Anxiety Flashcards
T OR F?
Anxiety is a normal response to stress
True
____ anxiety that persists as a characteristic response to daily activities.
Chronic
T OR F?
If prolonged, panic and lead to exhaustion and death
T
the immediate intervention by the nurse when someone is experiencing anxiety is to___
decrease stimuli in the environment and provide a calm and quiet environment
6 interventions a nurse must take when a patient is experiencing anxiety
1- provide a calm environment, stay with the client, decrease environmental stimuli
2- ask client to identify how he/she feels (ALWAYS TALK TO THE CLIENT CALMLY AND IN A LOW PITCHED VOICE & GIVE CLEAR AND SIMPLE STATEMENTS)
3- encourage the client to describe and discuss his/her feelings
4- help the client to identify the causes of the feelings if they’re having difficulty doing so
5- listen to the client for expressions of helplessness and hopelessness (could indicate self harm intentions)
6- document the event, significant information, actions taken, and follow-up actions, and the client’s response.
when the person re-experiences a traumatic event by having bad dreams and flashbacks about the events.
- they tend to be emotionally numb
- detached
- depressed
- have anxiety
- can’t sleep due to nightmares
PTSD
7 nursing interventions for ptsd
1- be supportive and not judgmental
2- tell person his/her feelings and behaviors are normal
3- help them to recognize the relationship between the feelings and behaviors and the trauma experience
4- tell them to express their feelings
5- use relaxation techniques and adaptive coping mechanisms
6- encourage use of support groups
7- help them re-establish their relationships
When it comes to phobias, you should NEVER
Force the client to come in contact with the object
___ is the preoccupation with persistently intrusive thoughts and ideas
obsessions
___ is the performance of rituals or repetitive behaviors designed to precent some event, divert unacceptable thoughts, and decrease anxiety.
compulsions.
- the acts help to diminish the obsessive thoughts. they use the acts as therapeutic means to help them forget these thoughts.
OCD Interventions
- make sure they get basic needs like food, rest, water..etc
- help them to identify their triggers
- be empathetic
NEVER INTERRUPT their rituals unless it causes danger to them or others - Give them time to perform their rituals but set limits on the behaviors that may interfere with their physical well-being to protect them from harm
- make a schedule for them to help them be distracted
-establish a written contract to decrease the frequency of the behavior
-recognize and reinforce positive non-ritualistic behaviors
What happens in somatoform disorders?
The patient is complaining of a pain or something else that is not medically seen. no evidence.
like.. they’re seeking attention
Intervention for somatoform disorders
allow a specific time period for the client to discuss physical complaints because the client will feel less threatened if this behavior is limited rather than stopped completely.
AVOID RESPONDING WITH POSITIVE REINFORCEMENT ABOUT THE PHYSICAL COMPLAINTS.
the diff between somatoform and somatization disorder
somatization involves the patient complaining about illness or pain in many body systems
dissociative identidy disorder AKA
multiple personality disorder
