MIDTERM STUDY GUIDE NURS 6550 Acute Care Study Guide for midterm Psychosocial

MIDTERM STUDY GUIDE

NURS 6550 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 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)