EXAM 2 NSG 552 WILKES UNIVERSITY | COMPREHENSIVE NURSING
STUDY GUIDE, PRACTICE QUESTIONS & ANSWERS 2026/2027
Acute anxiety - ANS ✔✔First line for acute panic may be short term benzo use.
short acting benzos cause rebound anxiety and are the most abused
Benzodiazepines - ANS ✔✔Withdrawal can be dangerous, even deadly. Stopping abruptly is not advised.
Symptoms of agitation, tension, irritability, and sz. may occur
anxiety disorders - ANS ✔✔psychological disorders characterized by distressing, persistent anxiety or
maladaptive behaviors that reduce anxiety
anxiety disorders treatment - ANS ✔✔-non-activating antidepressants area good place to start. for this
disorder
first line treatment anxiety disorders - ANS ✔✔SSRI- Fluoxetine (Prozac), sertraline (Zoloft), and
paroxetine (Paxil)
TCAs often effective but with riskier SE
may interfere with psychotherapy in TX of AD - ANS ✔✔Benzodiazepines- short acting Alprazolam are
most abusable
Rapid onset BZD - ANS ✔✔used for acute panic disorder
BZD with long half- life (20-80 hours) - ANS ✔✔Diazepam (avoid in elderly)
BEERS criteria - ANS ✔✔A list of medications that are generally considered inappropriate when given to
elderly people
BEERS criteria - ANS ✔✔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 - ANS ✔✔Psychotherapy
First line for specific phobias like clowns, blood, animals - ANS ✔✔Psychotherapy
medications not all that helpful for specific phobias
OCD treatment - ANS ✔✔SSRI and CBT
BZD in treatment of OCD - ANS ✔✔Xanax, Valium, Klonipin
, Trauma and Dissociative Disorders - ANS ✔✔Consider and treat and comorbid disorders as well
Trauma and Dissociative Disorders first line pharmocology - ANS ✔✔Antidepressants
Psychotherapy are treatment of choice
Dissociative disorders - ANS ✔✔the degree of insight the patient has is crucial to the outcome of
psychotherapy
DID- Dissociative identity disorder - ANS ✔✔may consider multi pronged approach to treatment but
strongly linked to childhood trauma so treating underlying PTSD s/s is often helpful
DID - ANS ✔✔discourage use of BZD
DID - ANS ✔✔beta blockers and alpha blockers useful for reducing sympathetic nervous system
activation
Prazosin - ANS ✔✔alpha 1 blocker helpful for nightmares and flashbacks
anorexia nervosa - ANS ✔✔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 - ANS ✔✔Prozac
Anafranil
Pariactin
Thorazine
Zyprexa
Used in anorexia nervosA - ANS ✔✔atypical antipyschotics
binge eating disorder - ANS ✔✔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 - ANS ✔✔Antidepressants and other medication, cognitive behavioral
and interpersonal therapy.
psychosomatic goal - ANS ✔✔reduce discomfort, improve depression, improve anxieties or obsessive
thoughts
SSRI indications - ANS ✔✔Major depression, OCD, GAD, panic disorder, social anxiety disorder and
premenstrual dysphoric disorder
SSRI side effects - ANS ✔✔*BAD SSRI*
B - Body weight increase;
A - Anxiety/Agitation;
D - Dizziness; Dry mouth
S - Serotonin syndrome;
S - Stimulated CNS;
STUDY GUIDE, PRACTICE QUESTIONS & ANSWERS 2026/2027
Acute anxiety - ANS ✔✔First line for acute panic may be short term benzo use.
short acting benzos cause rebound anxiety and are the most abused
Benzodiazepines - ANS ✔✔Withdrawal can be dangerous, even deadly. Stopping abruptly is not advised.
Symptoms of agitation, tension, irritability, and sz. may occur
anxiety disorders - ANS ✔✔psychological disorders characterized by distressing, persistent anxiety or
maladaptive behaviors that reduce anxiety
anxiety disorders treatment - ANS ✔✔-non-activating antidepressants area good place to start. for this
disorder
first line treatment anxiety disorders - ANS ✔✔SSRI- Fluoxetine (Prozac), sertraline (Zoloft), and
paroxetine (Paxil)
TCAs often effective but with riskier SE
may interfere with psychotherapy in TX of AD - ANS ✔✔Benzodiazepines- short acting Alprazolam are
most abusable
Rapid onset BZD - ANS ✔✔used for acute panic disorder
BZD with long half- life (20-80 hours) - ANS ✔✔Diazepam (avoid in elderly)
BEERS criteria - ANS ✔✔A list of medications that are generally considered inappropriate when given to
elderly people
BEERS criteria - ANS ✔✔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 - ANS ✔✔Psychotherapy
First line for specific phobias like clowns, blood, animals - ANS ✔✔Psychotherapy
medications not all that helpful for specific phobias
OCD treatment - ANS ✔✔SSRI and CBT
BZD in treatment of OCD - ANS ✔✔Xanax, Valium, Klonipin
, Trauma and Dissociative Disorders - ANS ✔✔Consider and treat and comorbid disorders as well
Trauma and Dissociative Disorders first line pharmocology - ANS ✔✔Antidepressants
Psychotherapy are treatment of choice
Dissociative disorders - ANS ✔✔the degree of insight the patient has is crucial to the outcome of
psychotherapy
DID- Dissociative identity disorder - ANS ✔✔may consider multi pronged approach to treatment but
strongly linked to childhood trauma so treating underlying PTSD s/s is often helpful
DID - ANS ✔✔discourage use of BZD
DID - ANS ✔✔beta blockers and alpha blockers useful for reducing sympathetic nervous system
activation
Prazosin - ANS ✔✔alpha 1 blocker helpful for nightmares and flashbacks
anorexia nervosa - ANS ✔✔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 - ANS ✔✔Prozac
Anafranil
Pariactin
Thorazine
Zyprexa
Used in anorexia nervosA - ANS ✔✔atypical antipyschotics
binge eating disorder - ANS ✔✔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 - ANS ✔✔Antidepressants and other medication, cognitive behavioral
and interpersonal therapy.
psychosomatic goal - ANS ✔✔reduce discomfort, improve depression, improve anxieties or obsessive
thoughts
SSRI indications - ANS ✔✔Major depression, OCD, GAD, panic disorder, social anxiety disorder and
premenstrual dysphoric disorder
SSRI side effects - ANS ✔✔*BAD SSRI*
B - Body weight increase;
A - Anxiety/Agitation;
D - Dizziness; Dry mouth
S - Serotonin syndrome;
S - Stimulated CNS;
