cmn 552 anxiety do EXAM QUESTIONS AND ANSWERS 2026
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
Describe what causes hyperventilation in patients with panic disorder. - answer-;
A hypersensitive alarm system where increasing co2 and brain lactate
prematurely activate the physiological asphyxia monitor.
What neuroanatomical changes are seen in panic attacks? - answer-; Temporal
lobes esp. hippocampus and amygdala - cortical atrophy r temporal -
disregulated cerebral blood flow.
associated w locus ceruleus
Anxiety What causes the CNS symptoms? - answer-; Cerebral vasoconstriction
What causes the PNS symptoms? - answer-; hyperventilation; hypocapnia
What psycho-social factors underlie the development of panic disorder? - answer-
; separation from parent , unable to tolerate anger
What are the risk factors for developing panic disorder? - answer-; 1st degree
relative 4-8 fold increase over other mental illness
,Higher incident of stressful life event
Experience greater distress over life events
Separation from parent,
Female sex abuse as child 60 % of females
What is a panic attack? - answer-; Sudden period of intense fear or apprehension
that last from minutes to hours
What are the clinical features of panic disorder? - answer-; Prior 10 minutes rapid
increasing symptoms - fear and sense of impending doom, respiratory, or death,
tacky, palpitations, dyspnea, and sweating.
20-30 minuets - hour
Difficulty speaking, rumination, and impaired memory
How can the psychiatric nurse practitioner best assess the impact that panic
attacks have on a patient - answer-; listen to your PT describe one
13. Review the pharmacotherpeutic treatment for panic disorder including dosing
and duration for:
SSRIs: - answer-; 1. Paroxetine (Paxil) sedating effect calm PT immediately "big
weight gain"
5-10; 20-60 -- cr 12.5 - 25; 62.5
2. Citalopram (Celexa) next best after Paxil
10; 20-40
3. Escitalopram (Lexapro) next best after Paxil
10;20
, 4. Fluvoxamine (Luvox) next best after Paxil - most activating effect
2-5; 20-60
5. Sertraline (Zoloft)
12.5-25; 50-200
13. Review the pharmacotherpeutic treatment for panic disorder including dosing
and duration for: Benzodiazepines - answer-; Benzodiazepines 239 most rapid
effect - no tolerance to anti-panic effect
Start with benzo while titrating up ssri
Beware of dependence, cognitive impairment, and abuse - do not drive
1. Alprazolam (Xanax) - most widely uses
.25-,5 tid; .5-2 tid
2. Lorazepam (Ativan)
.25-,5 bid; .5-2 bid
3. Clonazepam (Klonopin)
.25-,5 bid; .5-2 bid
Review the pharmacotherpeutic treatment for panic disorder including dosing
and duration for: TCAs - answer-; second choice to ssri.
1. Clomipramine (Anafranil)
5-12.5; 50-125
2. Imipramine (Tofranil) most effective titrate up slowly 8 - 12 weeks
10- 25; 150-500
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
Describe what causes hyperventilation in patients with panic disorder. - answer-;
A hypersensitive alarm system where increasing co2 and brain lactate
prematurely activate the physiological asphyxia monitor.
What neuroanatomical changes are seen in panic attacks? - answer-; Temporal
lobes esp. hippocampus and amygdala - cortical atrophy r temporal -
disregulated cerebral blood flow.
associated w locus ceruleus
Anxiety What causes the CNS symptoms? - answer-; Cerebral vasoconstriction
What causes the PNS symptoms? - answer-; hyperventilation; hypocapnia
What psycho-social factors underlie the development of panic disorder? - answer-
; separation from parent , unable to tolerate anger
What are the risk factors for developing panic disorder? - answer-; 1st degree
relative 4-8 fold increase over other mental illness
,Higher incident of stressful life event
Experience greater distress over life events
Separation from parent,
Female sex abuse as child 60 % of females
What is a panic attack? - answer-; Sudden period of intense fear or apprehension
that last from minutes to hours
What are the clinical features of panic disorder? - answer-; Prior 10 minutes rapid
increasing symptoms - fear and sense of impending doom, respiratory, or death,
tacky, palpitations, dyspnea, and sweating.
20-30 minuets - hour
Difficulty speaking, rumination, and impaired memory
How can the psychiatric nurse practitioner best assess the impact that panic
attacks have on a patient - answer-; listen to your PT describe one
13. Review the pharmacotherpeutic treatment for panic disorder including dosing
and duration for:
SSRIs: - answer-; 1. Paroxetine (Paxil) sedating effect calm PT immediately "big
weight gain"
5-10; 20-60 -- cr 12.5 - 25; 62.5
2. Citalopram (Celexa) next best after Paxil
10; 20-40
3. Escitalopram (Lexapro) next best after Paxil
10;20
, 4. Fluvoxamine (Luvox) next best after Paxil - most activating effect
2-5; 20-60
5. Sertraline (Zoloft)
12.5-25; 50-200
13. Review the pharmacotherpeutic treatment for panic disorder including dosing
and duration for: Benzodiazepines - answer-; Benzodiazepines 239 most rapid
effect - no tolerance to anti-panic effect
Start with benzo while titrating up ssri
Beware of dependence, cognitive impairment, and abuse - do not drive
1. Alprazolam (Xanax) - most widely uses
.25-,5 tid; .5-2 tid
2. Lorazepam (Ativan)
.25-,5 bid; .5-2 bid
3. Clonazepam (Klonopin)
.25-,5 bid; .5-2 bid
Review the pharmacotherpeutic treatment for panic disorder including dosing
and duration for: TCAs - answer-; second choice to ssri.
1. Clomipramine (Anafranil)
5-12.5; 50-125
2. Imipramine (Tofranil) most effective titrate up slowly 8 - 12 weeks
10- 25; 150-500
