Jane has begun treatment for PTSD with symptoms of depression. ...

[Capo]

Jane has begun treatment for PTSD with symptoms of depression. The nurse is reviewing the physician's orders. Which of these are evidence-based modalities for initial treatment of Jane's illnesses? Select all that apply.
 
  A. Acupuncture
  B. Electroconvulsive therapy (ECT)
  C. Sertraline (Zoloft)
  D. Cognitive behavior therapy (CBT)
  E. Propranolol (Inderal)

Question 2

Les has been referred to the VA clinic because he was recently fired from his job. His former employer reported that he was drinking on the job and had become physically aggressive with one of his coworkers.
 
  Which of the following statements during the intake assessment are consistent with common symptoms of PTSD? Select all that apply. A. I've been drinking and smoking pot more frequently in the past few months.
  B. I've always thought I was too good for that job anyway.
  C. Sometimes I get so angry I just want to punch someone's lights out.
  D. I haven't been getting enough sleep because the nightmares keep waking me up.
  E. I don't like authority figures.

[Amiracle]

Answer to Question 1

A, C, D, E
Acupuncture, SSRIs, CBT, and antihypertensives such as propranolol have been shown to be effective in treating symptoms of PTSD. ECT has not been identified as an effective treatment of symptoms of PTSD and would not be a first-line treatment for depression.

Answer to Question 2

A, C, D
Substance abuse, aggression, insomnia, and nightmares are all symptoms commonly associated with PTSD.

[Capo]

Excellent

[momolu]

TYSM