NR 547 (NR547) Midterm Exam | Questions and Answers Verified 100% Correct

NR 547 (NR547) Midterm Exam | Questions and Answers Verified 100% Correct Name some s/s of SAD - ANSWER -trembling, blushing, derealization, embarrassment, fead of being judged by others What is the first treatment for SAD? - ANSWER -CBT therapy What is the treatment for performance based anxiety, or for people with psysiological symptoms such as tachycardia/tremor? - ANSWER -BB-Propanolol OR a Benzo 30-60 min before a performance for people with 1 or rare performances What is the tx for people with REOCCURING performance anxiety? - ANSWER -CBT Therapy-FIRST LINE THERAPY plus a BB/benzo 30-60 min before a performance-second line Tell me about Adjustment Disorder with anxiety - ANSWER -This is a disorder brought on by trauma/stress. The distress the patient feels usually OUTWEIGHS the severity of the actual trauma. New jobs, marriage, divorce, new disability Adjustment disorder. Symptoms must begin ___ months within exposure to the stressor and last NO MORE THAN ____ months - ANSWER -3 6 What is obsessive-compulsive disorder (OCD)? - ANSWER -This is obsessive thoughts, compulsions or both that consume at least 1 hour/day or cause significant distress or impairment. The individual has these obsessions & then need to complete a compulsion that will help them neutralize the thoughts. Usually if they do not do this then they think something bad will happen What are obsessions? - ANSWER -Intrusive and unwanted repetitive thoughts, urges or impulses that often lead to a marked increase of anxiety or distress. 1.) Contamination 2.) Pathological doubt 3.) Somatic 4.)Aggressive, sexual thoughts 5.) Need for symmetry/ordering _______ are repetitive behaviors or mental acts that are done in response to obsessions or in a rigid rule-bound way that can cause severe distress. Name some - ANSWER -Checking, washing, counting, need to ask/confess, symmetry/precision, hoarding, multiple comparisons, taking hours to complete a task When person that has a obsession believes that that a compulsion has to be completed or their family will die. What is this called? - ANSWER -OCD with delusional beliefs OCD with poor insight, the person mayy believe their obsessions/compulsions are probably true. Someone with good insight KNOWS their actions are not true - ANSWER - How would you treat OCD? - ANSWER -SSRI at high doses. You DO want to start low then go high. For example, Fluoxetine at 20 mg but the patient may be therapeutic at 80 mg or Sertraline at 200 mg. PLUSSSS EXPOSURE response therapy What childhood infection can lead someone to developing OCD? - ANSWER PANDAS- it is a beta hemolytic streptococcal infection which results from an auto-immune process that leads to inflammation of the basal ganglia that disrupts cortical-striatal-thalmic axis functioning which causes OCD. What tool can be used to assess severity of a patients obsessions/compulsions? - ANSWER -Yale Brown OC Scale. The patient is able to rate their severity of symptoms 0-7-subclinical 8-15 mild 16-23 mod 24-31 severe 32-40 EXTREME Name different types of Psychosis - ANSWER -Schizophrenia schizoaffective d/o schizophreniform d/o brief psychotic episode, delusional d/o Catatonia A psychotomor syndrome that presents as a decreases reactivity to ones environment. It usually occurs in tandem with other psychiatric/medical disorders. Most associated with schizophrenia/affective disorders, autism or infectious diseases. S/s: Mutism, withdrawal, refusal to eat, staring, posturing & rigidity, negativism, echolalia, echopraxia, grimacing. The presence of 3 or more of these symptoms will lead to the diagnosis in DSM5. - ANSWER -Catatonia What is the main treatment for Catatonia? - ANSWER -Benzodiazepines! Schizophrenia is marked by a "pre-phase" in which the patient develops symptoms before the 1st psychotic episode over a few days to a few months and the symptoms may persist for over a year or more before the onset of overt psychotic symptoms. - ANSWER -Prodromal phase Some people may experience abstract ideas, odd perceptual experiences, strange behavior, abnormal affect, unusual speech, bizarre ideas. Tell me about schizophrenia - ANSWER -This is symptoms present for a significant portion of time during a 1 month period with continuous signs of the disturbance persisting for at least 6 months. So DELUSIONS, HALLUCINATIONS or DISORGANIZED SPEECH must be present plus 2 or MORE of the following: Delusions, hallucinations, disorganized speech, grossly disorganized, negative symptoms or catatonia. ________ is associated with symptoms of schizophrenia and symptoms of a mood disorder. It can be misdiagnosed as MDD - ANSWER -SchizoAFFECTIVE disorder What is schizophreniform disorder? - ANSWER -This is schizophrenia like symptoms that last for more than one month BUT less than 6 months. They return to their baseline of functioning usually within 6 months _____ is an acute psychosis often precipitated by stress that can last more than 1 day BUT less than 1 month. These patients will experience COMPLETE remission