Summary NURS 6550 MIDTERM EXAM STUDY GUIDE

NURS 6550 MIDTERM EXAM STUDY GUIDE NURS 6550 Acute Care Study Guide for midterm Psychosocial * Generalized anxiety disorder diagnosis criteria Excessive anxiety and worry occurring more days than not for 6 months Difficulty controlling worry 3 or more of the following: restlessness, feeling keyed up or on edge; easily fatigued; difficulty concentrating or mind going blank; irritability; muscle tension; sleep disturbances significant distress or impairment on social, occupational, or other important areas symptoms not attributed to another medical condition or substance abuse symptoms not explained by another medical disorder * Treatment of acute panic attacks • physical activity • selective serotonin reuptake inhibitors are first line therapy • continue medication for 12 months after symptoms improve prior to tapering • antidepressants and benzodiazepines may speed recovery from anxiety-related symptoms but do not improve long term outcomes. Benzodiazepines are associated with tolerance and should only be used short term • psychotherapy can be as effective for GAD and PD; cognitive behavior therapy has the best level of evidence • tailored options to individuals have the best outcomes and may include a combination of therapies * Inpatient treatment of depression NURS 6550 Midterm Study Guide 1 reasons for inpatient: suicidal behavior; refusal to eat; severe malnutrition; catatonia; presence of general medical or comorbid psychiatric conditions that make outpatient treatment unsafe or ineffective (Depression Mgnt Guidelines AC folder) * When is serotonin norepinephrine reuptake inhibitor indicated most often prescribed for anxiety/sleep disorders influence on thalamus and prefrontal areas of the cortex fibromyalgia when SSRIs don’t work side effects are worse * Venlafaxine dosing generalized anxiety disorder/major depressive disorder: 75-225mg qd social anxiety disorder: 75mg qd * Endogenous depression pathophysiology type of MDD biological or genetic predisposition * Differences between panic attacks and panic disorder panic attack: sudden, intense fear or anxiety may feel shortness of breath or dizzy or may make your heart pound. Feeling they are having a heart attack. Lasts 5-20 minutes. panic disorder: when the panic attacks occur often * Depressive disorder symptoms persistent sad, anxious, or empty mood feelings of hopelessness, or pessimism irritability feelings of guilt, worthlessness, or helplessness NURS 6550 Midterm Study Guide