Exam 3 Flashcards

1
Q

Characteristics of generalized anxiety disorder

A

The client has exhibited uncontrollable, excessive worry for at least 6 months.

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2
Q

Purpose of rituals in OCD

A

to reduce stress and anxiety

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3
Q

What are examples of rituals performed by those with OCD

A

handwashing, ordering, checking, praying, counting

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4
Q

Systemic desensitization

A

Least to greatest, type of therapy, small exposure within safe limits then will progress to real-life situation.

used to treat different phobias

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5
Q

Social anxiety disorder

A

an excessive fear of situations in which a person might do something embarrassing to be evaluated negatively by others.

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6
Q

Validation definition

A

Support and affirm the needs of the client individually and separate from milieu/ other clients.

Active,empathetic listening to the client’s perceptions of their illness, any concerns they may have and promoting autonomy.

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7
Q

How do we show empathy?

A

by sitting down, and being on their level to understand where they are coming from.

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8
Q

Interventions for anxiety

A

-provide structured interview to keep client focused
-provide safe environment for client and staff
-provide structured milieu with therapeutic communication and daily activities
-relaxation techniques
-find community resources regarding anxiety

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9
Q

Interventions for severe anxiety

A

-remain with the client
-paper bag if hyperventilating
-provide safety and comfort
-calm, quiet environment
-do not try to perform patient education

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10
Q

Function of amygdala

A

fear

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11
Q

Systematic Desensitization for fear

A

safest option, client is taught relaxation techniques
progressive exposure to the situation or stimuli during a relaxed state.
step by step and be able to handle it when they are out in public.

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12
Q

Sessions for systematic desensitatization can be executed how?

A

through fantasy
real-life
or in a combination of both.

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13
Q

What is implosion therapy (flooding)

A

done at one time, floods patient with triggers at one time

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14
Q

What is agoraphobia?

A

This occurs when the client experiences an extreme fear of certain places where the client feels unsafe and vulnerable.
outdoors, or being on a bridge.
might effect the patient’s employment.
can not easily escape from (such as being in a crowd)

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15
Q

what medications are used for anxiety?

A

ssris
paroxetine, fluoxetine and sertraline

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16
Q

Panic episodes are___ whereas Generalized panic is ______

A

time-limited, panic all the time

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17
Q

anticonvulsants (pregabalin-GABA)

A

derivative useful in treating in anxiety disorders

schedule 5 controlled substance posing a risk for dependence and diversion.

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18
Q

Social anxiety is defined by what?

A

performance in the community

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19
Q

what medication do we give for social anxiety?

A

anit-hypertensives
propranolol, atenolol, and clonidine
Most used for test and performance anxiety.

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20
Q

Why do we not use clonidine long term?

A

dependence

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21
Q

Benzodiazepine client education (ex: diazepam and lorazepam)

A

-monitor for sleep driving
-should only be take PRN for acute anxiety
-dependence and tolerance can occur

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22
Q

Why do we use benzo

A

increase gaba and as a prn for panic attacks and severe anxiety.

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23
Q

Obsession vs compulsion

A

Obsessions: recurrent and stressful intrusive rituals(thoughts)
Compulsions: repetitive, ritualistic behaviors or mental acts intended to reduce the anxiety of obsessive thoughts.

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24
Q

Long term treatment for anxiety

A

Buspirone.

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25
Q

busiprone education

A

takes up to two weeks to diminsh symptoms. does not have addictive properties, and not used for PRN

-avoid grapefruit juice, avoid St John’s Wart, avoid erythromycin and ketoconazole
-take with meals

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26
Q

Benzodiazepines complications

A

blood dyscrasias, if they drink with them they can have respiratory issues

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27
Q

sx of Blood dyscracias from anxiolytics (benzos)

A

sore throat, fever, malaise, bruising, and bleeding.

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28
Q

Benzo is similar to?

A

alcohol and can have the same effect.

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29
Q

interventions for Panic attack

A

do not use busprione, use benzo as prn

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30
Q

Neurotransmitters for anxiety

A

low serotonin, high norepi, low gaba

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31
Q

Levels of anxiety

A

mild,moderate, severe, panic

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32
Q

Mild anixety includes,

A

fight or flight starts
pupils dialate, perceptional field increases, allow for more vision.
Can learn better at this level

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33
Q

emotional characteristics of mild anxiety

A

may remain superficial, rarely distressful, motivation increased

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34
Q

symptoms of mild anxiety

A

restlessness, irritability

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35
Q

intervention for ocd

A

slowly get rid of the ritual, and replace is with therapeutic things and medication

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36
Q

Why do we need to slowly stop their rituals with ocd?

