MIDTERM STUDY GUIDE NURS 6550 Acute Care Study Guide for midterm (A GUARANTEED)
Psychosocial
* Generalized anxiety disorder diagnosis criteria
➢ Excessive anxiety and worry occurring more days than not for 6 months
➢
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MIDTERM STUDY GUIDE NURS 6550 Acute Care Study Guide for midterm (A GUARANTEED)
Psychosocial
* Generalized anxiety disorder diagnosis criteria
➢ Excessive anxiety and worry occurring more days than not for 6 months
➢ Difficulty controlling 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 folder)
* When is serotonin norepinephrine reuptake inhibitor indicated
➢ most often prescribed for anxiety/sleep disorders
➢ influence on thalamus and prefrontal areas of the cortex
➢ fibromyalgia
➢ when SSRIs don’t work
➢ side effects are worse
NURS 6550 Midterm Study Guide 2
* Venlafaxine dosing
➢ generalized anxiety disorder/major depressive disorder: 75-225mg qd
➢ social anxiety disorder: 75mg qd
* Endogenous depression pathophysiology
➢ type of MDD
➢ biological or genetic predisposition
* Differences between panic attacks and panic disorder
➢ panic attack: sudden, intense fear or anxiety may feel shortness of breath or dizzy or may
make your heart pound. Feeling they are having a heart attack. Lasts 5-20 minutes.
➢ panic disorder: when the panic attacks occur often
* Depressive disorder symptoms
➢ persistent sad, anxious, or empty mood
➢ feelings of hopelessness, or pessimism
➢ irritability
➢ feelings of guilt, worthlessness, or helplessness
➢ loss of interest or pleasure in hobbies and activities
➢ decreased energy or fatigue
➢ moving or talking more slowly
➢ feeling restless or having trouble sitting still
➢ difficulty concentrating, remembering, or making decisions
➢ difficulty sleeping, early-morning awakening, or oversleeping
➢ appetite and or weight changes
➢ thoughts of death or suicide, or suicide attempts
➢ aches or pains, headaches, cramps, or digestive problems without a clear physical cause
and/or that do not ease even with treatment
* Primary neurotransmitter in PTSD
➢ catecholamines
➢ serotonin
* PTSD diagnosis and treatment
➢ history of exposure to perceived or actual life-threatening event, serious injury, or sexual
violence
➢ comorbidity depression or panic disorder
➢ comorbidity alcohol and substance abuse
➢ treatment: psychotherapy and SSRIs
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