exam ii: ch15 - anxiety and ocd

Question 1

what is the most basic human emotion?

Answer 1

anxiety

Question 2

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

Answer 2

anxiety

Question 3

what are the benefits of normal anxiety?

Answer 3

• necessary for survival
• carry out tasks for living
• achieve goals

Question 4

Is an emotional reaction to a specific danger

Answer 4

fear

Question 5

who came up with the different levels of anxiety

Answer 5

hildegard peplau

Question 6

why is it important to find out the level of anxiety severity

Answer 6

find out appropriate interventions

Question 7

name that anxiety level

normal experience of everyday living; reality perceived in sharp focus, increased motivation
- Enhanced learning and optimal functioning
- Sharp senses and increased motivation
- Grasps more information effectively
- Heightened awareness

Answer 7

mild anxiety

Question 8

name that anxiety level

perceptual field narrows; selective inattention, agitation, muscle tightness
- Narrowed perceptual field
- Selective inattention
- Decreased concentration and problem solving
- Sympathetic nervous system symptoms begin
- Muscular tension and restlessness

Answer 8

moderate anxiety

Question 9

name that anxiety level

perceptual field greatly reduced, ritualistic behavior, marked distress
- Perceptual field greatly reduced
- Difficulty concentrating on environment
- Severe cognitive impairment
- Confused and automatic behavior
- Somatic symptoms increase

Answer 9

severe anxiety

Question 10

name that anxiety level

most extreme; markedly disturbed behavior, distorted perception, loss of rational thought, immobility, often out of touch with reality
- Markedly disturbed behavior—running, shouting, screaming, pacing
- Unable to process reality; impulsivity
- Tendency to misperceive environment
- Complete loss of focus, NOT SAFE

Answer 10

panic anxiety

Question 10

can you leave a person alone with panic anxiety?

Answer 10

no

Question 10

strengthening one to hide another

Answer 10

compensation

Question 11

refuse to face a negative behavior

Answer 11

denial

Question 12

take it out on someone else

Answer 12

displacement

Question 13

attach to something positive

Answer 13

identification

Question 14

conform feelings for approval

Answer 14

introjection

Question 15

see your faults in others

Answer 15

projection

Question 16

excuse and justify mistakes

Answer 16

rationalization

Question 17

pretend you are different than what you truly feel

Answer 17

reaction formation

Question 18

acting younger to feel better

Answer 18

regression

Question 19

putting things into darkness

Answer 19

repression

Question 20

override negative with habit

Answer 20

ritual and undoing

Question 21

divert negative ito acceptable

Answer 21

sublimation

Question 22

anxiety type:

⇒ Developmentally inappropriate levels of concern over being away from a significant other to whom they are attached
- dx <18yrs after 1 month symptoms

Answer 22

separation anxiety

Question 23

anxiety type: abrupt surge of extreme apprehension/fear, feelings of impending doom - peak within minutes - persistent concern OR significant maladaptive change in behavior

Answer 23

panic disorder/panic attacks

Question 24

anxiety type: fear about being in a wide range of places/situations from which escape might be difficult or embarrassing - avoiding = debilitating life constriction

Answer 24

agoraphobia

Question 25

anxiety type: persistent irrational fear of specific object, activity, or situation that leads to a desire for avoidance - dogs, spiders, heights, storms, water, blood, closed spaces

Answer 25

specific phobia

Question 26

anxiety type: severe anxiety/fear provoked by exposure to a social situation that will be seen negatively by others - scared to say something stupid - fear of public speaking

Answer 26

social anxiety disorder

Question 27

anxiety type: excessive anxiety/worry that occurs more days than not - lasts for >6months - anticipate disaster, irritable, muscle tension, dec concentration, sleep disturbance

Answer 27

generalized anxiety disorder

Question 28

Thoughts, impulses, or images that persist and recur, so that they cannot be dismissed from the mind

Answer 28

obsessions

Question 29

Ritualistic behaviors an individual feels driven to perform and according t rules that must be applied rigidly in an attempt to reduce anxiety

Answer 29

compulsions

Question 30

ocd type: preoccupation with 1+ perceived defects or flaws in physical appearance that are NOT observable or slight to others ⇒ skin, acne, scars, hair, body size

Answer 30

body dysmorphia

Question 31

ocd type: persistent difficulty discarding/parting with possessions, regardless of actual value - more common in older populations

Answer 31

hoarding disorder

Question 32

ocd type: oldest recorded psych disorder (more common in children), pulling one’s hair until hair loss - more common F > M - preceded by emotional state

Answer 32

tricotillomania

Question 33

ocd type: recurring skin picking

Answer 33

excoriation disorder

Question 34

type of theories that = explain that unconscious childhood conflicts are the basis for future development

Answer 34

psychodynamic

Question 35

theorist who said: threatening repressed ideas/emotions are close to breaking thru from the unconscious mind into the aware and conscious mind

Answer 35

freud

Question 36

theorist who said: emotional distress when early needs go unmet or disapproval is experienced

Answer 36

sullivan

Question 37

what is the first line of defense for most anxiety/OCD

Answer 37

antidepressants

Question 38

what class of antidepressant is 1st line

Answer 38

SSRIs

Question 39

what drug class has quicker onset than benzodiazepines?

Answer 39

short acting sedative hypnotic sleep agents

Question 40

disadv of short acting sedative hypnotic sleep agents

Answer 40

unpleasant taste when awaken

Question 41

what are the criteria to have deep brain stimulation?

Answer 41

add to tx resistant OCD failed 3 SSRIs

Question 42

s/s of - insomnia, irritability, nervousness, dry mouth, convulsions, confusion

Answer 42

withdrawal symptoms of benzos

Question 43

difference between systematic desensitization and flooding?

Answer 43

SD = gradual introduction to fear object flooding = exposing large amount of undesirable stimulus

Question 44

conscious, deliberate effort to avoid painful + anxiety producing memories

Answer 44

suppression