anxiety and obessive compulsive disorder

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

normal anxiety

Answer 3

necessary for survival

Question 4

mild anxiety

Answer 4

Everyday problem-solving leverage
Grasps more information effectively
- tense, bitting nails, shaking legs

Question 5

moderate anxiety

Answer 5

• Selective inattention
• Clear thinking hampered
• Problem solving not optimal
• Sympathetic nervous system symptoms begin
• heart racing, tension, rr increase, sweat, symmatic symptoms present due to anxiety to physical, belly aches, diarrhea,

Question 6

severe anxiety

Answer 6

• Perceptual field greatly reduced
• Difficulty concentrating on environment
• Confused and automatic behavior
• Somatic symptoms increase: headache, nausea, insonmina
• concentration inpared
• difficulty problem solving, elevated hr

Question 7

panic

Answer 7

• Markedly disturbed behavior—running, shouting, screaming, pacing
• Unable to process reality; impulsivity
• cant breath, hallucinated, withdrawn

Question 8

defence mechanisms

Answer 8

• Automatic coping styles
• Protect people from anxiety
• Maintain self-image by blocking
  +Feelings
  +Conflicts
  +Memories
• Can be healthy or unhealthy
• splitting, regression, impression
• maladaptive; not good

Question 9

seperation anxiety disorder

Answer 9

Developmentally inappropriate levels of concern over being away from a significant other

• impacts family member
• gi upset, headache, sleep disturbance, innappropirate

Question 10

panic disorder

Answer 10

Panic attacks- the sudden
onset of extreme apprehension
of fear, usually associated with
feelings of impending doom

Question 11

agoraphobia

Answer 11

Excessive anxiety or fear about being in places or situations from which escape might be difficult or embarrassing

Question 12

social anxiety disorder

Answer 12

Severe anxiety or fear provoked by exposure to a social or a performance situation that will be evaluated negatively by others

• how someone will perceive them
• fear of public speaking

Question 13

generalized anxiety disorder

Answer 13

Excessive worry that lasts for months

Question 14

obsessions

Answer 14

Thoughts, impulses, or images that persist and recur, so that they cannot be dismissed from the mind
- “I’m a bad person”

Question 15

compulsions

Answer 15

Ritualistic behaviors an individual feels driven to perform in an attempt to reduce anxiety

Question 16

Obsessive-compulsive disorder:

Answer 16

symptoms occur on a daily basis and may involve issues of sexuality, violence, contamination, illness, or death

Question 17

assessment

Answer 17

• Sound physical and neurological exam
• Determine source of anxiety (primary vs. secondary)
• Determine current level of anxiety
• Assess for potential self-harm
• Complete psychosocial assessment
  +Ask patient about causes they can identify
• Self-assessment: you ask the nurse, how you engage, put own bias away, address those feelings

Question 18

nursing diagnosis and outcome identification Anxiety

Answer 18

Self-monitors intensity; uses reduction techniques; maintains role performance

Question 19

nursing diagnosis and outcome identification ineffective coping

Answer 19

Identifies ineffective and effective patterns; asks for assistance and information; modifies as needed
- help to find ways to manage it

Question 20

nursing diagnosis and outcome identification chronic low self esteem

Answer 20

Verbalizes self-acceptance and increased confidence

Question 21

Nursing Diagnoses and Outcome Identification self mutilation

Answer 21

Identifies predictive feelings; practices self-restraint

Question 22

planning

Answer 22

• Patients do not usually require inpatient admission
• Planning involves selecting community-based interventions
• Encourage active participation in planning to increase positive outcomes
• Patient experiencing severe levels may not be able to participate in planning
• pt. should be involved and engaged in health outcome

Question 23

application of the nursing process

Answer 23

Implementation
- Mild to moderate levels of anxiety
- Severe to panic levels of anxiety
Counseling
Teamwork and safety
Promotion of self-care activities

Question 24

implementation

Answer 24

- Pharmacological interventions
\+Antidepressants
\+Anti-anxiety drugs
\+Other classes
- Psychobiological interventions
- Integrative therapy
- Health teaching: coping mechanism, relaxation techniques, side effects from meds, reduce anxiety, keeping pt. safe

Question 25

advanced practice interventions

Answer 25

• Cognitive therapy: help reconstruct thoughts
• Behavioral therapy
  +Relaxation training
  +Modeling: model correct behavior
  +Systematic desensitization: introducing whats fearful graudually
  +Flooding: exposing them to stimuli (direct)
  +Response prevention: OCD set limits for ritual behaviors
  +Thought stopping: stop negative thoughts
• Cognitive-behavioral therapy

Question 26

evaluation

Answer 26

• Is the patient experiencing a reduced level of anxiety?
• Does the patient recognize symptoms as anxiety-related?
• Does the patient continue to display signs and symptoms such as obsessions, compulsions, phobias, worrying, or other symptoms of anxiety disorders? If still present, are they more or less frequent? More or less intense?
• Is the patient able to use newly learned behaviors to manage anxiety?
• Does the patient adequately perform self-care activities?
• Can the patient maintain satisfying interpersonal relations?
• Is the patient able to assume usual roles?

Question 27

SSRI

Answer 27

lexapro: first line of treatment