Midterm Exam: NR547/ NR 547 (Latest 2023/ 2024) Differential Diagnosis in Psychiatric-Mental Health Across the Lifespan Practicum Exam Review| Weeks 1-4 Covered| Complete Guide with Questions and Verified Answers- Chamberlain
Midterm Exam: NR547/ NR 547 (Latest 2023/ 2024)
Differential Diagnosis in Psychiatric-Mental Health Across
the Lifespan Practicum Exam Review| Weeks 1-4 Covered|
Complete Guide with Questions and Verified AnswersChamberlain
Q: GAD nonpharmacologic tx?
Answer:
Relaxation or meditation
Art or music therapy
Yoga or other exercise
Acupuncture
Prayer or spiritual counselling
-High-intensity aerobic exercise is a good complement to first-line therapy
Q: Silexan?
Answer:
branded extract of lavender
-available by prescription in many countries and over the counter as CalmAid through the
Nature’s Way product line in the U.S.
-pharmacologic properties are similar to many CAM therapies
-research supports its efficacy for GAD
Q: Social Anxiety Disorder (SAD) treatments?
Answer:
cognitive behavioral therapy, medications, or a combination of both
-Medications for SAD:
- First try SSRI & SNRIs
- Then Benzodiazepines
- Then MAOIs (SSRI/SNRI must be out of system)
Q: Performance anxiety (beta-blockers)?
Answer:
Beta-blockers are recommended for clients who have an awareness of physiological symptoms
such as tachycardia or tremor associated with performance anxiety
-Beta-blocker or benzodiazepine 30-60 min before performace
Q: Panic tx?
Answer:
-Exposure therapy
-Cognitive behavioral therapy
-Medications
- SSRIs
- Benzodiazepines in emergencies
-Combination of modalities
Q: Tx plan to support dx of Adjustment Disorder with Anxiety?
Answer:
-Psychosocial support - Provide reassurance and emotional support to the patient.
-Lifestyle modification: Mindfulness - Mindfulness or relaxation training can assist clients with controlling excessive feelings of
worry or anxiety.
-Lifestyle modification: Limit alcohol - Alcohol can increase anxiety levels
-Lifestyle modification: Sleep hygiene - Regular, consistent sleep patterns of 7-8 hours per night can reduce feelings of anxiety.
-Pharmacologic therapy: Sertraline - An SSRI, such as sertraline, may be indicated to help Phoebe cope with her feelings of anxiety.
Q: Patients with a hx of childhood trauma: cuts response and remission rate of SSRIs
__?
Answer:
in half
Q: CUS?
Answer:
chronic unpredictable stress
Q: anhedonia?
Answer:
inability to experience pleasure
Q: rumination?
Answer:
compulsive fretting; overthinking about our problems and their causes
-responds to atypical antipsychotics
Q: Neurotransmitters involved in anxiety:?
Answer:
Norepinephrine- excitatory
Serotonin- quick turnover
GABA-inhibitory
Other Brain Chemicals
HPA axis-cortisol
Corticotrophin Releasing Hormone- CRH
Brain-Derived Neurotrophic Factor-BDNF
Q: Differential Diagnoses for anxiety:?
Answer:
Obsessive-compulsive disorder.
Panic disorder
Major depressive disorder
Social phobia
Phobias
Adjustment disorder with anxiety
Social Anxiety Disorder
Substance-related disorders
Medical Disorders
Q: DSM-5 criteria for GAD?
Answer:
excessive anxiety and worry occurring more days than not for at least six months. The person
finds it difficult to control and experiences at least three symptoms: restlessness, fatigue,
difficulty concentrating, irritability, muscle tension, and sleep disturbance
Q: First-line psychotropic medications used to treat anxiety disorders are:?
Answer:
selective serotonin reuptake inhibitors (SSRIs) that act on the serotonin system and indirectly on
the GABA system
-There are also non-benzodiazepine anxiolytics that may help manage anxiety symptoms,
including buspirone, gabapentin, and propranolol
-Also, Clonidine or Guanfacine may be used with children
-Treatment is usually continued for 6 to 12 months
-SNRI’s and SSRI’s have become the first-line pharmacological intervention
Q: separation anxiety disorder?
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