NSG 552 Exam 2 With Complete Questions and Answers
If a patient has both eating disorder and comorbid depression or anxiety, treatment should follow
indications for the comorbidity- ex.
if they have OCD comorbid with anorexia nervosa then what ( ?) would be indicated for the OCD should
be your choice - ANSWER SSRI
Insomnia treatment - ANSWER nonpharmacologic treatments for insomnia include sleep hygeine,
stimulus control, relaxation, sleep restriction, and cognitive behavioral therapy. Stimulus control focuses
on eliminating stimulating bedroom activities and getting into bed only when sleepy.
benzodiazepine hypnotics (tx of insomnia) - ANSWER Diazepam, Midazolam, Zolazepam,
Triazolam, flurazepam, temazepam
Potentiates the inhibitory action of GABA ( inhibitory neurotransmitter that reduces feelings of fear and
anxiety). Activation of the receptor causes an influx of Cl- ion movement into the neuron and
hyperpolarization and inhibition of membrane depolarization
Benzodiazepine hypnotics affect - ANSWER REM sleep, tolerance, risk of abuse, rebound insomnia
Non-BZD hypnotics for insomnia - ANSWER Zolpidem (Ambien) Zaleplon (Sonata)
Eszopiclone (Lunesta)
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
If a patient has both eating disorder and comorbid depression or anxiety, treatment should follow
indications for the comorbidity- ex.
if they have OCD comorbid with anorexia nervosa then what ( ?) would be indicated for the OCD should
be your choice - ANSWER SSRI
Insomnia treatment - ANSWER nonpharmacologic treatments for insomnia include sleep hygeine,
stimulus control, relaxation, sleep restriction, and cognitive behavioral therapy. Stimulus control focuses
on eliminating stimulating bedroom activities and getting into bed only when sleepy.
benzodiazepine hypnotics (tx of insomnia) - ANSWER Diazepam, Midazolam, Zolazepam,
Triazolam, flurazepam, temazepam
Potentiates the inhibitory action of GABA ( inhibitory neurotransmitter that reduces feelings of fear and
anxiety). Activation of the receptor causes an influx of Cl- ion movement into the neuron and
hyperpolarization and inhibition of membrane depolarization
Benzodiazepine hypnotics affect - ANSWER REM sleep, tolerance, risk of abuse, rebound insomnia
Non-BZD hypnotics for insomnia - ANSWER Zolpidem (Ambien) Zaleplon (Sonata)
Eszopiclone (Lunesta)
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
