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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
Unsuccessful way of relieving anxiety and decrease minimal functioning
Dysfunctional
26
NURSING MANAGEMENT
- 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
27
Free floating anxiety
GENERALIZED ANXIETY DISORDER (GAD)
28
Excessive unrealistic anxiety of 6 months period or years
GENERALIZED ANXIETY DISORDER (GAD)
29
NURSING CARE of GAD
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.
30
It is an intense fear or discomfort which last for few minutes.
PANIC DISORDER
31
Attack occur “out of the blue” the severity will make the patient unfit and incapable
PANIC DISORDER
32
S/Sx of Panic Disorder
- Chest pain - choking feeling - going crazy - numbness - unable to move -suicidal
33
NURSING MANAGEMENT of Panic Disorder
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
34
A recurrent and persistent thoughts, ideas and impulse that are experienced as senseless
OBSESSIVE COMPULSIVE DISORDER
35
A recurrent thought, ideas, ideas, and impulses that are inappropriate
Obsession
36
It is a repeated performance where a person is compelled to do so to decrease his anxiety
Compulsion
37
OCD- # of affected
equal number of male and female are affected
38
SIGNS AND SYMPTOMS of OCD
- Obsession - compulsive motor rituals - low self-esteem - depressed - focus on details - rigid - perfectionist, - productive - suicidal
39
OCD CYCLE
Obsession (thought) -> anxiety -> Compulsions -> Relief
40
NURSING MANAGEMENT for OCD
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
41
It is an irrational intense fear in response to an external object, activity or situation
PHOBIC DISORDER
42
S/SX of phobic disorder
- Chest pain - choking feeling - going crazy - numbness - unable to move -suicidal
43
fear of being in public, open spaces, situation where escape is difficult
Agoraphobia
44
fear of being humiliated, scrutinized, embarrassed in public (pwedeng may bad experience siya nung bata like napahiya during recitation or nabubully)
Social Phobia
45
fear of specific object or situation
Simple/Specific
46
47
War, natural or man-made disaster, fires, accidents, illness, rape, assault, major personal losses in business
POST TRAUMATIC STRESS DISORDER
48
NURSING MANAGEMENT of phobic disorder
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
SIGNS AND SYMPTOMS of PTSD
- Avoidance - sweating - withdrawal - restlessness - survivors’ guilt - shortness of breath - palpitation - irritability - nightmares - hallucination
50
COMMON DEVELOP PROBLEMS in PTSD Patients
Suicidal ideas or attempt/substance abuse
51
NURSING MANAGEMENT FOR PTSD pts.
- 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
Symptoms are similar to PTSD but develop within the first month after extremely threatening situation
ACUTE STRESS DISORDER
53
MEDICATIONS for acute stress disorder
Antianxiety  (Minor tranquilizer/Anxiolytics)  Panic attack = valium (2mg)
54
Panic attack
No to ORAL MEDS (IM OR IV for faster absorption)
55
Serax, Libriu,, Valium, Ativan for panic attack
- It has a calming effect - It is not use for minor stresses of everyday life, it can cause addiction
56
IV MEDS for panic attack
1 to 5 min
57
IM for panic attacks
15 to 30 mins
58
EFFECT OF BENZODIAZEPINES 3D’s
1. Drowsiness 2. Dizziness 3. Decrease BP *Check v/s, it can cause orthostatic hypotension
59
MULTIPLE DRUG THERAPY
“POLY PHARMACY”
60
A disorder where the patient feels the presence of physical symptoms that is with a negative organic basis
SOMATOFORM DISORDER
61
The patient feels the pain and distress which causes them to function limitedly
SOMATOFORM DISORDER
62
A disorder that avoids responsibility and are manipulative
SOMATOFORM DISORDER
63
“DOCTOR SHOPPERS”
SOMATOFORM DISORDER
64
Characterized by multiple somatic symptoms that cannot be explained medically
