Anxiety, Obsessive compulsive, trauma and stressors related disorder Flashcards

1
Q

Causes of panic disorder

A

Genetics
Biochemical: > norepinephrine & heightened sensitivity to somatic symptoms
Cognitive behavioral theory
Life events
Psychoanalytic theory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Pharmacologic therapy of panic disorders

A

Fast acting: Benzodiazepines
Longer term: SSRIs, SNRIs
Beta-blockers: < stress hormone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Causes of GAD

A

Genetics: imbalance in serotonin, norepinephrine, GABA, and glutamate
Biochemical abnormalities: > in blood lactate
Psychosocial & environmental factors: children of more anxious parents
Stress = trigger not cause

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Symptoms of GAD

A

SOB, tachycardia, palpitations, sweating, irritability, fatigue, trembling, headache, poor concentration, excessive anxiety/worry over minor matters

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Treatment of GAD

A

Cognitive therapy
Cognitive behavioral therapy
Biofeedback training

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Pharmacologic therapy for GAD

A

Benzodiazepines
SSRIs
SNRIs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Treatment of social anxiety disorder

A

Negative thought stopping: rubber band
Desensitization therapy
Relaxation techniques
cognitive behavioral therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Pharmacologic therapy
Social anxiety disorder

A

SSRIs
beta adrenergic blockers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Nursing interventions
Social anxiety disorder

A

encourage interaction
Progressive muscle relaxation
Gradual desensitization
How they normally cope with fear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Symptoms of specific phobias

A

Severe anxiety, low self-esteem, depression, feelings of weakness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Pharmacologic therapy of specific phobias

A

Benzodiazepines
SSRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Risk factors for PTSD

A

limited social supports
Parental neglect
High anxiety
Low self-esteem
Hx of psychiatric disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Symptoms of Acute stress disorder

A

Generalized anxiety, hyperarousal, avoidance of reminders of traumatic event, physical restlessness, sleep disturbances, poor concentration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Mixed disturbance of emotions and conduct adjustment disorders

A

depression, anxiety, and symptoms of conduct disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Causes of adjustment disorders

A

Dev. diabilities, intellectual disorders, genetics
Early childhood trauma, children in foster families
Transactional model of stress/adaptation: continuous stress/sudden stressor. Different type of trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Causes of anxiety disorder

A

Genetics
Biochemical factors: biological makeup
Neuroanatomic factors: brain atrophy & underdeveloped frontal and temporal lobes
Traumatic life events
Medical conditions: hyperthyroid, respiratory/cardiovascular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Nursing interventions for agoraphobia

A

Assertiveness skills: self-confidence, motivated
Discuss feared object or situation
Systematic desensitization program
Administering medications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Nursing interventions for specific phobias

A

discuss
Assertiveness skill
Relaxation & though stopping techniques
Medication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Causes of PTSD

A

Traumatic event
Imbalance of serotonin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is acute stress disorder

A

Syndrome of anxiety and behavioral disturbances that occur within 4 weeks of an extreme trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Depressed mood adjustment disorders

A

Have depression every time dealing with change

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Anxiety adjustment disorders

A

Symptoms of anxiety related to change

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Related to bereavement adjustment disorders

A

Significant losses in family

24
Q

What is panic disorder

A

Recurrent, unexpected panic attacks that occur without warning and cause intense apprehension and feelings of impending doom

25
Q

Symptoms of panic disorder

A

Going crazy/feeling like dying
Last 1-30 min
Extreme anxiety & fear
Feelings of impending doom
Palpitations
Breathing difficulty
Chest pain
Nausea
Dizziness
Chills/hot flashes

26
Q

Treatment of panic disorders

A

Patient teaching
Cognitive therapy
Deep breathing
Progressive relaxation techniques
Biofeedback
Guided imagery

27
Q

Nursing interventions for panic disorders

A

Stay with pt until attack subsides
Reduce stimuli
Breathing techniques = < hyperventilation
Short, simple sentences
Encourage express feelings
Teach coping mechanisms

28
Q

Definition of agoraphobia

A

Intense, excessive anxiety or fear about being places or situations from which escape might not be available

29
Q

Causes of agoraphobia

A

Biochemical imbalances
Crowded place, open or closed place
Personality traits: introverted, dependent personalities

30
Q

Symptoms of agoraphobia

A

Fear/avoidance of open/closed spaces
Fear of standing in line or being in a crowd
Fear of being outside the home
Fear of panic attack in public=embarrassment

31
Q

Treatment for agoraphobia

A

SSRIs, SNRI, benzodiazepine, desensitization, implosive therapy-pictures and talk about their feelings about it

32
Q

Generalized anxiety disorder
What do you need to do in order to be diagnosed?

