objective 7

Question 1

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

Answer 1

anxiety

Question 2

reaction to specific danger

Answer 2

fear

Question 3

necessary for survival

Answer 3

normal anxiety

Question 4

what are the levels of anxiety

Answer 4

mild
moderate
severe
panic

Question 5

what are the defense mechanisms against anxiety?

Answer 5

Automatic coping styles
 Protect people from anxiety
 Maintain self-image by blocking
◼ Feelings
◼ Conflicts
◼ Memories
 Can be healthy or unhealthy

Question 6

what are specific anxiety disorders?

Answer 6

Panic disorders
 Phobias
 Generalized anxiety disorder
 Anxiety due to medical conditions
 Somatic symptom and related disorders
 Trauma and stress related disorders
 Dissociative disorders
 And more….

Question 7

panic attacks

Answer 7

panic disorder

Question 8

Excessive anxiety or fear about being in places or situations from which escape
might be difficult or embarrassing

Answer 8

agoraphobia

Question 9

Severe anxiety or fear provoked by exposure to a social or a performance
situation that will be evaluated negatively by others

Answer 9

social anxiety disorder

Question 10

Excessive worry that lasts for months

Answer 10

generalized anxiety disorder

Question 11

Developmentally inappropriate levels of concern over being away from a
significant other

Answer 11

separation anxiety disorder

Question 12

what is the diagnostic criteria for generalized anxiety disorder?

Answer 12

Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at
least 6 months, about a number of events or activities (such as work or school performance).
2. The individual finds it difficult to control the worry.
3. The anxiety and worry are associated with three (or more) of the following six symptoms
(with at least some symptoms having been present for more days than not for the past 6
months)
4. The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in
social, occupational, or other important areas of functioning.
5. The disturbance is not attributable to the physiological effects of a substance (e.g., a drug of
abuse, a medication) or another medical condition (e.g., hyperthyroidism).
6. The disturbance is not better explained by another mental disorder (e.g., anxiety or worry
about having panic attacks in panic disorder, negative evaluation in social anxiety disorder
[social phobia], contamination or other obsessions in obsessive compulsive disorder, separation
from attachment figures in separation anxiety disorder, reminders of traumatic events in
posttraumatic stress disorder, gaining weight in anorexia nervosa, physical complaints in
somatic symptom disorder, perceived appearance flaws in body dysmorphic disorder, having a
serious illness in illness anxiety disorder, or the content of delusional beliefs in schizophrenia or
delusional disorder)

Question 13

expression of psychological stress through physical symptoms

Answer 13

somatization

Question 14

what are the different types of somatization?

Answer 14

Somatic symptom disorder (SSD)
2. Illness anxiety disorder (previously hypochondriasis)
3. Conversion disorder (also called functional neurological symptom disorder)
4. Psychological factors affecting medical condition
5. Factitious disorder

Question 15

thoughts, impulses, or images that persist an recur, so that they cannot be dismissed from the mind

Answer 15

obsessions

Question 16

Ritualistic behaviours an individual feels driven to perform in an
attempt to reduce anxiety
 Repetitive, intrusive, & unwanted urges

Answer 16

compulsions

Question 17

what are the different types of OCD?

Answer 17

Obsessive-compulsive disorder
 Body dysmorphic disorder
 Hoarding disorder
 Hair pulling and skin picking disorders
 Other compulsive disorders

Question 18

A group of disorders precipitated by significant adverse experiences
or traumas and resulting in the unconscious altering of mind–body
connections

Answer 18

dissociative disorders

Question 19

an unconscious defense mechanism that protects the
individual against overwhelming anxiety and stress through an
emotional separation - however, this separation results in disturbances
in memory, consciousness, self-identity, and perception

Answer 19

dissociation

Question 20

what are the different types of dissociative disorders?

Answer 20

Depersonalization/Derealization Disorder
 Dissociative Amnesia
 Dissociative Identity Disorder

Question 21

genetic
neurobiological

Answer 21

biological factors

Question 22

psychodynamic theories
behavioural theories
cognitive theory
learning theory

Answer 22

psychological factors

Question 23

General assessment of symptoms
 Self-assessment
 Assessment guidelines: anxiety and obsessive-compulsive disorders

Answer 23

assessment

Question 24

Mild to moderate levels of anxiety
 Severe to panic levels of anxiety
 Primary nursing intervention is safety (NVCI)
 Counselling
 Teamwork and safety
 Promotion of self-care activities

Answer 24

implementation

Question 25

Cognitive therapy
 Behavioural therapy
 Relaxation training
 Modelling
 Systematic desensitization
 Flooding
 Response prevention
 Thought stopping
 Cognitive-behavioural therapy

Answer 25

advanced practice interventions

Question 26

Has patient safety been maintained?
 Is the patient experiencing a reduced level of anxiety or distress?
 Does the patient recognize symptoms as anxiety related?
 Does the patient continue to display obsessions, compulsions, phobias, worrying, or
other symptoms of anxiety disorders? If still present, are they more or less
frequent? More or less intense?
 Is the patient able to use newly learned behaviours to manage their symptoms?
 Can the patient adequately perform self-care activities?
 Can the patient maintain satisfying interpersonal relations?
 Can the patient assume usual roles?

Answer 26

evaluation