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CSL Maternity > Stress Anxiety Cognition > Flashcards

Stress Anxiety Cognition Flashcards

1
Q

this disease process is marked by progressive cognitive impairment, no changes in level of consciousness

A

dementia

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2
Q

this is the 6th leading cause of death in US

A

dementia

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3
Q

what is most common cause of dementia

A

alzheimers

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4
Q

symptoms memory loss, loss inhibitions, lose executive functioning, aphasia, agnosia, apraxia

A

dementia

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5
Q

risk factors for dementia

A

aging
head/brain injuries
family history
women at greater risk
culture/ethnic
diabetes, stroke, CV disease

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6
Q

what is mild dementia

A

forgetfulness is hallmark beginning of mild dementia

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7
Q

what is moderate dementia

A

still recognize family, cannot name objects, lose ability to perform familiar tasks, conversations are repetitive

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8
Q

what is severe dementia

A

delusional, 24/7 support; incontinent; immobile; poor personal hygiene; dont remember family member names

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9
Q

RN assessments for dementia

A

PMH, medications, ability to care for themselves, how they look, assess memory, safety, depression, assess motor movements

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10
Q

nursing interventions for dementia

A

promote safety
regular exercise/nutrition
assess for pain, anxiety and stress
reorient client
establish routines

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11
Q

what are the behavioral problem strategies for dementia

A

redirect, distract and reassurance

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12
Q

what are some collaborative goals for dementia

A

**promote independence with ADLs allow to make choices
give support to family members
low stimuli environment
maintain dignity

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13
Q

terror or impending doom. can happen 2-3x/day

A

panic disorder

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14
Q

most severe form emotional anxiety usually accompanied by behavioral, cognitive and physiological signs and symptoms which are considered being outside expected range of normalcy

A

panic disorder

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15
Q

clinical manifestations for panic disorder

A

-15-30 mins of rapid, intense, escalating anxiety, person experiences great emotional fear and physiological discomfort
-derealization from yourself
-palpitations, tachycardia, sweating, trembling, hyperventilation, nausea, dizziness

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16
Q

recurrent, persistent unwanted thoughts, images or impulses that cause anxiety and interfere with interpersonal, social or occupational functions

A

obsession

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17
Q

ritualistic or repetitive behaviors the person uses to attempt to neutralize their anxiety

A

compulsions

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18
Q

assess underline causes if recently acquiring behavior and over age of 50

A

elderly

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19
Q

clinical manifestations for OCD

A

difficulty meeting basic needs
lack of insight
gets anxious if can’t perform rituals
OCD will interfere with ADLs

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20
Q

this begins in adolescence/early childhood

A

OCD

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21
Q

nursing interventions for OCD

A

-assess/monitor clients sleep patterns
-allow extra time for ADLs
-therapeutic communication

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22
Q

comprehensive term used to refer to all processes invovled in human thoughts, sensory input, processing, storage, retrieval and use information

A

cognition

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23
Q

impairment of intellectual functioning

A

cognitive impairment

24
Q

what is basic cognitive functioning

A

perception, attention, insight

25
Q

what is intact cognition

A

cognitive behavior for a person is considered normal for age and culture

26
Q

what is higher order cognitive functioning

A

learning comprehension, insight, problem solving, decision making, reasoning, creativity

27
Q

what is impaired cognition

A

it would be observable or noticeable by someone or themselves resulting from unnormal brain function - chronic/temporary; mild/severe; sudden/slow onset

28
Q

waht are the clinical manifestations for cognitive impairment

A
  1. you forget things mroe often
  2. forget important events such as apts or social engagements
  3. lose your train of thought or thread of conversations, books, movies
  4. disorganized speech, cant follow conversation
  5. cant find way in familiar environment
29
Q

nursing interventions for cognitive impairment

A

-promote sleep, rest, nutrition
-minimize environment stimuli
-establish routines
-keep instructions simple
-may need PT, OT, speech, home health, etc

30
Q

priority meds for panic disorders

A

benzos
ssri
-avoid CNS depressants

31
Q

priority meds for OCD

A

ssris
treatment resist ocd - psychosis meds

32
Q

priority meds for dementia

A

antipsychotics
ssri
sedatives
cholinesterase inhibitors

33
Q

clincal manifestations of anxiety

A

feeling nervous, restless
sweaty, tachycardia, not sleeping well
GI symptoms

34
Q

severe anxiety could cause what

A

neurosis - loss of reality. have delusions, hallucinations

35
Q

meds for anxiety

A

benzos - these are addictive and for short terms use
nonbenzos
nonpharm interventions - cbt therapy, postive reframing

36
Q

nursing interventions for anxiety

A

-remain with client at all times when levels are high
-breathing exercises
-keep yourself calm
-reduce stimulation
-help them with healthy coping mechanisms

37
Q

It occurs when a person has difficulty dealing with life situations, problems, and goals.