A

If you take away their ritual, their anxiety will increase and can cause a panic.

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37
Q

moderate anxiety

A

-reduction in perceptual field
-reduced alertness to environmental events
-learning occurs but not at optimal ability/ decreased attention span

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38
Q

Symptoms of moderate anxiety

A

increased restlessness, HR, RR, perspiration, gastric discomfort, increased muscular tension, increase speech rate/volume/pitch

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39
Q

Emotional symptoms of moderate anxiety

A

-discontent, impairment in interpersonal relationships as individual begins to focus on self

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40
Q

severe anxiety

A

perceptual field greatly diminished, only extraneous details are perceived
may focus on one single detail
may not notice events

effective learning cannot occur

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41
Q

symptoms of severe anxiety

A

headaches, dizzines,s nausea, trembling, insomnia, palpitations, tachycardia, hyperventilation, urinary frequency, diarrhea

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42
Q

Emotional sx of severe anxiety

A

feelings of dread, loathing, horror
total focus on self and intense desire to relieve anxiety

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43
Q

Panic anxiety

A

unable to focus even on one detail
misperceptions of the environment (perceived detail may be elaborated)

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44
Q

sx of panic anxiety

A

dilated pupils, labored breathing, severe trembling, sleeplessness, palpitations, diaphoresis, pallor, immobility/hyperactivity, incoherence

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45
Q

Emotional characteristics of panic anxiety

A

impending doom, severe terror
-shouting, screaming, running, clinging to others,
-hallucinations, delusions
-extreme withdrawal into self

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46
Q

do we teach relaxation techniques during panic?

A

no, need to teach them after they have medication

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47
Q

as anxiety increases, visual field?

A

decreases drastically. (tunnel vision).

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48
Q

Anixety and learning

A

when in panic can not learn. The less severe the anxiety, the better they will be able to learn.

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49
Q

Priority nursing intervention for patients with panic anxiety

A

stay with them and do not touch them.
allow them to use a paper bag If they are hyperventilating so they do not pass out.

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50
Q

Goals for clients with anxiety

A

safety, how to maintain anxiety, function adaptively
recognize escalating anxiety and intervene

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51
Q

Can benzos be used long-term?

A

they can not, they will lead to dependence.
can have withdrawal with Benzos
Life-threatening withdrawal.

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52
Q

Recognizing cues for binge eating disorders

A

-Altered perception of the issue
-feeling uncomfortably full
-Coping strategy for stress
-Terrified of gaining weight and constantly dieting
-guilt or depression due to binge eating
-feeling uncomfortably full
-Collecting recipes, hoarding food
-concerns about eating in public

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53
Q

Satiety and binge eating disorder

A

delayed gastric emptying, enlarged stomach capacity, decreased secretion of cholecystokinin
-body no longer says “I’m full”

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54
Q

De-escalation for anixety

A

calm, open hands, limit settings, express concern, reduce stimulation, loud noise. attempt these before using medications.

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55
Q

Recognize cues for anorexia nervosa

A

refusal to eat
Gross distortion of body image
preoccupation with food
LANUGO
Amenorrhea
laxative abuse
vomiting
Malnourishment
perceive themselves as fat

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56
Q

Recognizing cues for bulimia nervosa

A

hx of previous AN
intake of high caloric foods in very short time then purging them out
OCCURS IN SECRET
worse decision-making ability
decreased bone density
general and specific functioning decrease
lifetime SA
dietary restriction
frequent use of laxatives

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57
Q

What kind of foods are typically binged with bulimia nervosa

A

high caloric, sweet, soft, smooth texture

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58
Q

types of bulimia nervosa

A

purging type: client uses self-induced vomiting, laxatives, diuretics, enemas
Nonpurging type: excessive exercise, laxative misuse, diuretics, enemas

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59
Q

Differentiate between the three eating disorders?

A

BMI:
anorexia = very low, bulimia= normal, binge eating = high

Eating Habits:
anorexia= restricting mostly, binge eating and purging (still maintain very low BMI) , bulimia= strict binging and compensation, BED= binge eating but no purging

Age:
anorexia= adolescence to young adulthood, bulimia= late adolescence to early adulthood, BED= all ages but mostly aged 46-55

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60
Q

What is the client education for Fluoxetine use?

