Final Exam: NR 577 NR577 Latest

Final Exam: NR 577 / NR577 (Latest

Update 2025 / 2026) Primary Care Management of Adolescents and Adults | Questions & Verified Answers | 100% Correct | Grade A - Chamberlain

Question:

What is the clinical presentation of generalized anxiety disorder?

Answer:

Worry - disproportionate to daily concerns Anxiety - on edge emotionally Tension - physical manifestation of anxiety Concentration - difficulty - mind going blank Hyperarousal - irritability Energy loss Restlessness - feeling keyed up Sleep disturbance - difficulty falling asleep

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Question:

What is the management of generalized anxiety disorder

Answer:

Refer for CBT.-Incorporate supportive psychotherapy and insight-oriented therapy -Consider a short course of BZD therapy for periods of exacerbation (e.g., alprazolam, 0.5 mg three times a day for up to 5 days).-Prescribe an SSRI if there is a history of associated panic attacks or depression, e.g., begin with venlafaxine extended release (Effexor-XR), 37.5 mg twice daily, and advance the dose as tolerated to 150 mg twice daily; alternatively, paroxetine at a target dose of 40 mg daily can be used.Consider a trial of buspirone if chronic anxiolytic therapy is desired. Begin with 5 mg three times a day and gradually advance to a maximum of 60 mg/d avoid benzos

Question:

how do you manage social anxiety disorder?

Answer:

Non-Pharmacological: Exposure-based CBT; social skills training.

Pharmacological: SSRIs (paroxetine, sertraline 25mg in am); beta-blockers

(propranolol) for performance anxiety. Propranolol 10 - 20mg

Clinical Insight: Focus on fear of scrutiny; combine therapies for best

outcomes.

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Question:

what is the diagnostic criteria for panic disorder

Answer:

Criteria: Recurrent unexpected panic attacks (≥4 symptoms: palpitations, sweating, trembling, shortness of breath, chest pain, nausea, dizziness, derealization, fear of dying/losing control); ≥1 month of worry about attacks or behavior change.

Exclusion: Not due to substances or medical conditions.

Clinical Insight: Often presents with ER visits for "heart attacks."

Question:

what are the clinical manifestations of ADHD?

Answer:

Inattention: Difficulty sustaining attention, organizing tasks, forgetfulness;

impacts academics/social interactions.

Hyperactivity/Impulsivity: Fidgeting, interrupting, risk-taking; more

prominent in children, declines in teens.Age-Specific: Preschool (3-6): Observable across settings; Adolescents: Persistent inattention, self-minimization of symptoms.

Clinical Insight: Symptoms in ≥2 settings; comorbidities (e.g., anxiety)

common.

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Question:

what are the differential diagnosis for ADHD?

Answer:

Anxiety/depression (emotional symptoms); learning disabilities; autism; sleep apnea; trauma/PTSD; substance use in teens.

Question:

what is the diagnostic criteria for adhd?

Answer:

-primarily of the inattentive presentation -primarily of the hyperactive-impulsive presentation Attention-deficit/hyperactivity disorder combined presentation ADHD other specified and unspecified ADHD

Includes:

six or more symptoms of inattention, such as failing to give close attention to details in schoolwork or other activities difficulty with completing tasks or playing difficulty listening, or easily distractible by other events

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