Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Mental Health-MJ > T1-Physiologic Adaptation to Stress (Anxiety) & Grief > Flashcards

T1-Physiologic Adaptation to Stress (Anxiety) & Grief Flashcards

1
Q

What are the two types of psychological adaptation to stress?

A

Anxiety and grief

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What kinds of threats can anxiety cause?

A

Threats to biologic integrity and threats to security and self (our personhood)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are threats to our biologic integrity?

A

Maslow lower levels of needs–food, drink, shelter, warmth, safety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are threats of self or our personhood?

A

Maslow higher level needs of love and security

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

____ is a major psychological response to stress. What is believed about this?

A

Anxiety–believed to be the most uncomfortable feeling a person can experience

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Can anxiety be positive?

A

Yes–it can cue arousal to a perceived threat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are Peplau’s 4 levels of anxiety?

A
  1. Mild
  2. Moderate
  3. Severe
  4. Panic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q 
What anxiety: 
Hightened perception
Enhanced learning
Restlessness, irritability
Increased motivation
A

Mild anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Is mild anxiety a problem? What is it associated with? What happens with mild anxiety?

A
  • Seldom a problem
  • Associated with the tension of day to day living
  • Senses sharpen, motivation increase, awareness of environment heightened, learning enhanced

*Prepares you for action!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Mild to moderate anxiety provide demand created by the id, superego, and reality..the ego has a variety of ____ to cope with anxiety.

A

Defense mechanisms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are ego defense?

A

Psychological tools that work to protect the ego from anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Are ego defenses always unhealthy?

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What if we over use or use ego defenses at inappropriate times?

A

Can cause problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Do ego defenses act consciously?

A

Yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Do ego defenses act unconcsciously?

A

Yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Ego defenses can ___, ___, or ___ reality

A

Distort, transform, or falsify reality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Some defense mechanisms are ____ and allow us to function normally, while others are ____

A

Some are adaptive, others are maladaptive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

The greatest problems arise when defense mechanisms are overused in order to ________

A

Avoid taking responsibility for and dealing with problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What may the goal be in psychoanalytic therapy, in regards to ego defenses?

A

To help the client uncover defense mechanisms and find better, more healthy ways of coping

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Who identified and described defense mechanisms used by the ego?

A

Anna Freud–Sigmund Frueud’s daughter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

There are a lot of defense mechanisms—

A

Talking about them in another deck

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What type of anxiety is this:

  • Reduced alertness to environmental events
  • Decreased attention span
  • Decreased ability to concentrate
  • Less than optimal ability to learn
  • Increased restlessness, pulse rate, BP, muscular tension, gastric discontent
  • Some impairment in relationships, focus on self to relieve personal discomfort
A

Moderate anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What anxiety contributes to the development of physiological disorders?

A

Moderate to severe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Moderate to severe anxiety can ____ affect physiological disorders and _____ symptoms of a disorder. This type of anxiety can also _____ from a disorder and ____ with treatment of a medical disorder

A
  • adversely affect physiological disorders
  • Exacerbate symptoms of a disorder
  • Delay recovery from a disorder
  • Interfere with treatment of a medical disorder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

How is the perceptual field in severe anxiety?

A

Greatly diminished

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What is the attention span like in severe anxiety?

A

Extremely limited

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Is it easy to concentrate or problem solve if experiencing severe anxiety?

A

No, there is an inability to concentrate and problem solve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What are some symptoms of severe anxiety?

A

Headaches
Trembling
Insomnia
Pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What do you feel if you are experiencing severe anxiety?

A

Feelings of dread, loathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What is the focus the person has when experiencing severe anxiety?

A

Total focus on self and intense desire to relieve anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Psychoneurotic responses are also referred to as neuroses. What are neuroses?

A

Excessive anxiety that is expressed directly or altered through defense mechanisms

32
Q

How does the neurosis appear?

A

A symptom–such as an obsession, compulsion, phobia, or sexual dysfunction

33
Q

What are examples of some psychoneurotic responses to chronic severe anxiety?

A

Anxiety disorders
Somatic symptom disorder
Dissociative disorder

34
Q

Excessive anxiety and avoidance behaviors. Examples?

A

Anxiety disorders

Phobias, OCD, panic disorder, GAD

35
Q

Physical symptoms which have no identifiable organic pathology. Examples?

A

Somatic symptom disorders

EX: Somatic symptom disorder, illness anxiety disorder, conversion disorder, factitious disorder

36
Q

Disruption in consciousness, memory, identity. Examples?

