Understanding Anxiety Response
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Questions and Answers

Which of the following is NOT a primary neural pathway involved in anxiety?

  • GABA
  • 5-HT (serotonin)
  • NE (norepinephrine)
  • Dopamine (correct)
  • Which medications can be used for generalized anxiety disorder (GAD), post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), and panic disorder?

  • Benzodiazepines
  • Tricyclic antidepressants
  • SSRIs and SNRIs (correct)
  • Typical antipsychotics
  • How long does it typically take for SSRIs and SNRIs to provide their full therapeutic effect for anxiety disorders?

  • 8-10 weeks
  • 6-8 weeks
  • 4-6 weeks (correct)
  • 2-4 weeks
  • Which of the following statements about anxiety symptoms and depressive symptoms is true?

    <p>Anxiety symptoms often resolve earlier than depressive symptoms.</p> Signup and view all the answers

    What is recommended when starting pharmacological treatment for anxiety disorders?

    <p>Starting low and going slow to avoid excessive serotonin adverse effects</p> Signup and view all the answers

    How does the required medication dose for anxiety symptoms compare to the dose for depressive symptoms?

    <p>The dose for anxiety symptoms is typically higher than for depressive symptoms.</p> Signup and view all the answers

    What is the recommended duration for optimal dosing of medication to evaluate a patient's response to acute treatment of depression?

    <p>4 to 8 weeks</p> Signup and view all the answers

    What is the minimum time period for which treatment should be modified if remission has not been obtained?

    <p>14 weeks</p> Signup and view all the answers

    What should be considered if there is a mild or moderate response to treatment?

    <p>Increasing the dose or using augmenting agents</p> Signup and view all the answers

    When should an individual be referred to a psychiatric provider?

    <p>All of the above</p> Signup and view all the answers

    What is the recommended duration for continuing medication and psychotherapy after the patient shows relief and response from the original symptoms?

    <p>4 to 9 months</p> Signup and view all the answers

    When is maintenance therapy typically necessary for patients with depression?

    <p>For patients with a history of three or more major depressive episodes or another medical/psychiatric disorder</p> Signup and view all the answers

    What is the recommended approach when discontinuing antidepressant medication?

    <p>Tapering the medication over several weeks</p> Signup and view all the answers

    What is the highest risk period for relapse after discontinuing antidepressant medication?

    <p>The first 2 months</p> Signup and view all the answers

    What is the primary care nurse practitioner's role in educating patients about depression treatment?

    <p>Both a and b</p> Signup and view all the answers

    What is the primary goal when modifying a treatment plan for a patient with depression?

    <p>All of the above</p> Signup and view all the answers

    What is the primary neurotransmitter associated with the fear and anxiety circuitry of the brain targeted by medications to treat PTSD?

    <p>5-HT</p> Signup and view all the answers

    Which medication has NOT been approved by the FDA for the treatment of children with OCD?

    <p>Buspirone</p> Signup and view all the answers

    What is a common comorbidity in individuals with PTSD that requires caution in their treatment?

    <p>Substance disorders</p> Signup and view all the answers

    When should a patient's status be monitored post-initiation of treatment according to the text?

    <p>Every 1-2 weeks</p> Signup and view all the answers

    Which type of therapy has been found effective for treating PTSD?

    <p>Eye movement desensitization therapy</p> Signup and view all the answers

    What is the effect of buspirone compared to propranolol based on the text?

    <p>Buspirone requires about 2 weeks to reach the full therapeutic level.</p> Signup and view all the answers

    What is the primary reason for assessing for suicidal ideation throughout the course of treatment with antidepressants?

    <p>To prevent the patient from following through with a suicidal plan</p> Signup and view all the answers

    According to the U.S. Surgeon General's report, what increases the likelihood of a good outcome for individuals at risk of suicide at primary care and emergency department levels?

    <p>Continuous care and improved aftercare</p> Signup and view all the answers

    When should an individual be referred to a psychiatric provider based on the provided guidelines?

    <p>When showing potential signs of suicidal intent</p> Signup and view all the answers

    Why are weekly dispensing of antidepressants early in treatment recommended instead of monthly quantities?

    <p>To prevent patients from hoarding medications</p> Signup and view all the answers

    What is the significance of educating healthcare providers on recognizing warning signs of suicide risk?

    <p>To facilitate better prevention and intervention strategies</p> Signup and view all the answers

    How often should the assessment, evaluation, and triage system in Table 30-1 be implemented during treatment with antidepressants?

    <p>Every 1 to 2 weeks</p> Signup and view all the answers

    In what circumstances should immediate referral and possible hospitalization be considered according to FDA guidelines?

    <p>In case of persistent suicidal thoughts</p> Signup and view all the answers

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