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NURS 6550 MIDTERM REVIEW EXAM WITH CORRECT
ACTUAL QUESTIONS AND CORRECTLY WELL DEFINED
ANSWERS LATEST 2025 ALREADY GRADED A+
An adjustment disorder that persists and worsens can potentially evolve into
other psychiatric disorder such as - (answers)major depression or generalized
anxiety disorder (GAD).
Maladaptive behavior in response to stress is called - (answers)adjustment
disorder, with the major symptom specified (eg, "adjustment disorder with
depressed mood"
PTSD is classified as what type of disorder in the DSM-5 - (answers)Trauma and
stressor - not anxiety
The key to establishing the diagnosis of PTSD lies - (answers)in the history of
exposure to a life-threatening event followed by intrusive (eg, flashbacks,
nightmares) or avoidance (eg, withdrawal) symptoms. DSM-5 includes the
requirement that the symptoms persist for at least 1 month.
Patients with PTSD experience - (answers)physiologic hyperarousal, including
startle reactions, intrusive thoughts, illusions, overgeneralized associations, sleep
problems, nightmares, dreams about the precipitating event, impulsivity,
difficulties in concentration, and hyperalertness.
Differential Dx of PTSD - (answers)comorbid depression, panic disorder, acute
stress disorder, borderline personality disorder
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Acute stress disorder occurs during or shortly after a traumatic event and has
many of the same symptoms as PTSD - (answers)but lasts between 2 and 28 days.
What is considered the pharmacotherapy of choice for PTSD? -
(answers)Sertraline and paroxetine are approved by the US Food and Drug
Administration (FDA) for this purpose, and the SSRIs are the only class of
medications approved
What are the symptoms of generalized anxiety disorder (GAD)? -
(answers)Apprehension, worry, irritability, difficulty in concentrating, insomnia,
and somatic complaints are PRESENT MORE DAYS THAN NOT FOR AT LEAST 6
MONTHS.
Manifestations can include cardiac, gastrointestinal, and neurologic
_________________________is characterized by recurrent, unpredictable
episodes of intense anxiety accompanied by marked physiologic manifestations -
(answers)PANIC DISORDER
What is the drug of choice for managing ACUTE generalized anxiety disorder? -
(answers)benzodiazepines are the anxiolytics of choice in the acute management
of generalized anxiety
What are the FDA approved treatments for GAD - (answers)Venlafaxine and
duloxetine are FDA-approved for the treatment of GAD in usual antidepressant
doses. Initial daily dosing should start low (37.5-75 mg for venlafaxine and 30 mg
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for duloxetine) and be titrated upward as needed. SSRIs, such as paroxetine, are
also used.
______________has no clear usefulness in the treatment of anxiety disorders. -
(answers)Bupropion (pg.
SSRIs, that are approved for the treatment of panic disorder. -
(answers)fluoxetine, paroxetine, and sertraline
The SNRI that is FDA approved for treatment of panic disorder. -
(answers)venlafaxine
OD of benzo's are - (answers)Overdosage results in respiratory depression,
hypotension, shock syndrome, coma, and death
What are the side effects of high dose benzodiazepines? - (answers)sedation &
disinhibition, ataxia, dysarthria, nystagmus, and delirium.
Reversal of benzo OD (benzodiazepine antagonist) - (answers)Flumazenil
Classification of low-mod benzo use - (answers)somatic , psychological &
perceptual
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Panic disorder drug of choice - (answers)SSRIs sertraline, paroxetine, and
fluoxetine. In addition, the SNRI venlafaxine is approved by the FDA
Phobic disorder tx - (answers)SSRIs & SNRIs
Both GAD, panic disorder & phobias appear to respond as well to
________________ therapy as they do to medications. - (answers)cognitive
behavioral
What are some behavioral techniques for GAD and panic disorder? -
(answers)Relaxation, desensitization, emotive imagery
What is a TCA that is used in combination with SSRIs for Tx of OCD -
(answers)clomipramine
..and in low dose adjunct to SSRIs
What is the hallmark of SOMATIC SYMPTOM DISORDERS? - (answers)1. Physical
symptoms may involve one or more organ systems and are not intentional.
