NURS256: EXAM 3 QUESTIONS AND CORRECT
DETAILED ANSWERS WELL VERIFIED .GRADED
A+
Clonidine for PTSD - ANSWER -helps with hyperarousal and intrusive sx
Prazosin for PTSD - ANSWER -used for nightmares and sleep
disturbances
Propranolol - ANSWER -used for hyperarousal and panic
Teaching for meds used for PTSD - ANSWER -MONITOR BP may cause
hypotension
,Acute stress disorder key concepts - ANSWER --Develops after
exposure to highly traumatic event
-Sx develop immediately after event and dx after 3-day minimum
-Dx must be made w/in a month of the trauma
-After a month sx will begin to resolve or become PTSD
Dissociative Amnesia key concepts - ANSWER --Inability to recall
important personal information often of a traumatic or stressful event
-Localized: pt may be unable to recall all events of a certain period
-Selective: pt can recall some but not all events in a certain period
Dissociative Fugue key concepts - ANSWER --Subtype of dissociative
amnesia
-Sudden unexpected travel and an inability to recall one's identity and
information about some or all of the past
-Typically preceded by a traumatic event
Dissociative Identity Disorder key concepts - ANSWER --Presence of 2+
distinct personality states that recurrently take control of behavior
-Each alt has its own pattern of perceiving, relating to, and thinking
about the self and the environment
,-Believed that severe trauma predisposes the individual to development
of DID
Assessment of the patient with DID - ANSWER --Hx of self harm
-Evaluate anxiety levels and signs of dissociation
-Identify support systems through a psychosocial assessment
-Refer pt to therapist
-Teach stress reduction, support effective coping and mindfulness
techniques
-Goal to keep pt in present reality by learning to effectively cope w/
stress
Somatic symptom disorder key concepts - ANSWER --Frequent help
seeking behaviors w/ no relief of sx; overly concerned w/ sx
-Often includes chest pain, fatigue, dizziness, HA, swelling, back pain,
SOB, insomnia, abdominal pain, numbness
-Often identified as the difficult pt which can contribute to misdiagnosis
Illness anxiety disorder key concepts - ANSWER --Pt is overly concerned
with the possibility to developing an illness
-Physical sx are not present or if an illness exists it is mild -> pt report is
more severe
-Either preoccupied with health checks OR has maladaptive avoidance
, -Pt. typically avoids mental health tx when it is suggested
Conversion disorder key concepts - ANSWER --Neurologic sx in the
absence of a neurological dx
-Sx: deficits in voluntary motor or sensory functions (paralysis,
blindness, movement disorder, gait disorder, numbness, paresthesia),
vision/hearing loss, episodes resembling epilepsy
-Emotional conflicts or stressors are transferred into physical sx
-La belle indifference
-In some cases a condition may be present but exaggerated
Co-morbid conditions to conversion disorder - ANSWER --Depression
-Anxiety
-PTSD
-Other somatic disorders
-Personality disorders
Factitious disorder imposed on self - ANSWER --Consciously pretend to
be ill
-Avoid allowing health care workers to speak with family
-If testing is negative new sx develop
-Unusually accurate knowledge of medical terms
DETAILED ANSWERS WELL VERIFIED .GRADED
A+
Clonidine for PTSD - ANSWER -helps with hyperarousal and intrusive sx
Prazosin for PTSD - ANSWER -used for nightmares and sleep
disturbances
Propranolol - ANSWER -used for hyperarousal and panic
Teaching for meds used for PTSD - ANSWER -MONITOR BP may cause
hypotension
,Acute stress disorder key concepts - ANSWER --Develops after
exposure to highly traumatic event
-Sx develop immediately after event and dx after 3-day minimum
-Dx must be made w/in a month of the trauma
-After a month sx will begin to resolve or become PTSD
Dissociative Amnesia key concepts - ANSWER --Inability to recall
important personal information often of a traumatic or stressful event
-Localized: pt may be unable to recall all events of a certain period
-Selective: pt can recall some but not all events in a certain period
Dissociative Fugue key concepts - ANSWER --Subtype of dissociative
amnesia
-Sudden unexpected travel and an inability to recall one's identity and
information about some or all of the past
-Typically preceded by a traumatic event
Dissociative Identity Disorder key concepts - ANSWER --Presence of 2+
distinct personality states that recurrently take control of behavior
-Each alt has its own pattern of perceiving, relating to, and thinking
about the self and the environment
,-Believed that severe trauma predisposes the individual to development
of DID
Assessment of the patient with DID - ANSWER --Hx of self harm
-Evaluate anxiety levels and signs of dissociation
-Identify support systems through a psychosocial assessment
-Refer pt to therapist
-Teach stress reduction, support effective coping and mindfulness
techniques
-Goal to keep pt in present reality by learning to effectively cope w/
stress
Somatic symptom disorder key concepts - ANSWER --Frequent help
seeking behaviors w/ no relief of sx; overly concerned w/ sx
-Often includes chest pain, fatigue, dizziness, HA, swelling, back pain,
SOB, insomnia, abdominal pain, numbness
-Often identified as the difficult pt which can contribute to misdiagnosis
Illness anxiety disorder key concepts - ANSWER --Pt is overly concerned
with the possibility to developing an illness
-Physical sx are not present or if an illness exists it is mild -> pt report is
more severe
-Either preoccupied with health checks OR has maladaptive avoidance
, -Pt. typically avoids mental health tx when it is suggested
Conversion disorder key concepts - ANSWER --Neurologic sx in the
absence of a neurological dx
-Sx: deficits in voluntary motor or sensory functions (paralysis,
blindness, movement disorder, gait disorder, numbness, paresthesia),
vision/hearing loss, episodes resembling epilepsy
-Emotional conflicts or stressors are transferred into physical sx
-La belle indifference
-In some cases a condition may be present but exaggerated
Co-morbid conditions to conversion disorder - ANSWER --Depression
-Anxiety
-PTSD
-Other somatic disorders
-Personality disorders
Factitious disorder imposed on self - ANSWER --Consciously pretend to
be ill
-Avoid allowing health care workers to speak with family
-If testing is negative new sx develop
-Unusually accurate knowledge of medical terms
