UNIVERSITY OF TEXAS NURS 5336 FNP 3
FINAL EXAM REVIEW NEW UPDATE 2023
ASSURED SUCCESS
Psych
• What are diagnostic criteria for anxiety, panic, and
depression and first-line TX for each?
o Anxiety
▪ Diagnostic criteria
• Excessive anxiety & worry about
events or activities most days for 6
months
• Difficult to control worrying
• Associated with 3 or more (1 in
children):
o Easily fatigued, restlessness or
feeling “keyed up” or “on edge,”
muscle tension, difficulty
concentrating or mind goes blank,
irritability, sleep disturbance
▪ 1st line treatment
• SSRI (1st)
o Lexapro 10mg to start (FDA+)
o Paxil 10mg (FDA+)
UNIVERSITY OF TEXAS NURS 5336 FNP 3
FINAL EXAM REVIEW NEW UPDATE 2023
ASSURED SUCCESS
,UNIVERSITY OF TEXAS NURS 5336 FNP 3
FINAL EXAM REVIEW NEW UPDATE 2023
ASSURED SUCCESS
o All SSRIs
• SNRI
o Effexor XR (start 37.5mg)
(FDA+)
o Cymbalta 30mg
o Pristiq 50mg
• Anxiolytic
UNIVERSITY OF TEXAS NURS 5336 FNP 3
FINAL EXAM REVIEW NEW UPDATE 2023
ASSURED SUCCESS
,UNIVERSITY OF TEXAS NURS 5336 FNP 3
FINAL EXAM REVIEW NEW UPDATE 2023
ASSURED SUCCESS
o Buspirone (Buspar) 15mg
(FDA+)
• AED: gabapentin, gabitril
• Benzo: Xanax XR (FDA)+),
o Panic
clonazepam
▪ Diagnostic criteria
• Recurrent, unexpected panic
attacks (abrupt surge of intense
fear or intense discomfort, reaches peak
within minutes)
• 4 or more symptoms:
o Palpitations, pounding heart or
accelerated heart rate
o Sweating, trembling or shaking
o Sensation of SOB or smothering;
feeling of choking; chest pain or
discomfort
o Paresthesia (numbness or
tingling)
o Nausea or abdominal distress
UNIVERSITY OF TEXAS NURS 5336 FNP 3
FINAL EXAM REVIEW NEW UPDATE 2023
ASSURED SUCCESS
, UNIVERSITY OF TEXAS NURS 5336 FNP 3
FINAL EXAM REVIEW NEW UPDATE 2023
ASSURED SUCCESS
o Feeling dizzy, unsteady,
lightheaded or faint
o Chills or heat sensations
o Derealization or
depersonalization
o Fear of losing control or “going
crazy”
o Fear of dying
• At least 1 of the panic attacks
UNIVERSITY OF TEXAS NURS 5336 FNP 3
FINAL EXAM REVIEW NEW UPDATE 2023
ASSURED SUCCESS
FINAL EXAM REVIEW NEW UPDATE 2023
ASSURED SUCCESS
Psych
• What are diagnostic criteria for anxiety, panic, and
depression and first-line TX for each?
o Anxiety
▪ Diagnostic criteria
• Excessive anxiety & worry about
events or activities most days for 6
months
• Difficult to control worrying
• Associated with 3 or more (1 in
children):
o Easily fatigued, restlessness or
feeling “keyed up” or “on edge,”
muscle tension, difficulty
concentrating or mind goes blank,
irritability, sleep disturbance
▪ 1st line treatment
• SSRI (1st)
o Lexapro 10mg to start (FDA+)
o Paxil 10mg (FDA+)
UNIVERSITY OF TEXAS NURS 5336 FNP 3
FINAL EXAM REVIEW NEW UPDATE 2023
ASSURED SUCCESS
,UNIVERSITY OF TEXAS NURS 5336 FNP 3
FINAL EXAM REVIEW NEW UPDATE 2023
ASSURED SUCCESS
o All SSRIs
• SNRI
o Effexor XR (start 37.5mg)
(FDA+)
o Cymbalta 30mg
o Pristiq 50mg
• Anxiolytic
UNIVERSITY OF TEXAS NURS 5336 FNP 3
FINAL EXAM REVIEW NEW UPDATE 2023
ASSURED SUCCESS
,UNIVERSITY OF TEXAS NURS 5336 FNP 3
FINAL EXAM REVIEW NEW UPDATE 2023
ASSURED SUCCESS
o Buspirone (Buspar) 15mg
(FDA+)
• AED: gabapentin, gabitril
• Benzo: Xanax XR (FDA)+),
o Panic
clonazepam
▪ Diagnostic criteria
• Recurrent, unexpected panic
attacks (abrupt surge of intense
fear or intense discomfort, reaches peak
within minutes)
• 4 or more symptoms:
o Palpitations, pounding heart or
accelerated heart rate
o Sweating, trembling or shaking
o Sensation of SOB or smothering;
feeling of choking; chest pain or
discomfort
o Paresthesia (numbness or
tingling)
o Nausea or abdominal distress
UNIVERSITY OF TEXAS NURS 5336 FNP 3
FINAL EXAM REVIEW NEW UPDATE 2023
ASSURED SUCCESS
, UNIVERSITY OF TEXAS NURS 5336 FNP 3
FINAL EXAM REVIEW NEW UPDATE 2023
ASSURED SUCCESS
o Feeling dizzy, unsteady,
lightheaded or faint
o Chills or heat sensations
o Derealization or
depersonalization
o Fear of losing control or “going
crazy”
o Fear of dying
• At least 1 of the panic attacks
UNIVERSITY OF TEXAS NURS 5336 FNP 3
FINAL EXAM REVIEW NEW UPDATE 2023
ASSURED SUCCESS
