NSG 552 EXAM 2 QUESTIONS WITH CORRECT ANSWERS| LATEST UPDATE GUARANTEED
SUCCESS
What is agoraphobia and how can it be treated? intense fear of being in public pleases
where escape or obtaining help may be difficult
Treat with CBT and SSRI
What treatment is used for generalized anxiety disorder First line - SSRI
Second line - Buspar (anxiolytic), SNRI
Can consider short term course of benzos or augmentation with buspirone (Buspar)
SSRI - escitalopram (Lexapro), paroxetine (Paxil),
SNRI - duloxetine (Cymbalta), venlafaxine (Effexor)
What is used to treat panic attacks? initially use benzos short term
What is used to treat panic disorder? First line- SSRI, SRNA
Second line- TCAs, though limited use
Adjunct - benzo with caution, short-term until SSRIs reach therapeutic efficacy
Alprazolam (Xanax) is FDA approved
SSRI - Fluoxetine (Prozac), Paxil (paroxetine), Zoloft (sertraline),
SNRI - Effexor (venlafaxine)
TCA - clomipramine (Anafranil), imipramine (Tofranil)
What is social phobia and how is it treated? fear of scrutiny by others or fear of acting in
humiliating or embarrassing way
CBT
First line - SSRI or SNRI
Benzos can be used as scheduled or PRN
, Beta blockers such as atenolol (50-100 mg) and propranolol (20-40 mg) 1 hour before
performance or public speaking
What is used to great specific phobias? CBT with exposure
SSRI - fluvoxamine (Luvox), Paxil (paroxetine), Zoloft (sertraline),
SNRI - Effexor (venlafaxine)
What is obsessive compulsive disorder (OCD) and how is it treated? obsessions and/or
compulsions that are time consuming, distressing, and impairing
MEDS + CBT
Fist line- SSRI (often high doses of Zoloft (sertraline). Prozac (Fluoxetine), Luvox - FDA approved
(fluvoxamine) 50-300 mg
2nd line - SNRI Effexor (venlafaxine)
TCA Anafranil (clomipramine) FDA approved
Can augment with atypical antipsychotic in severe cases
ECT in debilitating resistant cases
What is a common side effect of SSRI Luvox (fluvoxamine)? nausea and vomiting
What are commonly prescribed benzodiazepines? Alprazolam (Xanax) and lorazepam
(Ativan)
What effects does GABA lead to? Potentiate effects of GABA (GABA is inhibitory and lead to
drowsiness, cognitive impairments, dampening of fear and anxiety, impaired balance, motor
control, muscle tone, and coordination, and anterograde amnesia
Who is at greater risk of fall risk and hip fracture on benzodiazepines? Elderly patients
SUCCESS
What is agoraphobia and how can it be treated? intense fear of being in public pleases
where escape or obtaining help may be difficult
Treat with CBT and SSRI
What treatment is used for generalized anxiety disorder First line - SSRI
Second line - Buspar (anxiolytic), SNRI
Can consider short term course of benzos or augmentation with buspirone (Buspar)
SSRI - escitalopram (Lexapro), paroxetine (Paxil),
SNRI - duloxetine (Cymbalta), venlafaxine (Effexor)
What is used to treat panic attacks? initially use benzos short term
What is used to treat panic disorder? First line- SSRI, SRNA
Second line- TCAs, though limited use
Adjunct - benzo with caution, short-term until SSRIs reach therapeutic efficacy
Alprazolam (Xanax) is FDA approved
SSRI - Fluoxetine (Prozac), Paxil (paroxetine), Zoloft (sertraline),
SNRI - Effexor (venlafaxine)
TCA - clomipramine (Anafranil), imipramine (Tofranil)
What is social phobia and how is it treated? fear of scrutiny by others or fear of acting in
humiliating or embarrassing way
CBT
First line - SSRI or SNRI
Benzos can be used as scheduled or PRN
, Beta blockers such as atenolol (50-100 mg) and propranolol (20-40 mg) 1 hour before
performance or public speaking
What is used to great specific phobias? CBT with exposure
SSRI - fluvoxamine (Luvox), Paxil (paroxetine), Zoloft (sertraline),
SNRI - Effexor (venlafaxine)
What is obsessive compulsive disorder (OCD) and how is it treated? obsessions and/or
compulsions that are time consuming, distressing, and impairing
MEDS + CBT
Fist line- SSRI (often high doses of Zoloft (sertraline). Prozac (Fluoxetine), Luvox - FDA approved
(fluvoxamine) 50-300 mg
2nd line - SNRI Effexor (venlafaxine)
TCA Anafranil (clomipramine) FDA approved
Can augment with atypical antipsychotic in severe cases
ECT in debilitating resistant cases
What is a common side effect of SSRI Luvox (fluvoxamine)? nausea and vomiting
What are commonly prescribed benzodiazepines? Alprazolam (Xanax) and lorazepam
(Ativan)
What effects does GABA lead to? Potentiate effects of GABA (GABA is inhibitory and lead to
drowsiness, cognitive impairments, dampening of fear and anxiety, impaired balance, motor
control, muscle tone, and coordination, and anterograde amnesia
Who is at greater risk of fall risk and hip fracture on benzodiazepines? Elderly patients
