NURS 623 EXAM 3 QUESTIONS AND
ANSWERS 100% CORRECT!!
,Anxiety disorder - ANSWER Most common psych disorder in the US (usually 20-45year
olds)
Symptoms manifested in several ways:
•Affective
•Behavioral
•cognitive
•Somatic
More common in women
Thinks to rule out with anxiety - ANSWER thyroid issues
palpitations
drug use
caffeine
diagnostics for anxiety - ANSWER blood chemistry
ekg
thyroid function
Symptom criteria for diagnosis of GAD - ANSWER Excessive anxiety and worry
(apprehensive expectation), occurring more days than not for at least 6 months, about a
number of events or activities (such as work or school performance)
Clinical Presentation of GAD
Excessive anxiety
Hyper vigilant
Headaches
Restlessness
Shakiness
Hyperactive autonomic symptoms
Disrupts life
Symptoms for 6 months or more
Education for GAD - ANSWER •Avoid alcohol and stimulants
•Symptom recognition
•Symptom interpretation
Treatment for GAD - ANSWER Non pharmacologic
, •***Cognitive behavior therapy (CBT)
Pharmacology
•Anti-anxiety agents (refer to text for list)
•Acute: alprazolam and diazepam short term
•Long term: SSRIs
•*caution in elderly
Epidemiology
•5-20% of population
•Adults >65 (30-40%)
•High rate for recurrence
•Women > Men
•8-19% hospitalized
•1 out of 7 suicide
•Co-morbid anxiety, cardiac and diabetes
Differential diagnosis for major mood disorder - ANSWER Thyroid disorder
•Sleep disorder
•Unrecognized bipolar
•Neurological
•Medications
•Substance use
•Adrenal functioning
Clinical features of Major depressive disorder - ANSWER The DSM-5 symptom criteria
for major depression state that five (or more) of the following symptoms have been
present during the same 2-week period and represent a change from previous
functioning.
At least one of the symptoms is either (1) depressed mood or (2) anhedonia, meaning
loss of interest or pleasure:
• Depressed mood expressed as feelings of sadness or hopelessness. Irritability may be
the primary symptom in adolescents and children.
• Markedly diminished interest (apathy) in most activities.
• Change in appetite.
• Insomnia or hypersomnia.
• Behavioral agitation or retardation.
• Loss of energy.
• Feelings of worthlessness or guilt.
• Loss of concentration.
ANSWERS 100% CORRECT!!
,Anxiety disorder - ANSWER Most common psych disorder in the US (usually 20-45year
olds)
Symptoms manifested in several ways:
•Affective
•Behavioral
•cognitive
•Somatic
More common in women
Thinks to rule out with anxiety - ANSWER thyroid issues
palpitations
drug use
caffeine
diagnostics for anxiety - ANSWER blood chemistry
ekg
thyroid function
Symptom criteria for diagnosis of GAD - ANSWER Excessive anxiety and worry
(apprehensive expectation), occurring more days than not for at least 6 months, about a
number of events or activities (such as work or school performance)
Clinical Presentation of GAD
Excessive anxiety
Hyper vigilant
Headaches
Restlessness
Shakiness
Hyperactive autonomic symptoms
Disrupts life
Symptoms for 6 months or more
Education for GAD - ANSWER •Avoid alcohol and stimulants
•Symptom recognition
•Symptom interpretation
Treatment for GAD - ANSWER Non pharmacologic
, •***Cognitive behavior therapy (CBT)
Pharmacology
•Anti-anxiety agents (refer to text for list)
•Acute: alprazolam and diazepam short term
•Long term: SSRIs
•*caution in elderly
Epidemiology
•5-20% of population
•Adults >65 (30-40%)
•High rate for recurrence
•Women > Men
•8-19% hospitalized
•1 out of 7 suicide
•Co-morbid anxiety, cardiac and diabetes
Differential diagnosis for major mood disorder - ANSWER Thyroid disorder
•Sleep disorder
•Unrecognized bipolar
•Neurological
•Medications
•Substance use
•Adrenal functioning
Clinical features of Major depressive disorder - ANSWER The DSM-5 symptom criteria
for major depression state that five (or more) of the following symptoms have been
present during the same 2-week period and represent a change from previous
functioning.
At least one of the symptoms is either (1) depressed mood or (2) anhedonia, meaning
loss of interest or pleasure:
• Depressed mood expressed as feelings of sadness or hopelessness. Irritability may be
the primary symptom in adolescents and children.
• Markedly diminished interest (apathy) in most activities.
• Change in appetite.
• Insomnia or hypersomnia.
• Behavioral agitation or retardation.
• Loss of energy.
• Feelings of worthlessness or guilt.
• Loss of concentration.
