CMN 552 Anxiety Do Exam Questions And Answers Verified 100% Correct

CMN 552 Anxiety Do Exam Questions And Answers Verified 100% Correct What are the risk factors for developing panic disorder? - ANSWER -1st degree relative 4-8 fold increase over other mental illness Higher incident of stressful life event Experience greater distress over life events Separation from parent, Female sex abuse as child 60 % of females What is a panic attack? - ANSWER -Sudden period of intense fear or apprehension that last from minutes to hours What are the clinical features of panic disorder? - ANSWER Prior 10 minutes rapid increasing symptoms - fear and sense of impending doom, respiratory, or death, tacky, palpitations, dyspnea, and sweating. 20-30 minuets - hour Difficulty speaking, rumination, and impaired memory How can the psychiatric nurse practitioner best assess the impact that panic attacks have on a patient - ANSWER -listen to your PT describe one 13. Review the pharmacotherpeutic treatment for panic disorder including dosing and duration for: SSRIs: - ANSWER -1. Paroxetine (Paxil) sedating effect calm PT immediately "big weight gain" 5-10; 20-60 -- cr 12.5 - 25; 62.5 2. Citalopram (Celexa) next best after Paxil 10; 20-40 3. Escitalopram (Lexapro) next best after Paxil 10;20 4. Fluvoxamine (Luvox) next best after Paxil - most activating effect 2-5; 20-60 5. Sertraline (Zoloft) 12. 5-25; 50-200 13. Review the pharmacotherpeutic treatment for panic disorder including dosing and duration for: Benzodiazepines - ANSWER -Benzodiazepines 239 most rapid effect - no tolerance to anti-panic effect Start with benzo while titrating up ssri Beware of dependence, cognitive impairment, and abuse - do not drive 1. Alprazolam (Xanax) - most widely uses .25-,5 tid; .5-2 tid 2. Lorazepam (Ativan) .25-,5 bid; .5-2 bid 3. Clonazepam (Klonopin) .25-,5 bid; .5-2 bid Review the pharmacotherpeutic treatment for panic disorder including dosing and duration for: TCAs - ANSWER -second choice to ssri. 1. Clomipramine (Anafranil) 5-12.5; 50-125 2. Imipramine (Tofranil) most effective titrate up slowly 8 - 12 weeks 10- 25; 150-500 What is the DSM 5 diagnostic criteria for agoraphobia? - ANSWER -All of the below features must be present in order to make a proper diagnosis of agoraphobia: see table 9.3-1 399 • Marked and disproportionate fear when confronted with at least two different situations, such as open spaces, public transport or crowded areas • An immediate anxiety response such as a panic attack when exposed to the phobic stimulus • Recognition of the fear as disproportionate