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Anxiety and anxiety related disorders Flashcards

1
Q

It is a response to subjective or internal danger.
Afraid of the unknown

A

Anxiety

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2
Q

It is a response to objective threat or external
danger. Afraid of the known.

A

Fear

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3
Q

It is an exaggerated, abnormal, marked fear of non-
dangerous object or situation

A

Phobia

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4
Q

You meet everyday

A

MILD ANXIETY (+1)

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5
Q

Type of anxiety which is caused by the ordinary tension of
daily life.

A

MILD ANXIETY (+1)

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6
Q

SIGNS AND SYMPTOMS of mild anxiety

A
  • Alert
  • voice is calm
  • attentive
  • confident
  • calm
  • secured
  • relaxed
  • uses adaptive coping mechanism
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7
Q

o Type of anxiety where the patient’s perception continues
to be high, however, the patient begins to focus only on
the situation he is into, excluding other issues

A

MODERATE ANXIETY (+2) or (++)

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8
Q

o BOARD EXAM = narrowing – focus of the person is very
narrow na wala na siyang pakialam

A

MODERATE ANXIETY (+2) or (++)

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9
Q

SIGNS AND SYMPTOMS of moderate anxiety

A
  • Sympathetic nervous system is activated
  • irritable
  • talk fast
  • muscle tension
  • frequent urination
  • sweating
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10
Q

o The perception of the patient is inaccurate

A

SEVERE ANXIETY (+3) or (+++)

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11
Q

o The problem solving is reduced and patient needs
assistance

A

SEVERE ANXIETY (+3) or (+++)

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12
Q

o Nurse should separate them to other room (nakakahawa
ang anxiety)

A

SEVERE ANXIETY (+3) or (+++)

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13
Q

SIGNS AND SYMPTOMS of severe anxiety

A
  • Disoriented
  • extreme tension
  • palpitation
  • hyperventilating
  • inefficient
    -confused
    -withdrawal
  • poor eye contact
    -sweating
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14
Q

Intense, disorganize a person’s functioning and distorts
perception.

A

PANIC (+4)

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15
Q

Perception is very high.

A

MILD ANXIETY (+1)

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16
Q

The patient must have immediate intervention.

A

PANIC (+4)

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17
Q

Kaya pag severe anxiety na, ilagay na sa ibang room tapos
bantayan ang patient

A

TRue

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18
Q

Bed = see to it na nakataas ang side rails for pts. that are panicking

A

TRue

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19
Q

Check if they need oxygen (Panic)

A

TRue

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20
Q

WITHDRAWAL

A
  • Emotionally drained
  • helpless
  • desperate
  • clumsy
  • sleepless
  • aggressive
  • exhausted
  • chest pain
  • negativistic
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21
Q

ETIOLOGY

A
  • Increase of epinephrine and norepinephrine
  • The earliest emotional trauma felt by a person was during
    his birth
  • Most universal of all emotions, warning of danger
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22
Q

ways of coping w/ anxiety > Able to solve problem

A

Adaptive

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23
Q

ways of coping w/ anxiety > Temporarily decrease anxiety

A

Paliative

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24
Q

Unsuccessful attempt to decrease anxiety

without solving it

A

Maladaptive

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25
Q

Unsuccessful way of relieving anxiety and decrease minimal functioning

A

Dysfunctional

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26
Q

NURSING MANAGEMENT

A
  • Accept patient’s behavior
  • Provide calm and quiet environment. Reduce stimulation.
    -Discuss the feelings
  • Listening
  • Plan of activity for the patient and use of hobbies
  • Promote relaxation technique
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27
Q

Free floating anxiety

A

GENERALIZED ANXIETY DISORDER (GAD)

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28
Q

Excessive unrealistic anxiety of 6 months period or years

A

GENERALIZED ANXIETY DISORDER (GAD)

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29
Q

NURSING CARE of GAD

A
  1. Calm and quiet environment
  2. Stay with the patient and talkd about their fears
  3. Listen to the patient
  4. Plan an activity for the patient
  5. Develop adaptive coping responses. To practice new
    behavior to face their problem.
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30
Q

It is an intense fear or discomfort which last for few
minutes.

