NURS 751 FINAL EXAM (2025) 100%VERIFIED |complete QUESTIONS AND ANSWERS | GRADED A+.

NURS 751 FINAL EXAM (2025)
100%VERIFIED |complete QUESTIONS
AND ANSWERS | GRADED A+.



ClinicalvSignificancevofvResiliencev-vcorrect-answersv-Lowersvriskvof:

Depression

Anxiety

PTSD



ovModeratesvresponsevtovtreatment



DefinitionvofvResiliencev-vcorrect-answersv-Capacityvtoveffectivelyvcopevwithvandvrespondvtovstress



Neurobiological,vCognitivevandvBehavioralvfeaturesvofvResiliencev-vcorrect-answersv-
ovIntactvrewardvandvmotivationvsystems

ovAppropriatevfearvresponses

ovAdaptivevsocialvbehaviorsv(altruism,vsocialvbonding)

ovAccuratevthreatvappraisal

,ovAvoidsvoverlyvnegativevorvoverlyvpositivevbiases



First-linevagentvforvPTSDv-vcorrect-answersv-SSRIsvarevfirst-linevforvPTSD

ovSertralinev(Zoloft)vcarriesvanvFDAvindicationvforvPTSD



TreatmentvforvSleepvDisturbancesvassociatedvwithvPTSDv-vcorrect-answersv-
Temazepamv(benzodiazepine)vGAGBA-Avagonist.vmayvbevusedvforvshort-termvforvsleepvdisruption



•vTrazodonev(α1vantagonist)vmayvalsovhelpvwithvPTSD-relatedvinsomniav(off-label)



•vPrazosinv(minipress)v(α1vantagonist)visvespeciallyvhelpfulvforvnightmaresvinvveterans



Dosingvprotocolvforvprazosinv-vcorrect-answersv-ovStart:v1vmgvatvbedtimevforv≥3vnights

ovTitrate:v3-15vmgv(meanvdosev~10vmg)



v Improvesvsleepvlatencyvandvduration



WhatvisvusedvforvadrenergicvmodulationvinvPTSD?v-vcorrect-answersv-Propranololv(betavblocker)



WhatvtovknowvaboutvPropanololvforvPTSD?v-vcorrect-answersv-BetavBlocker

mayvpreventvPTSDvifvgivenvearly

ovCrossesvblood-brainvbarrierv→vbluntsvadrenergicvoverconsolidationvofvtrauma

memory

ovMostveffectivevifvinitiatedvwithinv6-24vhoursvofvtrauma

ovTypicalvdose:v40vmgvTIDvtovQIDvforv7-10vdays

NNT-v6-8.v(experimental)

, NNH-v50+v(bradycardia,vfatigue)



WhatvisvusedvtovtreatvhyperarousalvinvPTSD?v-vcorrect-answersv-ClonidinevandvGuanfacinev



ovAvoidvabruptvwithdrawalv→vreboundvhypertensionv(especiallyvwithvclonidine)



•vClonidine:vbindsvtovα2A,vα2B,vα2Cv→vmorevsedating

(reducesvhyperarousalvandvsympatheticvtone)



•vGuanfacine:vmorevselectivevforvα2Av→vlessvsedationv(improvesvsleepvandvemotionalvregulation)



StudyvbasedvdosingvrecommendationsvforvHydrocortisonevinvtreatingvPTSDv-vcorrect-answersv-
100vmgvhydrocortisonevIVvTIDvforv5vdaysvpost-op



100-140vmg/dayvhydrocortisonevforv10vdaysvpost-trauma



Avsinglev100vmgvIVvdosevofvhydrocortisonevadministeredvwithinv6vhoursvof

traumavwasvassociatedvwithvreducedvintrusivevmemoriesvandvlowervCAPSvscoresvatv1

month.



20-30vmgvPOvBIDvxv10vdaysvstartingvwithinv12vhoursvofvtraumavreduced

PTSDvsymptomsvandvdecreasedvemotionalvmemoryvconsolidation.



whatvtovknowvaboutvhydrocortisonevforvPTSDv-vcorrect-answersv-preventativevuse



Mechanism-HPAvaxisvmodulation;vbluntsvtraumavmemoryvconsolidation