Anxiety and Anxiety disorders

Question 1

Anxiety

Answer 1

Apprehension, uneasiness, uncertainty, or dread from real or perceived threat

Question 2

Fear

Answer 2

reaction to specific danger

Question 3

Etiology of Anxiety

Answer 3

Genetic
Neurochemical
Behavioral
Cognitive

Question 4

Nursing Interventions

Answer 4

Milieu Therapy
Do not touch client 
Use simple short instructions
Offer accurate information, but do not argue, confront or debate
Calm quiet environment
Promote self cares
Medications
Teaching after the acute crisis phase is resolved

Question 5

Anxiety levels

Answer 5

1 - MILD- perception sharp, problem solving good
2 - MODERATE
3 - SEVERE - perception greatly reduced, problem solving ability poor
4 - PANIC- disturbed behavior, lose touch with reality, may have hallucinations, erratic uncoordinated, impulsive behaviors, feel like going crazy or going to die

Question 6

Acrophobia

Answer 6

fear of heights

Question 7

Arachnophobia

Answer 7

fear of spiders

Question 8

Atychiphobia

Answer 8

fear of failure

Question 9

Autophobia

Answer 9

fear of being alone or of oneself

Question 10

Aviatophobia

Answer 10

fear of flying

Question 11

Ophidiophobia

Answer 11

fear of snakes

Question 12

Anthropophobia

Answer 12

social phobia or social anxiety disorder (SAD)

Question 13

Obsession

Answer 13

thoughts, impulses or images that persist and recur, so that they cannot be dismissed from the mind

Question 14

Compulsions

Answer 14

–aCtion–

ritualistic behaviors an individual feels driven to perform to reduce anxiety

Question 15

Obsessive Compulsion Disorder

Answer 15

Treatment

1. cognitive/behavioral modification
   - -> positive reinforcement
2. medications
   - –> will most likely have an antipsychotic

Question 16

PSTD

Answer 16

re-experiencing highly traumatic event, cause is REAL
flashbacks
avoidance of stimuli
numbing of responses
increased arousal (difficulty sleeping, concentrating, startles, irritable)

Question 17

PTSD treatment

Answer 17

same as other anxiety disorders except: 
resilience training
debriefing interventions if trauma is known
trauma focused psychotherapy
meds - antipsychotic and beta blockers

Question 18

Dissociative disorder

Answer 18

unintentional maladaptive anxiety coping strategy to withdraw or disassociate

Question 19

Depersonalization

Answer 19

sense of one’s own reality is temporarily lost

Question 20

Dissociative amnesia

Answer 20

inability to recall important information

Question 21

Dissociative fugue

Answer 21

inability to recall identity and past events

Question 22

Dissociative identity disorder

Answer 22

the prescense of two or more personality states