NURS 6550 Midterm Exam Guide: Primary Care Women's Health (WHNP) Study Resources

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NURS6550 / NURS 6550 Midterm Exam Q & A (Latest):

Advanced Practice Care of Adults in Acute Care Settings

I - Walden

An adjustment disorder that persists and worsens can potentially

evolve into other psychiatric disorder such as

.....ANSWER.....major depression or generalized anxiety disorder

(GAD).

Maladaptive behavior in response to stress is called

.....ANSWER.....adjustment disorder, with the major symptom

specified (eg, "adjustment disorder with depressed mood"

PTSD is classified as what type of disorder in the DSM-5

.....ANSWER.....Trauma and stressor - not anxiety

The key to establishing the diagnosis of PTSD lies

.....ANSWER.....in the history of exposure to a life-threatening

event followed by intrusive (eg, flashbacks, nightmares) or

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avoidance (eg, withdrawal) symptoms. DSM-5 includes the

requirement that the symptoms persist for at least 1 month.

Patients with PTSD experience .....ANSWER.....physiologic

hyperarousal, including startle reactions, intrusive thoughts,

illusions, overgeneralized associations, sleep problems,

nightmares, dreams about the precipitating event, impulsivity,

difficulties in concentration, and hyperalertness.

Differential Dx of PTSD .....ANSWER.....comorbid depression,

panic disorder, acute stress disorder, borderline personality

disorder

Acute stress disorder occurs during or shortly after a traumatic

event and has many of the same symptoms as PTSD

.....ANSWER.....but lasts between 2 and 28 days.

What is considered the pharmacotherapy of choice for PTSD?

.....ANSWER.....Sertraline and paroxetine are approved by the

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US Food and Drug Administration (FDA) for this purpose, and the

SSRIs are the only class of medications approved

What are the symptoms of generalized anxiety disorder (GAD)?

.....ANSWER.....Apprehension, worry, irritability, difficulty in

concentrating, insomnia, and somatic complaints are PRESENT

MORE DAYS THAN NOT FOR AT LEAST 6 MONTHS.

Manifestations can include cardiac, gastrointestinal, and

neurologic

_________________________is characterized by recurrent,

unpredictable episodes of intense anxiety accompanied by

marked physiologic manifestations .....ANSWER.....PANIC

DISORDER

What is the drug of choice for managing ACUTE generalized

anxiety disorder? .....ANSWER.....benzodiazepines are the

anxiolytics of choice in the acute management of generalized

anxiety

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What are the FDA approved treatments for GAD

.....ANSWER.....Venlafaxine and duloxetine are FDA-approved

for the treatment of GAD in usual antidepressant doses. Initial

daily dosing should start low (37.5-75 mg for venlafaxine and

30 mg for duloxetine) and be titrated upward as needed. SSRIs,

such as paroxetine, are also used.

______________has no clear usefulness in the treatment of

anxiety disorders. .....ANSWER.....Bupropion (pg.

SSRIs, that are approved for the treatment of panic disorder.

.....ANSWER.....fluoxetine, paroxetine, and sertraline

The SNRI that is FDA approved for treatment of panic disorder.

.....ANSWER.....venlafaxine

OD of benzo's are .....ANSWER.....Overdosage results in

respiratory depression, hypotension, shock syndrome, coma, and

death