A

Dissociative disorders

EX: Dissociate amnesia, dissociative identity disorder, depersonalization-derealization disorder

37
Q

What type of psychoneurotic response is this: Somatic symptom disorder

A

Somatic symptoms disorders

38
Q

What type of psychoneurotic response is this: Phobias

A

Anxiety disorders

39
Q

What type of psychoneurotic response is this: Conversion disorder

A

Somatic symptom disorder

40
Q

What type of psychoneurotic response is this: Dissociative amnesia

A

Dissociative disorder

41
Q

What type of psychoneurotic response is this: Factitious disorder

A

Somatic symptom disorder

42
Q

What type of psychoneurotic response is this: GAD

A

Anxiety disorder

43
Q

What type of psychoneurotic response is this: Depersonalized-derealization disorder

A

Dissociative disorder

44
Q

What type of psychoneurotic response is this: Illness anxiety disorder

A

Somatic symptom

45
Q

What type of psychoneurotic response is this: OCD

A

Anxiety disorder

46
Q

What type of psychoneurotic response is this: Panic disorder

A

Anxiety disorder

47
Q

What type of psychoneurotic response is this: Dissociative identity disorder

A

Dissociative disorder

48
Q

If you have panic can you focus?

A

No, not even on one detail

49
Q

If you have panic can you concentrate?

A

No

50
Q

T/F: People with panic can comprehend simple directions

A

FALSE

51
Q

What kind of activity does panic cause?

A

Immobility or purposeless HYPERactivity

52
Q

If you experience panic, is it easy for you to verbalize?

A

No, and if you can, you may be incoherent

53
Q

Panic can cause ____ and there may be a _____

A

terrors and may be a psychotic response

54
Q

What is the most intense state of anxiety? What happens?

A

PANIC–there may be a loss of contact with reality and/or a psychotic response to anxiety!

55
Q

“A severe mental disorder characterized by gross impairment in reality testing, typically manifested by delusions, hallucinations, disorganized speech, or disorganized or catatonic behavior”

A

Psychosis

56
Q

What are examples of psychotic responses to anxiety?

A

Schizophrenia
Shizoaffective disorder
Delusional disorder

57
Q

What are common characteristic of people with psychosis?

A
  • Exhibit minimal distress (bland or inappropriate tone)
  • Unaware their behavior is MALADAPTIVE
  • Unaware of any psychological problems
  • Exhibit a flight from reality into a less stressful world
58
Q

What psychotic response to anxiety is this:

-Delusions, hallucinations, disorganized speech, unusual or catatonic behavior, flat affect

A

Schizophrenic

59
Q

What psychotic response to anxiety is this:

-Milder symptoms of schizophrenia–better prognosis

A

Schizoaffective

60
Q

What psychotic response to anxiety is this:

-Characterized by the presence of delusions–if present hallucinations are not prominent, behavior is not bizzare

A

Delusional disorder

61
Q

What are some common symptoms of anxiety?

A 
Insomnia
Tenseness
Feels anxious
Shakiness
Increased BP
Sweating
Restlessness
Elevated HR, breathing, and BP
Over/under eating
GI distress
Self-focused behaviors
62
Q

What are 2 nursing diagnosis for anxiety?

A

Anxiety r/t

Ineffective coping r/t

63
Q

Response to the physical, emotional, social, and cognitive stress related to loss or anticipated loss

A

Grief

64
Q

5 stages of grief?

A 
Denial
Anger
Bargaining
Depression
Acceptance
65
Q

What is the process of grieving?

A

Mourning characterized by feelings of sadness, guilt, anger, helplessness, hopelessness, despair

66
Q

Occurs when loss is anticipated and begin the work of grieving

A

Anticipatory grief

67
Q

Anticipatory grief facilitates the process of mouring–_____ the length and intensity

A

Decreasing

68
Q

Can anticipatory grief be complete before the death of a loved one (person, pet, marriage, relationship, health)?

A

Yes, it is sometimes completed before the death

69
Q

Clousure to mourning and moving forward without the sadness and/or anger related to the loss

A

Resolution

70
Q

Why may grief be prolonged?

A

Conflicted feelings: guilt, love-hate relationships, number of losses experienced

71
Q

Occurs when the person can reflect on the relationship with the lost entity and accept the pleasures and disappointments–no longer preoccupied with the lost entity and is ready for new relationships

A

Resolution

72
Q

Occurs when the individual is unable to progress through the stages of grieving to achieve resolution; may remain angry for years and may become disabled with depression unable to tend to activities of daily living

A

Maladaptive grieving

73
Q

What are the 3 types of maladaptive grieving?

A
  1. Prolonged
  2. Delayed
  3. Distored
74
Q

Maladaptive grieving-which one?
characterized by an intense preoccupation with memories of the lost entity for MANY YEARS after the loss has occurred. What can this lead to?

A

Prolonged–can lead to depression

75
Q

Maladaptive grieving–which one?
Individual becomes fixed in the denial stage of the grieving process; emotional pain associated with grieving is not present–but what is?

A

Delayed (inhibited)—emotional pain not present but ANXIETY disorders are!

76
Q

Maladaptive grieving–which one?

Fixed in the anger stage of grieving; all normal responses with grieving are exaggerated out of proportion

A

Distorted

77
Q

Why may grief be prolonged (4)?

A
  1. Ambivalence of relationship (unfinished business)
  2. Guilt
  3. Number of recent losses (especially elderly)
  4. Bereavement overload (accumulation of grief)

Mental Health-MJ (39 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions