Nsg 552 Wilkes University EXAM 2 QUESTIONS WITH SOLUTIONS

Nsg 552 Wilkes University EXAM 2 QUESTIONS WITH SOLUTIONS Acute anxiety - ANSWER First line for acute panic may be short term benzo use. short acting benzos cause rebound anxiety and are the most abused Benzodiazepines - ANSWER Withdrawal can be dangerous, even deadly. Stopping abruptly is not advised. Symptoms of agitation, tension, irritability, and sz. may occur anxiety disorders - ANSWER psychological disorders characterized by distressing, persistent anxiety or maladaptive behaviors that reduce anxiety anxiety disorders treatment - ANSWER -non-activating antidepressants area good place to start. for this disorder first line treatment anxiety disorders - ANSWER SSRI- Fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil) TCAs often effective but with riskier SE may interfere with psychotherapy in TX of AD - ANSWER Benzodiazepines- short acting Alprazolam are most abusable Rapid onset BZD - ANSWER used for acute panic disorder BZD with long half- life (20-80 hours) - ANSWER Diazepam (avoid in elderly) BEERS criteria - ANSWER A list of medications that are generally considered inappropriate when given to elderly people BEERS criteria - ANSWER Identifies High Risk Meds to Generate Wide List of Meds That Should be Avoided The "Beers Criteria for Potentially Inappropriate Medication Use in Older Adults", commonly called the Beers List, are guidelines for healthcare professionals to help improve the safety of prescribing medications for older adults. concomitant with pharmacological tx in AD - ANSWER Psychotherapy First line for specific phobias like clowns, blood, animals - ANSWER Psychotherapy medications not all that helpful for specific phobias OCD treatment - ANSWER SSRI and CBT BZD in treatment of OCD - ANSWER Xanax, Valium, Klonipin Trauma and Dissociative Disorders - ANSWER Consider and treat and comorbid disorders as well Trauma and Dissociative Disorders first line pharmocology - ANSWER Antidepressants Psychotherapy are treatment of choice Dissociative disorders - ANSWER the degree of insight the patient has is crucial to the outcome of psychotherapy DID- Dissociative identity disorder - ANSWER may consider multi pronged approach to treatment but strongly linked to childhood trauma so treating underlying PTSD s/s is often helpful DID - ANSWER discourage use of BZD DID - ANSWER beta blockers and alpha blockers useful for reducing sympathetic nervous system activation Prazosin - ANSWER alpha 1 blocker helpful for nightmares and flashbacks anorexia nervosa - ANSWER An eating disorder characterized by an obstinate and willful refusal to eat, a distorted body image, and an intense fear of being fat Meds for anorexia - ANSWER Prozac Anafranil Pariactin Thorazine Zyprexa Used in anorexia nervosA - ANSWER atypical antipyschotics binge eating disorder - ANSWER significant binge-eating episodes, followed by distress, disgust, or guilt, but without the compensatory purging, fasting, or excessive exercise that marks bulimia nervosa treatment of binge eating disorder - ANSWER Antidepressants and other medication, cognitive behavioral and interpersonal therapy. psychosomatic goal - ANSWER reduce discomfort, improve depression, improve anxieties or obsessive thoughts SSRI indications - ANSWER Major depression, OCD, GAD, panic disorder, social anxiety disorder and premenstrual dysphoric disorder SSRI side effects - ANSWER *BAD SSRI* B - Body weight increase; A - Anxiety/Agitation; D - Dizziness; Dry mouth S - Serotonin syndrome; S - Stimulated CNS; R - Reproductive/Sexual dysfunction