anxiety disorders CH 18

Question 1

mild anxiety

Answer 1

perceptual field widens lightly, learning occurs

Question 2

moderate anxiety

Answer 2

perceptual field narrows slightly, selective inattention

Question 3

severe anxiety

Answer 3

some dissociation to things not in the main focus

Question 4

panic anxiety

Answer 4

terror, dread, horrified; reached a level where it’s blown up, massive dissociation

Question 5

altruism

Answer 5

satisfies internal needs through helping others

Question 6

displacement

Answer 6

take out frustrations on unsuspecting person, animal, or object

Question 7

projection

Answer 7

assigning unwanted thoughts, feelings, behaviors to another person/object; so individual doesn’t have to acknowledge undesirable thoughts

Question 8

rationalization

Answer 8

avoids anxiety by explaining an unacceptable or disappointing behavior/feeling in a logical, rational way; may protect self-esteem & self-concept

Question 9

reaction formation

Answer 9

reduces anxiety by taking the opposite feeling; hides true feelings

Question 10

regression

Answer 10

when stressed, abandons effective coping strategies and reverts to behaviors used earlier in development

Question 11

repression

Answer 11

avoids unwanted thoughts and anxiety by blocking thoughts, experiences from conscious awareness

Question 12

sublimation

Answer 12

avoids anxiety and channels maladaptive feelings/ impulses into socially acceptable behavior

Question 13

suppression

Answer 13

reduces anxiety by intentionally avoiding thinking about disturbing problems, wishes, feelings, ox experiences; useful in may situations like test-taking

Question 14

physical symptoms

Answer 14

palpitations, chest discomfort, rapid pulse, nausea, dizziness, sweating, paresthesias, trembling/shaking, feeling of suffocation

Question 15

cognitive symptoms

Answer 15

disorganized thinking, irrational fears, depersonalization, poor communication

Question 16

risk factors

Answer 16

female, middle aged, low socioeconomic status, widowed, separate, divorced

Question 17

comorbidities associated with

Answer 17

anxiety disorders, depression, eating disorder, substance abuse, schizophrenia

Question 18

systematic desensitization

Answer 18

expose client to a hieracrhy of feared situations

Question 19

implosive therapy

Answer 19

identifies the phobic stimuli to the real or stimulated anxiety - provoking situation - becomes desensitized and decrease anxiety

Question 20

cognitive behavioral therapy (CBT)

Answer 20

1st line treatment

often used in conjunction with medications

Question 21

generalized anxiety disorder (GAD)

Answer 21

• feelings of frustration, disgust with life, demoralization, hopelessness*
• typical onset in child/adolescents
• excessive worry for 6+ months
• antidepressants, antianxiety

Question 22

agoraphobia

Answer 22

• fear or anxiety triggered by 2 or more situations
• individual believes something terrible might happen and escape will be difficult
• leads to avoidance behaviors
• may occur with panic disorders but considered a separate disorder

Question 23

specific phobia

Answer 23

• persistent fear of clearly discernible, circumscribed objects or situations leading to avoidance behavior
• anxiolytics for short-term relief of anxiety
• exposure therapy is treatment of choice

Question 24

social anxiety disorder

Answer 24

• persistent fear of social or performance situation in which embarrassment may occur
• go to great lengths to avoid situations
• GAD experiences fear related to most social situations (public performances and social interactions)
• SSRIs to reduce social anxiety and phobic avoidance
• benzos to reduce anxiety caused by phobias

Question 25

T/F panic is considered abnormal regardless of the situation and degree of threat

Answer 25

false

Question 26

which agent would nurse likely administer as 1st line med to pt experiencing mild panic disorder. select all

a. fluoxetine
b. sertraline
c. paroxetine
d. alprazolam

Answer 26

A B C
they’re all SSRIs
alprazolam is a benzo for severely distressed patient