NURS 6550 MIDTERM EXAM STUDY GUIDE.
Areas Covered
1. Generalized anxiety disorder diagnosis criteria
2. Treatment of acute panic attacks
3. Inpatient treatment of depression
4. When is serotonin norepinephrine reuptake inhibitor indicated?
5. Venlafaxine dosing
6. Endogenous depression pathophysiology
7. Differences between panic attacks and panic disorder
8. Depressive disorder symptoms
9. Primary neurotransmitter in PTSD
10. PTSD diagnosis and treatment
11. Lithium side effects
12. Common adverse effects of atypical antipsychotics
13. Mental status changes related to UTI in elderly
14. Delirium in geriatric patients
15. Short Confusion Assessment Method (Short CAM)
16. Types of dementia
17. Aricept
18. Management of disinhibition in elderly
19. Physical findings when death is imminent
20. Limits of pain medication on dying patient
21. Theories about successful aging
22. Psychological abuse of elders
23. Trans-theoretical model of change
24. Death anxiety
25. Assessing driver safety in elderly
26. Geriatric Depression Screen (GDS)
27. EENT
28. Eye pain from medications
29. Cataracts
30. Chronic uveitis
31. Gonococcal conjunctivitis
32. Viral, allergic, bacterial conjunctivitis
33. Macular degeneration
34. Dacrocystitis
35. Open angle glaucoma
36. Metal FB in the eye
37. Penetrating eye injury
38. Corneal abrasions
39. Orbital cellulitis and fractures
40. Sensorineural hearing loss
41. Conductive hearing loss
42. Age-related hearing loss
,43. Transient hearing loss
44. Acute otitis media
45. Vertigo (acute or central)
46. Epistaxis
47. Bacterial sinusitis
48. Tonsillitis
49. Epiglottitis
50. Slit lamps, Snellen chart, Amsler grid, Wood’s lamp
51. Beta adrenergic antagonists
52. Cholinergic mimetic
53. Prostaglandin analogs
54. Osmotic diuretics
55. Cardiovascular disorders
56. Contraindications to thrombolytic therapy
57. MONA
58. Duke criteria for infective endocarditis
59. Endocarditis treatment
60. Pericarditis s/sx and treatment: inflammation of the pericardial sac
61. Initial treatment of acute pericarditis in adults
62. Treatment and findings for acute anterior wall MI
63. Medications for CHF
64. Diastolic failure
65. Thoracic aneurysm
66. Medications for acute descending aortic aneurysm:
67. Treatment plans for PAD
68. Risk factors for DVT
69. PE risk factors
70. Hypertensive urgency vs crisis
71. Chronic venous insufficiency treatment
72. Cardiac rehab
73. Stroke treatment guidelines
74. Coumadin guidelines
75. How to read EKGs
, PSYCHOSOCIAL
Generalized anxiety disorder diagnosis criteria
Excessive anxiety and worry occurring more days than not for 6 months
Difficulty controlling worry
3 or more of the following: restlessness, feeling keyed up or on edge; easily fatigued;
difficulty concentrating or mind going blank; irritability; muscle tension; sleep
disturbances
significant distress or impairment on social, occupational, or other important areas
symptoms not attributed to another medical condition or substance abuse
symptoms not explained by another medical disorder
Treatment of acute panic attacks
physical activity
selective serotonin reuptake inhibitors are first line therapy
continue medication for 12 months after symptoms improve prior to tapering
Antidepressants and benzodiazepines may speed recovery from anxiety-related symptoms
but do not improve long term outcomes. Benzodiazepines are associated with tolerance
and should only be used short term
psychotherapy can be as effective for GAD and PD; cognitive behavior therapy has the
best level of evidence
tailored options to individuals have the best outcomes and may include a combination of
therapies
Inpatient treatment of depression
reasons for inpatient: suicidal behavior; refusal to eat; severe malnutrition; catatonia;
presence of general medical or comorbid psychiatric conditions that make outpatient
treatment unsafe or ineffective (Depression Mgnt Guidelines AC folder)
When is serotonin norepinephrine reuptake inhibitor indicated?
