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Pharmacotherapeutics for Advanced Practice Nurse Prescribers: Chapter 30. Anxiety and Depression

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Pharmacotherapeutics for Advanced Practice Nurse Prescribers: Chapter 30. Anxiety and Depression

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Pharmacotherapeutics for Advanced Practice Nurse

Prescribers: Chapter 30. Anxiety and Depression
Terms in this set (20




Common mistakes practitioners make in ANS: 4
treating anxiety disorders include:


1. Switching medications after an 8-
to 12-week trial
2.Maximizing dosing of
antianxiety medications
3.Encouraging exercise and
relaxation therapy before starting
medication
4.Thinking a partial response to
medication is acceptable

, An appropriate first-line drug to try for mild ANS: 3
to moderate generalized anxiety disorder is:


1. Alprazolam (Xanax)
2.Diazepam (Valium)
3.Buspirone (Buspar)
4.Amitriptyline (Elavil)



An appropriate drug to initially treat panic ANS: 2
disorder is:


1. Alprazolam (Xanax)
2.Diazepam (Valium)
3.Buspirone (Buspar)
4.Amitriptyline (Elavil)



Prior to starting antidepressants, patients ANS: 1
should have laboratory testing to rule out:


1. Hypothyroidism
2.Anemia
3.Diabetes mellitus
4. Low estrogen levels



David is a 34-year-old patient who is ANS: 2
starting on paroxetine (Paxil) for depression.
David's education regarding his medication
would include:


1. Paroxetine may cause
intermittent diarrhea.
2.He may experience sexual dysfunction
beginning a month after he starts therapy.
3.He may have constipation and he
should increase fluids and fiber.
4. Paroxetine has a long half-life so he
may occasionally skip a dose.



Jamison has been prescribed citalopram ANS: 1
(Celexa) to treat his depression. Appropriate
education regarding how quickly selective
serotonin reuptake inhibitor (SSRI)
antidepressants work would be:


1. Appetite and concentration improve
in the first one to two weeks.
2.Sleep should improve almost
immediately upon starting citalopram.
3.Full response to the SSRI may take two to
four months after he reaches the full
therapeutic dose.
4. His dysphoria will improve in one to two
weeks

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