NURS 663 Maryville Psych Exam 3 Questions With Verifed Answers Latest Updates

NURS 663 Maryville Psych Exam 3 Questions With Verifed Answers Latest Updates 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 example Propranolol 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 description - ANSWER intervention that administers treatment in the school setting for children who screen positive for PTSD and whose parents agree to treatment in school.