A

stress

38
Q

vague feeling of dread or apprehension; it is a response to external or internal stimuli that can have behavioral, emotional, cognitive, and physical symptoms

A

anxiety

39
Q

stress stimulates the body to send messages from the hypothalamus to the glands (such as the adrenal gland, to send out adrenaline and norepinephrine for fuel) and organs (such as the liver, to reconvert glycogen stores to glucose for food) to prepare for potential defense needs.

A

alarm reaction stage of stress

40
Q

digestive system reduces function to shunt blood to areas needed for defense. The lungs take in more air, and the heart beats faster and harder so that it can circulate this highly oxygenated and highly nourished blood to the muscles to defend the body by fight, flight, or freeze behaviors.

A

resistance stage of stress

41
Q

occurs when the person has responded negatively to anxiety and stress; body stores are depleted or the emotional components are not resolved, resulting in continual arousal of the physiological responses and little reserve capacity.

A

exhaustion stage of stress

42
Q

what level of anxiety is
Restlessness
Fidgeting
GI “butterflies”
Difficulty sleeping
Hypersensitivity to noise

A

mild anxiety

43
Q

what level of anxiety is
Muscle tension
Diaphoresis
Pounding pulse
Headache
Dry mouth
High voice pitch
Faster rate of speech
GI upset
Frequent urination

A

moderate anxiety

44
Q

Severe headache
Nausea, vomiting, and diarrhea
Trembling
Rigid stance
Vertigo
Pale
Tachycardia
Chest pain

A

severe anxiety

45
Q

May bolt and run or totally immobile and mute
Dilated pupils
Increased blood pressure and pulse
Flight, fight, or freeze

A

panic

46
Q

Perceptual field reduced to focus on self
Cannot process any environmental stimuli
Distorted perceptions
Loss of rational thought
Doesn’t recognize potential danger

A

panic

47
Q

Cannot complete tasks
Cannot solve problems or learn effectively
Behavior geared toward anxiety relief and is usually ineffective
Doesn’t respond to redirection
Feels awe, dread, or horror
`Cries

A

severe anxiety

48
Q

Sharpened senses
`Increased motivation
Effective problem-solving
Increased learning ability
Irritability

A

mild anxiety

49
Q

Perceptual field narrowed to immediate task
Selectively attentive
Cannot connect thoughts or events independently
`Increased use of automatisms

A

moderate anxiety

50
Q

state of temporary but acute mental confusion

A

delirium *** know

51
Q

a common, life threatening syndrome resulting from an identifiable source such as physical, hypoglycemia, cerebral disease

A

delirium

52
Q

what are the risk factors for delirium

**know

A

-elderly are most frequently diagnosed with delirium, due to polypharmacy
-substance abuse/withdrawal
-ICU/post up
-lack of sleep or lots of stimulation

53
Q

clinical manifestations of delirium

A
  1. seeing things that don’t exist
  2. restlessness, agitation
  3. not redirectable
  4. stimulation they receive isn’t registered correctly
  5. confuse day time and night time
54
Q

what are the causes of delirium

A

-elderly with underlying cns damage
-electrolyte imbalance, oxygenation, diabetes, trauma, sleep deprivation, renal and liver failure, head injury
-sepsis, uti, fever, HIV
-drug related

55
Q

nursing interventions for delirium

A

-provide close supervision to ensure safety
-monitor meds
-low environmental stimuli
-establish routine
-help reorient them
-thorough neuro exam, vitals, head to toe
-give them independence

56
Q

meds for delirium

A
  1. benozos – lorazepam
  2. haldol
  3. nonpharm interventions

CSL Maternity (14 decks)

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