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MARYVILLE NURS 623 EXAM 3 | QUESTIONS WITH COMPLETE SOLUTIONS | LATEST UPDATE CA$18.85   Add to cart
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MARYVILLE NURS 623 EXAM 3 | QUESTIONS WITH COMPLETE SOLUTIONS | LATEST UPDATE
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MARYVILLE NURS 623 EXAM 3 | QUESTIONS WITH COMPLETE SOLUTIONS | LATEST UPDATE Anxiety disorder - Most common psych disorder in the US (usually 20-45year olds) Symptoms manifested in several ways: •Affective •Behavioral •cognitive •Somatic More common in women Thinks to rule out wi...

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  • September 27, 2024
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  • 2024/2025
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  • maryville nurs 623 exam 3 questions with complet

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MARYVILLE
NURS 623 EXAM 3 | QUESTIONS WITH
COMPLETE SOLUTIONS | LATEST UPDATE




Anxiety disorder - Most common psych disorder in the US (usually 20-45year olds)

Symptoms manifested in several ways:
•Affective
•Behavioral
•cognitive
•Somatic
More common in women

Thinks to rule out with anxiety - thyroid issues
palpitations
drug use
caffeine

diagnostics for anxiety - blood chemistry
ekg
thyroid function

Symptom criteria for diagnosis of GAD - Excessive anxiety and worry (apprehensive
expectation), occurring more days than not for at least 6 months, about a number of
events or activities (such as work or school performance)
Clinical Presentation of GAD
Excessive anxiety
Hyper vigilant
Headaches
Restlessness
Shakiness
Hyperactive autonomic symptoms
Disrupts life
Symptoms for 6 months or more

Education for GAD - •Avoid alcohol and stimulants
•Symptom recognition
•Symptom interpretation

,Treatment for GAD - Non pharmacologic
•***Cognitive behavior therapy (CBT)

Pharmacology
•Anti-anxiety agents (refer to text for list)
•Acute: alprazolam and diazepam short term
•Long term: SSRIs
•*caution in elderly

Panic disorder - An anxiety disorder marked by unpredictable minutes-long episodes of
intense dread in which a person experiences terror and accompanying chest pain,
choking, or other frightening sensations.

Distinguish between disorder and attack

•Pattern of recurrent episodes
•Sudden onset
•Severe symptoms

Diagnosis: based on clinical symptoms
•Refer to text for symptom criteria

Treatment:
•SSRI/SNRI or TCA
•CBT**

PTSD (Post Traumatic Stress Disorder) - Types PTSD
•Acute: <3 months
•Chronic: >3 months
•Delayed: onset at least 6 months after trauma

Clinical
•Symptoms are apparent for greater than one month

Symptoms:
intrusive, avoidant behaviors, hyper arousal.

education and treatment for PTSD - Pharmacology
-SSRI
-Paroxetine and sertraline
-? prazosin

Non-pharmacological
•CBT and prolonged exposure (PE)
•Critical incident debriefing (CID)

, •Stress inoculation therapy (SIT)
•Image rehearsal therapy (IRT)
•Psychodynamic Therapy
•Family, group, and peer

Major depressive disorder - Characteristics
•Severe negative change
in mood, thinking, and
behavior
•Severity
•With or without suicide idealization

Epidemiology
•5-20% of population
•Adults >65 (30-40%)
•High rate for recurrence
•Women > Men
•8-19% hospitalized
•1 out of 7 suicide
•Co-morbid anxiety, cardiac and diabetes

Differential diagnosis for major mood disorder - Thyroid disorder
•Sleep disorder
•Unrecognized bipolar
•Neurological
•Medications
•Substance use
•Adrenal functioning

Clinical features of Major depressive disorder - The DSM-5 symptom criteria for major
depression state that five (or more) of the following symptoms have been present during
the same 2-week period and represent a change from previous functioning.
At least one of the symptoms is either (1) depressed mood or (2) anhedonia, meaning
loss of interest or pleasure:

• Depressed mood expressed as feelings of sadness or hopelessness. Irritability may be
the primary symptom in adolescents and children.
• Markedly diminished interest (apathy) in most activities.
• Change in appetite.
• Insomnia or hypersomnia.
• Behavioral agitation or retardation.
• Loss of energy.
• Feelings of worthlessness or guilt.
• Loss of concentration.
• Recurrent thoughts of death or suicide.

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