Anxiety Flashcards
Janet becomes panicky when she gets near a dog. Name anxiety
Specific phobia
Patricia weighs and measures her food. Long after everyone else has finished eating, she is still calculating the caloric value and measuring the amount. Name the anxiety
Obsessive compulsive disorder
Francis will not leave her home unless a friend or relative goes with her. Name anxiety
Agoraphobia
Harold has intrusive thoughts and sometimes visual illusions of his platoon’s invasion of a village in Vietnam. Name anxiety
Post traumatic stress disorder
Sonja refuses to eat in a restaurant. She is afraid others will laugh at the way she eats. Name anxiety
Social phobia
About once a week, without warning, Stanley’s heart begins to pound, he becomes short of breath, and he experiences chest pain. The doctor has ruled out physical problems. Name anxiety
Panic disorder
Janie wants desperately to visit a foreign country with her friends, but because of her fear of needles, she has been unable to receive the required immunizations. Name anxiety
Specific phobia
Helen is a very restless person. She is always nervous and keyed up. She worries about many things over which she has no control. Name anxiety
Generalized anxiety disorder
Tim’s family recently survived a tornado by taking refuge in the basement of their home. The home and all of its content were destroyed. Tim has nightmares about the event. Name anxiety
Post traumatic stress disorder
George never volunteers to speak in class. He is afraid his classmates will laugh at what he says. Name anxiety
Social phobia
Carl will go to church, but only if he can sit right next to the door. Name anxiety
Agoraphobia
When sally sees a spider on the floor, she screams and runs out of the room. Name anxiety
Specific phobia
Every day when Wanda goes home from work, she cleans her house. She has told her friends not to call her during this time, and if anything interferes with her cleaning, she becomes very upset, and starts over from the beginning. Name anxiety
Obsessive compulsive disorder
Don has always been an excellent student and was valedictorian of his high school graduating class. Since starting college, he has been unusually worried about his academic performance. Lately, he has been unable to sleep, is irritable, has difficulty concentrating, and has begun experiencing nausea and vomiting due to worry that he will not do well academically. Name anxiety
Generalized anxiety disorder
Last month, on her way out of the hospital after working night shift, Amanda was abducted by a man with a gun and taken to a remote area and raped. Since that time, she has become detached and estranged from her friends, she has difficulty sleeping, and has had problems concentrating at work. Name anxiety
Post traumatic stress disorder
Four stages of anxiety
Mild, moderate, severe, and panic
When is anxiety an illness?
When it causes disruption in lifestyle
Major kinds of anxiety
Generalized anxiety disorder, panic disorder, agoraphobia, Specific phobias, Obsessive compulsive disorder, post traumatic stress disorder
What is link between agoraphobia and panic disorder
50% of panic disorder have agora, 90% agoraphobia have panic disorder. They tend to go hand in hand
What statement is typical of a client who experiences periodic panic attacks while sleeping?
“yesterday, I sat up in bed and just felt so scared”
A client with panic disorder should be monitored for what psychosocial problem?
substance abuse
A client with a history of panic attack who says “I feel so trapped” right after an attack most likely has what fear?
Loss of control
What is the priority nursing intervention for a person having a panic disorder?
Tell the client to take deep breaths
Difference between Anxiety and fear
Anxiety the person doesn’t know what is causing the anxiety while fear is a specific identifiable object
What is the most common treatment of anxiety?
Cognitive behavior therapy
PTSD and social phobias might get this medication
Beta blockers
What are the main pharmacological medications for anxiety
benzodiazapines, SSRIs, tricyclics, and beta blockers
Anxiety interventions
build trust, enter the client’s subjective experience, make no demands, patience
When should you limit OCD rituals?
Only if they are dangerous, self harming
