VERIFIED 16, MARYVILLE 663 NURS EXAM 2 QUESTIONS
AND ANSWERS
Selective Mutism
developmental disorder characterized by a consistent failure to speak in specific social
situations despite speaking in other situations
generalized anxiety disorder
an anxiety disorder in which a person is continually tense, apprehensive, and in a state
of autonomic nervous system arousal for 6 mo or more
Separation Anxiety Disorder (SAD)
A form of anxiety disorder in which the individual displays age-inappropriate, excessive,
and disabling anxiety about being apart from his or her parents or away from home;
fears for caregiver safety and health
social anxiety disorder
an anxiety disorder involving the extreme and irrational fear of being embarrassed,
judged, or scrutinized by others in social situations; avoidance of soc situations
Phobias
A group of anxiety disorders involving a pathological fear of a specific object or situation
Anxiety disorder tx
- First line tx: SSRIs: most effective, least s/e
- Anti-anxiety drugs: buspirone, hydroxyzine, benadryl
- Beta blockers: propranolol
- Psychotherapy
Avoid benzos
Anxiety disorder meds
Fluoxetine, sertraline, escitalopram, citalopram, paroxetine, duloxetine, venlafaxine,
desvenlafaxine, vilazodone (Viibryd), vortioxetine (Trintellix) from most to least often
used/EBP
SSRI mechanism of action
Blocking reabsorption / reuptake, of serotonin, leaves more serotonin available, which
improves mood
, SNRI mechanism of action
Inhibit reuptake of both serotonin and norepinephrine
Anti-depressant education
Always teach the Black Box warning for incr SI risk up to 24 y/o.
Schizophrenia
a psychological disorder characterized by 2 of the following for at least 1 mo; must
include at least one of first 3:
1. delusions,
2. hallucinations,
3. disorganized speech
4. Grossly disorganized/catatonic behavior
5. diminished, inappropriate emotional expression
6. IF have ASD or comm d/o then delu or hall a must
bizarre delusions
clearly implausible and not understandable to same-culture peers and do not derive
from ordinary life experiences; do not play into delusions
positive symptoms of schizophrenia
Delusions of reference, delusions of persecution, delusions of grandeur, thought
broadcasting, though insertion, hallucinations, disorganized thought, disorganized
behavior, catatonia
negative symptoms of schizophrenia
Diminished emotions expression of face exp, eye contact, prosody, other non-verbal
comm (hand, head, face movements;
Avolition: dec self-motivated behav
Alogia: diminished speech
Anhedonia: diminished pleasure/interest
Asociality: lack of interest in soc interation
Prosody
intonation and rhythm of speech
Positive symptoms
something is added
AND ANSWERS
Selective Mutism
developmental disorder characterized by a consistent failure to speak in specific social
situations despite speaking in other situations
generalized anxiety disorder
an anxiety disorder in which a person is continually tense, apprehensive, and in a state
of autonomic nervous system arousal for 6 mo or more
Separation Anxiety Disorder (SAD)
A form of anxiety disorder in which the individual displays age-inappropriate, excessive,
and disabling anxiety about being apart from his or her parents or away from home;
fears for caregiver safety and health
social anxiety disorder
an anxiety disorder involving the extreme and irrational fear of being embarrassed,
judged, or scrutinized by others in social situations; avoidance of soc situations
Phobias
A group of anxiety disorders involving a pathological fear of a specific object or situation
Anxiety disorder tx
- First line tx: SSRIs: most effective, least s/e
- Anti-anxiety drugs: buspirone, hydroxyzine, benadryl
- Beta blockers: propranolol
- Psychotherapy
Avoid benzos
Anxiety disorder meds
Fluoxetine, sertraline, escitalopram, citalopram, paroxetine, duloxetine, venlafaxine,
desvenlafaxine, vilazodone (Viibryd), vortioxetine (Trintellix) from most to least often
used/EBP
SSRI mechanism of action
Blocking reabsorption / reuptake, of serotonin, leaves more serotonin available, which
improves mood
, SNRI mechanism of action
Inhibit reuptake of both serotonin and norepinephrine
Anti-depressant education
Always teach the Black Box warning for incr SI risk up to 24 y/o.
Schizophrenia
a psychological disorder characterized by 2 of the following for at least 1 mo; must
include at least one of first 3:
1. delusions,
2. hallucinations,
3. disorganized speech
4. Grossly disorganized/catatonic behavior
5. diminished, inappropriate emotional expression
6. IF have ASD or comm d/o then delu or hall a must
bizarre delusions
clearly implausible and not understandable to same-culture peers and do not derive
from ordinary life experiences; do not play into delusions
positive symptoms of schizophrenia
Delusions of reference, delusions of persecution, delusions of grandeur, thought
broadcasting, though insertion, hallucinations, disorganized thought, disorganized
behavior, catatonia
negative symptoms of schizophrenia
Diminished emotions expression of face exp, eye contact, prosody, other non-verbal
comm (hand, head, face movements;
Avolition: dec self-motivated behav
Alogia: diminished speech
Anhedonia: diminished pleasure/interest
Asociality: lack of interest in soc interation
Prosody
intonation and rhythm of speech
Positive symptoms
something is added
