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FINAL EXAM 231 > Anxiety diisorders > Flashcards

Anxiety diisorders Flashcards

1
Q

Acute anxiety is known as?

A

State anxiety

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2
Q

Chronic anxiety is known as?

A

Trait anxiety

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3
Q

Anxiety is often associated with?

A

Depression

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4
Q

Responses to anxiety? Four Fs

A

Fight or flight - Fight or Flee - response to perceived threat
Freeze or Fawn - Unable to move or Please/avoid conflict

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5
Q

Physiologic and perceptual changes in response to anxiety?

A
  • Increased alertness
  • Increased muscle stimulation
  • Changes in perceptual field
  • Rerouting of blood supply
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6
Q

Causes of anxiety?

A
  • Stressors that threaten ones self- real or perceived
  • Anticipated
  • Fear of punishment
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7
Q

Observable responses to anxiety?

A

Affective, Behavioral (psychomotor), Cognitive

ABC

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8
Q

can be a positive force; provides an impetus for changing behavior?

A

Mild to moderate anxiety

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9
Q

occur when anxiety impairs normal functioning. When can psychiatric problems arise?

A

Generalized Anxiety Disorder
*When anxiety is overwhelming and/or ineffective coping
(Panic, compulsions, phobias)

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10
Q

Intense expression of feelings that originates on unconscious level to relieve anxiety and tension.
What is this called? What is this known as? What are some examples?

A
  • Acting out*
  • coping mechanism for anxiety
  • examples - anger, laughing, crying
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11
Q

Experiencing psychic stress as a physical reaction as a result of anxiety? What is this called? What is this known as? What are some examples

A
  • Somatizing*
  • coping mechanism for anxiety
  • examples - headache, stomach ache
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12
Q

Evading as a result of eye contact. What is this called? What is this known as? What are some examples

A
  • Avoidance*
  • coping mechanism for anxiety
  • lack of eye contact, daydreaming
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13
Q

characterized by the pervasive existence of severe anxiety with no apparent cause.

A

generalized anxiety disorder

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14
Q

characterized by acute onset of panic levels of anxiety

A

panic disorder

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15
Q

what are some of the theoretical explanations for anxiety?

A
  • Psychodynamic - internal conflicts
  • Behavioral - learned conditions
  • Biologic - physical, chemical, genetics
  • Others - PANDAS
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16
Q

Looking for a solution for anxiety? What is this? What is this known as?

A
  • Problem solving*

* Coping mechanism

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17
Q

remove from anxiety producing situation

A

Withdrawl

-coping strategy

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18
Q

action to confront or resolve anxiety source

A

Attack

-coping strategy

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19
Q

An appropriate response when attack or withdrawal is not appropriate or effective. Used to change a usual way of responding.

A

Compromise

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20
Q

In GAD, symptoms interfere with?

A

Normal daily activities

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21
Q

what may people do to control symptoms of GAD?

A

Become dependent on alcohol/drug/substances

22
Q

What non pharmacological treatment has proven successful for GAD?

A

Combo of cognitive therapy and relaxation training

23
Q

Pharmacological treatment for GAD?

A

SSRIs, SNRIs, TCAs, buspirone

24
Q

What can the nurse encourage the client to do in GAD?

A

*Rethink perceptions of stressors
*Recognize some anxiety is a normal part of life
*

25
Q

In OCD clients, _______will increase if obsessive thoughts and compulsive behaviors are
interrupted.

A

Anxiety

26
Q

Complications of OCD?

A

Depression and/or substance abuse

27
Q

Behavioral techniques used to treat OCD?

A
  • Relaxtion
  • Flooding (maximum exposure to anxiety)
  • Thought stopping
28
Q

when is the best time to teach a client with OCD?

A

immediately following the completion of a ritual

when the client’s level of anxiety is at its lowest

29
Q

unwanted, persistent, intrusive thoughts, impulses,

or images related to anxiety

A

obsessions

30
Q

unwanted behavioral patterns or acts)

A

compulsions (short term relief for anxiety)

31
Q

Most effective meds for treating ocd?

A

SSRIS,

Tricyclics

32
Q

What is sometimes used to treat depression associated with OCD?

A

ECT

33
Q

4 therapies recommended for PTSD?

A

Cognitive Behavioral, Cognitive Reprocessing, Cognitive, Prolonged Exposure

34
Q

Which medications are used to treat PTSD? Which are FDA approved for PTSD?

A
  • Antidepressants - SSRIs

* sertraline and paroxetine

35
Q

The onset of a panic attack is,,,,

A
  • SUDDEN

* source of anxiety may not be identifiable

36
Q

Individuals with panic attacks frequently associate their symptoms with?

A

Physical illness and concerns about death.

37
Q

Feelings of hopelessness, helplessness, and despair may lead to

A

suicidal ideations

38
Q

Medications for panic disorder? Acute? Chronic?

A
  • Benzos for acute
  • SSRIs- fluoxetine, paroxetine, sertraline
  • SNRIS - venlafaxine
39
Q

In phobias, Contact with the feared stimuli, or mere thoughts of the stimuli,
causes

A

IMMEDIATE and SEVERE anxiety

40
Q

Pharmacological treatment for SAD

A
  • SSRI - paroxetine, sertraline
  • SNRI - Venlafaxine
  • 3 Bs - Benzos, Betablocker (proranolol), Buspirone
41
Q

Nonpharmacological treatment for SAD

A
  • Cognitive behavioral therapy

* Exposure therapy

42
Q

General treatments for phobias.

A

Cognitive therapy and graduated exposure

43
Q

Recurrent complaints frequent medical attention is sought,
no medical pathology present.

A

somatization

44
Q

Belief in and fear of having a disease, misinterpretation of physical signs
as “proof” of the disease

A

Hypochondriasis

45
Q

Transferring: a mental conflict into a physical symptom, which has no organic cause

A

conversion disorder

46
Q

describes the lack of concern over

physical illness; seen in ____

A

La belle Indifference

*seen in conversion reacitons

47
Q

A decrease in anxiety resulting from the

ability to deal with a stressful situation.

A

Primary gain

48
Q

Reward obtained from the sick role,
e.g., gain sympathy, excluded from
certain responsibility.

A

secondary gain

49
Q

When dealing with somoatoform disorders it is important to convey

A

Convey a nonjudgmental attitude

50
Q

when dealing with somatoform disorders you want to identify

A
  • needs met by the sick role*

e. g., attention and freedom from responsibility

51
Q

Summarization of what the nurse should do for somatoform client. Hint: ARD

A
  • Acknowledge symptom or complaint
  • Reaffirm that diagnostic tests reveal no organic pathology
  • Determine secondary gains acquired by client

FINAL EXAM 231 (6 decks)

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