Anxiety Disorders (4)

Question 1

Identify indicators and nursing interventions for four different levels of anxiety (1)

Mild anxiety symptoms?
Intervention?

Answer 1

Mild: Aware, alert, heightened senses

Intervention: Use energy to promote learning

Question 2

Moderate anxiety indications and interventions?

Decreased?
Will?
Encourage?

Answer 2

Moderate: Decreased ability to see, hear, understand. Will verbalize anxiety.

Intervention: Encourage verbalization of experience

Question 3

Severe anxiety indications and interventions?

Significant?
Unaware?
Allow?

Answer 3

Severe: significant reduction in ability to see/ hear/ understand. unaware of and unable to verbalize anxiety use of relief behaviors.

Intervention: Allow relief behavior, dont focus on them, encourage talking.

Question 4

Panic anxiety indications and interventions?

Answer 4

Self absorbed
Flight of Ideas
Confusion
Relief behaviors: run, pace, aggression

Intervention:
Stay with them
Use concise direction
Ask them what they are feeling
Do not touch

Question 5

Identify medications for treatment of panic disorder (1)

First line?
Last resort?

Answer 5

SSRI (First Line)
Benzodiazepines (last resort)

Question 6

Describe clinical features and course of anxiety disorders and the appropriate treatment including nursing interventions, therapies, and indicated medications (2)

What is Selective Mutism?
What is Agoraphobia?

Answer 6

Selective Mutism: Failure to speak in social situations (consistently)
can only speak to specific people

Agoraphobia: Fear of being in places where you might get trapped or embarassed. (Standing in line of a busy supermarket).

Question 7

First line treatment for Panic disorder except meds?
What to do during panic? 5
What to do after/before? 4

Answer 7

CBT

During Panic
* Reduce stimuli
* Offer PRN meds
* Stay with patient (pace along)
* Ensure safety
* Clear concise communication

After/Before
* Nutrition (avoid caffeine etc)
* Encourage Physical Activity
* Coping/relaxation/breathing/ distraction
* Allow patient to vent

Question 8

What is Generalized Anxiety Disorder?

Symptoms?

Answer 8

Excessive anxiety or worry that is difficult to control

Restlessness
Fatigue
Difficulty concentrating
Irritability
Muscle tension
Sleep disturbances