most often prescribed for anxiety/sleep disorders
influence on thalamus and prefrontal areas of the cortex
fibromyalgia
when SSRIs don’t work
side effects are worse
Venlafaxine dosing
Areas Covered
1. Generalized anxiety disorder diagnosis criteria
2. Treatment of acute panic attacks
3. Inpatient treatment of depression
4. When is serotonin norepinephrine reuptake inhibitor indicated?
5. Venlafaxine dosing
6. Endogenous depression pathophysiology
7. Differences between panic attacks and panic disorder
8. Depressive disorder symptoms
9. Primary neurotransmitter in PTSD
10. PTSD diagnosis and treatment
11. Lithium side effects
12. Common adverse effects of atypical antipsychotics
13. Mental status changes related to UTI in elderly
14. Delirium in geriatric patients
15. Short Confusion Assessment Method (Short CAM)
16. Types of dementia
17. Aricept
18. Management of disinhibition in elderly
19. Physical findings when death is imminent
20. Limits of pain medication on dying patient
21. Theories about successful aging
22. Psychological abuse of elders
23. Trans-theoretical model of change
24. Death anxiety
25. Assessing driver safety in elderly
26. Geriatric Depression Screen (GDS)
27. EENT
28. Eye pain from medications
29. Cataracts
30. Chronic uveitis
31. Gonococcal conjunctivitis
32. Viral, allergic, bacterial conjunctivitis
33. Macular degeneration
34. Dacrocystitis
35. Open angle glaucoma
36. Metal FB in the eye
37. Penetrating eye injury
38. Corneal abrasions
39. Orbital cellulitis and fractures
40. Sensorineural hearing loss
41. Conductive hearing loss
42. Age-related hearing loss
,43. Transient hearing loss
44. Acute otitis media
45. Vertigo (acute or central)
46. Epistaxis
47. Bacterial sinusitis
48. Tonsillitis
49. Epiglottitis
50. Slit lamps, Snellen chart, Amsler grid, Wood’s lamp
51. Beta adrenergic antagonists
52. Cholinergic mimetic
53. Prostaglandin analogs
54. Osmotic diuretics
55. Cardiovascular disorders
56. Contraindications to thrombolytic therapy
57. MONA
58. Duke criteria for infective endocarditis
59. Endocarditis treatment
60. Pericarditis s/sx and treatment: inflammation of the pericardial sac
61. Initial treatment of acute pericarditis in adults
62. Treatment and findings for acute anterior wall MI
63. Medications for CHF
64. Diastolic failure
65. Thoracic aneurysm
66. Medications for acute descending aortic aneurysm:
67. Treatment plans for PAD
68. Risk factors for DVT
69. PE risk factors
70. Hypertensive urgency vs crisis
71. Chronic venous insufficiency treatment
72. Cardiac rehab
73. Stroke treatment guidelines
74. Coumadin guidelines
75. How to read EKGs
, PSYCHOSOCIAL
Generalized anxiety disorder diagnosis criteria
Excessive anxiety and worry occurring more days than not for 6 months
Difficulty controlling worry
3 or more of the following: restlessness, feeling keyed up or on edge; easily fatigued;
difficulty concentrating or mind going blank; irritability; muscle tension; sleep
disturbances
significant distress or impairment on social, occupational, or other important areas
symptoms not attributed to another medical condition or substance abuse
symptoms not explained by another medical disorder
Treatment of acute panic attacks
physical activity
selective serotonin reuptake inhibitors are first line therapy
continue medication for 12 months after symptoms improve prior to tapering
Antidepressants and benzodiazepines may speed recovery from anxiety-related symptoms
but do not improve long term outcomes. Benzodiazepines are associated with tolerance
and should only be used short term
psychotherapy can be as effective for GAD and PD; cognitive behavior therapy has the
best level of evidence
tailored options to individuals have the best outcomes and may include a combination of
therapies
Inpatient treatment of depression
reasons for inpatient: suicidal behavior; refusal to eat; severe malnutrition; catatonia;
presence of general medical or comorbid psychiatric conditions that make outpatient
treatment unsafe or ineffective (Depression Mgnt Guidelines AC folder)
When is serotonin norepinephrine reuptake inhibitor indicated?
most often prescribed for anxiety/sleep disorders
influence on thalamus and prefrontal areas of the cortex
fibromyalgia
when SSRIs don’t work
side effects are worse
Venlafaxine dosing