A

-first-line treatment
-beneficial in treating comorbid depression (which results from malnutrition and starvation)
-Fluoxetine can decrease the cravings for carbs
-1-3 weeks for response and 2 months to take effect
-avoid hazardous activities at first (such as driving for first 3 days.. from kahoot)
-notify provider of sexual dysfunction

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61
Q

Medications used for eating disorders

A

fluoxetine (first line)
Topiramate and Lisdexamfetamine -reduce incidents of both binge eating and weight loss (lisdexamfetamine is a diet pill and stimulant)

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62
Q

What is the client education for treatment of anorexia nervosa?

A
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63
Q

What is the role of the hypothalamus in appetite regulation?

A

regulates appetite hunger and thirst (controls being hungry and being sated)

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64
Q

Nursing interventions for a client with anorexia nervosa

A

-highly structured milieu
-encourage positive self-esteem and self-image
-establish goals
-provide small, frequent meals
-high fiber diet and low in sodium
-reward client for positive behaviors

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65
Q

Cue analysis of oral cavity findings for purging

A

tooth erosion, enlarged parotid glands, mouth ulcers

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66
Q

Recognizing cues with BMI and each eating disorder

A

below 15 (hospitalized anorexia nervosa) , below 17 (anorexia), 18.5-30 (bulimia) , > 30 (binge eating disorder)

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67
Q

Recognizing cues for physical assessment for a client with bulimia nervosa

A

enlarged parotid gland, russels sign, tooth erosion, mouth ulcers, diarrhea, decreased HR,BP,and body temp, normal or increased body weight

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68
Q

Symptoms of a hospitalized patient with anorexia nervosa

A

less than 30 % expected weight, dehydration, severe electrolyte imbalances, cardiac arrhythmias, bradycardia, hypothermia, hypotension, suicidal ideation

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69
Q

Nursing interventions for eating disorders

A

-same as anorexia ?

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70
Q

Nursing intervention for obtaining a clients weight

A

take before breakfast, do not let them look at the scale.

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71
Q

Implementing therapeutic communication techniques for clients with eating disorders

A
72
Q

Abnormal lab values for builima

A

Hypokalemia, dehydration, hyponatremia, hypochloremia, hypomagnesemia, decreased

73
Q

Diagnostic findings for bulimia nervosa

A

impaired liver function, anemia, leukopenia, abnormal thyroid function, ecg changes, decreased bone density

74
Q

Recognizing complications related to anorexia nervosa

A

refeeding syndrome, dysrhythmias, severe bradycardia, hypotension, cardiac collapse, delirium, death

75
Q

Symptoms and nursing interventions for refeeding syndrome

A

fluid and electrolyte shifts: hypophosphatemia, hypokalemia, hypomagnesemia, hypocalcemia

76
Q

Role of prazosin in PTSD symptom management

A

Reduces nightmares and enhances normal dreaming patterns.

77
Q

Differentiate between acute stress disorder and PTSD

A

Time frame in which it will last.

Acute: lasts at least 3 days, but no more than a month

PTSD: lasts longer than a month following an event and can last for years.

78
Q

Recognize cues for PTSD

A

Re-experiencing the traumatic event, high anxiety or arousal, intrusive recollection or nightmares of the event.
General numbness of responsiveness

79
Q

Interventions for nightmares/flashbacks

A

do not wake them up.

80
Q

Interventions for PTSD

A

Assign the same staff is possible
Non-threatening matter of fact, but a friendly approach
Respect patient’s wishes regarding discomfort interacting with some individuals. (especially if trauma was rape)
stay with them during flashbacks

81
Q

Rationale for using anti-anxiety medications for symptoms of PTSD.

A

Antidepressant and anti-panic effects.

82
Q

Recognizing Factors Influencing Adjustment Disorders

A

depressed mood: predominant mood disturbances
anxiety: predominant manifestations
Mixed anxiety

83
Q

Assessment of a trauma

A

Numbing feeling.
Complete loss of memory. Not oriented.
experiencing even, amnesia-related events, state of arousal, hyperactivity,
guilt, substance use, anger, and aggression.

84
Q

When do symptoms of trauma usually start?

