Anxiety

Question 1

anxiety and fear illicit the same physiologic response, t or f

Answer 1

true - fight or flight mode

Question 2

what is anxiety

Answer 2

real or perceived threat

Question 3

fear is in response to a

Answer 3

danger

Question 4

dysfunctional anxiety is anxiety that

Answer 4

persists over time

Question 5

goal of trt for anxiety

Answer 5

decrease anxiety, behaviors will also decrease

Question 6

is normal anxiety good

Answer 6

yes - helps us prepare for exams

Question 7

anxiety that persists over time is called

Answer 7

trait anxiety (pathological)

Question 8

levels of anxiety (4)

Answer 8

mild - moderate - severe - panic

Question 9

mild anxiety s/s

Answer 9

helping you - to your benefit (restless, fidget, problem solve, increased perception)

Question 10

moderate anxiety s/s

Answer 10

increase from normal (can’t learn as much - focus on certain things, muscle tension, increased HR, resp)

Question 11

severe anxiety s/s

Answer 11

disorganized, confused, intense physiological response, no problem solving, cant learn

Question 12

panic s/s

Answer 12

complete disorganization, disconnection from environment, uncoordinated/erratic movements, dilated pupils, hallucinations, delusions

Question 13

what are defense mechanisms

Answer 13

unconscious means of managing inner conflict

Question 14

defense mechanisms can go from

Answer 14

healthy to immature

Question 15

3 types of defense mechanisms

Answer 15

healthy, intermediate, immature

Question 16

healthy defense mechanisms

Answer 16

humor, altruism

Question 17

immature defense mechanisms

Answer 17

passive aggressive, act out, deny (found in personality disorders)

Question 18

intermediate defense mechanisms

Answer 18

repress, undo, rationalize

Question 19

characteristics of anxiety

Answer 19

rigid, repetitive, ineffective behaviors to control anxiety

Question 20

3 main mediators in anxiety

Answer 20

serotonin, norepinephrine, GABA

Question 21

which mediator is increased in anxiety

Answer 21

norepinehprine

Question 22

which mediators are decreased in anxiety

Answer 22

serotonin and GABA

Question 23

brain structure changes as a result of trauma, t or f

Answer 23

true

Question 24

people with PTSD have increased levels of this

Answer 24

cortisol

Question 25

anxiety is learned t or f

Answer 25

true

Question 26

what happens during the Stress Response

Answer 26

epinephrine is released (increased HR and BP) - HPA axis is stimulated releasing cortisol

Question 27

when stress goes on too long it can have damaging effects on the body, t or f

Answer 27

true

Question 28

anxiety and stress disorders (7)

Answer 28

``` GAD - generalized anxiety disorder Phobias Panic Disorder Anxiety Caused by Medical Conditions OCD PTSD Acute Stress Disorder ```

Question 29

GAD criteria

Answer 29

excessive anxiety over 6 months

Question 30

GAD s/s

Answer 30

restlessness, fatigue, poor concentration

Question 31

a phobia is a

Answer 31

fear of something

Question 32

best intervention for phobias is

Answer 32

behavioral therapy

Question 33

a social phobia is a fear of

Answer 33

exposure to social situations or required performance

Question 34

agoraphobia is a fear of

Answer 34

fear of being in places you can't get away from

Question 35

the most debilitating anxiety disorder

Answer 35

agoraphobia - can prevent you from leaving your house

Question 36

what is a panic attack

Answer 36

sudden onset of extreme apprehension or fear of impending doom

Question 37

what is an obsession

Answer 37

unwanted thoughts and behaviors that are persistent over time (fear of contamination)

Question 38

what is an ego dystonic symptom

Answer 38

not happy with whats happening

Question 39

do ego dystonic symptoms occur with OCD

Answer 39

yes, often

Question 40

what is a compulsion

Answer 40

ritualistic behaviors that your driven to perform

Question 41

PTSD is characterized by

Answer 41

recurrent dreams or flashbacks

Question 42

acute stress disorder symptoms last from

Answer 42

3 days to 1 month after event

Question 43

A person with a fear of heights drives across a high bridge. Which structure will stimulate a response from the autonomic nervous system?

Answer 43

C.Hypothalamus - triggers Autonomic Nervous System

Question 44

Cortisol is released in response to a patient’s prolonged stress. Which initial effect would the nurse expect to result from the increased cortisol level?

Answer 44

B.Focused and alert mental status

Question 45

A patient with a high level of motor activity runs from chair to chair and cries, “They’re coming! They’re coming!” The patient is unable to follow staff direction or respond to verbal interventions. Which nursing diagnosis has the highest priority?

Answer 45

A.Risk for injury

Question 46

A patient with a mass in the left upper lobe of the lung is scheduled for a biopsy. The patient has difficulty understanding the nurse’s comments and asks, “What do you mean? What are they going to do?” Assessment findings include a tremulous voice, respiration at 28 breaths per minute, and a pulse rate at 110 beats per minute. What is the patient’s level of anxiety?

Answer 46

B.Moderate

Question 47

example of defense mechanisms

Answer 47

Suppression - "I'm taking a vaca from my problems" Compensation - "I may be short but I know basketball" Undoing - tasty treat- guilt -workout Rationalization - "The bank has plenty of $ they wont miss it" Regression "Building blocks is really relaxing after a hard day" Projection - "They're out to get me - gonna kill me" Denial - "I'm going to get my 4th second opinion"