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NURS 406 > Anxiety ppt > Flashcards

Anxiety ppt Flashcards

For exam 1 info

1
Q

What is the most common psychiatric illness?

A

Anxiety disorders

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2
Q

Who experiences anxiety the most?

A

Women experience anxiety disorders more often than men

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3
Q

What are anxiety disorders also associated with?

A

Association with other mental or physical comorbidities such as depression

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4
Q

What is the most common condition for adolescents?

A

anxiety disorders

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5
Q

How does age affect anxiety prevalence?

A

Prevalence decreases with age

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6
Q

Levels of Anxiety

A
  1. Mild
  2. Moderate
  3. Severe
  4. Panic
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7
Q

Mild level of anxiety

A

Mild: motivational

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8
Q

Moderate level of anxiety

A

feeling something is definitely wrong; nervousness/agitation; difficulty concentrating; able to be redirected

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9
Q

Severe level of anxiety

A

Severe: trouble thinking and reasoning; tightened muscles; increased vital signs; restless, irritable, angry

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10
Q

Panic level of anxiety

A

Panic: fight, flight, or freeze response; increased vital signs; enlarged pupils; cognitive processes focusing on defense

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11
Q

Generalized Anxiety Disorder

A

Feelings of frustration, disgust with life, demoralization, and hopelessness
Sense of ill-being and uneasiness and fear of imminent disaster

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12
Q

Sentence to remember anxiety diagnostic criteria

A

My Fat Cousin Runs InSide

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13
Q

What is the diagnostic criteria for anxiety?

A

Irrational worry* about everyday things that last for at least 6 months. At least 3 in adult (only one in child).

Muscle tension
Fatigued
Concentration problems
Restlessness
Irritability
Sleep disturbances

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14
Q

Overwhelming form of anxiety

A

Panic disorder

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15
Q

Panic Disorder

A

extreme, overwhelming form of anxiety often experienced when an individual is placed in a real or perceived life threatening situation

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16
Q

When is panic normal?

A

Panic normal during periods of threat;

17
Q

When is panic abnormal?

A

abnormal when continuously experienced in situations of no real physical or psychological threat

18
Q

Panic attacks

A

sudden, discrete periods of intense fear or discomfort accompanied by significant physical and cognitive symptoms

19
Q

Diagnostic Criteria for panic disorder

A

Recurrent and unexpected panic attacks and 1 month (or more) after an attack of one of the following:
Persistent concern about having another attack
Worry about implications of attack or consequences
Significant changes in behavior because of fear of the attacks

With or without agoraphobia (fear of open spaces)

20
Q

Panic Attack symptoms

A

Palpitations
Sweating
Trembling or shaking
Chills or heat
Choking
Chest pain
Nausea or abdominal pain
Shortness of breath
Paresthesia
Derealization or depersonalization
Fear of losing control
Fear of dying

21
Q

Emergency care for panic patients

A

Stay with the patient**
Reassure him or her that you will not leave
Give clear, concise directions
Assist the patient to an environment with minimal stimulation
Walk or pace with the patient
Administer PRN medications
Afterward, allow the patient to vent his or her feelings

22
Q

Assessment of Anxiety includes (5 things)

A

Hamilton Rating Scale for

Anxiety

History

General appearance and motor behavior

Mood and affect (depersonalization, derealization)

Thought processes and content (disorganized thoughts, loss of rational thinking)

23
Q

More anxiety symptoms to assess for as nurses

A

Assessment (cont.)
Sensorium and intellectual processes (confusion, disorientation)
Judgment and insight
Self-concept (self-blaming, consumed with worry)
Roles and relationships (avoidance of others)
Physiological and self-care concerns (sleeping, eating)

24
Q

Nursing interventions for anxiety

A

Promoting safety and comfort

Using therapeutic communication

Managing anxiety

Providing client and family education

25
Q

Specific Phobia

A

Persistent fear of clearly discernible, circumscribed objects or situations leading to avoidance behavior

26
Q

Treatment for Specific Phobia (include med and nonmed idea)

A
  1. Benzodiazepines for short-term relief of anxiety
  2. Exposure therapy (treatment of choice) elevator scenario
27
Q

Social Phobia

A

Persistent fear of social or performance situation in which embarrassment may occur beyond

28
Q

Treatment for social phobia

A

SSRIs to reduce social anxiety and phobic avoidance

29
Q

Agoraphobia

A

Marked fear or anxiety with 2 or more s/s:

Using public transportation

Being in open spaces or enclosed spaces

Standing or being in a crowd

Being outside of home alone

Patient avoids leaving home

Leave home with a companion

Management is the same as panic

Quality of life severely restricted

30
Q

Working with anxious pts

A

Self-awareness of own anxiety level

Assessment of person’s anxiety level

Use of short, simple, easy-to-understand sentences

Lower person’s anxiety level to moderate or mild before proceeding

Low, calm, soothing voice

Safe and therapeutic environment
Positive self-talk
Cognitive–behavioral techniques

Deep breathing, relaxation
Trigger identification
Distraction techniques
Medication and monitoring of effects

31
Q

Medication classes for anxiety

A

Benzodiazapines

Antidepressants (SSRIs & SNRIs)

Buspirone

32
Q

Characteristics of Benzodiazepines

A

Rapid onset
PRN
Addiction Potential
Abrupt Withdrawal seizure

33
Q

Medications in Benzodiazepine class

A

Clonazepam (Klonopin)
Lorazepam (Ativan)
Diazepam (Valium)
Alprazolam (Xanax)

34
Q

SNRIs used to treat anxiety

A

Duloxetine (Cymbalta)
Venlafaxine (Effexor XR)

35
Q

Buspirone how long does it take to work

A

Takes several weeks to work*

36
Q

Why people like Buspirone

A

Does not cause sedation
No withdrawal symptoms
No tolerance, dependence or abuse potential

NURS 406 (29 decks)

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