NR547 / NR 547 Midterm Exam (Latest 2024 / 2025): Differential Diagnosis in Psychiatric-Mental Health across the Lifespan Practicum | Weeks 1-4 Covered | Complete Guide with Questions and Verified Answers - Chamberlain

Midterm Exam: NR547 / NR 547 (Latest 2024 / 2025) Differential Diagnosis in Psychiatric-Mental Health across the Lifespan Practicum Exam Review | Weeks 1-4 Covered | Complete Guide with Questions and Verified Answers - Chamberlain Q: GAD nonpharmacologic tx? Answer: Relaxation or meditation Art or music therapy Yoga or other exercise Acupuncture Prayer or spiritual counselling -High-intensity aerobic exercise is a good complement to first-line therapy Q: Silexan? Answer: branded extract of lavender -available by prescription in many countries and over the counter as CalmAid through the Nature's Way product line in the U.S. -pharmacologic properties are similar to many CAM therapies -research supports its efficacy for GAD Q: Social Anxiety Disorder (SAD) treatments? Answer: cognitive behavioral therapy, medications, or a combination of both -Medications for SAD: • First try SSRI & SNRIs • Then Benzodiazepines • Then MAOIs (SSRI/SNRI must be out of system) Q: Performance anxiety (beta-blockers)? Answer: Beta-blockers are recommended for clients who have an awareness of physiological symptoms such as tachycardia or tremor associated with performance anxiety -Beta-blocker or benzodiazepine 30-60 min before performace Q: Panic tx? Answer: -Exposure therapy -Cognitive behavioral therapy -Medications • SSRIs • Benzodiazepines in emergencies -Combination of modalities Q: Tx plan to support dx of Adjustment Disorder with Anxiety? Answer: -Psychosocial support • Provide reassurance and emotional support to the patient. -Lifestyle modification: Mindfulness • Mindfulness or relaxation training can assist clients with controlling excessive feelings of worry or anxiety. -Lifestyle modification: Limit alcohol • Alcohol can increase anxiety levels -Lifestyle modification: Sleep hygiene • Regular, consistent sleep patterns of 7-8 hours per night can reduce feelings of anxiety. -Pharmacologic therapy: Sertraline • An SSRI, such as sertraline, may be indicated to help Phoebe cope with her feelings of anxiety. Q: Patients with a hx of childhood trauma: cuts response and remission rate of SSRIs __________? Answer: in half Q: CUS? Answer: chronic unpredictable stress Q: anhedonia? Answer: inability to experience pleasure Q: rumination? Answer: compulsive fretting; overthinking about our problems and their causes -responds to atypical antipsychotics Q: Neurotransmitters involved in anxiety:? Answer: Norepinephrine- excitatory Serotonin- quick turnover GABA-inhibitory Other Brain Chemicals HPA axis-cortisol Corticotrophin Releasing Hormone- CRH Brain-Derived Neurotrophic Factor-BDNF Q: Differential Diagnoses for anxiety:? Answer: Obsessive-compulsive disorder. Panic disorder Major depressive disorder Social phobia Phobias Adjustment disorder with anxiety Social Anxiety Disorder Substance-related disorders Medical Disorders Q: DSM-5 criteria for GAD? Answer: excessive anxiety and worry occurring more days than not for at least six months. The person finds it difficult to control and experiences at least three symptoms: restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and sleep disturbance Q: First-line psychotropic medications used to treat anxiety disorders are:? Answer: selective serotonin reuptake inhibitors (SSRIs) that act on the serotonin system and indirectly on the GABA system -There are also non-benzodiazepine anxiolytics that may help manage anxiety symptoms, including buspirone, gabapentin, and propranolol -Also, Clonidine or Guanfacine may be used with children -Treatment is usually continued for 6 to 12 months -SNRI's and SSRI's have become the first-line pharmacological intervention Q: separation anxiety disorder?