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Final - Patho - Neuro/Psych > Anxiety > Flashcards

Anxiety Flashcards

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1
Q

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

A

true - fight or flight mode

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2
Q

what is anxiety

A

real or perceived threat

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3
Q

fear is in response to a

A

danger

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4
Q

dysfunctional anxiety is anxiety that

A

persists over time

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5
Q

goal of trt for anxiety

A

decrease anxiety, behaviors will also decrease

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6
Q

is normal anxiety good

A

yes - helps us prepare for exams

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7
Q

anxiety that persists over time is called

A

trait anxiety (pathological)

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8
Q

levels of anxiety (4)

A

mild - moderate - severe - panic

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9
Q

mild anxiety s/s

A

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

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10
Q

moderate anxiety s/s

A

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

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11
Q

severe anxiety s/s

A

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

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12
Q

panic s/s

A

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

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13
Q

what are defense mechanisms

A

unconscious means of managing inner conflict

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14
Q

defense mechanisms can go from

A

healthy to immature

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15
Q

3 types of defense mechanisms

A

healthy, intermediate, immature

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16
Q

healthy defense mechanisms

A

humor, altruism

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17
Q

immature defense mechanisms

A

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

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18
Q

intermediate defense mechanisms

A

repress, undo, rationalize

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19
Q

characteristics of anxiety

A

rigid, repetitive, ineffective behaviors to control anxiety

20
Q

3 main mediators in anxiety

A

serotonin, norepinephrine, GABA

21
Q

which mediator is increased in anxiety

A

norepinehprine

22
Q

which mediators are decreased in anxiety

A

serotonin and GABA

23
Q

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

A

true

24
Q

people with PTSD have increased levels of this

A

cortisol

25
Q

anxiety is learned t or f

A

true

26
Q

what happens during the Stress Response

A

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

27
Q

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

A

true

28
Q

anxiety and stress disorders (7)

A 
GAD - generalized anxiety disorder
Phobias
Panic Disorder
Anxiety Caused by Medical Conditions
OCD
PTSD
Acute Stress Disorder
29
Q

GAD criteria

A

excessive anxiety over 6 months

30
Q

GAD s/s

A

restlessness, fatigue, poor concentration

31
Q

a phobia is a

A

fear of something

32
Q

best intervention for phobias is

A

behavioral therapy

33
Q

a social phobia is a fear of

A

exposure to social situations or required performance

34
Q

agoraphobia is a fear of

A

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

35
Q

the most debilitating anxiety disorder

A

agoraphobia - can prevent you from leaving your house

36
Q

what is a panic attack

A

sudden onset of extreme apprehension or fear of impending doom

37
Q

what is an obsession

A

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

38
Q

what is an ego dystonic symptom

A

not happy with whats happening

39
Q

do ego dystonic symptoms occur with OCD

A

yes, often

40
Q

what is a compulsion

A

ritualistic behaviors that your driven to perform

41
Q

PTSD is characterized by

A

recurrent dreams or flashbacks

42
Q

acute stress disorder symptoms last from

A

3 days to 1 month after event

43
Q

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

A

C.Hypothalamus - triggers Autonomic Nervous System

44
Q

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?

A

B.Focused and alert mental status

45
Q

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?

A

A.Risk for injury

46
Q

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?

A

B.Moderate

47
Q

example of defense mechanisms

A

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”

Final - Patho - Neuro/Psych (14 decks)

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