SOMATIZATION DISORDER
65
Begins at 30 years’ old
SOMATIZATION DISORDER
66
Symptoms will last within a year
SOMATIZATION DISORDER
67
s/sx of SOMATIZATION DISORDER
o Recurrent pain on the heart, musculoskeletal, respiratory, GI and integumentary problems. o Fatigue can disable the client
68
Severe and prolonged unrelated to a medical disease
PAIN DISORDER
69
s/sx of pain disorder
Pain is felt for 6 months more exaggerated back pain
70
PAIN DISORDER management
- Acupuncture - physical therapy - relaxation - pain management technique
71
Physical symptoms are interpreted as severe and can cause the client’s life
HYPOCHONDRIASIS
72
Kahit simple cut lang parang takot na takot na siya na ikakamatay na niya
HYPOCHONDRIASIS
73
s/sx of HYPOCHONDRIASIS
o Exaggerated worry and preoccupied with the symptoms o Small cut can lead to amputation
74
management of HYPOCHONDRIASIS
Teach rational interpretation of body sensations
75
A loss or change of bodily functions
CONVERSION DISORDER
76
La belle indifference under conversion disorder
is unconcerned about the symptoms
77
Witness a murder but claimed she is blind
CONVERSION DISORDER
78
s/sx of conversion disorder
- Mutism - paralysis - tremors - blindness - deafness - headache
79
Management of conversion disorder
o Recognize the symptoms of the patient because they experience it o Promote relief
80
Preoccupied with a physical image defect in appearance where there is no abnormality
BODY DYSMORPHIC
81
s/sx of BODY DYSMORPHIC
- Frequently check flaws - easily embarrassed - isolation
82
Management of BODY DYSMORPHIC
- Avoid challenging client - apply coping techniques - increase social activity
83
Medication
a. Placebo b. Analgesic c. TCA – decrease somatic plans
84
o Relieves anxiety by themselves to feel better
PRIMARY GAIN
85
o They are relieved by the help of others
SECONDARY GAIN
86
“Splitting off” an idea or emotions from ones consciousness
DISSOCIATIVE DISORDER
87
Multiple personality
DISSOCIATIVE DISORDER
88
Defense mechanism is REPRESSION because the conscious personality cannot handle the anxiety (panoorin yung HIDE AND SEEK – Robert de niro)
DISSOCIATIVE DISORDER
89
If they cannot handle their problem, they repress it hanggat di na nila kaya tapos may gagawin at gagawin yung ibang personality nila
DISSOCIATIVE DISORDER
90
Sudden inability to recall personal information
DISSOCIATIVE AMNESIA
91
Causes of DISSOCIATIVE AMNESIA
- Severe stress - physical injury - death
92
DISSOCIATIVE AMNESIA Behavior
Confused, disoriented, wandering around
93
recall only a part of the event
Selective
94
cannot recall his entire life
Generalized
95
short period of time, after a traumatic event (hours)
Localized
96
successive events as they are
Continuous
97
“flight” fleeing from your own identity
DISSOCIATIVE FUGUE
98
Sudden unexpected travel to other places accompanied by an inability to recall past identity
DISSOCIATIVE FUGUE
99
DISSOCIATIVE FUGUE behavior
- Confused memory loss - recovery is fast but client can’t recall
100
Causes of DISSOCIATIVE FUGUE
- Traumatic event - war - conflict - rejection - marital quarrels
101
An alteration in ones self
DEPERSONALIZATION
102
Like “living in a dream”
DEPERSONALIZATION
103
Cause of depersonalization
o Overwhelming stress and anxiety
104
Behavior of pts w/ depersonalization
o Feels “detached from self” but reality testing is intact o Robot feeling
105
Having two or more distinct personality or identities (alters)
DISSOCIATIVE IDENTITY
106
Behavior of pt. w/ DISSOCIATIVE IDENTITY
o Switching o (blinking and rolling of eyes, headache, covering/hiding of face, twitching) occurs from one alter to another
107
Causes of DISSOCIATIVE IDENTITY
o Childhood physical and sexual abuse (flashbacks, nightmares)
108
Management of DISSOCIATIVE IDENTITY
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

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