NUR 144 - Week 5 - Anxiety + Obsessive-Compulsive Disrder

Question 1

Describe The Anxiety Cycle

Answer 1

Trigger starts anxious thoughts

Anxious thoughts –> Feelings/emotions –> physiological response –> behavioral response

Question 2

OCD:

What is it?

Answer 2

When one experiences obsession, which are persistent and recurrent thoughts or urges that are unwanted and becomes intrusive
- Compulsion are repetitive behaviors that are performed by the client with OCD to lessen or prevent anxiety brought by obsession; “Person has tons of hand sanitizer for whenever they touch anything. If they don’t have hand sanitizer they’ll be very anxious”

Precipitated by anxiety

Question 3

Anxiety disorders:

General manifestations
Physiological manifestations

Answer 3

General:
- Apprehensive, nervous
- Restless
- Irritability

Physical:
- Tachycardia, tachypnea
- Sweating
- Exhaustion
- Trouble concentrating
- GI & sleep disturbances

Question 4

Separation Anxiety:

What is it?

Answer 4

Developmentally inappropriate and excessive fear or anxiety upon separation from those to whom they’re attached
- reluctant to leave who they’re attached to

Question 5

Selective Mutism:

What is it?

Answer 5

Consistent failure to speak in specific social situation where speaking is expected; “anxiety is so much, they become mute”
- Not able to speak even when spoken to

Question 6

Phobias:

What is it

Question 7

Social anxiety:

What is it

Answer 7

Marked fear and anxiety upon exposure to social situation
- Thoughts ruminate on being embarrassed, humiliated, rejected or offending others

Question 8

Panic attack:

What is it

Answer 8

Usually unexpected and occurs for no apparent reason
- Avoids situation, people or events that may trigger attack

Question 9

Agoraphobia:

What is it

Answer 9

Experiencing marked fear and anxiety r/t travel or location
- closed spaces
- open spaces
- leaving home alone

Question 10

Obsessive Compulsive Disorders:

What is it

Answer 10

Experiencing a pattern of uncontrollable obsessive thought and associated compulsive behaviors or rituals
- Cleaning
- Washing hands

Question 11

Body dysmorphic disorder:

What is it?
s/s

Answer 11

Persistent preoccupation with perceived defects or flaws in one’s appearance

s/s:
- mirror checking
- excessive grooming
- seeking reassurance about looks
- possible eating disorder

Question 12

Anxiety & compulsive disorders:

Treatment, Non-pharmacologic

Answer 12

Psychotherapy:
- Talk therapy focused on the client’s specific anxiety

Cognitive Behavioral Therapy (CBT):
- Psychotherapy at how the client thinks, behaves and reacts to causes of anxiety

Cognitive Therapy:
- Similar to CBT, is focused on identifying the cause of anxiety and eliminating thoughts that are distorted or unhelpful regarding anxiety/stressors

Exposure Therapy:
- Exposed to underlying cause of anxiety that they’re avoiding to becomes more comfortable with the activity

Question 13

Anxiety & OCD:

Treatment, pharmacologic

Answer 13

• Anxiolytics (benzodiazepines)​

-Selective serotonin reuptake inhibitor (SSR) antidepressants ​

-Serotonin and norepinephrine reuptake inhibitor (SNRI) ​

-Antidepressants, such as alprazolam, paroxetine, and venlafaxine​

Question 14

When should the patient see/follow up with their provider?

Answer 14

When worry begins to interfere with
function or relationships​

When worry becomes increasing
difficult to control​

Worry leading to thoughts of self-
harm or suicide is a mental health
emergency