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EXAM 2- NSG 552 Wilkes University Questions with correct Answers 2024.
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EXAM 2- NSG 552 Wilkes University Questions with correct Answers 2024.
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EXAM 2- Nsg 552 Wilkes UniversityAcute 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 pharmacology - 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
Periactin
Thorazine
Zyprexa
Used in anorexia nervosA - ANS atypical antipsychotics
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
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