NURS 663 Maryville Psych Exam 3 questions with
correct answers
pharmacologic agents for PTSD Correct Answer-med tx is focused on
diminishing intrusive thoughts, hyperarousal, and avoidance, with some
success and mixed results
PTSD frequent comorbidity Correct Answer-depressive disorder,
anxiety disorders, and behavioral problems associated with
______________
sertraline and paroxetine Correct 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 Correct Answer-FDA approval for use in
children and adolescents with aggression, severe behavioral dyscontrol,
and severe psychiatric disorders
Antiadrenergic agents Correct Answer-treat dysregulation of the
noradrenergic system in adults and youth with PTSD
clonidine and guanfacine Correct Answer-Alpha2-agonists examples
Alpha2 agonists Correct Answer-decrease norepinephrine release, such
as, are
,propranolol Correct Answer-centrally acting β-antagonists example
prazosin Correct Answer-α-1-antagonists example
propranolol use Correct Answer-hypothesized to improve hyperarousal
and intrusive thoughts through attenuation of norepinephrine
postsynaptically
prazosin use Correct Answer-nightmares associated with trauma
Modify PTSD sx Correct Answer-Off-label medications including
antidepressants, atypical antipsychotics, adrenergic
modulators/sympatholytics, and anticonvulsants/mood stabilizers
clonidine and propanolol Correct Answer-nightmares and exaggerated
startle response: some evidence in adults, but children case report only
guanfacine and clonidine Correct Answer-__________ may reduce
nightmares in children with PTSD and ____________may diminish
symptoms of reenactment of traumatic events in children
Mood-stabilizing agents Correct 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 Correct
Answer-may provide some relief for the symptoms of hyperarousal,
impulsivity, and agitation in young children with PTSD; in children
some evidence
benzodiazepines Correct Answer-no controlled trials supporting use in
children
Trauma-Focused CBT Correct Answer-10-16 treatment sessions,
including 9 components itemized in the acronym PRACTICE
PRACTICE elements Correct 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 Correct Answer-exposure and cognitive reprocessing
interventions are paired with directed eye movements, alternating tones
or tapping
CBITS Correct Answer-Cognitive Behavioral Interventions for Trauma
in Schools
CBITS description Correct Answer-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 Correct Answer-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
SPARCS Correct Answer-Structured Psychotherapy for Adolescents
Responding to Chronic Stress
SPARCS description Correct Answer--Consists of a group intervention,
-16 sessions
-focus on the needs of adolescents (12-19 years old) chronic trauma and
PTSD.
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