NURS 663 EXAM 3 QUESTIONS AND ANSWERS 2025/2026

NURS 663 EXAM 3 QUESTIONS AND ANSWERS 2025/2026 pharmacologic agents for PTSD - Answer -med tx is focused on diminishing intrusive thoughts, hyperarousal, and avoidance, with some success and mixed results PTSD frequent comorbidity - Answer -depressive disorder, anxiety disorders, and behavioral problems associated with ______________ sertraline and paroxetine - Answer -that __________and ______________ are approved by the Food and Drug Administration (FDA) in the treatment of PTSD in adults, there is scant evidence to support its use for the core symptoms of PTSD in youth Risperidone and aripiprazole - Answer -FDA approval for use in children and adolescents with aggression, severe behavioral dyscontrol, and severe psychiatric disorders Antiadrenergic agents - Answer -treat dysregulation of the noradrenergic system in adults and youth with PTSD clonidine and guanfacine - Answer -Alpha2-agonists examples Alpha2 agonists - Answer -decrease norepinephrine release, such as, are propranolol - Answer -centrally acting β-antagonists example prazosin - Answer -α-1-antagonists examplepropranolol use - Answer -hypothesized to improve hyperarousal and intrusive thoughts through attenuation of norepinephrine postsynaptically prazosin use - Answer -nightmares associated with trauma Modify PTSD sx - Answer -Off-label medications including antidepressants, atypical antipsychotics, adrenergic modulators/sympatholytics, and anticonvulsants/mood stabilizers clonidine and propanolol - Answer -nightmares and exaggerated startle response: some evidence in adults, but children case report only guanfacine and clonidine - Answer -__________ may reduce nightmares in children with PTSD and ____________may diminish symptoms of reenactment of traumatic events in children Mood-stabilizing agents - Answer -divalproex, carbamazepine, topiramate, and gabapentin have been utilized for adults with PTSD with modest improvement; some clonidine with dosage ranges of 0.05 to 0.1 mg twice daily - Answer - may provide some relief for the symptoms of hyperarousal, impulsivity, and agitation in young children with PTSD; in children some evidence benzodiazepines - Answer -no controlled trials supporting use in children Trauma-Focused CBT - Answer -10-16 treatment sessions, including 9 components itemized in the acronym PRACTICE PRACTICE elements - Answer -Psychoeducation on typical reactions to PTSD.Parenting skills- praise, time-out, reinforcement Relaxation- muscle, breathing, cognitive tech Affective Expression and Modulation- ID feelings Cognitive Coping and Processing Cognitive Triangle Trauma Narrative:developed over time by child, In Vivo Exposure and Mastery of Trauma Reminders- how to deal with reminders Conjoint Child-Parent Sessions- this component may involve several sessions in which the child and parent share their understanding Enhancing future safety-family changes EMDR - Answer -exposure and cognitive reprocessing interventions are paired with directed eye movements, alternating tones or tapping CBITS - Answer -Cognitive Behavioral Interventions for Trauma in Schools CBITS descrip