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Mental Health > Ch 15 Anxiety & OCD > Flashcards

Ch 15 Anxiety & OCD Flashcards

1
Q

cause unknown

A

anxiety

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2
Q

cause is known

A

fear

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3
Q

perceptual field -heightened
focus- flexible & aware of anxiety
Problem solving- able to work effectively towards goal & examine alternatives
Ability to learn- Yes
can alert a person that something is wrong & can stimulate appropriate action
Somatic complaints- slight discomfort, attention seeking behaviors, restlessness, easily startled, irritability or impatience or mild tension relieving behaviors

A

Mild Anxiety

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4
Q

Perceptual field- narrowed; grasps little of what is going on
focus- on source of anxiety; less able to pay attention
Problem Solving- able to problem solve; but not at optimal ability
Ability to learn- yes
can stimulate a person that something is wrong & can stimulate appropriate action
Somatic complaints- voice tremors, change in voice pitch, poor concentration, shakiness, increase in R, P & muscle tension, somatic complaints, more tension relieving behaviors

A

Moderate Anxiety

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5
Q

Perceptual field- greatly reduced & distorted
focus- on details or one specific detail; attention is scattered
Problem Solving- feels impossible, unable to see connection between events or details
Ability to learn- NO
prevents problem solving; unproductive behavior perpetuates vicious cycle
Somatic complaints- feelings of dread, confusion, purposeless activity, sense of impending doom, more intense somatic complaints, diaphoresis, withdrawal, loud & rapid speech, threats & demands

A

Severe Anxiety

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6
Q

Perceptual field-unable to attend to the environment
focus- is lost; may feel unreal or that the world is unreal
Problem Solving- completely unable to process what is happening; disorganized or irrational reasoning
Ability to learn- NO
prevents problem solving; unproductive behaviors perpetuate vicious cycle
Somatic complaints- experience of terror, immobility or severe hyperactivity or flight, unintelligible communication or inability to speak, somatic complaints increase, severe withdrawal, hallucinations or delusions, likely out of touch with reality

A

Panic

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7
Q

tapping, pacing, shaking foot, biting nails or lip

A

relief behaviors

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8
Q 
relaxation training
modeling
systematic desensitization
flooding
response prevention
thought stopping
A

behavioral approaches to reduce stress

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9
Q

cognitive reframing
journal
humor

A

cognitive approaches to reduce stress

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10
Q

Simple
Empathetic
Feeling
Confrontational

A

Four forms of Assertive communication

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11
Q 
going to bed 30-60 mins earlier
exercise 30 mins a day
decrease caffeine
listen to music
pets
massage
A

other forms of stress reduction

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12
Q

Help pt ID anxiety
Anticipate anxiety provoking situations
Use normal language to show interest
Encourage pt. to talk about feelings
Avoid closing off avenues of communication important to pt.
Ask questions to clarify what is being said
Encourage problem solving with the pt.
Explore behaviors that have worked in the past to release anxiety
Provide outlets for working off excess energy
Assist in developing alternative solutions to a problem through role play or modeling
Ask Open-ended questions
Give broad openings
Provide calm presence

A

Mild-Moderate Anxiety Intervention

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13
Q 
Maintain calm manner
Remain with the person
Minimize environmental stimuli
Use low pitch voice & speak slowly
Clear, simple statement; repetition
Reinforce reality if distortion occurs
Listen for themes in communication
Attend to physical & safety needs
Provide opportunities for exercise
When pacing, offer high calorie fluids
Assess need for seclusion
A

Severe-Panic Anxiety Intervention

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14
Q

denying that you have a problem after being confronted with factual info

A

psychotic denial

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15
Q

automatic coping styles that protect people from anxiety

A

defense mechanisms

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16
Q

shelfing it

A

supression

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17
Q

releasing tension

A

sublimation

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18
Q

helping others

A

altruism

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19
Q

finding humor

A

humor

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20
Q

won’t accept

A

denial

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21
Q

cheaters

A

projection

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22
Q

verbal or physical

A

acting out

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23
Q

covert aggression

A

passive-aggression

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24
Q

love/hate, teenage

A

splitting

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25
Q

others are worse

A

devaluation

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26
Q

idol

A

idealization

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27
Q

removal from environment

A

dissociation

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28
Q

short-man syndrome

A

compensation

29
Q

physical impairment

A

conversion

30
Q

taking it out on someone else

A

displacement

31
Q

mimicking

A

identification

32
Q

“voices”

A

introjection

33
Q

excuses

A

rationalization

34
Q

behaving opposite of true feelings

A

reaction formation

35
Q

reverting

A

regression

36
Q

burying deep

A

repression

37
Q

making amends

A

undoing

38
Q

pt. inability to realize that they are ill which is caused by the illness itself

A

anosognosia

39
Q

difficulty in experiencing, expressing & describing emotional responses

A

alexithymia

40
Q

developmentally inappropriate levels of concern over being away from significant other

Harm avoidance, worry, shyness, uncertainty, fatigability & lack of self-direction, headaches & GI disturbances

