Anxiety Disorders Flashcards
1
Q
Normal Anxiety
A
Warning from a vague source
- Emotional response
- Promotes person to take necessary steps to prevent threat
2
Q
Pathological Anxiety
A
Out of proportion
- Interferes with function
3
Q
How does pathological anxiety differ from normal? (5)
A
- Intensity
- Duration
- Trigger
- Emotional response
- Coping
4
Q
Panic Attack (5)
A
Abrupt surge of intense fear that reaches peak within minutes
- Irrational response
- Unpredictable
- Feeling of impending doom (fear)
- Physical discomfort
5
Q
Phobia
A
Marked intense fear by a specific source
6
Q
GAD
A
Unrealistic and excessive CHRONIC free-floating WORRY and anxiety that occurs most days for at least 6 months
7
Q
Symptoms of GAD (6)
A
- Irritability
- Muscle tension
- Restless
- Fatigue
- Difficulty concentrating
- Sleep disturbance
8
Q
Autonomic symptoms of anxiety disorders (8)
A
- H/A, palpitations, perspiration, restless
- Nausea, stomach upset
- Insomnia
- Tight chest
9
Q
Behavioral symptoms of anxiety disorders (2)
A
- Vigilance
- Cautious / avoidant
10
Q
Cognitive symptoms
A
changes in cognition
11
Q
Nursing Interventions for anxiety
A
- Stay with the client during attack
- Calm, directive, but non-threatening approach
- Reassurance of safety and security
- Lower stimuli
- Simple words with brief messages
- Speak calm and clear
- Medications
- Explore the etiology
- Teach signs and symptoms of increased anxiety and coping mechanism
12
Q
Panic disorder treatment
A
CBT
- any SSRI works
- FDA approved: Paroxetine (Paxil)
- Use benzodiazepine until the SSRI is effective, then taper the Benzo slowly over 4-10 weeks
13
Q
How long should you take to taper the Benzo?
A
4-10 weeks
14
Q
GAD treatment
A
- SSRI (Paxil, Lexapro) are FIRST CHOICE
- CBT
- Supportive
- Insight oriented
- Benzos
15
Q
First choice of drugs for GAD
A
SSRI
