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Exam (elaborations)

NURS 663 exam 3 Questions and Answers (100% Pass)

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  • Nurs 663
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  • Nurs 663

pharmacologic agents for PTSD med tx is focused on diminishing intrusive thoughts, hyperarousal, and avoidance, with some success and mixed results PTSD frequent comorbidity depressive disorder, anxiety disorders, and behavioral problems associated with ______________ sertraline and parox...

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  • October 12, 2024
  • 51
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nurs 663
  • Nurs 663
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1 | P a g e | © copyright 2024/2025 | Grade A+




NURS 663 exam 3 Questions and
Answers (100% Pass)
pharmacologic agents for PTSD


✓ med tx is focused on diminishing intrusive thoughts, hyperarousal, and

avoidance, with some success and mixed results

PTSD frequent comorbidity


✓ depressive disorder, anxiety disorders, and behavioral problems

associated with ______________

sertraline and paroxetine


✓ 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


✓ FDA approval for use in children and adolescents with aggression,

severe behavioral dyscontrol, and severe psychiatric disorders

Antiadrenergic agents


✓ treat dysregulation of the noradrenergic system in adults and youth

with PTSD

clonidine and guanfacine




Master01 | October, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

✓ Alpha2-agonists examples

Alpha2 agonists


✓ decrease norepinephrine release, such as, are

propranolol


✓ centrally acting β-antagonists example

prazosin


✓ α-1-antagonists example

propranolol use


✓ hypothesized to improve hyperarousal and intrusive thoughts through

attenuation of norepinephrine postsynaptically

prazosin use


✓ nightmares associated with trauma

Modify PTSD sx


✓ Off-label medications including antidepressants, atypical

antipsychotics, adrenergic modulators/sympatholytics, and

anticonvulsants/mood stabilizers

clonidine and propanolol


✓ nightmares and exaggerated startle response: some evidence in

adults, but children case report only

guanfacine and clonidine




Master01 | October, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

✓ __________ may reduce nightmares in children with PTSD and

____________may diminish symptoms of reenactment of traumatic

events in children

Mood-stabilizing agents


✓ 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


✓ may provide some relief for the symptoms of hyperarousal, impulsivity,

and agitation in young children with PTSD; in children some evidence

benzodiazepines


✓ no controlled trials supporting use in children

Trauma-Focused CBT


✓ 10-16 treatment sessions, including 9 components itemized in the

acronym PRACTICE

PRACTICE elements


✓ 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,


Master01 | October, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

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


✓ exposure and cognitive reprocessing interventions are paired with

directed eye movements, alternating tones or tapping

CBITS


✓ Cognitive Behavioral Interventions for Trauma in Schools

CBITS description


✓ intervention that administers treatment in the school setting for

children who screen positive for PTSD and whose parents agree to

treatment in school.

CBITS elements


✓ Consists of 10 weekly group sessions

1-3 individual imaginal exposure sessions


2-4 optional sessions with parents


1 parent education session.


Similar to trauma-focused CBT, incorporates psychoeducation, relaxation,

training, cognitive coping skills, gradual exposure to traumatic memories

Master01 | October, 2024/2025 | Latest update

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