A

3 months after exposure

85
Q

acute stress and PTSD.

A

Acute stress- time limiting, 3 days to a month but not more than a month
PTSD: lasts longer than one month.

86
Q

Trauma-informed care

A

do not retraumatize your client
Recognize s/s of trauma

87
Q

Interventions for trauma

A

monitor their stress.
Rate your anxiety.

88
Q

Post-trauma syndrome Interventions and diagnosis

A

consistent staff
friendly non-threatening approach
Encourage communication at the patient’s pace
Validate feelings
Provide private environment
Respect opposite-sex avoidance or interaction
Offer safety and security during nightmares and flashbacks(DO NOT wake them up)
spend time with patients.

89
Q

Why do we not wake up patients experiencing nightmares and flashbacks?

A

this is very unsafe, and you will get hurt. Do not touch them.
always find common ground with the person you are interacting with.

90
Q

How does trauma affect the hippocampus?

A

Exposure to trauma causes a decreased hippocampus volume

91
Q

Client education for stress management

A

Meditation, journaling, breathing exercises, guided imagery, progressive muscle relaxation, and physical exercise.

92
Q

Recognizing biological responses to stress (pg 4 morgan)

A

fight or flight, norepi and everything increases. Eyes dilate for a better visual of what going on.
Senses are heightened.
Parastalsis slowed down, and absorption and digestion stopped.
BS increases. Glycolysis happens and glucogenesis. Need more oxygen breathing heavier. Bp higher to get more blood, heart rate up to circulate.
Gaba stops the process. Norepi starts.

93
Q

Reactions to stress, ADAPTIVE

A

maintain the integrity of the individual, positive and healthy.

94
Q

Reactions to stress, MALADAPTIVE

A

disrupts the integrity of individuals, harmful, and unhealthy.

95
Q

Client education/ recognition of factors that increase stress

A

May need a axiolytic to stop the response is GABA does not stop it.

96
Q

Why do we provide privacy for PTSD clients?

A

abuse could of occured

97
Q

Recognizing maladaptive stress responses

A

Chronic anxiety and panic attacks
Chronic pain, depression, sleep disturbances
Increased risk for MI, stroke

98
Q

Identify the nursing interventions for a client with PTSD

A

discuss coping strategies:
anti-anxiety and relaxation techniques
animals!!
Box Breathing
Imagery
establish a support system.
SI is very high in this population

99
Q

Role of the thalamus in stress response

A

temporarily blocks minor sensations so that an individual can concentrate on one important event when necessary

100
Q

Dissociative disorders

A

occur when anxiety becomes overwhelming
personality becomes disorganized
disruption in psychobiological functions
“out of body experience”
more than one traumatic event that occurs

101
Q

Recognizing cues for dissociative amnesia

A
102
Q

Dissociative amnesia

A

Inability to recall important information, usually of a traumatic or stressful nature that is too extensive to be explained
Not a direct effect of substance use or a neurological condition

103
Q

Interventions for dissociative amnesia

A
104
Q

Recognizing cues for Conversion disorder with psychological stressor

A

extreme anxiety, or lack of emotion
impairment in clients life
Blindness, paralysis, seizures, gait disorders, hearing loss
Pseudocyesis.

105
Q

stroke and conversion disorder look the same but what do we do first?

A

rule out organic pathology

106
Q

conversion disorder

A

voluntary function
can wake up because of stress, can’t see, walk, speak, see, and lose functions of the body. all related to stress and anxiety.

107
Q

Interventions for somatic symptom disorder

A

assess for suicidal ideations
limit the amount of time talking about somatic manifestations

108
Q

Recognizing cues for somatic symptom disorder

A

remissions and exacerbations of somatic manifestations
client overmedication with analgesics and antianxiety medications
probable alcohol or other substance use
excessive preoccupation with somatic manifestations

109
Q

Interventions for Factitious disorder

A

Pretending to be ill to receive emotional care and support, or putting it on someone else.

110
Q

Interventions for Conversion disorder

A

Ensure safety, encourage verbalization of feelings.
Educate client on stress management techniques.

111
Q

Recognizing cues for depersonalization

A

reports of feeling detached from one’s own body or feeling that one’s personal environment is unreal.

112
Q

What is depolarization

A

disturbance in the perception of oneself.

