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NCLEX - HURST REVIEW (Mental Health) > Anxiety Disorders > Flashcards

Anxiety Disorders Flashcards

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1
Q

What are types of Anxiety Disorders ?

A
  1. ) Generalized anxiety disorders
  2. )Panic Disorders
  3. ) Phobias
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2
Q

___________ anxiety disorder is a universal emotion ?

A

Generalized

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3
Q

When does Generalized Anxiety become a Disorder ?

A

When it interferes with day-to-day functioning

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4
Q

Generalized Anxiety Disorders ______________ performance at mild levels, and ______________ performance at high levels ?

A

Increase

Decreases

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5
Q

Generalized Anxiety Disorder is characterized as what type of anxiety?

A

Chronic anxiety

–> client feels highly anxious at least 50% of the time for more than 6 month

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6
Q

Generalized Anxiety Disorder is also called what ?

A

The “Worry” disease (worry about everything)

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7
Q

Which Anxiety Disorder, lives with anxiety daily ?

A

Generalized Anxiety Disorder

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8
Q

What are ADDITIONAL symptoms of Generalized Anxiety Disorder ?

A
  • Uneasiness
  • Irritability
  • Fatigue
  • Muscle Tension
  • Difficulty thinking
  • Sleep alterations

(a client with Generalized Anxiety Disorder will also have 3 or more of these)

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9
Q

Tx: Generalized Anxiety Disorder

The client may not need the nurse’s presence with what degree of Generalized Anxiety Disorder ?

A

Mild Anxiety

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10
Q

Tx: Generalized Anxiety Disorder

The nurse SHOULD stay with what type of Client ?

A

The Highly anxious client!

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11
Q

Tx: Generalized Anxiety Disorder

Why does the nurse have to stay with the highly anxious client ?

A

B/c the client will need step-by-step instructions to make decisions

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12
Q

Tx: Generalized Anxiety Disorder

What are relaxation techniques for the Tx of generalized Anxiety Disorder ?

A
  • Deep breathing
  • Imagery
  • Deep muscle relaxation
  • meditation
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13
Q

Tx: Generalized Anxiety Disorder

What type of therapy is important for clients with generalized Anxiety Disorder ?

A

Psychotherapy

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14
Q

Tx: Generalized Anxiety Disorder

What type of medications are used in the Tx for Generalized Anxiety Disorder ?

A 
-Anoxiolytics like buspirone (Buspar)
     OR 
- Antidepressants like 
      -SSRI's - sertraline (Zoloft)
      - SNRI's - duloxetine (Cymbalta) or venafaxime (Effexor)
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15
Q

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 ?

A

Journaling

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16
Q

Tx: Generalized Anxiety Disorder

Clients with Generalized Anxiety Disorder should re-channel their anxiety how ?

A

Through exercise

17
Q

What is the Hallmark sign of Generalized Anxiety Disorder ?

A

NO panic attacks!

18
Q

S/S: Panic Disorders

When is the onset of panic attacks ?

A

Start in the late 20’s

19
Q

S/S: Panic Disorder

Panic Disorders can be as frequent as what ?

A

As frequent as weekly, or spread out like monthly

20
Q

S/S: Panic Disorders

How do Panic Disorders present ?

A

Attacks come on suddenly, last about 10 minutes and then subsides

21
Q

S/S: Panic Disorders

What are the symptoms of Panic Disorder (/attacks?) ?

A
  • Palpitations
  • Sweating
  • Tremors
  • SOB
  • Sense of suffocation
  • Chest pain
  • Nausea and/or dizziness
22
Q

S/S: Panic Disorders

What is the definition of Panic Attacks ?

A

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)

23
Q

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 ?

A

An MI

24
Q

S/S: Panic Disorders

Clients who are having a panic attack may be ___________ and think they are _________ ?

A

Frightened

Dying

25
Q

Tx: Nursing Considerations for Panic Disorders

In clients with panic disorders (experiencing a panic attack ?) you want to do what with/for them ?

A
  • 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
26
Q

Tx: Nursing Considerations for Panic Disorders

If a client is Hyperventilating, how will you intervene ?

A

Slow down their breathing & breathe with them

27
Q

Tx: Nursing Considerations for Panic Disorders

How do you want to communicate with a client with Panic Disorders ?

A

Use simple words or messages when communicating

the client cannot understand complex messages

28
Q

Tx: Nursing Considerations for Panic Disorders

___________ are possible with Panic Disorders

A

Hallucinations

29
Q

Tx: Nursing Considerations for Panic Disorders

What do you want to teach clients with Panic Disorders ?

A
  • Teach ways to stop anxiety

- Teach that the symptoms should peak within 10 minutes and be gone within 20 - 30 minutes

30
Q

Tx: Nursing Considerations for Panic Disorders

What is an activity that can help clients with panic disorders manage their anxiety ?

A

Journaling

31
Q

Tx: Nursing Considerations for Panic Disorders

What is another Tx modality for the Client’s with Panic Disorders ?

A

Relaxation Techniques

Such as…

  • Relaxation tapes
  • Meditation
  • Deep breathing exercises
32
Q

What are the signs and symptoms of Phobias ?

A
  1. ) The object the client fears often does not present a danger
  2. ) It is unconscious anxiety that causes people to have a phobia
33
Q

Tx: Nursing Considerations for Panic Disorders

What must you as the nurse develop with the client ?

A

A trusting relationship

34
Q

Tx: Nursing Considerations for Panic Disorders

What is the Key to recovery for clients with phobias ?

A

Desensitixation (and it must occur over time)

35
Q

Tx: Nursing Considerations for Panic Disorders

What do you want to help a client with who has phobias ?

A

Help the client with self-esteem and self-control

36
Q

What is positive reframing and who should it be used on ?

A

Involves thinking about a negative or challenging situation in a more positive way

Used with Phobia clients

37
Q

Tx: Nursing Considerations for Panic Disorders

Should you talk about the phobia a lot with phobia clients ?

A

No

NCLEX - HURST REVIEW (Mental Health) (10 decks)

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