A

Separation Anxiety

Anxiety Disorders

41
Q

persistent, irrational fear of something that leads to avoidance

Overwhelming & crippling anxiety when faced with object of fear

A

Specific Phobia

Anxiety Disorders

42
Q

Fear of open space

Intense, excessive anxiety or fear about being in a place/situation where there may be no escape

A

Agoraphobia

Anxiety Disorders

43
Q

Excessive Worry

Anticipates disaster, restless, irritable & muscle tension, puts things off & avoidance, lateness & absence, seeks continual reassurance, sleep disturbance, fatigue, and perseverates about meaningless details

A

GAD

Anxiety Disorders

44
Q

Sudden onset of extreme apprehension/fear

Palpitations, chest pain, breathing difficulties, nausea, feelings of choking, shills & hot flashes

A

Panic Disorder

Anxiety Disorders

45
Q

Symptoms that occur on a daily basis & may involve issues of sexuality, violence, contamination, illness or death

Marked distress, often feels humiliation & shame regarding behaviors

Onset around 19 years

A

OCD

Obsessive-Compulsive & related disorders

46
Q

Preoccupation with an imagined defective body part results in obsessional things & compulsive behaviors

Mirror checking, camouflaging; frequent concerns with skin, hair, nose, stomach, teeth, weight, & breast/chest

Men- body building & genitals
Women- skin, stomach, weight, breast, butt, thighs, legs, hips & toes

more frequent in women

A

Body Dysmorphic Disorder

Obsessive-Compulsive & related disorders

47
Q

Accumulation of belonging that have little or no value

Men slightly more likely; may/may not be aware of the problem

tend to begin early in adolescence

A

Hoarding Disorder

Obsessive-Compulsive & related disorders

48
Q

One of the oldest recorded psychiatric problems; pain results in anxiety production

Typically head, but can be body, eyebrows, eyelashes, pubic area, axilla & limbs

A

Trichotillomania (Hair-pulling)

Obsessive-Compulsive & related disorders

49
Q

Typically the face, damaging their skin

Common areas- face, head, cuticles, back, arms & legs

A

Excoriation Disorder (Skin-picking)

Obessive-Compulsive & related disorders

50
Q

symptoms of anxiety are direct physiological result of a medical condition

Hyperthyroidism, PE, or cardiac dyrhythmias

A

anxiety D/T a medical condition

51
Q

characterized by symptoms of anxiety, panic attacks, obsessions & compulsions that develop with the use of a substance

alcohol, cocaine, heroin, hallucinogens

A

Substance-induced anxiety disorder

52
Q

obsessions & compulsions that develop with the use of a substance or within a month of stopping the use of a substance

Parkinson’s disease meds- gambling, sex urges, out of control spending

A

substance induced obsessive-compulsive & related disorders

53
Q

individual’s symptoms of obsessions & compulsions are direct physiological result of a medical condition

postencephalatic syndrome, postanoxic events, traumatic brain injury, Huntington’s, seizures, & cerebral infarctions

A

Obsessive-compulsive or related disorder due to a medical condition

54
Q

results in OCD after going through a strep infection with pediatric patients

A

PANS

Pediatric Acute-Onset Neuropsychiatric Syndrome

55
Q

Hispanic people

exhibit sudden trembling, faintness, palpitations, out-of-control shouting, heat that moves from the chest to head, & seizure like activity

A

ataque de nervios

“attack of the nerves”

56
Q

Determine if anxiety is primary, secondary, medical or substance induced through thorough exam
Detemine current level of anxiety
Assess for potential of self-harm or danger to others
Perform psychosocial assessment

A

Anxiety & OCD assessment

57
Q

often used to treat the somatic & psychological symptoms of anxiety disorders

Nurses- monitor for side effects of benzos, including ataxia, sedation & decreased cognitive functioning

A

Antianxiety (anxiolytic) drugs

58
Q

cognitive restructuring

  1. ID automatic negative beliefs that cause anxiety
  2. explore the basis of these thoughts
  3. reevaluate the situation realistically
  4. replace negative self-talk with supportive ideas
A

Cognitive Therapy

Thought process

59
Q

exercises for breathing or muscle groups

A

relaxation training

60
Q

role model demonstrates appropriate behavior in a feared situation

A

modeling

61
Q

gradually introduce to fear object or experience through a series of steps

A

systematic desensitization

62
Q

exposure of large amounts of an undesirable stimiulus

A

flooding

63
Q

therapist does not allow the pt. to preform the compulsive ritual

A

response prevention

64
Q

yell “stop” or snap a rubberband to stop negative thoughts or impulses

A

thought stopping

65
Q

cognitive restructuring
psychoeducation
breath restraining
muscle relaxation

A

cognitive-behavioral therapy

CBT

66
Q

unconscious childhood conflicts; breakthrough or repressed emotions or thoughts

A

Freud

67
Q

unmet needs (emotional distress) disapproval, or transmitted anxiety (via empathy)

A

Sullivan

68
Q

classical conditioning; modeling of parent or peers

A

leaning theory

69
Q

distortions in perceiving & thinking; a mistake is catastrophic

A

Cognitive theorists

Mental Health (6 decks)

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