Conditions Flashcards
Anxiety
Unexplained discomfort, tension, apprehnsion, or uneasiness, which occurs when a person feels a threat to self. the threat may be real or imagined and is a very subject experience
Generalized Anxiety
unrealistic, excessive, and/or persistent (lasting 6 months or more) anxiety and worry about two or more life circumstances. Previously learned coping mechanisms are inadequate to deal with this level of anxiety. Multiple etiologic theories exist including (but not limited to) neurobiochemical and psychodynamic theories
Panic Disorders/Phobias
Discrete period of intesne fear or discomfort that are unexpected and may be incapacitating. Characterized by an irrational fear of an object, activity, or situation. A chronic condition with exacerabations and remissions. Client transfers anxiety or fear from its source to symbolic object, idea, or situation. Recognizes that fear is excessive and unrealistic but “can’t help it.”
OCD
anxiety associated with repetitive thoughts (obsessions) or irresistible impulses (compulsion) to perform an action. Fear of losing control is a major symptom
compulsive acts are in response to anxiety
Nursing care for OCD
listen to client’s obsessive themes
acknowledge that ritualistic acts have on client
demonstrate empathy
avoid behing judgmental
PTSD
severe anxiety resulting from a traumatic experience
Nursing care for PTSD
listen to client’s stories or experiences surrounding the traumatic event
assess suicide risk
assist client to develop objectivity about event and problem-solve regarding possible means of managing anxiety r/t the event
encourage group therapy
CBT/DBT
Personality disorder Cluster A; Odd-eccentric
Paranoid
displays pervasive and long-standing suspiciousness.
Mistrusts otehrs, is suspicious and fearful.
Projects blae for ow problems onto others.
Is in touch with reality
Verbally hostile and accusatory.
Body language is tense, distant, watchful, and angry
Personality disorder Cluster A; Odd-eccentric
Schizoid
Socially detached, shy, and introverted
Avoids interpersonal relationships and lacks social sklls.
Cold, quite, aloof with few friends
Emotionally detached, introverted, unresponsive, with autistic thinking.
Verbally syas little; appear withdrawn and reclusive
Flat/bllunted affect
Delusions
Hallucinations. Visual and auditory are most common
Personality disorder Cluster B: Dramatic Emotional
Antisocial
Aggressive “acting out” behavior with NO remorse
Clever and manipulative to meet own needs
lacks social conscience and abiltiy to feel remorse
emotionally immature and impulsive
ineffective interpersonal skills impair formating of meaningful relationsihps
verbally disparaging, humiliating and beligerent to those perceived as threats
cold, callous and insensitive but can display socially gracious behavior to meet own needs
Personality disorder Cluster B: Dramatic Emotional
Borderline
Disturbances regarding self-image, sexual, social, and occupational roles.
impulsive, self-damaging behavior, suicidal gestures.
Other directed with high dependency on others
unable to problem solve or learn from experiences
Others are seen as “all good or all bad”
self-critical, demanding, whiny, manipulative, argumentative, verbally abusive
highly changeable
Intense affect
Personality disorder Cluster B: Dramatic Emotional
Histrionic
seeks attention by overreacting and exhibiting hyper-excitable emotions
overly dramatic, seeks attention, tends to exaggerate
chaotic relationsips
angry outbursts or tantrums
verbally loud, excitable, over-reactive, draws attention to self
immature, self-centered, dependent on attention and care of others
seducive and flirty
Personality disorder Cluster B: Dramatic Emotional
Narcissistic
preceives self as all-powerful and important, critical of others, arrogant
exaggerated feeling of self-iportance and self-love
needs attendiont and admiration
preoccupied with power and appearance
exploits others
verbally talks self-incessantly and does wahever necessary to draw attention to self
inattentive and indifferent to others: appears only concerned with self
Personality disorder Cluster C: Anxious/Fearful
Avoidant
socially inhibited
sense of self inadequacy
hyper-sensitivit to negative feedback and rejection
longs for relationship
Personality disorder Cluster C: Anxious/Fearful
Dependent
unreasonable wishes, wants, and needs are expressed in demanding and whining manner while professing independence and denying dependent behavior
passive. lacks acceptance of responsibility for own consequences
depends on others to meet needs
self-deprecating
Appears dull, uninterested in others, and dissatisfied with self
