Anxiety Disorders Flashcards
What are types of Anxiety Disorders ?
- ) Generalized anxiety disorders
- )Panic Disorders
- ) Phobias
___________ anxiety disorder is a universal emotion ?
Generalized
When does Generalized Anxiety become a Disorder ?
When it interferes with day-to-day functioning
Generalized Anxiety Disorders ______________ performance at mild levels, and ______________ performance at high levels ?
Increase
Decreases
Generalized Anxiety Disorder is characterized as what type of anxiety?
Chronic anxiety
–> client feels highly anxious at least 50% of the time for more than 6 month
Generalized Anxiety Disorder is also called what ?
The “Worry” disease (worry about everything)
Which Anxiety Disorder, lives with anxiety daily ?
Generalized Anxiety Disorder
What are ADDITIONAL symptoms of Generalized Anxiety Disorder ?
- Uneasiness
- Irritability
- Fatigue
- Muscle Tension
- Difficulty thinking
- Sleep alterations
(a client with Generalized Anxiety Disorder will also have 3 or more of these)
Tx: Generalized Anxiety Disorder
The client may not need the nurse’s presence with what degree of Generalized Anxiety Disorder ?
Mild Anxiety
Tx: Generalized Anxiety Disorder
The nurse SHOULD stay with what type of Client ?
The Highly anxious client!
Tx: Generalized Anxiety Disorder
Why does the nurse have to stay with the highly anxious client ?
B/c the client will need step-by-step instructions to make decisions
Tx: Generalized Anxiety Disorder
What are relaxation techniques for the Tx of generalized Anxiety Disorder ?
- Deep breathing
- Imagery
- Deep muscle relaxation
- meditation
Tx: Generalized Anxiety Disorder
What type of therapy is important for clients with generalized Anxiety Disorder ?
Psychotherapy
Tx: Generalized Anxiety Disorder
What type of medications are used in the Tx for Generalized Anxiety Disorder ?
-Anoxiolytics like buspirone (Buspar)
OR
- Antidepressants like
-SSRI's - sertraline (Zoloft)
- SNRI's - duloxetine (Cymbalta) or venafaxime (Effexor)Tx: Generalized Anxiety Disorder
What else can a client with Generalized Anxiety Disorder do over time to help gain insight into anxiety, peaks and valleys, and triggers ?
Journaling
Tx: Generalized Anxiety Disorder
Clients with Generalized Anxiety Disorder should re-channel their anxiety how ?
Through exercise
What is the Hallmark sign of Generalized Anxiety Disorder ?
NO panic attacks!
S/S: Panic Disorders
When is the onset of panic attacks ?
Start in the late 20’s
S/S: Panic Disorder
Panic Disorders can be as frequent as what ?
As frequent as weekly, or spread out like monthly
S/S: Panic Disorders
How do Panic Disorders present ?
Attacks come on suddenly, last about 10 minutes and then subsides
S/S: Panic Disorders
What are the symptoms of Panic Disorder (/attacks?) ?
- Palpitations
- Sweating
- Tremors
- SOB
- Sense of suffocation
- Chest pain
- Nausea and/or dizziness
S/S: Panic Disorders
What is the definition of Panic Attacks ?
A sudden, rapid, intense, and escalating anxiety with 4 or more of the following symptoms
(Palpitations, Sweating, Tremors, SOB, Sense of suffocation, Chest pain, Nausea and/or Dizziness)
S/S: Panic Disorders
Clients with Panic Attacks may present to the ED with classic symptoms of a _________, but it will be a panic attack ?
An MI
S/S: Panic Disorders
Clients who are having a panic attack may be ___________ and think they are _________ ?
Frightened
Dying
Tx: Nursing Considerations for Panic Disorders
In clients with panic disorders (experiencing a panic attack ?) you want to do what with/for them ?
- Stay with the client in a non-threatening way
- Give them space, and be calm
- Don’t add to the anxiety
- Make them feel secure
Tx: Nursing Considerations for Panic Disorders
If a client is Hyperventilating, how will you intervene ?
Slow down their breathing & breathe with them
Tx: Nursing Considerations for Panic Disorders
How do you want to communicate with a client with Panic Disorders ?
Use simple words or messages when communicating
the client cannot understand complex messages
Tx: Nursing Considerations for Panic Disorders
___________ are possible with Panic Disorders
Hallucinations
Tx: Nursing Considerations for Panic Disorders
What do you want to teach clients with Panic Disorders ?
- Teach ways to stop anxiety
- Teach that the symptoms should peak within 10 minutes and be gone within 20 - 30 minutes
Tx: Nursing Considerations for Panic Disorders
What is an activity that can help clients with panic disorders manage their anxiety ?
Journaling
Tx: Nursing Considerations for Panic Disorders
What is another Tx modality for the Client’s with Panic Disorders ?
Relaxation Techniques
Such as…
- Relaxation tapes
- Meditation
- Deep breathing exercises
What are the signs and symptoms of Phobias ?
- ) The object the client fears often does not present a danger
- ) It is unconscious anxiety that causes people to have a phobia
Tx: Nursing Considerations for Panic Disorders
What must you as the nurse develop with the client ?
A trusting relationship
Tx: Nursing Considerations for Panic Disorders
What is the Key to recovery for clients with phobias ?
Desensitixation (and it must occur over time)
Tx: Nursing Considerations for Panic Disorders
What do you want to help a client with who has phobias ?
Help the client with self-esteem and self-control
What is positive reframing and who should it be used on ?
Involves thinking about a negative or challenging situation in a more positive way
Used with Phobia clients
Tx: Nursing Considerations for Panic Disorders
Should you talk about the phobia a lot with phobia clients ?
No