A

PANIC DISORDER

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31
Q

Attack occur “out of the blue” the severity will
make the patient unfit and incapable

A

PANIC DISORDER

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32
Q

S/Sx of Panic Disorder

A
  • Chest pain
  • choking feeling
  • going crazy
  • numbness
  • unable to move
    -suicidal
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33
Q

NURSING MANAGEMENT of Panic Disorder

A
  1. Stay with the client
  2. Allow client to cry
  3. Provide calm/safe environment
  4. Communicate with the client (pag kalamado na siya – kasi
    alangan naman pag nagawawala siya)
  5. Speak in short, simple sentence and give one direction at
    a time
  6. Ask perception or fear
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34
Q

A recurrent and persistent thoughts, ideas and impulse that are
experienced as senseless

A

OBSESSIVE COMPULSIVE DISORDER

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35
Q

A recurrent thought, ideas, ideas, and impulses that are
inappropriate

A

Obsession

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36
Q

It is a repeated performance where a person is compelled
to do so to decrease his anxiety

A

Compulsion

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37
Q

OCD- # of affected

A

equal number of male and female are affected

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38
Q

SIGNS AND SYMPTOMS of OCD

A
  • Obsession
  • compulsive motor rituals
  • low self-esteem
  • depressed
  • focus on details
  • rigid
  • perfectionist,
  • productive
  • suicidal
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39
Q

OCD CYCLE

A

Obsession (thought) -> anxiety -> Compulsions -> Relief

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40
Q

NURSING MANAGEMENT for OCD

A
  1. Limit, but do not interrupt the compulsive act
  2. Teach alternate coping method
  3. Be clear and consistent in the approach to care
  4. Permit time for the rituals (Let them do it pero make sure
    na he/she will not disturb others)
  5. Tell patient that is alright to commit mistakes (to decrease
    striving for perfection
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41
Q

It is an irrational intense fear in response to an external
object, activity or situation

A

PHOBIC DISORDER

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42
Q

S/SX of phobic disorder

A
  • Chest pain
  • choking feeling
  • going crazy
  • numbness
  • unable to move
    -suicidal
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43
Q

fear of being in public, open spaces, situation
where escape is difficult

A

Agoraphobia

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44
Q

fear of being humiliated, scrutinized,
embarrassed in public (pwedeng may bad experience siya
nung bata like napahiya during recitation or nabubully)

A

Social Phobia

45
Q

fear of specific object or situation

A

Simple/Specific

46
Q
A
47
Q

War, natural or man-made disaster, fires, accidents, illness,
rape, assault, major personal losses in business

A

POST TRAUMATIC STRESS DISORDER

48
Q

NURSING MANAGEMENT of phobic disorder

A
  1. Acceptance of the patient and his fear with a non-critical
    attitude
  2. Provide activity
  3. Help patient with regards to safety and comfort
  4. Help patient recognize that his behavior is one method of
    coping with his anxiety
49
Q

SIGNS AND SYMPTOMS of PTSD

A
  • Avoidance
  • sweating
  • withdrawal
  • restlessness
  • survivors’ guilt
  • shortness of breath
  • palpitation
  • irritability
  • nightmares
  • hallucination
50
Q

COMMON DEVELOP PROBLEMS in PTSD Patients

A

Suicidal ideas or attempt/substance abuse

51
Q

NURSING MANAGEMENT FOR PTSD pts.

A
  • Develop trust
  • Offer great deal of empathy and support.
  • Help re-establish relationship that can provide support
    and assistance
  • Safe environment
  • Encourage participation in sports and recreational
    activities
  • Educate him with regards to his medication
  • Recapitulation of each memory from least to the most
    painful
52
Q

Symptoms are similar to PTSD but develop within the first
month after extremely threatening situation

A

ACUTE STRESS DISORDER

53
Q

MEDICATIONS for acute stress disorder

A

Antianxiety
 (Minor tranquilizer/Anxiolytics)
 Panic attack = valium (2mg)

54
Q

Panic attack

A

No to ORAL MEDS (IM OR IV for faster
absorption)

55
Q

Serax, Libriu,, Valium, Ativan for panic attack

A
  • It has a calming effect
  • It is not use for minor stresses of everyday life, it can
    cause addiction
56
Q

IV MEDS for panic attack

A

1 to 5 min

57
Q

IM for panic attacks

A

15 to 30 mins

58
Q

EFFECT OF BENZODIAZEPINES
3D’s

A
  1. Drowsiness
  2. Dizziness
  3. Decrease BP

*Check v/s, it can cause orthostatic hypotension

59
Q

MULTIPLE DRUG THERAPY

A

“POLY PHARMACY”

60
Q

A disorder where the patient feels the presence of physical
symptoms that is with a negative organic basis

A

SOMATOFORM DISORDER

61
Q

The patient feels the pain and distress which causes them
to function limitedly

A

SOMATOFORM DISORDER

62
Q

A disorder that avoids responsibility and are manipulative

A

SOMATOFORM DISORDER

63
Q

“DOCTOR SHOPPERS”

A

SOMATOFORM DISORDER

64
Q

Characterized by multiple somatic symptoms that cannot
be explained medically

A

SOMATIZATION DISORDER

65
Q

Begins at 30 years’ old

A

SOMATIZATION DISORDER

66
Q

Symptoms will last within a year

A

SOMATIZATION DISORDER

67
Q

s/sx of SOMATIZATION DISORDER

A

o Recurrent pain on the heart, musculoskeletal, respiratory,
GI and integumentary problems.
o Fatigue can disable the client

