Block 8 Anxiety, Depression, Mood D/O Flashcards
the emotional state that influences a persons entire personality and life functioning is ones…
mood
an emotional state in which a person is extremely euphoric, active, and grandiose is…
manic
a moderate depression that lasts longer than 2 years is called…
dysthymia
a last resort for severely depressed persons who do not respond to antidepressants is causing a gran mal seizure through…
electroconvulsive therapy
the naturally occurring salt that helps those with bipolar disorder control their behavior and though is…
lithium
a psychiatric disorder characterized by sudden dramatic extremes in emotional shifts is…
bipolar disorder
an example of a tricyclic antidepressant is…
elavil
a client has become more quiet and withdrawn, refuses his medications, and has stopped eating. the nurse should first assess him for…
suicide risk
a feeling of uneasiness, uncertainty, and helplessness…
anxiety
a normal emotional response to a real or imagines threat or stressor…
anxiety
uncontrolled anxiety often leads to…
ineffective and maladaptive behavior
mild anxiety can increase what by enhancing what?
increase learning by enhancing concentration and focus.
positively focused anxiety helps us to…
learn
maladaptive responses to anxiety are…
ineffective
responses to anxiety range from…
mild to panic
this type of anxiety is a learned response to an anticipated event (ex. lawyer nauseated before a case)
signal anxiety
this type of anxiety allows an individuals coping abilities to become overwhelmed and emotional control is lost…
anxiety state
this type of anxiety occurs in low stress situations
anxiety trait
physical symptoms of anxiety include (5)…
muscle tension, fidgeting, headache, problems with sleep, fight or flight reaction
during the fight or flight response what happens to the HR and the pupils?
the HR increases and the pupil dilate
coping mechanisms in the physical realm include…
efforts to directly face and handle the problem like running away
intelectual coping mechanisms are aimed at…
making the treat less meaningful by changing ones perception, ex. that test wasn’t really that bad
psychological strategies that help to lessen the feelings of anxiety…
defense mechanisms
the goal of this is to reduce uncomfortable negative emotions…
defense mechanisms
the client needs to learn how to cope with stress during a…
crisis
when ones ability to cope with anxiety is overwhelmed…
crisis
how must a patient successfully resolve the source of the problem during a crisis?
develop new coping behaviors
this is contagious…
anxiety
it is important the caregivers recognize and cope effectively with…
their own anxieties
problems associated with anxiety in chilhood… (4)
phobia, separation anxiety, overanxious disorder, avoidant disorder.
avoidant disorder=
avoid what makes them anxious
adolescents who ineffectively cope with anxiety often express themselves how?
inappropriately. example drugs and running away
adults handle anxiety by using…
earlier established coping mechanisms
developmental tasks such as establishing a career and family present…
numerous stressors
elders often,,,,,,,,their anxiety
deny
individuals anxiety is broad, long lasting, and excessive is this type of anxiety disorder
generalized anxiety disorder (they are worried and anxious more often than not)
panic disorder is associated with or without this
agoraphobia
when a client is having a panic attack what three things do we as nurses need to do?
stay with the client. initiate relaxation, and give drugs.
an internal fear reaction=
phobia
these are obsessive in nature…
phobia
specific behavior must be performed to reduce anxiety=
obsessive compulsive disorder
most common obsessions are related to…
cleanliness, dirt, germs, aggressive and sexual impulses, health concerns, safety concerns, and order and symmetry, repetitive behaviors such as gambling and hand washing.
series of behavioral and emotional responses that follow an overwhelming stressful event=
traumatic stress disorder
reliving of traumatic events or situations=
post-traumatic stress disorder
what is the most effective way to cope with anxiety?
prevention
what may anxiety be treated with?
benzodiazepines
two examples of benzodiazepines=
valium and ativan
three side effects of benzodiazepines=
dizziness, blurred vision, and dry mouth
what is an example of therapy for anxiety?
desensitization
what is the nursing priority during therapy for anxiety?
safety
billy is getting ready to give a speech tomorrow. He is very anxious about getting up in front of a large audience. he begins to close his eyes and to imagine that everyone in the audience is smiling while he is giving his speech. This is what type of coping mechanism?
intellectual
a client is being admitted to the psychiatric unit. he recently serve in the iraq war and lost his legs. he very casually describes how he lost both legs in the battle. what type of coping mechanism is this?
dissociation
a teenager who is doing very poorly in school is consistently daydreaming about the private jet he will one day own. this is an example of what type of coping mechanism?
fantasy
the first priority in taking care of a client with an anxiety disorder is…
protecting the client from injury to self and others
the most sever form of anxiety is…
panic
using defense mechanisms to deal with anxiety is an example of…
emotional coping
anxiety results form a conflict between the ego and id in which theory?
freudian
development of thumb sucking or nail biting is…
a behavior that may lessen anxiety in a child
running away from home is an example of…
ineffective coping
gambling or working excessively can be classified as..
addictive behavior
a person who recently had his drivers license revoked for driving under the influence states that he is not an alcoholic because he never misses work as a result of his drinking. a psychiatric nurse recognizes this behavior as…
denial
neurotransmitters and hormones are involved in…
mood regulation
which hormone has to do with mood?
serotonin
this type of depression leaves when the issue is resolved…
situational depression
this type of depression is depressive responses in children that are tied to a specific event…
situational depression
what four factors does depression in adolescence usually relate to?
self-esteem, loneliness, family strengths, and parent-teen communications
what four groups of people are most likely to be depressed?
people with physical illness, women, people 35-44, white and Hispanic people.
this is not a normal part of aging…
depression
emotions that are elevated, expansive, and irritable accompanied by loss of identity, increased activity, and grandiose thought and actions=
mania
feelings of sadness, disappointment, and despair=
depression
suicidal thought may be entertained in..
major depressive episode
which psych patient should be assessed first?
the depressed patient
episodes of depression alternate with episodes of mania=
bi polar
behavior of repeated mood swings alternating between hypomania and depressive symptoms with no normalcy periods=
cyclothymic disorder
this occurs in many people from october to april=
seasonal affective disorder
how is seasonal affective disorder treated?
phototherapy
postpartum depression occurs after chidbirth if lasts longer than…
2 weeks
what is the purpose of the maintenance treatment plan?
to prevent relapse
most of the time for this treatment phase the patient has to be in the hospital…
acute treatment phase
what are the three current standard treatments for mood disorders?
psychotherapy, pharmacological therapy, and electroconvulsive therapy
what do you need to watch for when a patient is on MAOIs?
food interactions
SSRI example=
prozac
SSRI side effects (2)
dry mouth (oral care and gum) and blurred vision (prozac is an SSRI)
how long do most antidepressants require before their effects are noted and the clients well being improves?
2-4 weeks
antimanic=
lithium
what is the therapeutic level of lithium?
0.6-1.2
when do you need to call the doctor when a patient is on lithium?
if nystagmus, tremors, decreased urine output, decreased LOC, hallucinations, seizures, or coma
when a patient is depressed or manic what needs to be assessed?
their level of depression or mania
holistic interventions should look at…
physical, emotional, social, intellectual, spiritual
the nurse is admitting a client who has daily moderate depression that has lasted 3 years. the clients condition is known as what?
mood disorder
the nurse is admitting a client with suspected bipolar disorder. the client has repeated patterns of mood swings alternating between hypomania and depressive symptoms; hover, they are less intense than classic bipolar disease. what is this condition known as?
cyclothymic disorder
