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NURS 6550 Midterm Study Guide

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Acute Care Study Guide for midterm Psychosocial * Generalized anxiety disorder diagnosis criteria ➢ Excessive anxiety and worry occurring more days than not for 6 months ➢ Difficulty contro ... lling worry ➢ 3 or more of the following: restlessness, feeling keyed up or on edge; easily fatigued; difficulty concentrating or mind going blank; irritability; muscle tension; sleep disturbances ➢ significant distress or impairment on social, occupational, or other important areas ➢ symptoms not attributed to another medical condition or substance abuse ➢ symptoms not explained by another medical disorder * Treatment of acute panic attacks • physical activity • selective serotonin reuptake inhibitors are first line therapy • continue medication for 12 months after symptoms improve prior to tapering • antidepressants and benzodiazepines may speed recovery from anxiety-related symptoms but do not improve long term outcomes. Benzodiazepines are associated with tolerance and should only be used short term • psychotherapy can be as effective for GAD and PD; cognitive behavior therapy has the best level of evidence • tailored options to individuals have the best outcomes and may include a combination of therapies * Inpatient treatment of depression ➢ reasons for inpatient: suicidal behavior; refusal to eat; severe malnutrition; catatonia; presence of general medical or comorbid psychiatric conditions that make outpatient treatment unsafe or ineffective (Depression Mgnt Guidelines AC folded ......................................................Continued.................................................... [Show More]

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