Chapter 15: Anxiety and Obsessive-Compulsive Disorders

Question 1

anxiety

Answer 1

apprehension, uneasiness, uncertainty, or dread from real or perceived threat

Question 2

fear

Answer 2

reaction to specific danger

Question 3

what is the similarity between anxiety and fear

Answer 3

body will react similarity

Question 4

normal anxitey

Answer 4

necessary for survival

Question 5

levels of anxiety

Answer 5

mild
moderate
severe
panic

Question 6

mild anxitey

Answer 6

everyday problem solving leverage
sharp focus
problem solving becomes more effective

Question 7

moderate anxiety

Answer 7

perceptual field narrows
some details excluded from observation
problem solving is reduced
physical symptoms manifest
(tachycardia, tension, pounding heart, increase respiration, diaphoresis)

Question 8

Severe anxiety

Answer 8

perceptual field is greatly reduced
learning and problem solving are not possible
appears dazed and confused
somatic symtoms increase

Question 9

panic

Answer 9

markedly disturbed behavior
- running, shouting, screaming, pacing
loss of touch with reality
hallucinations

Question 10

what are defense mechanisms

Answer 10

automatic coping styles

Question 11

what do defense mechanisms protect

Answer 11

people from anxiety

Question 12

are defense mechanisms healthy or unhealthy

Answer 12

both

Question 13

who developed defense mechanisms

Answer 13

freud

Question 14

seperation anxitey disorder
when is it diagnosed

Answer 14

childhood

Question 15

seperation anxitey disorder
essential feature

Answer 15

excessive anxiety concerning separation by a child from the home or those to whom the person is attached

Question 16

phobias

Answer 16

persistent
irrational
fear of a specific object, activity, or situation that leads to a desire for avoidance of it

Question 17

phobias fun in

Answer 17

families

Question 18

social anxiety disorder
is also called

Answer 18

social phobia

Question 19

social anxiety disorder
definition

Answer 19

severe anxiety or fear provoke by exposure to a social or a performance situation that will be evaluated negatively by others

Question 20

social anxiety disorder
what common fear falls under this

Answer 20

fear of public speaking

Question 21

social anxiety disorder
may cause

Answer 21

immobility or physical complaints

Question 22

panic disorders

Answer 22

recurrent, unexpected panic attacks of sudden onset are a clinical symptom of this disorder

Question 23

agoraphobia

Answer 23

fear of open spaces
excessive anxiety of fear about being in places or situations from which escape might be difficult or embarrassing

Question 24

panic disorder without agoraphobia

Answer 24

recurrent unexpected panic attacks about which the individual is persistently concerned

Question 25

panic disorders with agoraphobia

Answer 25

recurrent panic attacks accompanied by fear of being in an enviornment or situation from which escape might be difficulty or embarrassing or in which help may not be available

Question 26

generalized anxiety disorder

Answer 26

excessive worry that lasts for months
out of proportion
constantly anticipate disaster, irritable, tense muscles
sleep disturbances

Question 27

substance induced anxiety disorder

Answer 27

symptoms of anxiety develop with the use of substance or within a month of stopping use of the substance

Question 28

what is a common medical condition that is associated with anxiety

Answer 28

asthma

Question 29

what are some other medical conditions that can cause anxiety

Answer 29

hyperthyroidism
PE
cardiac dysrhythmias

Question 30

obessions

Answer 30

thoughts

Question 31

compuslions

Answer 31

ritualistic behavior

Question 32

obsessive compulsive disorder exist along a

Answer 32

continuum

Question 33

body dysmorphic disorder

Answer 33

preoccupation with imagined defective body part

Question 34

hoarding disorder

Answer 34

accumulation of belongings

Question 35

trichotillomania

Answer 35

hair pulling disorder

Question 36

excoriation disorder
dermotillomania

Answer 36

skin picking disorder

Question 37

substance induced obsessive compulsive

Answer 37

related to illicit or prescribed substance use

Question 38

freud developed

Answer 38

defense mechanisms

Question 39

Sullivan developed

Answer 39

interpersonal theory

Question 40

behavior theories believe that anxiety is a _______ response

Answer 40

learned

Question 41

cognitive theories anxiety is distortion in _________________

Answer 41

thought/perception

Question 42

what is important with the assessment

Answer 42

self assessment

Question 43

is anxiety a nursing diagnosis

Answer 43

yes

Question 44

do these patents normally require inpatient admission

Answer 44

no

Question 45

if you have mild to moderate anxiety are you able participate in plan of care

Answer 45

yes

Question 46

if you have severe to panic levels of anxiety are you able to participate in plan of care

Answer 46

no
primary goal is safety

Question 47

pharm interventions

Answer 47

SSRI
SNRI
TCA
MAOI
Benzos
Buspar
beta blockers, antihistamine, anticonvulsants

Question 48

therapy

Answer 48

cognitive therapy
behavioral therapy
cognitive behavioral therapy