113
Q

Recognizing cues for derealization

A

Objects in the environment are perceived as altered in size and shape. People in the environment may seem automated or mechanical

114
Q

Recognizing cues for dissociative identify disorder

A

“gaps” in memory
amnesia
fugue states
depersonalization and derealization

115
Q

Recognizing cues for localized amnesia

A

unable to recall all incidents associated with a stressful period. Can be broader than just a single event.
“inability to remember months or years of child abuse”

116
Q

Recognizing cues for a client with dissociative fugue

A

traumatic event that triggers this. Can last for weeks to months.
Can not remember things about themselves after moving locations

117
Q

Recognizing cues for illness anxiety disorder

A

Obsessive thoughts and fear about illness
Research their suspected illness (LMAO)
overly aware of body sensation
seek medical help numerously

118
Q

Recognizing cues for the defense mechanism repression

A

a trauma victim is unable to remember anything about the traumatic event

119
Q

What two things are damaging stressors that cause distress?

A

anxiety and hunger

120
Q

What is Dissociative fugue?

A

A type of dissociative amnesia in which the client travels to a new area and is unable to remember one’s own identity and at least some of one’s own past.

121
Q

What is Adjustment disorder?

A

A stressor triggers a reaction causing changes in mood or dysfunction in performing usual activities.
impairment in social and occupational functions
Maladaptive response to stressor/s
Occurs within 3 mo of stress for no longer than 6mo
sx greater than expected reaction.

122
Q

Cues for Adjustment disorders?

A

A pattern of lifelong difficulty accepting a change.
Learned pattern of difficulty with social skills or coping strategies when a stressor occurs and can trigger a stress response out of proportion.

123
Q

What is the difference between purging and nonpurging?

A

Purging: client uses self-induced vomitting, laxatives, diuretics, and or enemas to lose or maintain weight

Nonpurging: compensation for binge eating through other means (excessive excersie and the misuse of other means).

124
Q

What is refeeding syndrome?

A

potential fatal complication that can occur when fluids, electrolytes, and carbs are introduced to a severely malnourished client

125
Q

Symptoms of Refeeding syndrome?

A

Cardiac Dysrhythmias, cardiac collapse, delirium, death

126
Q

Labs for refeeding syndrome

A

hypokalemia, hypocalcemia, hypomagnesemia, hypophosphours?

127
Q

Nursing interventions if Refeeding syndrome occurs

A

place client on cardiac monitoring
monitor vs frequently
report changes in patients status to provider

128
Q

What is conversion disorder?

A

Results when a client exhibits neurologic manifestations in the absence of a neurological diagnosis. Clients will transmit emotional or psychological stressors into physical manifestations

129
Q

what assessment details would indicate a client might have a binge eating disorder?

A

bmi 38
hga1c 6.5

130
Q

Which assessment findings might indicate a diagnosis of anorexia nervosa

A

amenorrhea, lanugo ( fine hair in babies ), bmi 15

131
Q

Which of the following findings might indicate a diagnosis of bulimia nervosa

A

russels, dental erosion, parotid enlargement

132
Q

a nurse is educating a client on fluoxetine for tx of an eating disorder, what is included?

A

do not drive for the first few days after starting this medication
-takes 5-10 weeks to become effective
-ssri
-appetite and sleep is effected by SSRI,

133
Q

which of the following interventions is appropriate for a client with anorexia nervosa

A

assess skin turgor and integrity
sit with client during meals
assess for enlarged parotid glands
Begin parenteral fluids and electrolytes
assess heart rate and blood pressure

134
Q

How long do we sit with clients with anorexia nervosa?

A

30 minutes, we do not want to let them sit In front of food for too long

135
Q

if the patient has a purging disorder why do we sit with them for an hour after they eat?

A

the food will be digested in an hour then they will not be able to purge the food.

136
Q

why should we do an oral assessment on a client with suspected purging episodes?

A

to check for dental erosion

137
Q

daily weights are ordered on a client with an eating disorder, how do we proceed?

A

weigh on the same scale every day,
-do not let them see the scale (turn them backward).
-weight in the morning before meals
-dry weight (after peeing)

138
Q

client experiences refeeding syndrome, what are the risk factors?

A

cardiovascular collapse, cardiac arrhythmias, and altered mental status.

139
Q

what lab findings would you expect in a client abusing laxatives?

A

hypokalemia

140
Q

How long do symptoms need to be there for anxiety?

A

6 months

141
Q

Phobias

A

trigger the amygdala, and want to avoid whatever it is that they are scared of.

