Nursing@2025
1 | P a g e | © copyright 2024/2025 | Grade A+
NURS 663 exam 3 Questions and
Answers (100% Pass)
pharmacologic agents for PTSD
✓ med tx is focused on diminishing intrusive thoughts, hyperarousal, and
avoidance, with some success and mixed results
PTSD frequent comorbidity
✓ depressive disorder, anxiety disorders, and behavioral problems
associated with ______________
sertraline and paroxetine
✓ that __________and ______________ are approved by the Food and
Drug Administration (FDA) in the treatment of PTSD in adults, there is
scant evidence to support its use for the core symptoms of PTSD in
youth
Risperidone and aripiprazole
✓ FDA approval for use in children and adolescents with aggression,
severe behavioral dyscontrol, and severe psychiatric disorders
Antiadrenergic agents
✓ treat dysregulation of the noradrenergic system in adults and youth
with PTSD
clonidine and guanfacine
Master01 | October, 2024/2025 | Latest update
1
,Nursing@2025
1 | P a g e | © copyright 2024/2025 | Grade A+
✓ Alpha2-agonists examples
Alpha2 agonists
✓ decrease norepinephrine release, such as, are
propranolol
✓ centrally acting β-antagonists example
prazosin
✓ α-1-antagonists example
propranolol use
✓ hypothesized to improve hyperarousal and intrusive thoughts through
attenuation of norepinephrine postsynaptically
prazosin use
✓ nightmares associated with trauma
Modify PTSD sx
✓ Off-label medications including antidepressants, atypical
antipsychotics, adrenergic modulators/sympatholytics, and
anticonvulsants/mood stabilizers
clonidine and propanolol
✓ nightmares and exaggerated startle response: some evidence in
adults, but children case report only
guanfacine and clonidine
Master01 | October, 2024/2025 | Latest update
2
,Nursing@2025
1 | P a g e | © copyright 2024/2025 | Grade A+
✓ __________ may reduce nightmares in children with PTSD and
____________may diminish symptoms of reenactment of traumatic
events in children
Mood-stabilizing agents
✓ divalproex, carbamazepine, topiramate, and gabapentin have been
utilized for adults with PTSD with modest improvement; some
clonidine with dosage ranges of 0.05 to 0.1 mg twice daily
✓ may provide some relief for the symptoms of hyperarousal, impulsivity,
and agitation in young children with PTSD; in children some evidence
benzodiazepines
✓ no controlled trials supporting use in children
Trauma-Focused CBT
✓ 10-16 treatment sessions, including 9 components itemized in the
acronym PRACTICE
PRACTICE elements
✓ Psychoeducation on typical reactions to PTSD.
Parenting skills- praise, time-out, reinforcement
Relaxation- muscle, breathing, cognitive tech
Affective Expression and Modulation- ID feelings
Cognitive Coping and Processing Cognitive Triangle
Trauma Narrative:developed over time by child,
Master01 | October, 2024/2025 | Latest update
3
, Nursing@2025
1 | P a g e | © copyright 2024/2025 | Grade A+
In Vivo Exposure and Mastery of Trauma Reminders- how to deal with
reminders
Conjoint Child-Parent Sessions- this component may involve several sessions
in which the child and parent share their understanding
Enhancing future safety-family changes
EMDR
✓ exposure and cognitive reprocessing interventions are paired with
directed eye movements, alternating tones or tapping
CBITS
✓ Cognitive Behavioral Interventions for Trauma in Schools
CBITS description
✓ intervention that administers treatment in the school setting for
children who screen positive for PTSD and whose parents agree to
treatment in school.
CBITS elements
✓ Consists of 10 weekly group sessions
1-3 individual imaginal exposure sessions
2-4 optional sessions with parents
1 parent education session.
