Anxiety & OCD Related Disorders (2) Flashcards
Express anxiety through bodily symptoms (headache, stomach ache).
a. ) Somatization
b. ) Acting out
a.) Somatization
Discharge anxiety through agressive behavior (instead of talking).
a. ) Somatization
b. ) Acting out
b.) Acting out
What are the 2 neurotransmitters that affect anxiety?
GABA and serotonin
A patient experiences a sudden episode of severe anxiety. Of these medications in the emergency department, which is most appropriate to give as a PRN for the patient’s anxiety?
a. ) lorazepam (Ativan)
b. ) busipirone (BuSpar)
c. ) SSRI antidepressant
d. ) Amitriptyline (Elavil)
a.) lorazepam (Ativan)
- b.) busipirone (BuSpar) → 2 weeks*
- c.) SSRI antidepressant → 4-6 weeks*
- d.) Amitriptyline (Elavil) → TCAs*
When alprazolam (Xanax) is prescribed for a patient who experiences acute anxiety, health teaching should include instructions to:
a. ) report drowsiness
b. ) eat a tyramine-free diet
c. ) avoid alcoholic beverages
d. ) adjust dose and frequency based on anxiety level.
c.) avoid alcoholic beverages
Peplau’s Level of Anxiety
External stimuli are taken in. Enhances our ability to learn and problem solve. Uses coping skills and mature defense mechanisms.
- ) Mild
- ) Moderate
- ) Severe
- ) Panic
1.) Mild
“Normal Anxiety”
Uses coping skills and mature defense mechanisms = sublimation and compensation
We use defense mechanisms in mild and moderate
Peplau’s Level of Anxiety
Decreases our perceptions (we see, hear, and grasp less). We may only notice what is pointed out to us. Ability to learn decreases.
- ) Mild
- ) Moderate
- ) Severe
- ) Panic
2.) Moderate
We use defense mechanisms in mild and moderate
Peplau’s Level of Anxiety
Thought processes are scattered. Focuses on small details, and problem solving decreases. Strong physiologic response. Unable to learn at this level of anxiety.
- ) Mild
- ) Moderate
- ) Severe
- ) Panic
- ) Severe
* Person uses avoidance to prevent panic attacks*
* No use of defense mechanisms in severe or panic level of anxiety*
Peplau’s Level of Anxiety
Person uses avoidance to prevent panic attacks.
- ) Mild
- ) Moderate
- ) Severe
- ) Panic
3.) Severe
No use of defense mechanisms in severe or panic level of anxiety
Peplau’s Level of Anxiety
Experience many physical symptoms (i.e. chest pain = heart attack). May result in a psychotic response.
- ) Mild
- ) Moderate
- ) Severe
- ) Panic
4.) Panic
- intense fear*
- No use of defense mechanisms in severe or panic level of anxiety*
A nurse assesses a patient with a tentative diagnosis of social anxiety. Which question would be most appropriate for the nurse to ask?
a. ) “Have you been a victim of a crime or seen someone badly injured or killed?”
b. ) “Do you feel especially uncomfortable in social situations involving people?”
c. ) “Do you repeatedly do certain things over and over again?”
d. ) “Do you find it hard to control your worrying?”
b.) “Do you feel especially uncomfortable in social situations involving people?”
A nurse assesses a patient with a tentative diagnosis of post-traumatic stress disorder (PTSD). Which question would be most appropriate for the nurse to ask?
a. ) “Have you been a victim of a crime or seen someone badly injured or killed?”
b. ) “Do you feel especially uncomfortable in social situations involving people?”
c. ) “Do you repeatedly do certain things over and over again?”
d. ) “Do you find it hard to control your worrying?”
a.) “Have you been a victim of a crime or seen someone badly injured or killed?”
A nurse assesses a patient with a tentative diagnosis of obsessive compulsive disorder (OCD). Which question would be most appropriate for the nurse to ask?
a. ) “Have you been a victim of a crime or seen someone badly injured or killed?”
b. ) “Do you feel especially uncomfortable in social situations involving people?”
c. ) “Do you repeatedly do certain things over and over again?”
d. ) “Do you find it hard to control your worrying?”
c.) “Do you repeatedly do certain things over and over again?”
A nurse assesses a patient with a tentative diagnosis of generalized anxiety disorder (GAD). Which question would be most appropriate for the nurse to ask?
a. ) “Have you been a victim of a crime or seen someone badly injured or killed?”
b. ) “Do you feel especially uncomfortable in social situations involving people?”
c. ) “Do you repeatedly do certain things over and over again?”
d. ) “Do you find it hard to control your worrying?”
d.) “Do you find it hard to control your worrying?”
Relaxation techniques help the patient relax becuase the exercises
a. ) engage the parasympathetic system.
b. ) increase the sympathetic stimulation.
c. ) increase the metabolic rate.
d. ) help reduce the cortisol.
a.) engage the parasympathetic system.
- Parasympathetic = rest & digest*
- Sympathetic = fight or flight*
