NURS 663 EXAM 3 PSYCHIATRIC
NURSING NEWEST ACTUAL EXAM 2025
STUDYGUIDE | MARYVILLE
UNIVERSITY A+ GRADE
20 to 76% _________ children in inpt psych units endorse
hallucinations.
Psychosis is present in up to 75 to 95% of those
diagnosed with dissociative disorders. Correct Answer
PTSD stats
__________ may reduce nightmares in children with
PTSD and ____________may diminish symptoms of
reenactment of traumatic events in children Correct
Answer guanfacine and clonidine
_________________ receptor is found in highest
concentrations in the basal ganglia, the hippocampus, and
the cerebellum, with lower concentrations in the cerebral
cortex
___________ receptor is not found in the brainstem, a
minimal effects on respiratory and cardiac functions.
Studies in animals show affec on monoamine and γ-
aminobutyric acid GABA. some debate questions whether
the ______________stimulate the so-called reward
centers of the brain, dopaminergic neurons of the ventral
tegmental area Correct Answer cannibus MOA
,med tx is focused on diminishing intrusive thoughts,
hyperarousal, and avoidance, with some success and
mixed results Correct Answer pharmacologic agents for
PTSD
depressive disorder, anxiety disorders, and behavioral
problems associated with ______________ Correct
Answer PTSD frequent comorbidity
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 Correct
Answer sertraline and paroxetine
FDA approval for use in children and adolescents with
aggression, severe behavioral dyscontrol, and severe
psychiatric disorders Correct Answer Risperidone and
aripiprazole
treat dysregulation of the noradrenergic system in adults
and youth with PTSD Correct Answer Antiadrenergic
agents
Alpha2-agonists examples Correct Answer clonidine and
guanfacine
decrease norepinephrine release, such as, are Correct
Answer Alpha2 agonists
,centrally acting β-antagonists example Correct Answer
propranolol
α-1-antagonists example Correct Answer prazosin
hypothesized to improve hyperarousal and intrusive
thoughts through attenuation of norepinephrine
postsynaptically Correct Answer propranolol use
nightmares associated with trauma Correct Answer
prazosin use
Off-label medications including antidepressants, atypical
antipsychotics, adrenergic modulators/sympatholytics, and
anticonvulsants/mood stabilizers Correct Answer Modify
PTSD sx
nightmares and exaggerated startle response: some
evidence in adults, but children case report only Correct
Answer clonidine and propanolol
divalproex, carbamazepine, topiramate, and gabapentin
have been utilized for adults with PTSD with modest
improvement; some Correct Answer Mood-stabilizing
agents
may provide some relief for the symptoms of
hyperarousal, impulsivity, and agitation in young children
with PTSD; in children some evidence Correct Answer
clonidine with dosage ranges of 0.05 to 0.1 mg twice daily
, no controlled trials supporting use in children Correct
Answer benzodiazepines
10-16 treatment sessions, including 9 components
itemized in the acronym PRACTICE Correct Answer
Trauma-Focused CBT
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 Correct Answer
PRACTICE elements
exposure and cognitive reprocessing interventions are
paired with directed eye movements, alternating tones or
tapping Correct Answer EMDR
Cognitive Behavioral Interventions for Trauma in Schools
Correct Answer CBITS
intervention that administers treatment in the school
setting for children who screen positive for PTSD and
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TUTORWAC. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $22.99. You're not tied to anything after your purchase.
