MARYVILLE NURS 663 LATEST EXAMS SCRIPT
QUESTIONS AND ANSWERS SURE A+
✔✔Separation Anxiety Disorder (SAD) - ✔✔A form of anxiety disorder in which the
individual displays age-inappropriate, excessive, and disabling anxiety about being
apart from his or her parents or away from home; fears for caregiver safety and health
✔✔social anxiety disorder - ✔✔an anxiety disorder involving the extreme and irrational
fear of being embarrassed, judged, or scrutinized by others in social situations;
avoidance of soc situations
✔✔Phobias - ✔✔A group of anxiety disorders involving a pathological fear of a specific
object or situation
✔✔Anxiety disorder tx - ✔✔- First line tx: SSRIs: most effective, least s/e
- Anti-anxiety drugs: buspirone, hydroxyzine, benadryl
- Beta blockers: propranolol
- Psychotherapy
Avoid benzos
✔✔Anxiety disorder meds - ✔✔Fluoxetine, sertraline, escitalopram, citalopram,
paroxetine, duloxetine, venlafaxine,
, desvenlafaxine, vilazodone (Viibryd), vortioxetine (Trintellix) from most to least often
used/EBP
✔✔SSRI mechanism of action - ✔✔Blocking reabsorption / reuptake, of serotonin,
leaves more serotonin available, which improves mood
✔✔SNRI mechanism of action - ✔✔Inhibit reuptake of both serotonin and
norepinephrine
✔✔Anti-depressant education - ✔✔Always teach the Black Box warning for incr SI risk
up to 24 y/o.
✔✔Schizophrenia - ✔✔a psychological disorder characterized by 2 of the following for
at least 1 mo; must include at least one of first 3:
1. delusions,
2. hallucinations,
3. disorganized speech
4. Grossly disorganized/catatonic behavior
5. diminished, inappropriate emotional expression
6. IF have ASD or comm d/o then delu or hall a must
✔✔bizarre delusions - ✔✔clearly implausible and not understandable to same-culture
peers and do not derive from ordinary life experiences; do not play into delusions
✔✔positive symptoms of schizophrenia - ✔✔Delusions of reference, delusions of
persecution, delusions of grandeur, thought broadcasting, though insertion,
hallucinations, disorganized thought, disorganized behavior, catatonia
✔✔negative symptoms of schizophrenia - ✔✔Diminished emotions expression of face
exp, eye contact, prosody, other non-verbal comm (hand, head, face movements;
Avolition: dec self-motivated behav
Alogia: diminished speech
Anhedonia: diminished pleasure/interest
Asociality: lack of interest in soc interation
✔✔Prosody - ✔✔intonation and rhythm of speech
✔✔Positive symptoms - ✔✔something is added
✔✔Negative symptoms - ✔✔something is removed
✔✔Prodromal phase of schizophrenia - ✔✔disorganized behavior, loss of interest, no
hallucination, anxious, diffi making decisions
✔✔acute phase of schizophrenia - ✔✔meets criteria for diagnosis
QUESTIONS AND ANSWERS SURE A+
✔✔Separation Anxiety Disorder (SAD) - ✔✔A form of anxiety disorder in which the
individual displays age-inappropriate, excessive, and disabling anxiety about being
apart from his or her parents or away from home; fears for caregiver safety and health
✔✔social anxiety disorder - ✔✔an anxiety disorder involving the extreme and irrational
fear of being embarrassed, judged, or scrutinized by others in social situations;
avoidance of soc situations
✔✔Phobias - ✔✔A group of anxiety disorders involving a pathological fear of a specific
object or situation
✔✔Anxiety disorder tx - ✔✔- First line tx: SSRIs: most effective, least s/e
- Anti-anxiety drugs: buspirone, hydroxyzine, benadryl
- Beta blockers: propranolol
- Psychotherapy
Avoid benzos
✔✔Anxiety disorder meds - ✔✔Fluoxetine, sertraline, escitalopram, citalopram,
paroxetine, duloxetine, venlafaxine,
, desvenlafaxine, vilazodone (Viibryd), vortioxetine (Trintellix) from most to least often
used/EBP
✔✔SSRI mechanism of action - ✔✔Blocking reabsorption / reuptake, of serotonin,
leaves more serotonin available, which improves mood
✔✔SNRI mechanism of action - ✔✔Inhibit reuptake of both serotonin and
norepinephrine
✔✔Anti-depressant education - ✔✔Always teach the Black Box warning for incr SI risk
up to 24 y/o.
✔✔Schizophrenia - ✔✔a psychological disorder characterized by 2 of the following for
at least 1 mo; must include at least one of first 3:
1. delusions,
2. hallucinations,
3. disorganized speech
4. Grossly disorganized/catatonic behavior
5. diminished, inappropriate emotional expression
6. IF have ASD or comm d/o then delu or hall a must
✔✔bizarre delusions - ✔✔clearly implausible and not understandable to same-culture
peers and do not derive from ordinary life experiences; do not play into delusions
✔✔positive symptoms of schizophrenia - ✔✔Delusions of reference, delusions of
persecution, delusions of grandeur, thought broadcasting, though insertion,
hallucinations, disorganized thought, disorganized behavior, catatonia
✔✔negative symptoms of schizophrenia - ✔✔Diminished emotions expression of face
exp, eye contact, prosody, other non-verbal comm (hand, head, face movements;
Avolition: dec self-motivated behav
Alogia: diminished speech
Anhedonia: diminished pleasure/interest
Asociality: lack of interest in soc interation
✔✔Prosody - ✔✔intonation and rhythm of speech
✔✔Positive symptoms - ✔✔something is added
✔✔Negative symptoms - ✔✔something is removed
✔✔Prodromal phase of schizophrenia - ✔✔disorganized behavior, loss of interest, no
hallucination, anxious, diffi making decisions
✔✔acute phase of schizophrenia - ✔✔meets criteria for diagnosis
