ANXIETY Flashcards

1
Q

-A vague feeling of dread or apprehension
-A response to external or internal stimuli
-Unavoidable and can have both positive and negative functions.
-Future- oriented, long- acting response focused on a diffuse threat

A

Anxiety

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2
Q

-Feeling of being afraid or threatened by a clearly identifiable external stimulus that represents danger to a person.
-Present- oriented, short- lived response to a clearly identifiable and specific threat

A

Fear

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3
Q

Levels of Anxiety

A
  1. Mild
  2. Moderate
  3. Severe
  4. Panic
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4
Q

A sensation that something is different and warrants special attention.

A

Mild Anxiety

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5
Q

Characterized by increased sensory stimulation

A

Mild Anxiety

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6
Q

Motivates people to makes changes or engage in goal-directed activities

A

Mild Anxiety

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7
Q

Mild Anxiety Symptoms

A

-Widened perceptual field
-Increased motivation
-Sharpened senses
-Effective problem-solving

-Fidgeting
- Restlessness
- Irritability
- Difficulty sleeping
-GI “butterflies”
- Enhanced learning ability

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8
Q

Interventions is necessary in Mild Anxiety?

A

NO

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9
Q

Disturbing feeling that something is definitely wrong: the person becomes nervous or agitated.

A

Moderate Anxiety

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10
Q

Disturbing feeling that something is definitely wrong: the person becomes nervous or agitated

A

Moderate Anxiety

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11
Q

Difficulty concentrating independently but can be redirected to the topic

A

Moderate Anxiety

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12
Q

Moderate Anxiety Manifestations

A

-Perceptual field narrowed to immediate task
- Automatisms
- GI upset
- Urinary Frequency
- Diaphoresis
- Dry Mouth

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13
Q

Management of Moderate Anxiety

A

-Ascertain that the client is following what you are saying.
-Speak in short, simple, and easy- to- understand sentences.
-Redirect client back to topic if he or she goes off tangent.

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14
Q

Has trouble thinking and reasoning

A

Severe Anxiety

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15
Q

Can no longer pay attention and take information.

A

Severe Anxiety

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16
Q

Perceptual field reduced to one detail

A

Severe Anxiety

17
Q

Muscles tighten and vital signs increase

A

Severe Anxiety

18
Q

Severe Anxiety Manifestations

A

-Vital signs increase
-Acts to relieve anxiety, ineffective
-Cries, Can’t respond to redirection
- Ability to learn/solve problems is ineffective
- Nausea and vomiting
- Trembling

19
Q

Severe Anxiety Management

A

-Goal (Lower the level of anxiety)
-Remain with the client
-If patient cannot sit still, walk with him or her
-Talk in a low, calm, and soothing voice

20
Q

Fight, flight, or freeze responses dominates.

A

Panic

21
Q

Vital signs are greatly increased

A

Panic

22
Q

Focus is survival and has no capacity for rational thought

A

Panic

23
Q

Panic Manifestation

A

-Suicidal
-Altered perceptions
- Bolt and run/mute or immobile
- Ability to verbally communication is lost
- Wants to save self

24
Q

Management of Panic

A

-Safety is the primary concern
- Continue to communicate in a comforting manner
- Move to a small, quiet, and non-stimulating environment
- Reassure that anxiety will pass and that he or she is in a safe place
- Remain with the client until anxiety recedes.

25
Q

Drugs use for Panic

A

-Benzodiazepines (Not a cure for anxiety)
-Short term use only, no longer than 4 to 6 weeks

26
Q

A fast acting drug

A

Diazepam (Valium)

27
Q

A Intermediate Acting drug

A

Alprazolam (Xanor)

28
Q

Slow Acting Drug

A

Lorazepam (Ativan)

29
Q

Side Effects of Benzodiazepines

A

-Dizziness
-Blurred Vision
- Dry mouth
- Constipation
- High potential for abuse

30
Q

Nursing Responsibilities for Benzodiazepines

A

-Avoid other CNS depressants and caffeine
- Change positions slowly
- Use sugar-free beverages or hard candy for dry mouth
- Increase oral fluid intake