NSG 552 Exam 2
What bis bagoraphobia band bhow bcan bit bbe btreated? b- bcorrect banswers✔✔intense
bfear bof bbeing bin bpublic bpleases bwhere bescape bor bobtaining bhelp bmay bbe bdifficult
Treat bwith bCBT band bSSRI
What btreatment bis bused bfor bgeneralized banxiety bdisorder b- bcorrect banswers✔✔First
bline b- bSSRI
Second bline b- bBuspar b(anxiolytic), bSNRI
Can bconsider bshort bterm bcourse bof bbenzos bor baugmentation bwith bbuspirone
b(Buspar)
SSRI b- bescitalopram b(Lexapro), bparoxetine b(Paxil), b
SNRI b- bduloxetine b(Cymbalta), bvenlafaxine b(Effexor)
What bis bused bto btreat bpanic battacks? b- bcorrect banswers✔✔initially buse bbenzos
bshort bterm
What bis bused bto btreat bpanic bdisorder? b- bcorrect banswers✔✔First bline- bSSRI,
bSRNA
Second bline- bTCAs, bthough blimited buse
Adjunct b- bbenzo bwith bcaution, bshort-term buntil bSSRIs breach btherapeutic befficacy
Alprazolam b(Xanax) bis bFDA bapproved
SSRI b- bFluoxetine b(Prozac), bPaxil b(paroxetine), bZoloft b(sertraline), b
SNRI b- bEffexor b(venlafaxine)
TCA b- bclomipramine b(Anafranil), bimipramine b(Tofranil)
What bis bsocial bphobia band bhow bis bit btreated? b- bcorrect banswers✔✔fear bof
bscrutiny bby bothers bor bfear bof bacting bin bhumiliating bor bembarrassing bway
CBT
First bline b- bSSRI bor bSNRI
Benzos bcan bbe bused bas bscheduled bor bPRN
Beta bblockers bsuch bas batenolol b(50-100 bmg) band bpropranolol b(20-40 bmg) b1 bhour
bbefore bperformance bor bpublic bspeaking
What bis bused bto bgreat bspecific bphobias? b- bcorrect banswers✔✔CBT bwith bexposure
SSRI b- bfluvoxamine b(Luvox), bPaxil b(paroxetine), bZoloft b(sertraline), b
SNRI b- bEffexor b(venlafaxine)
, What bis bobsessive bcompulsive bdisorder b(OCD) band bhow bis bit btreated? b- bcorrect
banswers✔✔obsessions band/or bcompulsions bthat bare btime bconsuming, bdistressing,
band bimpairing
MEDS b+ bCBT
Fist bline- bSSRI b(often bhigh bdoses bof bZoloft b(sertraline). bProzac b(Fluoxetine), bLuvox
b- bFDA bapproved b(fluvoxamine) b50-300 bmg
2nd bline b- bSNRI bEffexor b(venlafaxine)
TCA bAnafranil b(clomipramine) bFDA bapproved
Can baugment bwith batypical bantipsychotic bin bsevere bcases
ECT bin bdebilitating bresistant bcases
What bis ba bcommon bside beffect bof bSSRI bLuvox b(fluvoxamine)? b- bcorrect
banswers✔✔nausea band bvomiting
What bare bcommonly bprescribed bbenzodiazepines? b- bcorrect banswers✔✔Alprazolam
b(Xanax) band blorazepam b(Ativan)
What beffects bdoes bGABA blead bto? b- bcorrect banswers✔✔Potentiate beffects bof
bGABA b(GABA bis binhibitory band blead bto bdrowsiness, bcognitive bimpairments,
bdampening bof bfear band banxiety, bimpaired bbalance, bmotor bcontrol, bmuscle btone,
band bcoordination, band banterograde bamnesia
Who bis bat bgreater brisk bof bfall brisk band bhip bfracture bon bbenzodiazepines? b- bcorrect
banswers✔✔Elderly bpatients
What bis bthe bmechanism bof baction bfor bbenzodiazepines? b- bcorrect
banswers✔✔enhance bactivity bof bGABA bat bGABA-A breceptors
Why bare bbenzodiazepines bnot balways bthe bbest bchoice bof bmedicatioon b- bcorrect
banswers✔✔potential bfor babuse band baddition
may bbecome bphysically bdependent b
may bbuild btolerance
What bcan bbe bused bto btreat bakathisia? b- bcorrect banswers✔✔Benzodiazepines bcan
bbe bused bto btreat bthe buncontrollable burge bto bmove band bfidgeting bmovements
How bis bchoice bof bBDZ bdecised? b- bcorrect banswers✔✔time bof bonset, bduration bof
baction, band bmethod bof bmetabolism
OTL b= bmetabolized boutside bthe bliver b(lorazepam, boxazepam, btemazepam)
What bare bside beffects bof bBDZ? b- bcorrect banswers✔✔anticholinergic b(dry bmouth,
bconstipation, burinary bretention, bblurred bvision, bincreased bHR), bunusual bbehavior4s,
bhallucinations, bdaytime bdrowsiness, bamnesia
What bis ba bknown blimitation bof bbenzo b- bcorrect banswers✔✔rebound binsomnia
