EXAM 2- NSG 552 WILKES
UNIVERSITY QUESTIONS &
ANSWERS(RATED A+)
Acute anxiety - ANSWERFirst line for acute panic may be short term benzo use.
short acting benzos cause rebound anxiety and are the most abused
Benzodiazepines - ANSWERWithdrawal can be dangerous, even deadly. Stopping
abruptly is not advised. Symptoms of agitation, tension, irritability, and sz. may occur
anxiety disorders - ANSWERpsychological disorders characterized by distressing,
persistent anxiety or maladaptive behaviors that reduce anxiety
anxiety disorders treatment - ANSWER-non-activating antidepressants area good
place to start. for this disorder
first line treatment anxiety disorders - ANSWERSSRI- Fluoxetine (Prozac), sertraline
(Zoloft), and paroxetine (Paxil)
TCAs often effective but with riskier SE
may interfere with psychotherapy in TX of AD - ANSWERBenzodiazepines- short
acting Alprazolam are most abusable
Rapid onset BZD - ANSWERused for acute panic disorder
BZD with long half- life (20-80 hours) - ANSWERDiazepam (avoid in elderly)
BEERS criteria - ANSWERA list of medications that are generally considered
inappropriate when given to elderly people
BEERS criteria - ANSWERIdentifies High Risk Meds to Generate Wide List of Meds
That Should be Avoided
The "Beers Criteria for Potentially Inappropriate Medication Use in Older Adults",
commonly called the Beers List, are guidelines for healthcare professionals to help
improve the safety of prescribing medications for older adults.
concomitant with pharmacological tx in AD - ANSWERPsychotherapy
Used in anorexia nervosA - ANSWERatypical antipyschotics
binge eating disorder - ANSWERsignificant binge-eating episodes, followed by
distress, disgust, or guilt, but without the compensatory purging, fasting, or excessive
exercise that marks bulimia nervosa
, treatment of binge eating disorder - ANSWERAntidepressants and other medication,
cognitive behavioral and interpersonal therapy.
First line for specific phobias like clowns, blood, animals - ANSWERPsychotherapy
medications not all that helpful for specific phobias
OCD treatment - ANSWERSSRI and CBT
BZD in treatment of OCD - ANSWERXanax, Valium, Klonipin
Trauma and Dissociative Disorders - ANSWERConsider and treat and comorbid
disorders as well
Trauma and Dissociative Disorders first line pharmocology -
ANSWERAntidepressants
Psychotherapy are treatment of choice
Dissociative disorders - ANSWERthe degree of insight the patient has is crucial to
the outcome of psychotherapy
DID- Dissociative identity disorder - ANSWERmay consider multi pronged approach
to treatment but strongly linked to childhood trauma so treating underlying PTSD s/s
is often helpful
DID - ANSWERdiscourage use of BZD
DID - ANSWERbeta blockers and alpha blockers useful for reducing sympathetic
nervous system activation
Prazosin - ANSWERalpha 1 blocker helpful for nightmares and flashbacks
anorexia nervosa - ANSWERAn eating disorder characterized by an obstinate and
willful refusal to eat, a distorted body image, and an intense fear of being fat
Meds for anorexia - ANSWERProzac
Anafranil
Pariactin
Thorazine
Zyprexa
psychosomatic goal - ANSWERreduce discomfort, improve depression, improve
anxieties or obsessive thoughts
SSRI indications - ANSWERMajor depression, OCD, GAD, panic disorder, social
anxiety disorder and premenstrual dysphoric disorder
SSRI side effects - ANSWER*BAD SSRI*
B - Body weight increase;
A - Anxiety/Agitation;
UNIVERSITY QUESTIONS &
ANSWERS(RATED A+)
Acute anxiety - ANSWERFirst line for acute panic may be short term benzo use.
short acting benzos cause rebound anxiety and are the most abused
Benzodiazepines - ANSWERWithdrawal can be dangerous, even deadly. Stopping
abruptly is not advised. Symptoms of agitation, tension, irritability, and sz. may occur
anxiety disorders - ANSWERpsychological disorders characterized by distressing,
persistent anxiety or maladaptive behaviors that reduce anxiety
anxiety disorders treatment - ANSWER-non-activating antidepressants area good
place to start. for this disorder
first line treatment anxiety disorders - ANSWERSSRI- Fluoxetine (Prozac), sertraline
(Zoloft), and paroxetine (Paxil)
TCAs often effective but with riskier SE
may interfere with psychotherapy in TX of AD - ANSWERBenzodiazepines- short
acting Alprazolam are most abusable
Rapid onset BZD - ANSWERused for acute panic disorder
BZD with long half- life (20-80 hours) - ANSWERDiazepam (avoid in elderly)
BEERS criteria - ANSWERA list of medications that are generally considered
inappropriate when given to elderly people
BEERS criteria - ANSWERIdentifies High Risk Meds to Generate Wide List of Meds
That Should be Avoided
The "Beers Criteria for Potentially Inappropriate Medication Use in Older Adults",
commonly called the Beers List, are guidelines for healthcare professionals to help
improve the safety of prescribing medications for older adults.
concomitant with pharmacological tx in AD - ANSWERPsychotherapy
Used in anorexia nervosA - ANSWERatypical antipyschotics
binge eating disorder - ANSWERsignificant binge-eating episodes, followed by
distress, disgust, or guilt, but without the compensatory purging, fasting, or excessive
exercise that marks bulimia nervosa
, treatment of binge eating disorder - ANSWERAntidepressants and other medication,
cognitive behavioral and interpersonal therapy.
First line for specific phobias like clowns, blood, animals - ANSWERPsychotherapy
medications not all that helpful for specific phobias
OCD treatment - ANSWERSSRI and CBT
BZD in treatment of OCD - ANSWERXanax, Valium, Klonipin
Trauma and Dissociative Disorders - ANSWERConsider and treat and comorbid
disorders as well
Trauma and Dissociative Disorders first line pharmocology -
ANSWERAntidepressants
Psychotherapy are treatment of choice
Dissociative disorders - ANSWERthe degree of insight the patient has is crucial to
the outcome of psychotherapy
DID- Dissociative identity disorder - ANSWERmay consider multi pronged approach
to treatment but strongly linked to childhood trauma so treating underlying PTSD s/s
is often helpful
DID - ANSWERdiscourage use of BZD
DID - ANSWERbeta blockers and alpha blockers useful for reducing sympathetic
nervous system activation
Prazosin - ANSWERalpha 1 blocker helpful for nightmares and flashbacks
anorexia nervosa - ANSWERAn eating disorder characterized by an obstinate and
willful refusal to eat, a distorted body image, and an intense fear of being fat
Meds for anorexia - ANSWERProzac
Anafranil
Pariactin
Thorazine
Zyprexa
psychosomatic goal - ANSWERreduce discomfort, improve depression, improve
anxieties or obsessive thoughts
SSRI indications - ANSWERMajor depression, OCD, GAD, panic disorder, social
anxiety disorder and premenstrual dysphoric disorder
SSRI side effects - ANSWER*BAD SSRI*
B - Body weight increase;
A - Anxiety/Agitation;
