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Psychiatric Nursing > Adjustment Problems > Flashcards

Adjustment Problems Flashcards

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1
Q

A nervous disorder characterized by a state of excessive uneasiness and apprehension, typically with compulsive behavior

A

Anxiety

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2
Q

Physiologic manifestations of anxiety

A 
Increased BP and HR
Difficulty breathing
Sweaty palms
Hyperventilation
Trembling
Dry mouth
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3
Q

Behavioral manifestations of anxiety

A 
Irritability
Withdrawal
Restlessness
Crying
Nervousness
Dizziness
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4
Q

Behaviors you engage in to resolve anxiety

A

Coping mechanisms

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5
Q

Coping mechanism: tolerates the stress

A

Adaptive coping

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6
Q

Coping strategies that increase stress

A

Maladaptive coping

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7
Q

Coping mechanism: problem-focused and involves taking direct action to alter the situation itself to reduce the amount of stress it evokes.

A

Task-oriented

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8
Q

Has two types: physical and destructive coping

A

Attack coping

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9
Q

Coping mechanism: to substitute , to sacrifice

A

Compromise

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10
Q

Coping mechanism: to defend and protect ego

A

Ego-defense mechanism

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11
Q

An anxiety related disorder that is recurrenta high in intesity and involves panic attacks

A

Panic disorder

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12
Q

Therapeutic nursing management for panic disorder

A

Establish support

Convey calmness

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13
Q

Anxiety-related disorder: chronic and unrealistic worry

A

Generalized anxiety disorder

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14
Q

Manifestations of generalized anxiety disorder

A

Excessive worrying
Fatigue
Sleep disturbances
Muscle tension

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15
Q

Management of generalized anxiety disorders

A

Taught coping strategies
Use problem-solving process
Promote relaxation
Cognitive Behavioral therapy

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16
Q

Anxiety-related disorder: morbid fear associated with extreme anxiety

A

Phobic disorder

17
Q

Management of phobic disorder

A

Do not force contact

Desensitization

18
Q

Hallmark of post-traumatic stress disorder

A

Flashback or reliving the experience

19
Q

Management of post-traumatic stress disorder

A

Facilitate awareness

Identify triggers

20
Q

Medications for anxiety

A

Antianxiety benzodiazepines: alprazolam (xanax), chlorazepate (tranxene), lorazepam (ativan)
Sedative-hypnotics bezodiazepines: flurazepam (dalmane), temazepam (restoril)
Non benzodiazepines: antihistamines, beta adrenergic blockers
Barbiturates: secobarbital (seconal), amobarbital (amytal)

21
Q

Characterized by persistent thoughts and urges to perform repeated acts or rituals

A

Obsessive-compulsive disorder (OCD)

22
Q

Risk factors of OCD

A

Anxiety
Biochemical factors
Family history of OCD

23
Q

Biologic factors of OCD

A

Serotonin decreases OCD
Dopamine increases OCD
Glutamate increases OCD
Abnormalities in frontal lobe, basal ganglia, and thalamus

24
Q

Recurrent presistent thoughts, impulses, images that are intrusive, disturbing, inappropriate, and usually triggered by anxiety

A

Obsession

25
Q

Repetitive behaviors or mental acts that a person feels driven to perform which usually adgere to rigid and specifically defined routine

A

Compulsion

26
Q

Dorced preoccupation with thoughts about a particular topic, associated with brooding, doubting, amd inconclusive speculation

A

Ruminations

27
Q

Medications for OCD

A

SSRIs and anti-anxiety meds

28
Q

Psychological treatment for OCD

A

Individual therapy
Cognitive behavioral therapy
Group therapy

29
Q

Nursing interventions of OCD

A

Limit compulsive act
Teach alternate coping methods
Maintain sleep, nutrition, ADLs

30
Q

Characterized by exaggerated belief that the body is deformed or defective

A

Body dysmorphic disorder

31
Q

Hair pulling disorder… Impulse is preceded by increasing sense of tension and results in a sense of release or gratification from pulling out of the hair

A

Trichotillomania

32
Q

Skin picking disorder

A

Excoriation

Psychiatric Nursing (5 decks)

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