Similar to trauma-focused CBT, incorporates psychoeducation, relaxation,
training, cognitive coping skills, gradual exposure to traumatic memories
Master01 | October, 2024/2025 | Latest update
4
1 | P a g e | © copyright 2024/2025 | Grade A+
NURS 663 exam 3 Questions and
Answers (100% Pass)
pharmacologic agents for PTSD
✓ med tx is focused on diminishing intrusive thoughts, hyperarousal, and
avoidance, with some success and mixed results
PTSD frequent comorbidity
✓ depressive disorder, anxiety disorders, and behavioral problems
associated with ______________
sertraline and paroxetine
✓ that __________and ______________ are approved by the Food and
Drug Administration (FDA) in the treatment of PTSD in adults, there is
scant evidence to support its use for the core symptoms of PTSD in
youth
Risperidone and aripiprazole
✓ FDA approval for use in children and adolescents with aggression,
severe behavioral dyscontrol, and severe psychiatric disorders
Antiadrenergic agents
✓ treat dysregulation of the noradrenergic system in adults and youth
with PTSD
clonidine and guanfacine
Master01 | October, 2024/2025 | Latest update
1
,Nursing@2025
1 | P a g e | © copyright 2024/2025 | Grade A+
✓ Alpha2-agonists examples
Alpha2 agonists
✓ decrease norepinephrine release, such as, are
propranolol
✓ centrally acting β-antagonists example
prazosin
✓ α-1-antagonists example
propranolol use
✓ hypothesized to improve hyperarousal and intrusive thoughts through
attenuation of norepinephrine postsynaptically
prazosin use
✓ nightmares associated with trauma
Modify PTSD sx
✓ Off-label medications including antidepressants, atypical
antipsychotics, adrenergic modulators/sympatholytics, and
anticonvulsants/mood stabilizers
clonidine and propanolol
✓ nightmares and exaggerated startle response: some evidence in
adults, but children case report only
guanfacine and clonidine
Master01 | October, 2024/2025 | Latest update
2
,Nursing@2025
1 | P a g e | © copyright 2024/2025 | Grade A+
✓ __________ may reduce nightmares in children with PTSD and
____________may diminish symptoms of reenactment of traumatic
events in children
Mood-stabilizing agents
✓ divalproex, carbamazepine, topiramate, and gabapentin have been
utilized for adults with PTSD with modest improvement; some
clonidine with dosage ranges of 0.05 to 0.1 mg twice daily
✓ may provide some relief for the symptoms of hyperarousal, impulsivity,
and agitation in young children with PTSD; in children some evidence
benzodiazepines
✓ no controlled trials supporting use in children
Trauma-Focused CBT
✓ 10-16 treatment sessions, including 9 components itemized in the
acronym PRACTICE
PRACTICE elements
✓ Psychoeducation on typical reactions to PTSD.
Parenting skills- praise, time-out, reinforcement
Relaxation- muscle, breathing, cognitive tech
Affective Expression and Modulation- ID feelings
Cognitive Coping and Processing Cognitive Triangle
Trauma Narrative:developed over time by child,
Master01 | October, 2024/2025 | Latest update
3
, Nursing@2025
1 | P a g e | © copyright 2024/2025 | Grade A+
In Vivo Exposure and Mastery of Trauma Reminders- how to deal with
reminders
Conjoint Child-Parent Sessions- this component may involve several sessions
in which the child and parent share their understanding
Enhancing future safety-family changes
EMDR
✓ exposure and cognitive reprocessing interventions are paired with
directed eye movements, alternating tones or tapping
CBITS
✓ Cognitive Behavioral Interventions for Trauma in Schools
CBITS description
✓ intervention that administers treatment in the school setting for
children who screen positive for PTSD and whose parents agree to
treatment in school.
CBITS elements
✓ Consists of 10 weekly group sessions
1-3 individual imaginal exposure sessions
2-4 optional sessions with parents
1 parent education session.
Similar to trauma-focused CBT, incorporates psychoeducation, relaxation,
training, cognitive coping skills, gradual exposure to traumatic memories
Master01 | October, 2024/2025 | Latest update
4
