NR 547 Differential DX Midterm Questions
with correct Verified detailed Answers
latest update 2025
What is the Tx of GAD ? ---correct answer ---Pyschotherapy,
medication, or both
What is the most widely studied and efficacious form of Tx of GAD? ---
correct answer ---Serotonergic antidepressants in combinations with
CBT
If symptoms are severe of GAD what is the line of Tx? ---correct
answer ---Short course of a benzodiazepine at the beginning of
treatment may be indicated
Anxiolytic Pros vs Cons ---correct answer ---PROS:
↓ adverse effects
↓ drug interactions
CONS
limited effectiveness
Anxiolytic time to efficacy? ---correct answer ---2-4 weeks
,Anxiolytic agents? ---correct answer ---Buspirone
SSRIs/SNRIs Pros vs Cons ---correct answer ---PROS:
Highly effective
CONS:
↑ drug interactions
risk of hyponatremia
SSRIs/ SNRIs time to efficacy? ---correct answer ---Up to 6 months
SSRIs/ SNRIs Agents ---correct answer ---escilatopram (Lexapro)
paroxetine (Paxil)
duloxetine (Cymbalta)
Benzodiazepines Pros vs Cons ---correct answer ---PROS
highly effective
rapid onset
can be used PRN
CONS
,multiple adverse effects
fall risk
risk of misuse
Benzodiazepines time to efficacy? ---correct answer ---Immediate
Benzodiazepines Agents ---correct answer ---alprazolam (Xanax)
clonazepam (Klonopin)
Non pharmacologic Treatment of GAD ---correct answer ---Some
clients may consider complementary and alternative treatments.
Treatments may include physical, cognitive, and spiritual activities
aimed at decreasing anxiety. High-intensity aerobic exercise is a good
complement to first-line therapy for GAD. Mindfulness-based stress
reduction activities, such as meditation and yoga, have shown a
reduction in symptoms of GAD
Relaxation or meditation
Art of music therapy
Yoga or other exercise
Acupuncture
Prayer or spiritual counselling
, What is Silexan? ---correct answer ---Is a branded extract of lavender.
OTC in the US. Similar to CAM therapies
Harold is a 32-year-old who presents to the clinic with complaints of
fatigue, difficulty concentrating, and difficulty falling asleep at night.
He states he worries about finances, his performance at work, and his
relationship, and his worries have been "almost constant" for 8
months. He denies substance use and recently had a normal physical
exam. He feels that his relationship is suffering due to his constant
worry.
Based on the DSM-5-TR, does Harold meet diagnostic criteria for
generalized anxiety disorder?
A) Yes
B) No ---correct answer ---A) Yes
Rationale: Harold meets the following diagnostic criteria for
generalized anxiety disorder: He has three symptoms associated with
worry, including fatigue, difficulty concentrating, and sleep
difficulties. He has experienced anxiety more days than not for over 6
months, and his worries are impacting his relationship.
SAD treatment plan? ---correct answer ---Not all clients with social
anxiety disorder (SAD) require treatment. Young adults may
with correct Verified detailed Answers
latest update 2025
What is the Tx of GAD ? ---correct answer ---Pyschotherapy,
medication, or both
What is the most widely studied and efficacious form of Tx of GAD? ---
correct answer ---Serotonergic antidepressants in combinations with
CBT
If symptoms are severe of GAD what is the line of Tx? ---correct
answer ---Short course of a benzodiazepine at the beginning of
treatment may be indicated
Anxiolytic Pros vs Cons ---correct answer ---PROS:
↓ adverse effects
↓ drug interactions
CONS
limited effectiveness
Anxiolytic time to efficacy? ---correct answer ---2-4 weeks
,Anxiolytic agents? ---correct answer ---Buspirone
SSRIs/SNRIs Pros vs Cons ---correct answer ---PROS:
Highly effective
CONS:
↑ drug interactions
risk of hyponatremia
SSRIs/ SNRIs time to efficacy? ---correct answer ---Up to 6 months
SSRIs/ SNRIs Agents ---correct answer ---escilatopram (Lexapro)
paroxetine (Paxil)
duloxetine (Cymbalta)
Benzodiazepines Pros vs Cons ---correct answer ---PROS
highly effective
rapid onset
can be used PRN
CONS
,multiple adverse effects
fall risk
risk of misuse
Benzodiazepines time to efficacy? ---correct answer ---Immediate
Benzodiazepines Agents ---correct answer ---alprazolam (Xanax)
clonazepam (Klonopin)
Non pharmacologic Treatment of GAD ---correct answer ---Some
clients may consider complementary and alternative treatments.
Treatments may include physical, cognitive, and spiritual activities
aimed at decreasing anxiety. High-intensity aerobic exercise is a good
complement to first-line therapy for GAD. Mindfulness-based stress
reduction activities, such as meditation and yoga, have shown a
reduction in symptoms of GAD
Relaxation or meditation
Art of music therapy
Yoga or other exercise
Acupuncture
Prayer or spiritual counselling
, What is Silexan? ---correct answer ---Is a branded extract of lavender.
OTC in the US. Similar to CAM therapies
Harold is a 32-year-old who presents to the clinic with complaints of
fatigue, difficulty concentrating, and difficulty falling asleep at night.
He states he worries about finances, his performance at work, and his
relationship, and his worries have been "almost constant" for 8
months. He denies substance use and recently had a normal physical
exam. He feels that his relationship is suffering due to his constant
worry.
Based on the DSM-5-TR, does Harold meet diagnostic criteria for
generalized anxiety disorder?
A) Yes
B) No ---correct answer ---A) Yes
Rationale: Harold meets the following diagnostic criteria for
generalized anxiety disorder: He has three symptoms associated with
worry, including fatigue, difficulty concentrating, and sleep
difficulties. He has experienced anxiety more days than not for over 6
months, and his worries are impacting his relationship.
SAD treatment plan? ---correct answer ---Not all clients with social
anxiety disorder (SAD) require treatment. Young adults may
