exam ii: ch15 - anxiety and ocd Flashcards

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1
Q

what is the most basic human emotion?

A

anxiety

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2
Q

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

A

anxiety

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3
Q

what are the benefits of normal anxiety?

A
  • necessary for survival
  • carry out tasks for living
  • achieve goals
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4
Q

Is an emotional reaction to a specific danger

A

fear

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5
Q

who came up with the different levels of anxiety

A

hildegard peplau

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6
Q

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

A

find out appropriate interventions

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7
Q

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

A

mild anxiety

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8
Q

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

A

moderate anxiety

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9
Q

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

A

severe anxiety

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10
Q

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

A

panic anxiety

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10
Q

can you leave a person alone with panic anxiety?

A

no

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10
Q

strengthening one to hide another

A

compensation

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11
Q

refuse to face a negative behavior

A

denial

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12
Q

take it out on someone else

A

displacement

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13
Q

attach to something positive

A

identification

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14
Q

conform feelings for approval

A

introjection

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15
Q

see your faults in others

A

projection

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16
Q

excuse and justify mistakes

A

rationalization

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17
Q

pretend you are different than what you truly feel

A

reaction formation

18
Q

acting younger to feel better

A

regression

19
Q

putting things into darkness

A

repression

20
Q

override negative with habit

A

ritual and undoing

21
Q

divert negative ito acceptable

A

sublimation

22
Q

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

A

separation anxiety

23
Q

anxiety type:

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

A

panic disorder/panic attacks

24
Q

anxiety type:

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

A

agoraphobia

25
Q

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

A

specific phobia

26
Q

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

A

social anxiety disorder

27
Q

anxiety type:

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

A

generalized anxiety disorder

28
Q

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

A

obsessions

29
Q

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

A

compulsions

30
Q

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

A

body dysmorphia

31
Q

ocd type:

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

A

hoarding disorder

32
Q

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

A

tricotillomania

33
Q

ocd type:

recurring skin picking

A

excoriation disorder

34
Q

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

A

psychodynamic

35
Q

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

A

freud

36
Q

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

A

sullivan

37
Q

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

A

antidepressants

38
Q

what class of antidepressant is 1st line

A

SSRIs

39
Q

what drug class has quicker onset than benzodiazepines?

A

short acting sedative hypnotic sleep agents

40
Q

disadv of short acting sedative hypnotic sleep agents

A

unpleasant taste when awaken

41
Q

what are the criteria to have deep brain stimulation?

A

add to tx resistant OCD

failed 3 SSRIs

42
Q

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

A

withdrawal symptoms of benzos

43
Q

difference between systematic desensitization and flooding?

A

SD = gradual introduction to fear object

flooding = exposing large amount of undesirable stimulus

44
Q

conscious, deliberate effort to avoid painful + anxiety producing memories

A

suppression