NSG 552 Exam Questions With Answers, Latest Updated 2024/2025 | 100% Correct - Wilkes University

First line for acute panic may be short term benzo use. short acting benzos cause rebound anxiety and are the most abused Benzodiazepines - ANSWER Withdrawal can be dangerous, even deadly. Stopping abruptly is not advised. Symptoms of agitation, tension, irritability, and sz. may occur anxiety disorders - ANSWER psychological disorders characterized by distressing, persistent anxiety or maladaptive behaviors that reduce anxiety anxiety disorders treatment - ANSWER -non-activating antidepressants area good place to start. for this disorder first line treatment anxiety disorders - ANSWER SSRI- Fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil) TCAs often effective but with riskier SE may interfere with psychotherapy in TX of AD - ANSWER Benzodiazepinesshort acting Alprazolam are most abusable Rapid onset BZD - ANSWER used for acute panic disorder BZD with long half- life (20-80 hours) - ANSWER Diazepam (avoid in elderly) BEERS criteria - ANSWER A list of medications that are generally considered inappropriate when given to elderly people NSG 552 Wilkes University Exam 2 Questions With Answers | Latest Updated 2024/2025 | 100% Correct BEERS criteria - ANSWER Identifies High Risk Meds to Generate Wide List of Meds That Should be Avoided The "Beers Criteria for Potentially Inappropriate Medication Use in Older Adults", commonly called the Beers List, are guidelines for healthcare professionals to help improve the safety of prescribing medications for older adults. concomitant with pharmacological tx in AD - ANSWER Psychotherapy First line for specific phobias like clowns, blood, animals - ANSWER Psychotherapy medications not all that helpful for specific phobias OCD treatment - ANSWER SSRI and CBT BZD in treatment of OCD - ANSWER Xanax, Valium, Klonipin Trauma and Dissociative Disorders - ANSWER Consider and treat and comorbid disorders as well Trauma and Dissociative Disorders first line pharmocology - ANSWER Antidepressants Psychotherapy are treatment of choice Dissociative disorders - ANSWER the degree of insight the patient has is crucial to the outcome of psychotherapy DID- Dissociative identity disorder - ANSWER may consider multi pronged approach to treatment but strongly linked to childhood trauma so treating underlying PTSD s/s is often helpful DID - ANSWER discourage use of BZD DID - ANSWER beta blockers and alpha blockers useful for reducing sympathetic nervous system activation Prazosin - ANSWER alpha 1 blocker helpful for nightmares and flashbacks anorexia nervosa - ANSWER An eating disorder characterized by an obstinate and willful refusal to eat, a distorted body image, and an intense fear of being fat Meds for anorexia - ANSWER Prozac Anafranil Pariactin Thorazine Zyprexa Used in anorexia nervosA - ANSWER atypical antipyschotics binge eating disorder - ANSWER significant binge-eating episodes, followed by distress, disgust, or guilt, but without the compensatory purging, fasting, or excessive exercise that marks bulimia nervosa treatment of binge eating disorder - ANSWER Antidepressants and other medication, cognitive behavioral and interpersonal therapy. psychosomatic goal - ANSWER reduce discomfort, improve depression, improve anxieties or obsessive thoughts SSRI indications - ANSWER Major depression, OCD, GAD, panic disorder, social anxiety disorder and premenstrual dysphoric disorder SSRI side effects - ANSWER *BAD SSRI* B - Body weight increase; A - Anxiety/Agitation; D - Dizziness; Dry mouth S - Serotonin syndrome; S - Stimulated CNS; R - Reproductive/Sexual dysfunction I - Insomnia; antidepressants used in eating disorders - ANSWER SSRIs (high doses), TCAs TCAs - ANSWER tricyclic antidepressants TCA side effects - ANSWER 3Cs - cardiotoxicity, coma, convulsions antihistamine - weight gain, sedation anti adrenergic - orthostasis, reflex tachy, arrythmias, wide QRS/QT/PR anti-muscarinic - dry mouth, constipation, urinary retention, blurred vision, tachycardia, narrow angle glaucoma serotoninergic side effects - erectile/ejaculatory dysfunction in males, anorgasmia in females lethal in overdose weight gain seizures meds to treat Binge Eating Disorders - ANSWER Vyvanse (lisdexamfetamine) pharmacology indications for anorexia nervosa - ANSWER No medications are approved to treat anorexia because none has been found to work very well. However, antidepressants or other psychiatric medications can help treat other mental health disorders you may also have, such as depression or anxiety. pharmacotherapy indications for bulimia nervosa - ANSWER The only antidepressant specifically approved by the Food and Drug Administration to treat bulimia is fluoxetine (Prozac), a type of selective serotonin reuptake inhibitor (SSRI), which may help even if you're not depressed. Binge Eating Disorder Treatment - ANSWER -responds more rapidly to treatment than other eating disorders -self-help groups -learn to eat only when hungry -idenify personal needs -find healthful ways to express its emotions Binge Eating Disorder Treatment - ANSWER CBT Contraindicated in eating disorders due to eating disorders having elevated risk of sz - ANSWER Buproprion- "poor man's cocaine" hallmark of toxicity is sz. Buproprion contraindications - ANSWER increases risk of seizures, anorexia, bulimia. avoid with any condition that increases seizure-- abrupt etoh withdrawl, head injuries. antidepressants in binge eating disorders - ANSWER SSRI are first line if you are going to choose an antidepressant to treat as they are often very co-morbid with depression and anxiety disorders If a patient has both eating disorder and comorbid depression or anxiety, treatment should follow indications for the comorbidity- ex. if they have OCD comorbid with anorexia nervosa then what ( ?) would be indicated for the OCD should be your choice - ANSWER SSRI Insomnia treatment - ANSWER nonpharmacologic treatments for insomnia include sleep hygeine, stimulus control, relaxation, sleep restriction, and cognitive behavioral therapy. Stimulus control focuses on eliminating stimulating bedroom activities and getting into bed only when sleepy