NURS 623 Test 3 Questions with Verified
Correct Answers
Anxiety disorder
Most common psych disorder in the US (usually 20-45year olds)
Symptoms manifested in several ways:
•Affective
•Behavioral
•cognitive
•Somatic
More common in women
Thinks to rule out with anxiety
thyroid issues
palpitations
drug use
caffeine
diagnostics for anxiety
blood chemistry
ekg
thyroid function
Symptom criteria for diagnosis of GAD
Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at
least 6 months, about a number of events or activities (such as work or school performance)
,Clinical Presentation of GAD
Excessive anxiety
Hyper vigilant
Headaches
Restlessness
Shakiness
Hyperactive autonomic symptoms
Disrupts life
Symptoms for 6 months or more
Education for GAD
•Avoid alcohol and stimulants
•Symptom recognition
•Symptom interpretation
Treatment for GAD
Non pharmacologic
•***Cognitive behavior therapy (CBT)
Pharmacology
•Anti-anxiety agents (refer to text for list)
•Acute: alprazolam and diazepam short term
•Long term: SSRIs
•*caution in elderly
Panic disorder
,An anxiety disorder marked by unpredictable minutes-long episodes of intense dread in
which a person experiences terror and accompanying chest pain, choking, or other frightening
sensations.
Distinguish between disorder and attack
•Pattern of recurrent episodes
•Sudden onset
•Severe symptoms
Diagnosis: based on clinical symptoms
•Refer to text for symptom criteria
Treatment:
•SSRI/SNRI or TCA
•CBT**
PTSD (Post Traumatic Stress Disorder)
Types PTSD
•Acute: <3 months
•Chronic: >3 months
•Delayed: onset at least 6 months after trauma
Clinical
•Symptoms are apparent for greater than one month
, Symptoms:
intrusive, avoidant behaviors, hyper arousal.
education and treatment for PTSD
Pharmacology
-SSRI
-Paroxetine and sertraline
-? prazosin
Non-pharmacological
•CBT and prolonged exposure (PE)
•Critical incident debriefing (CID)
•Stress inoculation therapy (SIT)
•Image rehearsal therapy (IRT)
•Psychodynamic Therapy
•Family, group, and peer
Major depressive disorder
Characteristics
•Severe negative change
in mood, thinking, and
behavior
•Severity
•With or without suicide idealization
Epidemiology
Correct Answers
Anxiety disorder
Most common psych disorder in the US (usually 20-45year olds)
Symptoms manifested in several ways:
•Affective
•Behavioral
•cognitive
•Somatic
More common in women
Thinks to rule out with anxiety
thyroid issues
palpitations
drug use
caffeine
diagnostics for anxiety
blood chemistry
ekg
thyroid function
Symptom criteria for diagnosis of GAD
Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at
least 6 months, about a number of events or activities (such as work or school performance)
,Clinical Presentation of GAD
Excessive anxiety
Hyper vigilant
Headaches
Restlessness
Shakiness
Hyperactive autonomic symptoms
Disrupts life
Symptoms for 6 months or more
Education for GAD
•Avoid alcohol and stimulants
•Symptom recognition
•Symptom interpretation
Treatment for GAD
Non pharmacologic
•***Cognitive behavior therapy (CBT)
Pharmacology
•Anti-anxiety agents (refer to text for list)
•Acute: alprazolam and diazepam short term
•Long term: SSRIs
•*caution in elderly
Panic disorder
,An anxiety disorder marked by unpredictable minutes-long episodes of intense dread in
which a person experiences terror and accompanying chest pain, choking, or other frightening
sensations.
Distinguish between disorder and attack
•Pattern of recurrent episodes
•Sudden onset
•Severe symptoms
Diagnosis: based on clinical symptoms
•Refer to text for symptom criteria
Treatment:
•SSRI/SNRI or TCA
•CBT**
PTSD (Post Traumatic Stress Disorder)
Types PTSD
•Acute: <3 months
•Chronic: >3 months
•Delayed: onset at least 6 months after trauma
Clinical
•Symptoms are apparent for greater than one month
, Symptoms:
intrusive, avoidant behaviors, hyper arousal.
education and treatment for PTSD
Pharmacology
-SSRI
-Paroxetine and sertraline
-? prazosin
Non-pharmacological
•CBT and prolonged exposure (PE)
•Critical incident debriefing (CID)
•Stress inoculation therapy (SIT)
•Image rehearsal therapy (IRT)
•Psychodynamic Therapy
•Family, group, and peer
Major depressive disorder
Characteristics
•Severe negative change
in mood, thinking, and
behavior
•Severity
•With or without suicide idealization
Epidemiology
