Anxiety/Anxiety disorders Flashcards

1
Q

what is the most common type of psychiatric disorder in the U.S.

A

Anxiety

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2
Q

Mild anxiety will present with manifestations of..

A
  • -needing special attention
  • -increased motivation
  • -increased sensory stimulation
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3
Q

Moderate anxiety will present with what clinical manifestations?

A
  • -agitation
  • -cant concentrate
  • -can be redirected
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4
Q

Severe anxiety will present with manifestations of…

A
  • -trouble thinking/reasoning
  • -tight muscles
  • -increased VS
  • -restless
  • -irritable
  • -angry
  • -panic “fight, flight or freeze response”
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5
Q

during the “fight, flight, or freeze response” the patient will have…

A
  • -Increased VS
  • -dilated pupils
  • -focuses on defense
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6
Q

When a patient is experiencing anxiety they will have a vague feeling of…

A

dread/apprehension

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7
Q

Wear and tear of life on the body is called

A

stress

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8
Q

General adaption syndrome is related to the physiological aspect of stress, identified by whom?

A

Selye

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9
Q

This stage is when the body preps for defense

A

Alarm reaction

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10
Q

This stage is when the blood is shunted to areas needed for defense

A

Resistance stage

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11
Q

This stage is when stores are depleted and emotions are unresolved.

A

Exhaustion stage

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12
Q

This neurochemical in the brain blocks or inhibits certain brain signals

A

GABA

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13
Q

This neurochemical is the “happy chemical”

A

Serotonin

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14
Q

This person believed that our defenses are a means to avoid anxiety (don’t want to feel helpless). Who is it?

A

Freud

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15
Q

These two people believe interpersonal interactions decrease/avoid anxiety. Who are they?

A

Sullivan, Peplau

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16
Q

What is the fear of certain places (outdoors, bridges) that is out of proportion with actual threat/danger?

A

Agoraphobia

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17
Q

What is the fear of a specific object/experience (spiders, snakes, strangers, flying, dark, elevators, enclosed spaces)?

A

specific phobia

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18
Q

what is it called when a person cannot perform/speak in front of people? They may even report illness (real/fake) to get out of it.

A

Social phobia

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19
Q

This disorder is due to an uncontrollable, chronic worry that can impair functioning.

A

Generalized anxiety disorder (GAD)

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20
Q

With GAD the chronic worry usually lasting longer than…

A

6 months

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21
Q

What are some manifestation of GAD?

A
  • -Restlessness
  • -muscle tension
  • -avoid stressful activities
  • -procrastinate
  • -seek repeated reassurance
22
Q

what meds are used to treat GAD?

A
  • -Buspirone

- -SSRI’s

23
Q

This type of anxiety is associated with excessive fear/anxiety when separated from someone fearing something may happen to them.

A

Separation Anxiety

24
Q

what are the manifestations of separation anxiety?

A
  • -headaches
  • -N/V
  • -sleep disturbances
25
This disorder is when a person has discrete recurring panic attacks without any stimulus for panic response.
--Panic Disorder
26
How long does a panic attack typically last? | How many manifestations will be present during an attack?
- -15-30 min | - -4 or more
27
What are some manifestations of a panic attack?
- -Palpitations - -SOB - -Smothering/choking sensation - -chest pain - -chills/hot flashes
28
Secondary panic disorder is due to a result of..
illness
29
With primary panic disorder a ___ resolves conflict for the patient.
Injury
30
What are pharm and non-pharm tx.'s of Panic disorder?
- -CBT (relaxation, deep breathing) - -Benzos (diazepam)- short term - -SSRI's (Sertraline, Paroxetine)- 1st line tx. - -Tricyclic antidepressants (Venlafaxine/duloxetine) - -Antihypertensives (Propranolol, clonidine)
31
what is scale is used to rate the level/severity of anxiety?
Hamilton rating scale
32
What is it called when the pt. has a feeling of being disconnected with own mind/body?
depersonalization-derealization
33
when assessing the patients thought process in panic disorder, they may display...
- -disorganized thoughts | - -loss of rational thinking
34
Nursing dx. for panic disorder may include...
- -Role performance ineffective - -coping, ineffective - -disturbed thought process
35
Interventions for someone with a panic disorder are:
- -Safety (suicide/risk assessment) - -provide comfort (calm, quiet env.) - -Therapeutic communication (open ended questions, client participation) - -Postpone health teachings until acute anxiety subsides
36
what are some RF for anxiety/anxiety disorders?
- -Women (more prevalent) - -People < 45 yoa - -Adverse effects of meds - -alcohol/drug abuse - -Acute medical conditions (Hyperthyroidism, PE)
37
What cultural factors play a part in anxiety?
- -Asians (somatic-effect body)(koro-genitals retract and disappear) - -Hispanics (susto-fright from trauma "bad air" like a cemetery)
38
A Hispanic displaying susto will have manifestations of..
- -sadness - -agitation - -lose weight - -weakness - -HR changes
39
The most common anxiety disorder in older adults is..
--GAD
40
Meds that can be given for anxiety are
anxiolytics, antidepressants
41
CBT is one method of treatment for anxiety. What is positive reframing?
turn negatives into positives
42
What is decatastrophizing?
making a more realistic appraisal of situation
43
what is assertiveness training?
Negotiate interpersonal situations
44
Anxiety is a warning that someone may not be...
dealing with stress effectively
45
What are some tips to managing stress?
- -exercise - -eat right - -adequate sleep/rest - ---express feelings (talk, laugh, cry) - -set realistic goals
46
when a nursing is working with an anxious person, the nurse should...
- -use short simple sentences - -use low, calm, soothing voice - -provide safety during attack (don't leave them) - -may give anxiolytic
47
Nurses are just as vulnerable to stress as everyone else. The nurse should avoid trying to...
"fix" the patients problem
48
True or false | Anxiety and fear are considered to be two different things.
True
49
True or false | The neurotransmitter dopamine is associated with anxiety disorders
False
50
``` 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 ```
C. Automatisms
51
True or False | Phobias result from a past negative experience
False
52
what are automatisms?
performing actions without conscious thought/intention