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Exam 2 Study Guide For each topic below, review both the textbook and power point slides, lecture, unless otherwise indicated. MODULE 4 Anxiety Disorders Defining characteristics of anxiety Characteristics of each level of anxiety (mild, moderate, severe, panic) Defense mechanisms (definitions, examples) (Box-15-2, pg. 227). Essential features of types of anxiety disorders (OCD, generalized anxiety disorder, PTSD, phobias, social phobia, panic disorders) Physiology of anxiety disorders, including neurotransmitters (pgs. 220-222 of textbook, lecture/power point slides) Interventions for each type of anxiety disorder (includes nursing, meds, therapies), (review lecture, power point slides, Table 15-4) Review biology, side effects, nursing implications for anti-anxiety drugs (benzodiazepines, SSRIs, BuSpar, TCAs, newer antidepressants, barbiturates); (review lecture, power point slides, Chapter 26) Diagnoses, outcomes identification, planning, and interventions for specific levels of anxiety (pgs. 226-237 of textbook.) Review psychosocial theories of anxiety (familial, psychological, behavioral) (see textbook, power point slides, lecture) Difference between obsessions and compulsions (Box-15-8, pg. 230). MODULE 5 Childhood/Adolescent Disorders Essential features, characteristics of separation anxiety, depression in children/adolescents, conduct disorder, ADHD, mental retardation, autism, Aspergers Disorder, Rhetts Disorder, Childhood Disintegrative Disorder (power point slides, lecture, pges. 650-656) (Just skim Table 35-2.) Common signs of anxiety in children (pg. 655) Note which childhood psychiatric illnesses are the most common (power points/lecture) Review treatments (meds, therapies) for separation anxiety, depression, conduct disorder, ADHD, mental retardation, the pervasive developmental disorders (power point slides/lecture) Know the drugs used to treat childhood ADHD Review biology, side effects, nursing implications of psychostimulants, strattera (power points, lecture) Epidemiology of suicide in adolescents (power point slides, lecture, review section on suicide, pgs. 674-675 Review section on Working with Adolescents (pgs. 681-686) Review sections on suicide, self-injury, violence, substance use in adolescents (pgs. 674679)

MODULE 6 Substance-Related Disorders Review term definitions: addiction, dual diagnosis, tolerance, substance abuse, substance dependence, relapse, physical dependence Codependence (pgs. 431, 432) Review substance-related disorders in nurses (pg. 418) and power point slides on helping chemically impaired nurse, TPAPN Intervening with impaired colleagues (pg. 454) Screening for substance abuse (pgs. 418-420); power point slides, lecture) Symptoms of alcohol intoxication and withdrawal (power point slides, lecture) Management of alcohol withdrawal (pg. 440), power point slide on alcohol detoxification Symptoms, timeline of alcohol withdrawal syndrome (Figure 23-4, pg. 435) Symptoms of opiate withdrawal (power point slides/lecture) Management of opiate withdrawal (pg. 441, methadone, buprenorphine, clonidine) Symptoms of benzodiazepine (BZ), barbiturate, sedative-hypnotic withdrawal (power point slide) Management of BZ, barbiturate, sedative-hypnotic withdrawal (power point slide/lecture, pg. 441) Symptoms of PCP use (pg. 425, power point slide) Symptoms of nicotine withdrawal (power point slide) Management of nicotine withdrawal (power point slide/lecture, pg. 441) Outcomes identification and planning (pg. 437-439) Amotivational syndrome (pg. 430) Interventions to maintain abstinence of alcohol, opiates, cocaine, nicotine (pgs. 442-445) Review: Intervening in relapse (pg. 448), self-help groups (pgs. 450-451)

Complementary and Alternative Therapies Review Overview section, pges. 549-551 Reviw treatments for depression (St. Johns wort, melatonin, SAMe, Omega-3 fatty acids, acupuncture, exercise, light therapy, massage, energy therapy) (pges. 551-554) Review treatments for anxiety (relaxation, therapeutic touch, yoga/meditation, Kava Kava, valerian) (pges. 554-555).

MODULE 7 Personality Disorders Description and features of each type of personality disorder Diagnostic criteria for the personality disorders, in general (power point slides) Review outcomes identification, planning, implementation (pgs. 380-384 of textbook) Review interventions, milieu therapy, medications (power point slides, textbook, pgs. 381-384.) Dialectical Behavior Therapy Frequently used coping mechanisms (projection, splitting, projective identification) (pgs. 377-378.) Review the terms connectedness, disconnectedness, parallelism, enmeshment (pgs. 369370.) Review behaviors associated with personality disorders; (pgs 371-375); note definitions of manipulation, narcissism, impulsivity)

Eating Disorders Essential features and characteristics of anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder, night eating disorder (include Table 24-3, pg. 468) Medical complications of AN, BN, binge eating disorder Coping mechanism frequently used (pg. 466, power point slides) Outcomes identification and planning sections (pg. 467-469); outcomes, goals (power points) Interventions, treatments (including medications, therapies), evaluation power points, pgs. 469-473, Table 24-6 Predisposing factors Review specific eating behaviors: binge eating, fasting or restricting, purging Review Cognitive Distortions Related to Eating Disorders (Box 24-5, pg. 470). Cognitive behavioral interventions, pgs. 470-472.