What bis bagoraphobia band bhow bcan bit bbe btreated? b- bcorrect banswers✔✔intense
bfear bof bbeing bin bpublic bpleases bwhere bescape bor bobtaining bhelp bmay bbe bdifficult
Treat bwith bCBT band bSSRI
What btreatment bis bused bfor bgeneralized banxiety bdisorder b- bcorrect banswers✔✔First
bline b- bSSRI
Second bline b- bBuspar b(anxiolytic), bSNRI
Can bconsider bshort bterm bcourse bof bbenzos bor baugmentation bwith bbuspirone
b(Buspar)
SSRI b- bescitalopram b(Lexapro), bparoxetine b(Paxil), b
SNRI b- bduloxetine b(Cymbalta), bvenlafaxine b(Effexor)
What bis bused bto btreat bpanic battacks? b- bcorrect banswers✔✔initially buse bbenzos
bshort bterm
What bis bused bto btreat bpanic bdisorder? b- bcorrect banswers✔✔First bline- bSSRI,
bSRNA
Second bline- bTCAs, bthough blimited buse
Adjunct b- bbenzo bwith bcaution, bshort-term buntil bSSRIs breach btherapeutic befficacy
Alprazolam b(Xanax) bis bFDA bapproved
SSRI b- bFluoxetine b(Prozac), bPaxil b(paroxetine), bZoloft b(sertraline), b
SNRI b- bEffexor b(venlafaxine)
TCA b- bclomipramine b(Anafranil), bimipramine b(Tofranil)
What bis bsocial bphobia band bhow bis bit btreated? b- bcorrect banswers✔✔fear bof
bscrutiny bby bothers bor bfear bof bacting bin bhumiliating bor bembarrassing bway
CBT
First bline b- bSSRI bor bSNRI
Benzos bcan bbe bused bas bscheduled bor bPRN
Beta bblockers bsuch bas batenolol b(50-100 bmg) band bpropranolol b(20-40 bmg) b1 bhour
bbefore bperformance bor bpublic bspeaking
What bis bused bto bgreat bspecific bphobias? b- bcorrect banswers✔✔CBT bwith bexposure
SSRI b- bfluvoxamine b(Luvox), bPaxil b(paroxetine), bZoloft b(sertraline), b
SNRI b- bEffexor b(venlafaxine)
, What bis bobsessive bcompulsive bdisorder b(OCD) band bhow bis bit btreated? b- bcorrect
banswers✔✔obsessions band/or bcompulsions bthat bare btime bconsuming, bdistressing,
band bimpairing
MEDS b+ bCBT
Fist bline- bSSRI b(often bhigh bdoses bof bZoloft b(sertraline). bProzac b(Fluoxetine), bLuvox
b- bFDA bapproved b(fluvoxamine) b50-300 bmg
2nd bline b- bSNRI bEffexor b(venlafaxine)
TCA bAnafranil b(clomipramine) bFDA bapproved
Can baugment bwith batypical bantipsychotic bin bsevere bcases
ECT bin bdebilitating bresistant bcases
What bis ba bcommon bside beffect bof bSSRI bLuvox b(fluvoxamine)? b- bcorrect
banswers✔✔nausea band bvomiting
What bare bcommonly bprescribed bbenzodiazepines? b- bcorrect banswers✔✔Alprazolam
b(Xanax) band blorazepam b(Ativan)
What beffects bdoes bGABA blead bto? b- bcorrect banswers✔✔Potentiate beffects bof
bGABA b(GABA bis binhibitory band blead bto bdrowsiness, bcognitive bimpairments,
bdampening bof bfear band banxiety, bimpaired bbalance, bmotor bcontrol, bmuscle btone,
band bcoordination, band banterograde bamnesia
Who bis bat bgreater brisk bof bfall brisk band bhip bfracture bon bbenzodiazepines? b- bcorrect
banswers✔✔Elderly bpatients
What bis bthe bmechanism bof baction bfor bbenzodiazepines? b- bcorrect
banswers✔✔enhance bactivity bof bGABA bat bGABA-A breceptors
Why bare bbenzodiazepines bnot balways bthe bbest bchoice bof bmedicatioon b- bcorrect
banswers✔✔potential bfor babuse band baddition
may bbecome bphysically bdependent b
may bbuild btolerance
What bcan bbe bused bto btreat bakathisia? b- bcorrect banswers✔✔Benzodiazepines bcan
bbe bused bto btreat bthe buncontrollable burge bto bmove band bfidgeting bmovements
How bis bchoice bof bBDZ bdecised? b- bcorrect banswers✔✔time bof bonset, bduration bof
baction, band bmethod bof bmetabolism
OTL b= bmetabolized boutside bthe bliver b(lorazepam, boxazepam, btemazepam)
What bare bside beffects bof bBDZ? b- bcorrect banswers✔✔anticholinergic b(dry bmouth,
bconstipation, burinary bretention, bblurred bvision, bincreased bHR), bunusual bbehavior4s,
bhallucinations, bdaytime bdrowsiness, bamnesia
What bis ba bknown blimitation bof bbenzo b- bcorrect banswers✔✔rebound binsomnia
