NURS 6550N Midterm Exam Study Guide
Correct and Verified Q & A
NURS 6550-Advanced Practice Care of Adults in Acute
Care Settings I
NURS 6550 Midterm Study Guide 1
, MIDTERM STUDY GUIDE
NURS 6550 Acute Care Study Guide for midterm
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
NURS 6550 Midterm Study Guide 2