chp 11: anxiety disorders Flashcards
DSM-5
the client experiences recurrent panic attacks
panic disorder
under DSM-5
the client experiences excessive fear or anxiety when separated an individual to which the client is emotionally attached
separation anxiety disorder
DSM-5
the client exhibits uncontrollable, excessive worry for more than 3 months
generalized anxiety disorder
the client has intrusive thoughts of unrealistic obsessions and tries to control these thoughts with compulsive behaviors
obsessive compulsive disorder
exposure to a traumatic event causes numbing, detachement, and amnesia about the event for atleast 3days but not for more than 1month following the event
acute stress disorder
exposure to a traumatic event causes intense fear, horror, flashbacks, feelings of detachment and foreboding, restricted affect, and impairment for longer than 1 month after the event.
manifestations may last for years
posttraumatic stress disorder
panic attack characteristics
lasts 15-30mins palpitations SOB chocking chest pain nausea feelings of depersonalization fear of dying
fear of being outside and has an impaired ability to work or perform duties
agoraphobia
first line of treatment for trauma and stressor-related disorders
SSRI antidepressants: zoloft
used for short term use
sedative hypnotic anxiolytics: valium
used to manage anxiety
nonbarbiturate anxiolytics: BuSpar
a nurse is caring for a client who has acute stress disorder and is experiencing severe anxiety which of the following statements by the nurse is appropriate
tell me about how you are feeling right now
a nurse observes a client who has OCD repeatedly applying, removing, and then reapplying makeup. the nurse identifies that repetitive behavior in a client who has OCD is due to which of the following
attempt to reduce anxiety
a nurse is caring for a client who is experiencing a panic attack. which of the following is an appropriate nursing intervention
stay with the client and remain quiet
a nurse observes a client who is pacing and wringing his hands. the client states, “i dont know but ive worried everyday for over a year that my son will die a horrible death” the nurse identifies that this finding is consistent with which of the following disorders
generalized anxiety disorder