NUR 316 Final Exam (Psych) Review Questions and Correct Answers
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Course
NUR 316
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NUR 316
What classes of medication are used to treat anxiety disorders? • Benzos • Ativan - Lorezepam, Klonopin (Clonazepam), Valium (diazepam), Xanax - alprazolam • Used PRN for panic disorder • Flumazenil (Romazicon) is a BZ antagonists and is used in OD • Vistaril (hydroxyzine) (anticholinergi...
what classes of medication are used to treat anxie
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NUR 316 Final Exam (Psych) Review
Questions and Correct Answers
What classes of medication are used to treat anxiety disorders? ✅• Benzos
• Ativan - Lorezepam, Klonopin (Clonazepam), Valium (diazepam), Xanax - alprazolam
• Used PRN for panic disorder
• Flumazenil (Romazicon) is a BZ antagonists and is used in OD
• Vistaril (hydroxyzine) (anticholinergic)
• Paxil, Buspar - buspirone *SSRIs are first line status in anxiety disorders
• Citalopram - GAD, Prozac, Paxil, Zoloft - OCD, panic, bulimia,
• Propranolol - (beta blocker) & Clonadine (alpha2 receptor agonist - also blocks
physiological symptoms of opiate withdrawal) *both block peripheral norepinephrine
What classes of meds are used to treat psychosis? ✅• Typical Antipsychotics
• Haldol, Thorazine -(chloropromazine) Stelazine (trifluoperazine) Trilafon
(penpenazine) Prolixin -
• Atypical Antipsychotics
• Seroquel (quetiapine), Risperdal (respiradone), Geodon (ziprazadone), Abilify
(aripiprazole) Zyprexa (olanzapine) Clozaril (clozapine)
What meds are used to treat EPS from antipsychotics? ✅• Cogentin (benzotropine),
benedryl, Artane (trihexyphenidyl), Symmetrel, diazepam (Akathesia - propranolol,
amantadine, clonidine
What kinds of meds are used in detox and rehab? ✅• Prozosin (BP for flashbacks),
clonidine (alpha2 for opiate withdrawal)
• Acamprasite/Campral (decreases cravings for chemical dependency with alcohol)
• Vistaril (anticholinergic) for acute anxiety, SSRIs,
• Subutex, suboxone (Buprenorphine) *opioid angonist/antagonist
• Naltrexone *pure opioid antagonist
What classes of drugs are used for mood stabilization? ✅Lithium & anticonvulsants •
Eskalith/lithium, Depakote (valproic acid), Carbatrol (carbamazepine), Lamictal
(lamotrigine), Neruontin (gabapentin
What are the basic techniques of cognitive behavioral therapy? ✅1 Imagery
• Positive imagery: imaging an outcome positively to present or past events "people do
the best they can with their circumstances"
• Negative imagery: Thinking through consequences. Replaces positive imagery when
maladaptive (change "drinking makes me less anxious" to "drinking makes me behave
poorly"
Mastery: imagining the situation handled well
2 Thought Stopping: imagining a stop sign
What are the basic principles of Dialectical Behavioral Therapy? ✅Group and
individual therapy 2X per week
* mindfulness
*distress tolerance
*emotional regulation
*Interpersonal effectiveness
What are some Cognitive behavioral strategies for people with Anxiety? ✅CBT
focused on anxiety reduction, cognitive restructuring, learning new behaviors
• Relaxation training, biofeedback, desensitization,
• Cognitive restructuring: monitoring thoughts and feelings, questioning evidence;
examining alternatives, decatastrophizing; reframing, thought stopping
What are some Cognitive behavioral strategies for dealing with depression?
✅behavioral activation → understanding of environmental sources of their depression
& target behaviors that might maintain or worsen depression *get out of the house
*enhance socialization ^activities, maximize opportunities for positive reinforcement vs.
previous coping mechanism of staying at home which worsens the depression) p.568
*Learn new positive social skills
*learn corrective behavior
*generalize new skills
How do the principles of Motivational interviewing contribute to changing behavior? ✅o
Express empathy: acceptance facilitates change *use reflective listening
o Identify discrepancy: ask the patient about pros and cons of changing. Change is
motivated by perceived discrepancy between present behaviors and important goals
and values
o Roll with resistance: avoid arguing about change. Offer new perspectives but the
patient is the one who identifies the problems and finds solutions. *emphasize personal
choice and control
o Support self-efficacy: belief in the possibility of change and hope are important
motivators. The patient is responsible for choosing and carrying out change.
Describe types of crises... ✅• Maturational: developmental event requiring role
changes (empty nest)
• Situational: a life event upsets equilibrium (loss of a job)
• Disaster:
What are some risk factors for people enduring a crisis? ✅(Lack of...)
• Psychological resilience
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