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Nur 239 Test 2 Questions And Answers | Nur 239 Study Guide & Practice Test 2026/2027

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NUR 239 TEST 2 QUESTIONS AND ANSWERS | NUR 239 STUDY GUIDE & PRACTICE TEST 2026/2027

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NUR 239 TEST 2 QUESTIONS AND ANSWERS |
NUR 239 STUDY GUIDE & PRACTICE TEST
2026/2027
1 of 56




Definition



Patient attempts to suppress persistent thoughts or urges that cause
anxiety through compulsive or repetitive behaviors.


These behaviors are time consuming.
Results in impaired social and occupational functioning.



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Post-traumatic stress disorder (ptsd) Schizoaffective Disorder




Obsessive-Compulsive Disorder
Bipolar disorder
(OCD)


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, 2 of 56

Definition


Inhibit GABA; reducing anxiety
Increase serotonin, norepinpherine; reducing anxiety
Manage s/sx of anxiety


Meds:
Benzodiazepines Sedatives: Lorazepam, Clonazepam, Alprazolam,
Diazepam (short term use)
Atypical Anxiolytics: Buspirone
Selected Antidepressants: SSRI's, SNRI's, TCA's, MAOI's
Beta blockers: Propanolol
Alpha blockers: Prazosin
Anticonvulsants: Gabapentin, Pregabalin


Complications:
Benzos - CNS depression, Amnesia, acute toxicity, paradoxical
response, withdrawal effects
Atypical - CNS effects
SSRI's - listed above
SNRI's - listed above


Nursing Actions:
Monitor for s/sx of CNS depression
Monitor VS
Atypical - Administer medications at the same time every day
Take with food; do not stop abruptly; taper


Contraindications:

,Benzos - Pregnancy risk D
Clients with respiratory & sleep disorders
Atypical - Pregnancy risk B
Clients with liver & kidney dysfunction
Concurrent use with MAOIs.


Patient education:
Benzos - observe for adverse reactions, take as prescribed
Atypical - avoid use for erythromycin, st. johns wort, and grapefruit
juice



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Anxiety or PTSD Related
Anti-psychotic Medications
Disorder Medications




Selective Serotonin Reuptake
Atypical Antidepressants
Inhibitors (SSRIs)


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Definition



1. Holmes & Rahe Stress scale - measures life change units
2. Perceived Stress Scale
3. Lazarus's Cognitive Appraisal



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Treatments for Stress Anxiety Disorders




RN Interventions for Bi-Polar
Stress Screening Tools
Disorder:


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4 of 56

Definition



A class of disorders marked by feelings of excessive apprehension and
anxiety.


Impairs daily routines.
Develops over time.



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