NURS 6550 MIDTERM-Psych EXAM QUESTIONS (117 TERMS) WITH VERIFIED DEFINITIONS UPDATED 2024
An adjustment disorder that persists and worsens can potentially evolve into other psychiatric disorder such as
Maladaptive behavior in response to stress is called
PTSD is classified as what type of disord...
1). An adjustment disorder that persists and worsens can potentially evolve into other
psychiatric disorder such as
Ans: major depression or generalized anxiety disorder (GAD).
2). Maladaptive behavior in response to stress is called
Ans: adjustment disorder, with the major symptom specified (eg, "adjustment disorder
with depressed mood"
3). Ptsd is classified as what type of disorder in the dsm-5
Ans: Trauma and stressor - not anxiety
4). The key to establishing the diagnosis of ptsd lies
Ans: in the history of exposure to a life-threatening event followed by intrusive (eg,
flashbacks, nightmares) or avoidance (eg, withdrawal) symptoms. DSM-5 includes the
requirement that the symptoms persist for at least 1 month.
5). Patients with ptsd experience
Ans: physiologic hyperarousal, including startle reactions, intrusive thoughts, illusions,
overgeneralized associations, sleep problems, nightmares, dreams about the
precipitating event, impulsivity, difficulties in concentration, and hyperalertness.
7). Acute stress disorder occurs during or shortly after a traumatic event and has many of the
same symptoms as ptsd
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, Ans: but lasts between 2 and 28 days.
8). What is considered the pharmacotherapy of choice for ptsd?
Ans: Sertraline and paroxetine are approved by the US Food and Drug Administration
(FDA) for this purpose, and the SSRIs are the only class of medications approved
9). What are the symptoms of generalized anxiety disorder (gad)?
Ans: 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
10). _________________________is characterized by recurrent, unpredictable episodes of intense
anxiety accompanied by marked physiologic manifestations
Ans: PANIC DISORDER
11). What is the drug of choice for managing acute generalized anxiety disorder?
Ans: benzodiazepines are the anxiolytics of choice in the acute management of
generalized anxiety
12). What are the fda approved treatments for gad
Ans: 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.
13). ______________has no clear usefulness in the treatment of anxiety disorders.
Ans: Bupropion (pg.
14). Ssris, that are approved for the treatment of panic disorder.
Ans: fluoxetine, paroxetine, and sertraline
15). The snri that is fda approved for treatment of panic disorder.
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, Ans: venlafaxine
16). Od of benzo's are
Ans: Overdosage results in respiratory depression, hypotension, shock syndrome,
coma, and death
17). What are the side effects of high dose benzodiazepines?
Ans: sedation & disinhibition, ataxia, dysarthria, nystagmus, and delirium.
18). Reversal of benzo od (benzodiazepine antagonist)
Ans: Flumazenil
19). Classification of low-mod benzo use
Ans: somatic , psychological & perceptual
20). Panic disorder drug of choice
Ans: SSRIs sertraline, paroxetine, and fluoxetine. In addition, the SNRI venlafaxine is
approved by the FDA
21). Phobic disorder tx
Ans: SSRIs & SNRIs
22). Both gad, panic disorder & phobias appear to respond as well to ________________ therapy
as they do to medications.
Ans: cognitive behavioral
23). What are some behavioral techniques for gad and panic disorder?
24). What is a tca that is used in combination with ssris for tx of ocd
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