2. Subjective complaints exceed objective findings
3. Correlations of symptom development and psychosocial stresses.
4. Combination of biogenetic and developmental patterns.
Name 4 SOMATIC SYMPTOM DISORDERS - (answers)1. Conversion disorder
2. Somatization disorder
NURS 6550 MIDTERM REVIEW EXAM WITH CORRECT
ACTUAL QUESTIONS AND CORRECTLY WELL DEFINED
ANSWERS LATEST 2025 ALREADY GRADED A+
An adjustment disorder that persists and worsens can potentially evolve into
other psychiatric disorder such as - (answers)major depression or generalized
anxiety disorder (GAD).
Maladaptive behavior in response to stress is called - (answers)adjustment
disorder, with the major symptom specified (eg, "adjustment disorder with
depressed mood"
PTSD is classified as what type of disorder in the DSM-5 - (answers)Trauma and
stressor - not anxiety
The key to establishing the diagnosis of PTSD lies - (answers)in the history of
exposure to a life-threatening event followed by intrusive (eg, flashbacks,
nightmares) or avoidance (eg, withdrawal) symptoms. DSM-5 includes the
requirement that the symptoms persist for at least 1 month.
Patients with PTSD experience - (answers)physiologic hyperarousal, including
startle reactions, intrusive thoughts, illusions, overgeneralized associations, sleep
problems, nightmares, dreams about the precipitating event, impulsivity,
difficulties in concentration, and hyperalertness.
Differential Dx of PTSD - (answers)comorbid depression, panic disorder, acute
stress disorder, borderline personality disorder
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Acute stress disorder occurs during or shortly after a traumatic event and has
many of the same symptoms as PTSD - (answers)but lasts between 2 and 28 days.
What is considered the pharmacotherapy of choice for PTSD? -
(answers)Sertraline and paroxetine are approved by the US Food and Drug
Administration (FDA) for this purpose, and the SSRIs are the only class of
medications approved
What are the symptoms of generalized anxiety disorder (GAD)? -
(answers)Apprehension, worry, irritability, difficulty in concentrating, insomnia,
and somatic complaints are PRESENT MORE DAYS THAN NOT FOR AT LEAST 6
MONTHS.
Manifestations can include cardiac, gastrointestinal, and neurologic
_________________________is characterized by recurrent, unpredictable
episodes of intense anxiety accompanied by marked physiologic manifestations -
(answers)PANIC DISORDER
What is the drug of choice for managing ACUTE generalized anxiety disorder? -
(answers)benzodiazepines are the anxiolytics of choice in the acute management
of generalized anxiety
What are the FDA approved treatments for GAD - (answers)Venlafaxine and
duloxetine are FDA-approved for the treatment of GAD in usual antidepressant
doses. Initial daily dosing should start low (37.5-75 mg for venlafaxine and 30 mg
,3|Page
for duloxetine) and be titrated upward as needed. SSRIs, such as paroxetine, are
also used.
______________has no clear usefulness in the treatment of anxiety disorders. -
(answers)Bupropion (pg.
SSRIs, that are approved for the treatment of panic disorder. -
(answers)fluoxetine, paroxetine, and sertraline
The SNRI that is FDA approved for treatment of panic disorder. -
(answers)venlafaxine
OD of benzo's are - (answers)Overdosage results in respiratory depression,
hypotension, shock syndrome, coma, and death
What are the side effects of high dose benzodiazepines? - (answers)sedation &
disinhibition, ataxia, dysarthria, nystagmus, and delirium.
Reversal of benzo OD (benzodiazepine antagonist) - (answers)Flumazenil
Classification of low-mod benzo use - (answers)somatic , psychological &
perceptual
, 4|Page
Panic disorder drug of choice - (answers)SSRIs sertraline, paroxetine, and
fluoxetine. In addition, the SNRI venlafaxine is approved by the FDA
Phobic disorder tx - (answers)SSRIs & SNRIs
Both GAD, panic disorder & phobias appear to respond as well to
________________ therapy as they do to medications. - (answers)cognitive
behavioral
What are some behavioral techniques for GAD and panic disorder? -
(answers)Relaxation, desensitization, emotive imagery
What is a TCA that is used in combination with SSRIs for Tx of OCD -
(answers)clomipramine
..and in low dose adjunct to SSRIs
What is the hallmark of SOMATIC SYMPTOM DISORDERS? - (answers)1. Physical
symptoms may involve one or more organ systems and are not intentional.
2. Subjective complaints exceed objective findings
3. Correlations of symptom development and psychosocial stresses.
4. Combination of biogenetic and developmental patterns.
Name 4 SOMATIC SYMPTOM DISORDERS - (answers)1. Conversion disorder
2. Somatization disorder
