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Behavioral Health Nursing > Anxiety Disorders > Flashcards

Anxiety Disorders Flashcards

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1
Q

What did Freud view anxiety as?

A

A motivator of behavior

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2
Q

What did Sullivan say anxiety was?

A

An interpersonal phenomenon based in the mother/child relationship.

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3
Q

What is anxiety a feeling of?

A

Apprehension

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4
Q

What is anxiety a threat to?

A

Self esteen, self identity, or some value of a person.

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5
Q

What is fear?

A

A feeling or tension state brought on by accurate perception of “real” threat”

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6
Q

What is fear based on?

A

Reality- physical threat.

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7
Q

What is anxiety based on?

A

Disproportionate to reality- no real threat.

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8
Q

What is level 1 anxiety?

A

Mild- the perceptual field is normal, the person is keen and taking in environment- need this to learn.

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9
Q

What is level 2 anxiety?

A

Moderate anxiety- the perceptual field is limited to one task, person becomes dysfunctional.

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10
Q

What is level 3 anxiety?

A

Severe- the perceptual field is limited to one detail of one task.

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11
Q

What is level 4 anxiety?

A

Panic- no information is processed, no perceptual field- may be a threat to themselves, never leave alone.

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12
Q

What can increase anxiety?

A

Life stressors and rapid changes in society.

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13
Q

What is generalized anxiety disorder?

A

A person with unrealistic or excessive anxiety related to life circumstances; they are not coping well with life.

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14
Q

What is a panic disorder?

A

The person has recurrent attacks of intense discomfort- may or may not be associated with a situation.

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15
Q

What are phobias?

A

pathological fear reaction that is out of proportion to the stimulus.

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16
Q

What is agorophobia?

A

Fear of open spaces

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17
Q

What is social phobia?

A

Fear of groups- strangers make person uncomfortable.

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18
Q

What is a simple phobia?

A

A fear of a specific object or stimulation; EX: heights, animals

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19
Q

What is an obsessive compulsive disorder?

A

An obsession that coordinates with a compulsive trait.

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20
Q

What is an obsession with OCD?

A

An undesired, persistent though- EX: fear of getting dirty

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21
Q

What is a compulsion with OCD?

A

An unwanted urge to perform an act or ritual- EX: washing hands repeatedly

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22
Q

What is the defense mechanism associated with OCD?

A

Undoing- the ritual decreases the anxiety caused by the obsessive thought; the person knows the symptoms are ego-dystonic

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23
Q

What does ego-dystonic mean?

A

Unacceptable

24
Q

What does ego-syntonic mean?

A

Acceptable

25
Q

What is an acute stress disorder (PTSD)?

A

Also known as post traumatic stress disorder; occurs after a traumatic event, person experiences fear and helplessness

26
Q

What does the reaction of PTSD depend on?

A

Pre-existing conditions, coping style, support system, previous exposure to trauma, and meaning of event

27
Q

What are symptoms of PTSD?

A

Amnesia, depersonalization, derealization, numbing, lack of emotional response, flashbacks, nightmare

28
Q

When do symptoms occur after PTSD?

A

one month or more post trauma, can go unnoticed for years

29
Q

What is the defense mechanism associated with PTSD?

A

Denial, repression.

30
Q

What are somataform disorders?

A

Characterized by long standing physical symptoms with no organ pathology. EX: long day=headache

31
Q

What is hypochondriasis?

A

When a person misinterprets physical symptoms despite medical evidence- interferes with daily life. Usually makes symptoms worse.

32
Q

What is somatization disorder?

A

When a person seeks constant medical treatment for basically nothing; usually occurs before age 30

33
Q

What is a conversion disorder?

A

An unconscious use of physical symptom to solve problem with no explanation.

34
Q

What is a key symptom of a conversion disorder?

A

La Belle indiference

35
Q

What is La Belle Indiference?

A

When a sudden onset of a crippling symptom like paralysis happens, and the person is completely calm because it gets rid of their anxiety.

36
Q

What are dissociative disorders?

A

Disturbances in identity, memory, consciousness, or perception of environments.

37
Q

What is a dissociative identity disorder?

A

The existance of two or more personalities when each takes control of persons behaviors

38
Q

What are symptoms of dissociative identity disorders?

A

The person has opposite attitudes and behaviors, they are unable to recall information, personalities may or may not be aware of each other

39
Q

What usually causes dissociative identity disorders?

A

History of sexual trauma before age 6

40
Q

What is Dissociative Fugue?

A

When a person leaves home and develops a new identity and new activities

41
Q

What is dissociative amnesia?

A

One or more episodes of inability to recall important personal information, usually of traumatic nature.

42
Q

What are biological and physiological causes of anxiety disorders?

A

Dysregulation of neurotransmitters, genetic, flight or fight stress responses.

43
Q

What are behavioral causes of anxiety disorders?

A

Person associates increased anxiety with situations where anxiety occured

44
Q

What are psychodynamic causes of anxiety disorders?

A

Freud’s anal stage of development; OCD unconscious conflict, agressive or soiling impulse, need for acceptance. (Test question)

45
Q

What are interpersonal causes of anxiety disorders?

A

Sullivan- originates in mother/child relationship, person has excessive need to control environment

46
Q

What are primary gains of anxiety disorders?

A

Anxiety is reduced. (Test Question)

47
Q

What are secondary gains of anxiety disorders?

A

Attention, taken care of, released responsibility (Test Question)

48
Q

What are pharm treatments for anxiety disorders?

A

Benzodiazapines, Nonbenzos, Antidepressants

49
Q

What are benzodiazapines used for and an example?

A

Xanax, Ativan; can become dependent, not for substance abusers. Use for General anxiety disorders, ASD and PTSD

50
Q

What are nonbenzos used for and examples?

A

Buspar, Vistaril; Non addicting

51
Q

What are some antidepressants used for and examples?

A

Zoloft; Help with symptoms of OCD, usually subside in 3 weeks.

52
Q

What is Sodium Amytal Hypnosis and what is it used for?

A

Used for DID; The person goes into an altered state and repressed memories can come out

53
Q

What are some other treatments for anxiety disorders?

A

Relaxation, meditation, desensitization, reprocessing, journals, rubber bands

54
Q

What are short term nursing goals for anxiety disorders?

A

To decrease OCD rituals, seek out staff if feeling abusive

55
Q

What are some nursing interventions for anxiety disorders?

A

Lower anxiety, listen, develop positive coping skills, reassure, stress reduction

Behavioral Health Nursing (16 decks)

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