68
Q

Severe and prolonged unrelated to a medical disease

A

PAIN DISORDER

69
Q

s/sx of pain disorder

A

Pain is felt for 6 months more exaggerated back pain

70
Q

PAIN DISORDER management

A
  • Acupuncture
  • physical therapy
  • relaxation
  • pain management technique
71
Q

Physical symptoms are interpreted as severe and can
cause the client’s life

A

HYPOCHONDRIASIS

72
Q

Kahit simple cut lang parang takot na takot na siya na
ikakamatay na niya

A

HYPOCHONDRIASIS

73
Q

s/sx of HYPOCHONDRIASIS

A

o Exaggerated worry and preoccupied with the symptoms
o Small cut can lead to amputation

74
Q

management of HYPOCHONDRIASIS

A

Teach rational interpretation of body sensations

75
Q

A loss or change of bodily functions

A

CONVERSION DISORDER

76
Q

La belle indifference under conversion disorder

A

is unconcerned about the symptoms

77
Q

Witness a murder but claimed she is blind

A

CONVERSION DISORDER

78
Q

s/sx of conversion disorder

A
  • Mutism
  • paralysis
  • tremors
  • blindness
  • deafness
  • headache
79
Q

Management of conversion disorder

A

o Recognize the symptoms of the patient because they
experience it
o Promote relief

80
Q

Preoccupied with a physical image defect in appearance
where there is no abnormality

A

BODY DYSMORPHIC

81
Q

s/sx of BODY DYSMORPHIC

A
  • Frequently check flaws
  • easily embarrassed
  • isolation
82
Q

Management of BODY DYSMORPHIC

A
  • Avoid challenging client
  • apply coping techniques
  • increase social activity
83
Q

Medication

A

a. Placebo
b. Analgesic
c. TCA – decrease somatic plans

84
Q

o Relieves anxiety by themselves to feel better

A

PRIMARY GAIN

85
Q

o They are relieved by the help of others

A

SECONDARY GAIN

86
Q

“Splitting off” an idea or emotions from ones
consciousness

A

DISSOCIATIVE DISORDER

87
Q

Multiple personality

A

DISSOCIATIVE DISORDER

88
Q

Defense mechanism is REPRESSION because the
conscious personality cannot handle the anxiety (panoorin
yung HIDE AND SEEK – Robert de niro)

A

DISSOCIATIVE DISORDER

89
Q

If they cannot handle their problem, they repress it
hanggat di na nila kaya tapos may gagawin at gagawin
yung ibang personality nila

A

DISSOCIATIVE DISORDER

90
Q

Sudden inability to recall personal information

A

DISSOCIATIVE AMNESIA

91
Q

Causes of DISSOCIATIVE AMNESIA

A
  • Severe stress
  • physical injury
  • death
92
Q

DISSOCIATIVE AMNESIA Behavior

A

Confused, disoriented, wandering around

93
Q

recall only a part of the event

A

Selective

94
Q

cannot recall his entire life

A

Generalized

95
Q

short period of time, after a traumatic event
(hours)

A

Localized

96
Q

successive events as they are

A

Continuous

97
Q

“flight” fleeing from your own identity

A

DISSOCIATIVE FUGUE

98
Q

Sudden unexpected travel to other places accompanied
by an inability to recall past identity

A

DISSOCIATIVE FUGUE

99
Q

DISSOCIATIVE FUGUE behavior

A
  • Confused memory loss
  • recovery is fast but client can’t recall
100
Q

Causes of DISSOCIATIVE FUGUE

A
  • Traumatic event
  • war
  • conflict
  • rejection
  • marital quarrels
101
Q

An alteration in ones self

A

DEPERSONALIZATION

102
Q

Like “living in a dream”

A

DEPERSONALIZATION

103
Q

Cause of depersonalization

A

o Overwhelming stress and anxiety

104
Q

Behavior of pts w/ depersonalization

A

o Feels “detached from self” but reality testing is intact
o Robot feeling

105
Q

Having two or more distinct personality or identities
(alters)

A

DISSOCIATIVE IDENTITY

106
Q

Behavior of pt. w/ DISSOCIATIVE IDENTITY

A

o Switching
o (blinking and rolling of eyes, headache, covering/hiding of
face, twitching) occurs from one alter to another

107
Q

Causes of DISSOCIATIVE IDENTITY

A

o Childhood physical and sexual abuse (flashbacks,
nightmares)

108
Q

Management of DISSOCIATIVE IDENTITY

A
  1. Interact with patient (trust)
  2. Keep them safe (decrease anxiety)
  3. Provide non demanding, simple routines (decrease
    anxiety)
  4. Encourage to do things for them self (thrill seeker)
  5. Assist in decision making (decrease stress)
  6. Stress management

psyche (3 decks)

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