A

Cause a disturbance in relationships, school, and work

33
Q

What is cognitive therapy

A

Change ways of thinking so they are positive

34
Q

What is cognitive behavior therapy?

A

Changing thinking and behaviors

35
Q

Nursing interventions of GAD

A

Stay with pt if anxious
Encourage pt to discuss feelings
Reduce stimuli
Teach progressive muscle relaxation, guided imagery, deep breathing
Appropriate referrels

36
Q

What is social anxiety disorder

A

Marked persistent fear/anxiety in social or performance situations
Thinking of how others are perceiving them

37
Q

Causes of social anxiety disorder

A

Shyness & social inhibition
Parental and peer influences
Serotonin, dopamine, glutamate imbalance
Early traumatic event
Genetics
Brain structure
Societal expectations
Isolated upbringing

38
Q

Symptoms of social anxiety disorder

A

Fear/avoidance of eating, writing, or speaking in public
Low self-esteem
Profuse sweating
Trembling
Difficulty talking
Worried about looking worried

39
Q

Specific phobias

A

Trauma
Repeated warnings of danger about feared object/situation
Panic attacks when exposed
Learned behavior

40
Q

Causes of specific phobias

A

Trauma
Repeated warnings of danger about feared object/situation
Panic attacks when exposed
Learned beahvior

41
Q

Treatment for specific phobias

A

Cognitive behavioral therapy
Desensitization/exposure therapy

42
Q

What is posttraumatic stress disorder

A

Considered a trauma and stressor related disorder, occurs after someone has witnessed or experienced a serious traumatic event

43
Q

Symptoms of PTSD

A

Anger, poor impulse control, avoidance of people, places, and things, emotional detachment, depersonalization, difficulty concentrating, insomnia, hyper vigilance, social withdrawal, hopelessness, flashbacks, nightmare

44
Q

Treatment of PTSD

A

Desensitization, relaxation techniques, CBT, psychotherapy, group therapy

45
Q

Pharmacologic treatment of PTSD

A

SSRIs, SNRIs, TCA, MAOI

46
Q

Nursing interventions for someone with PTSD

A

Establish a trusting relationship
Stay with pt during flashbacks and nightmares

47
Q

Disturbance of conduct adjustment disorder

A

Have no regard for others, violent physical and emotional towards others. Break the law

48
Q

Unspecific adjustment disorders

A

Doesn’t fit any other categories. General physical or somatic complaints
Ex. pain, stomachaches, headache related to change

49
Q

What is obsessive compulsive disorder

A

Unwanted, recurrent, and intrusive thoughts or images which the person tries to alleviate through repetitive behaviors and mental acts
Behaviors have to take up more than 1 hour a day

50
Q

Causes of obsessive compulsive disorder

A

Enlarged basal ganglia
Thought that fuels the compulsion to relieve anxiety
Genetics

51
Q

Symptoms of obsessive compulsive disorder

A

Cleaning: rituals & fear of contamination
Symmetry: repeating, ordering, counting
Repetitive thoughts that cause stress
Repetitive behaviors
Perceived need to achieve perfection

52
Q

Treatment of OCD
Behavior therapy

A

Allow behavior if not harmful in order to relieve anxiety. Later limit how much compulsion. Help them talk through anxiety and see they don’t need compulsion

53
Q

Nursing interventions of OCD

A

Diversions
Accepting attitude
Give pt time to perform ritualistic behavior
Set reasonable limits
Effective coping skills
Identify progress & set realistic expectations

54
Q

Substance induced anxiety disorder

A

Symptoms of anxiety related to their substance use disorder beyond side effects of taking substance

55
Q

Body dysmorphic disorder

A

Preoccupied on a perceived defect on the body part

56
Q

Trichotillomania

A

Anxiety causes hair pulling

57
Q

Hoarding disorder

A

Difficulty with discarding any possessions
Seen with pt who had an extreme loss or lower socioeconomic status