NUR 375 - EXAM 1 ANXIETY

Question 1

PHYSICAL SYMPTOMS OF ANXIETY DISORDER

Answer 1

• excessive and persistent worrying
• poor sleep
• fatigue
• difficulty relaxing
• changes in appetite
• N/V/D
• trembling
• sweaty palms
• flushing of skin
• muscle tension

Question 2

RISK FACTORS OF ANXIETY

Answer 2

• poor coping skills
• being a female
• low SES
• other mental illnesses
• family history of mood/anxiety disorders
• poor self-esteem
• increased stressors
• being widowed, separated, or divorced

Question 3

GENERALIZED ANXIETY DISORDER DSM-5 CRITERIA

Answer 3

• three or more symptoms more days than not for 6 months
• restlessness or feeling keyed up
• sleep disturbances
• muscle tension
• irritability
• difficulty concentrating
• easily fatigued

Question 4

MILD ANXIETY CHARACTERISTICS

Answer 4

• associated with tension experienced in response to the events of day-to-day living
• sharpens the senses
• increases motivation for productivity
• increases the perceptual field
• results in heightened awareness
• learning/problem solving enhanced

Question 5

MODERATE ANXIETY CHARACTERISTICS

Answer 5

• perceptual field diminishes
• less alert to events occurring in the environment
• attention span decreases
• needs assistance with problem solving
• physical symptoms: muscle tension, pounding heart, tachycardia/tachypnea
• somatic symptoms: gastric discomfort, headache, urinary frequency

Question 6

SEVERE ANXIETY CHARACTERISTICS

Answer 6

• perceptual field greatly diminished, concentration centers on one particular detail or many scattered details
• attention span limited
• learning/problem solving not possible
• difficulty completing a task
• physical: severe headache, nausea, dizziness, palpitations, insomnia, trembling
• feelings of dread or impending doom

Question 7

PANIC ANXIETY CHARACTERISTICS

Answer 7

• unable to process what is going on
• loses touch with reality
• confusion, screaming, shouting, withdrawal
• hallucinations or delusions
• feeling of terror
• death is imminent
• going crazy”

Question 8

PANIC DISORDER SYMPTOMS

Answer 8

• recurrent unexpected panic attacks
• palpitations
• sweating
• trembling
• shaking
• SOB
• feelings of choking
• dizzy, unsteady
• chills or heat sensations
• paresthesias
• de-realization/de-personalization
• fear of dying

Question 9

TREATMENT FOR ANXIETY

Answer 9

• CBT
• behavioral therapies (muscle relaxation, modeling, desensitization, flooding, response prevention)
• pharmacological therapy (benzodiazepines, SSRI propranolol, buspar)

Question 10

SIDE EFFECTS OF BENZODIAZEPINES

Answer 10

• anterograde anmesia
• decreased cognitive function
• lightheadedness
• orthostatic hypotension
• tachycardia

Question 11

TOXIC EFFECTS OF BENZODIAZEPINES

Answer 11

• drowsiness
• lethargy
• respiratory depression
• severe hypotension
• cardiac arrest

Question 12

WITHDRAWAL EFFECTS OF BENZODIAZEPINES

Answer 12

• anxiety
• insomnia
• diaphoresis
• tremors
• lightheadedness
• delirium
• seizures

Question 13

NURSING INTERVENTIONS FOR ANXIETY

Answer 13

• recognition of precipitating factors
• stay with client and remain calm
• provide reassurance and support
• remove anxiety-producing stimuli
• deep breaths
• distract client
• grounding techniques