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. (D)</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 (A)</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. (D)</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 (D)</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 (B)</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 (D)</p> Signup and view all the answers

When should an individual be referred to a psychiatric provider?

<p>All of the above (D)</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 (D)</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 (C)</p> Signup and view all the answers

What is the recommended approach when discontinuing antidepressant medication?

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

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

<p>The first 2 months (D)</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 (C)</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 (D)</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 (C)</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 (A)</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 (A)</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 (A)</p> Signup and view all the answers

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

<p>Eye movement desensitization therapy (D)</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. (A)</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 (A)</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 (D)</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 (C)</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 (A)</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 (A)</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 (A)</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 (D)</p> Signup and view all the answers

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