NURSING 404 Chapter 4 ANXIETY DISORDERS

NURSING 404 Chapter 4 ANXIETY DISORDERS 1-Cessation of diazepam after chronic use may cause all of the following except A. Depersonalization and derealization B. Perceptual disturbances C. Anxiety D. Constipation E. Rhinorrhea 2-A 54-year-old man is prescribed buspirone for generalized anxiety disorder. One of the important facts the patient should know about buspirone is that it A. Does not cause dependence B. Acts rapidly to give symptomatic relief C. Causes sedation D. Can cause agitation E. Is effective in low dosages 3-A 26-year-old woman presents who appears to have generalized anxiety disorder with panic attacks. Terrified by the panic attacks, she requests medication, saying: “I need something to control them immediately.” She is otherwise fit and healthy and has no history of any substance abuse or dependence. A reasonable approach would be to A. Start the patient on intensive psychotherapy B. Start the patient on a combination of bupropion and clonazepam C. Start the patient on any SSRI D. Start the patient on an SSRI and refer the patient to cognitive behavorial therapy E. Start the patient on a combination of an SSRI for the long term and low-dose clonazepam for a short duration 3. 2. 1. 87 4-A 28-year-old female patient is diagnosed with generalized anxiety disorder and substance abuse. A trial of SSRIs fails, and the physician is reluctant to prescribe any benzodiazepines for symptomatic relief in view of the patient’s history of substance abuse. He prescribes buspirone. Buspirone acts as a 5HT2C agonist 5HT1A agonist 5HT1A antagonist GABA agonist Serotonin reuptake inhibitor 5- Which of the following is true about specific phobias? A. More common in men B. More common in women C. Phobic avoidance uncommon D. Onset in adult life E. Treatment usually not effective 6- People with anxiety disorders have all of the following cardiac abnormalities except A. Decreased deceleration after stress B. High beat-to-beat fluctuation C. Higher baseline heart rate D. Higher subjective awareness of heartbeats E. Increased deceleration after stress 7- All of the following neurotransmitter abnormalities are detected in anxiety disorders except A. Increased platelet MAO activity B. Increased activity of central noradrenaline C. Increased central GABA activity D. Increased circulating adrenaline