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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
what is intact cognition
cognitive behavior for a person is considered normal for age and culture
26
what is higher order cognitive functioning
learning comprehension, insight, problem solving, decision making, reasoning, creativity
27
what is impaired cognition
it would be observable or noticeable by someone or themselves resulting from unnormal brain function - chronic/temporary; mild/severe; sudden/slow onset
28
waht are the clinical manifestations for cognitive impairment
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
nursing interventions for cognitive impairment
-promote sleep, rest, nutrition -minimize environment stimuli -establish routines -keep instructions simple -may need PT, OT, speech, home health, etc
30
priority meds for panic disorders
benzos ssri -avoid CNS depressants
31
priority meds for OCD
ssris treatment resist ocd - psychosis meds
32
priority meds for dementia
antipsychotics ssri sedatives cholinesterase inhibitors
33
clincal manifestations of anxiety
feeling nervous, restless sweaty, tachycardia, not sleeping well GI symptoms
34
severe anxiety could cause what
neurosis - loss of reality. have delusions, hallucinations
35
meds for anxiety
benzos - these are addictive and for short terms use nonbenzos nonpharm interventions - cbt therapy, postive reframing
36
nursing interventions for anxiety
-remain with client at all times when levels are high -breathing exercises -keep yourself calm -reduce stimulation -help them with healthy coping mechanisms
37
It occurs when a person has difficulty dealing with life situations, problems, and goals.
stress
38
vague feeling of dread or apprehension; it is a response to external or internal stimuli that can have behavioral, emotional, cognitive, and physical symptoms
anxiety
39
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.
alarm reaction stage of stress
40
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.
resistance stage of stress
41
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.
exhaustion stage of stress
42
what level of anxiety is Restlessness Fidgeting GI “butterflies” Difficulty sleeping Hypersensitivity to noise
mild anxiety
43
what level of anxiety is Muscle tension Diaphoresis Pounding pulse Headache Dry mouth High voice pitch Faster rate of speech GI upset Frequent urination
moderate anxiety
44
Severe headache Nausea, vomiting, and diarrhea Trembling Rigid stance Vertigo Pale Tachycardia Chest pain
severe anxiety
45
May bolt and run or totally immobile and mute Dilated pupils Increased blood pressure and pulse Flight, fight, or freeze
panic
46
Perceptual field reduced to focus on self Cannot process any environmental stimuli Distorted perceptions Loss of rational thought Doesn’t recognize potential danger
panic
47
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
severe anxiety
48
Sharpened senses `Increased motivation Effective problem-solving Increased learning ability Irritability
mild anxiety
49
Perceptual field narrowed to immediate task Selectively attentive Cannot connect thoughts or events independently `Increased use of automatisms
moderate anxiety
50
state of temporary but acute mental confusion
delirium *** know
51
a common, life threatening syndrome resulting from an identifiable source such as physical, hypoglycemia, cerebral disease
delirium
52
what are the risk factors for delirium **know
-elderly are most frequently diagnosed with delirium, due to polypharmacy -substance abuse/withdrawal -ICU/post up -lack of sleep or lots of stimulation
53
clinical manifestations of delirium
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
what are the causes of delirium
-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
nursing interventions for delirium
-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
meds for delirium
1. benozos -- lorazepam 2. haldol 3. nonpharm interventions

CSL Maternity (14 decks)

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