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Nursing III > Anxiety & Somatic Disorders > Flashcards

Anxiety & Somatic Disorders Flashcards

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1
Q

Stages of General Adaptation Syndrome

A

Alarm rxn, Resistance, Exhaustion

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2
Q

Alarm rxn stage

A

Body prepares for defense needs by turning glycogen stores into glucose for food

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3
Q

Resistance stage

A

Blood is shunted to areas needed for defense. Lungs breath more air and heart beats faster

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4
Q

Exhaustion stage

A

This happens when person responds negatively to stress and the body stores are therefor depleted

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5
Q

Example of mild anxiety

A

student studying for an exam

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6
Q

Example of moderate anxiety

A

a patient nervous about a surgical procedure

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7
Q

Example of severe anxiety

A

person cant think or reason

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8
Q

Treatment for anxiety disorders

A

Therapy (Cognitive behavioral therapy), Benzos

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9
Q

Anxiety disorders

A

OCD, Phobias, panic disorder, PTSD

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10
Q

Positive Reframing

A

used with anxiety disorders. Turning negative messages into positive ones

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11
Q

Decatastrophizing

A

used with anxiety disorders. Making the situation more realistic. Example: “Is this really likely?” “Could you survive that?”

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12
Q

Assertiveness training

A

used with anxiety disorder. Taking control of the situation. Being assertive with yourself

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13
Q

What neurotransmitters play a role in the body’s level of natural anxiety

A

GABA- antianxiety agent; norepinephrine - increases anxiety

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14
Q

Treatment of choice for elderly who have anxiety

A

SSRI’s are first choice because they can’t break down benzos as well as a young person

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15
Q

s/s of a panic attack

A

sweating, tremors, SOB, sense of suffocation, chest pain, nausea, abdominal distress, dizziness, paresthesias, chills or hot flashes

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16
Q

What kind of behavoirs do you see in people with panic disorder?

A

avoidance behavior (they don’t want people to see them like this so they avoid them) and Primary & Secondary gains. Primary- the relief of anxiety by staying inside to avoid anxiety outside the home, Secondary- the attention received from others

17
Q

agoraphobia

A

fear of the market place or going outside

18
Q

Autoatisms

A

automatic, unconscious mannerisms, Ex: twisting hair, jingling keys, tapping fingers

19
Q

Benzodiazepines (anti anxiety)

A

Diazepam (Valium), Alprazolam (Xanax), Chlordiazepoxide (Librium), Lorazepam (Ativan), Clonazepam (Klonopin) Oxazepam (Serax)

20
Q

OCD. Obsessions are what? The compulsions are what?

A

Obsessions are the reoccurring thoughts & the compulsions are the repetitive behaviors

21
Q

psychosmatic

A

connection between mind (psyche) and body (soma)

22
Q

Hysteria

A

multiple physical complaints with no organic basis

23
Q

Somatization

A

transference of mental experiences into body symptoms

24
Q

Three central features of Somatic Symptom Disorder

A

Physical complaints, psychological factors, symptoms of magnified health concerns

25
Q

physical complaints (Somatic Symptom Disorder)

A

they have symptoms but are unexplained

26
Q

Psychological factors (Somatic Symptom Disorder)

A

Dr will say there is nothing wrong with you but patient will not except that

27
Q

Symptoms of magnified Health Concerns (Somatic Symptom Disorder)

A

not under patients control

28
Q

Conversion Disorder

A

suddden loss in sensory or motor function (blindness or paralysis) & person is la belle indifferen (lack of concern or distress about issue)

29
Q

Body dysmorphic disorder

A

exaggerated defect in physical appearance. Ex. Thin person thinks their fat or they get their boobs removed and now they think their ugly

30
Q

Malingering

A

person pretends to be sick on purpose. Ex: I have cancer and they really don’t

31
Q

Factitious disorder (Munchausen syndrome)

A

cause intentional harm to cause an actual sickness

32
Q

Munchausen by proxy

A

causing intentional harm to make someone else sick

33
Q

Treatment for Somatic and munchausen

A

antidepressants-SSRIs (Prozac, Paxil, Zoloft)

34
Q

Treatment for agoraphobia

A

Xanax or Tofranil

35
Q

Treatment for social phobia

A

Zoloft

36
Q

Treatment for Generalized Anxiety Disorder

A

Buspirone, SSRI’s

37
Q

SSRIs

A

Fluoxetine (Prozec), Citalopram (Celexa), Serraline (Zoloft), Paroxetine (Paxil), Escitalopram (Lexapro)

38
Q

some SSRI’s end in?

A

“pram”

39
Q

Most Benzo’s end in

A

“pam” except for Alprazolam (Xanax), Chlordiazepoxide (Librium)

Nursing III (25 decks)

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