication as a standard element in a treatment plan for major depressive disorder is less common and may not address the core aspects of the disorder directly.