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Mental Health final > anxiety and OCD > Flashcards

anxiety and OCD Flashcards

1
Q

a vague feeling of dread or apprehension; it is a response to external or internal stimuli that can have behavioral, emotional, cognitive, and physical symptoms

A

anxiety

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2
Q

caused by an existing stress-causing factor or stressor

A

stress

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3
Q

stress that continues after stressor is gone

A

anxiety

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4
Q

The client experiences an extreme fear of certain places (such as a outdoors or being on a bridge) where the client feels vulnerable or unsafe

A

agoraphobia with or without panic

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5
Q

Discrete episodes of panic that typically last 15 to 30 minutes; no stimulus for panic response

A

panic disorder

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6
Q

Four or more of the manifestations are present during a panic attack:

A

Palpitations Nausea
Shortness of breath Feelings of depersonalization
Choking or smothering sensation Fear of dying or insanity
Chest pain Chills or hot flashes

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7
Q

what are panic disorders more at risk for?

A

suicide

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8
Q

what is the treatment for panic disorders?

A

Cognitive behavioral techniques
Deep breathing, relaxation
Benzodiazepines, SSRIs, tricyclic antidepressants, antihypertensive (clonidine, propranolol)

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9
Q

What to do when working with anxious patients?

A

Self-awareness of anxiety level
Assessment of person’s anxiety level
Teach and implement relaxation techniques
Remain with patient
Use of short, simple, easy-to-understand sentences
Lower person’s anxiety level to moderate or mild before proceeding
Low, calm, soothing voice
Safety during panic level ( “You are safe. Take a deep breath.”
Short-term use of anxiolytics (Refer to Table 14.2 on pg 236)

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10
Q

Which of the following would a nurse expect to assess in a patient with a panic disorder?

A. Rational thinking
B. Blaming of others
C. Automatisms
D. Organized thoughts

A

C. Automatisms

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11
Q

An illogical, intense, and persistent fear of a specific object or social situation that causes extreme distress and interferes with normal functioning

A

phobias

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12
Q

fear of certain places

A

agoraphobia

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13
Q

irrational fear of an object or a situation

A

specific phobia

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14
Q

social anxiety disorder

A

social phobia

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15
Q

treatment for phobia include?

A

Behavioral therapy: positive reframing; assertiveness training; systematic desensitization; flooding
Medications

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16
Q

Is the following statement true or false?

Phobias result from a past negative experience

A

false

17
Q

Classified as an anxiety disorder, but with unique manifestations in the way patients attempt to decrease or control their anxiety

A

OCD

18
Q

recurrent, persistent, intrusive, and unwanted thoughts, images, or impulses that causes marked anxiety and interfere with interpersonal, social, or occupational function

A

obsessions

19
Q

ritualistic or repetitive behaviors that a person carries out continuously in an attempt to neutralize anxiety (i.e. repetitive of cleaning of a particular object or washing of hands).

A

compulsions

20
Q

skin picking

A

excoriation

21
Q

nail biting

A

onychophagia

22
Q

hair pulling

A

Trichotillomania

23
Q

compulsive stealing; the thrill of stealing and not getting caught

A

kleptomania

24
Q

compulsive buying, the pleasure is acquiring the purchased object rather than any sequent enjoyment of its use

A

oniomania

25
Q

Obsessive desire to save items regardless of value and experience extreme stress with thoughts of discarding or getting rid of items.)

A

hoarding

26
Q

fire setting

A

pyromania

27
Q

The patient attempts to conceal a perceived physical flaw and practices repetitive behaviors, such as mirror checking or comparison to others, in response to the anxiety experienced over the perception.)

A

Body dysmorphic disorder

28
Q

feeling alienated from a part of the body to the extent of seeking amputation of the identified body part

A

Body identity integrity disorder

29
Q

common obsessive thought themes

A

Contamination

Religious preoccupation or blasphemy

Aggressive urges

Doubting

Accidental harm to other

Sexual

30
Q

what are common compulsions?

A 
Touching/rubbing/tapping
Ordering (arranging and rearranging)
Exhibiting rigid performance
Checking rituals
Counting rituals
Washing/scrubbing
Praying/chanting
31
Q

patient/family teaching for OCD

A
  • Define OCD and assist in recognizing patient’s symptoms.
  • Review importance of openly discussing obsessions, compulsions, and anxiety.
  • Emphasize that medication compliance is important part of OCD treatment.
  • Discuss behavioral techniques for managing anxiety and decreasing OCD symptoms.
32
Q

medication Treatment for OCD?

A

Medications:
First line: SSRIs (fluvoxamine, sertraline)
Second line: SNRI (venlafaxine)
Treatment-resistant OCD: second-generation antipsychotics (risperidone, quetiapine, olanzapine)

33
Q

behavior therapy for OCD?

A
  • cognitive behavioral therapy
  • exposure therapy
  • response prevention
34
Q

Treatment focuses on examining the relationships between thoughts, feelings, and behaviors.

A

Cognitive behavioral therapy

35
Q

Deliberately confronting situation and stimuli that one usually tries to avoid.

A

Exposure therapy

36
Q

Delay or avoid performing the rituals. Learn to tolerate the thoughts and anxiety and to recognize that it will recede without the disastrous imagined consequences

A

response prevention

37
Q

Which of the following is considered a treatment option for patients experiencing OCD?

A. Avoidance therapy
B. Response–reaction therapy
C. Memory flooding
D. Exposure therapy

A

D. Exposure therapy

38
Q

Is the following statement true or false?

The best way to help a patient with OCD is to avoid talking about the obsessive–compulsive behaviors as the patient feels ashamed of the behaviors.

A

false

Mental Health final (5 decks)

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