Specific to an object.

142
Q

what neurotransmitters are implicated in anxiety disorders?

A

norepi, serotonin, gaba

143
Q

what structure heightens fear in the individual?

A

amygdala

144
Q

Hippocampus

A

memory

145
Q

Is there a link between the hippocampus and the amygdala?

A

yes because memories can relate to fear. If we have a memory it can cause a feeling of fear. The next time you do the activity you will not have as much fear about the situation

146
Q

What level of anxiety improves awareness and alertness?

A

Mild

147
Q

client unable to focus, concentrate or comprehend simple commands, what level is this?

A

panic

148
Q

Moderate

A

concentration is narrowed

149
Q

the patient is in panic level anxiety, what interventions are appropriate?

A

Stay with the client, admin lorazepam, obtain a paper bag, and decrease environmental stimuli.

150
Q

patient taps the table 6 times what is the term for this ritual?

A

compulsion

151
Q

progression of anxiety producing imagery, while creating a state of relaxation? (least to greatest)

A

systematic desensitization

152
Q

client reports restlessness, feeling “keyed up” and sleep disturbances for the last seven months, what is this?

A

GAD

153
Q

the client can not ride the bus because of fear of panic and fear from escaping what is this

A

agoraphobia

154
Q

patient prescribed benzos for relief of acute anxiety, what should we teach them?

A

monitor for sleep-driving

155
Q

why can we not use buspirone for acute level panic attacks?

A

this takes time to work and be effective. Takes days to reach effectiveness.

156
Q

coping strategies for adjustment disorder

A

awareness of factors causing the stress
Breathing, meditation
Communication or “talk the problem out”
Problem-solving or objective decision-making
pets, music

157
Q

Complicated grieving

A

so many losses in a row, you can not go through the stages properly.
Explore problem-solving
Let them experience their anger
Explain the stages of grieving
Crying is cool because it is an emotional release

158
Q

risk-prone health behavior

A

talk about lifestyle before changes in health status
discuss changes or loss, express anger
Express fear surrounding lifestyle alterations
Assist with ADL
identify community resources

159
Q

if a client is suicidal or homicidal we should

A

referr them to someone?

160
Q

Cognitive Behavior therapy

A

regain hope and optimisum about safety.

161
Q

Prolonged exposure therapy

A

specific to trauma and stress within the safe limit, (systematic de-sensitation).
Education: breathe retaining for relaxation, imagined exposures, then real life.

162
Q

e.mdr

A

Express a negative believe, what do you want to believe?
replace negative believes
rate the validity of self-statement
Identify a picture best representing the memory

163
Q

What antidepressants are used as first line treatment?

A

SSRI: first line treatment
Amitriptiline: tricyclic antidepressant (SI)
Phenelzine: MAOI good outcomes for PTSD

164
Q

Anxiolytics

A

alprazolam is anti panic, antidepressant effects

165
Q

What medication is used for short term control of aggression ad agitation?

A

anti-psychs

166
Q

what medication disrupts fear associated with trauma off label?

A

ketamine (tranquilizer)

167
Q

What medication increases levels of endogenous cannabinoids?

A

Endocannabinoids

168
Q

What medication reduces nightmares in PTSD?

A

prazosin

169
Q

What medication decreases recall of traumatic memories?

A

Glucocorticoids

170
Q

Somatic patients usually go where?

A

Usually end up in PCP and seek for a second opinion. They hardly go to the psychiatrist for their symptoms.

171
Q

Organic Pathology

A

There is no organic cause

172
Q

Does somatic symptom have to have how many symptoms present to be diagnosed as somatic symptom, instead of illness anxiety disorder?

A

one

173
Q

Learning theory

A

primary gain:avoid stress obligations, postpone unwelcome challenges or excused from troublesome duties
directly effects you

Secondary: sick person becomes a prominent focus of attention because of illness. (get attention)

Tertiary: relieves conflict within the family as concern is shifted to the ill person and away from the real issue.
conflict shifted because of the sick individual.

174
Q

Nursing interventions

A

Accept physical complaint is real to client
-comfort and safety.

175
Q
A
176
Q

Compulsions versus obsession

A

compulsion: repetitive ritualistic behaviors or mental acts an individual feels driven to preform to reduce anxiety

Obsession: intrusive thoughts that are recurrent and stressful.