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NSG 211 > Test 1 > Flashcards

Test 1 Flashcards

1
Q

What are the levels of Anxiety? Who came up with them?

A

Peplau

Mild, moderate, severe, panic

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2
Q

Describe anxiety.

A

Apprehensive uneasiness or nervousness usually over an impending or anticipated event

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3
Q

What are risk factors associated with anxiety? (Broadly speaking)

A 
Neurotransmitter imbalance
Age
Gender
Genetics 
Recent life changes/events
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4
Q

What are psychological responses to anxiety?

A

Worry, fear, doubt, inability to control the worry

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5
Q

What are physical responses to anxiety?

A

Racing heart, sweating, shaking, quick breathing, rocking, distraction, panic attack

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6
Q

What is agoraphobia?

A

Inability to leave your house for fear of having a panic attack in public and being embarrassed

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7
Q

What is OCD?

A

Obsessive compulsive disorder. In seaside thoughts and compulsive behaviors-the behaviors resolve the anxiety about the thought

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8
Q

What is GAD?

A

Generalized Anxiety Disorder. 6+ months of worry about multiple events/activities with physical symptoms present

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9
Q

What is phobia?

A

Intense and immediate fear of an object or situation. Physical symptoms such as increase HR/RR, nausea, sweating, chest pain occur.

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10
Q

Describe panic disorders.

A 
Can be with or without agoraphobia.
Panic response (panic attack) when there is no real threat present
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11
Q

Describe PTSD.

A

A response to a stressor that may include flashbacks, nightmares, hyper vigilance, and last for at least one month.

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12
Q

What are anxiolytics? What are some categories?

A

Anti anxiety medications
SSRIs
Benzodiazepines

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13
Q

What are SSRIs? What do they do? Risks? Examples?

A 
Selective serotonin reuptake inhibitors 
Allow more serotonin to be free floating 
Serotonin syndrome 
Paxil (paroxentine)
Lexapro (escitalopram)
Prozac (fluoxentine)
Zoloft (Sertaline)
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14
Q

What are Benzos? How do they work? Examples? Risk?

A 
Benzodiazepines 
Depress CNS, increase reception of GABA 
Xanax (alprazolam)
Ativan (lorazepam)
Valium (diazepam)

Highly addictive, overdose, withdrawal

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15
Q

What is similar to a benzo without the same risks?

A 
Buspar
Does not depress CNS
Do not give PRN 
Interacts with neurotransmitter receptors
May have difficulty sleeping
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16
Q

Define mood.

A

The way a person feels

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17
Q

Define affect.

A

Recognizable responses a person has to to his or her own feelings

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18
Q

What are Erikson’s stages?

A 
0-12 M: Trust vs Mistrust
1-3 y: Autonomy vs Shame/doubt
3-6: initiative vs guilt
6-12: industry vs inferiority 
12-20: identity vs role confusion
20-45: intimacy vs isolation
45-65: generativity vs stagnation
65+: integrity vs despair
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19
Q

What are Freud’s stages?

A 
0-18 m: oral (weaning)
18 m-3/4 y: anal (potty training)
3/4-5/7: phallic (sexual identity)
5/7-puberty: latent (learning)
Puberty +: genital (intercourse)
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20
Q

What are the two categories of coping skills and how are they described?

A

Active- doing something to take your mind off of it

Expressive-getting the words/thoughts/feelings out

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21
Q

What disorder(s) are associated with serotonin?

A

Depression

Suicide

22
Q

What disorder is associated with dopamine?

A

Schizophrenia

23
Q

What disorder is associated with GABA?

A

Anxiety

24
Q

What disorder is associated with acetylcholine?

A

Dementia

25
Q

What are the 3 parts of personality as defined by Freud?

A

Id-“me, me, me”, unconscious, immediate, avoiding pain

Ego-conscious, based in reality, problem-solving balance of self and environment, rational thinking

Superego-unconscious and conscious, basis of shame and guilt, morals

26
Q

What is the most common stage psych patients are stuck in?

A

Trust vs mistrust

27
Q

Who is Peplau?

A

Founder of mental health nursing as a science

28
Q

What are Maslow’s hierarchy of needs (in order most-least important)?

A 
Physiological
Safety
Love and belonging
Esteem
Self-Actualization
Self-transcendent
29
Q

What defense mechanism is described by “overachievement in one area to offset deficiencies in another area”?

A

Compensation

30
Q

What defense mechanism is described by “anxiety converted into physical symptoms”?

A

Conversion

31
Q

What is denial as a defense mechanism?

A

Refusal to acknowledge reality

32
Q

What is displacement as a defense mechanism?

A

Directing feelings about on object or person toward a less threatening object or person

33
Q

Which defense mechanism can be described as “separating or splitting off”

A

Dissociation

34
Q

What defense mechanism can be described as “person regards as his own traits”

A

Identification

35
Q

What is isolation as a defense mechanism?

A

Repression of the emotional component of a situation

36
Q

What is projection as a defense mechanism?

A

Placing own undesirable trait onto another, blaming others

37
Q

What defense mechanism can be described as “developing a justifiable reason for behavior to self”?

A

Rationalization

38
Q

What defense mechanism can be described as “behavior that reflects an earlier level of development”?

A

Regression

39
Q

What is repression as a defense mechanism?

A

Inability to conscious awareness of conflicts that are sources of anxiety

40
Q

What is reaction/formation as a defense mechanism?

A

Engaging in behavior opposite of true desire; I accepted impulses are repressed

41
Q

What defense mechanism can be described as “substituting unacceptable behaviors with acceptable behaviors”?

A

Sublimation

42
Q

What defense mechanism can be described as “representing idea or object by a substitute idea or object”?

A

Symbolization

43
Q

What is undoing as a defense mechanism?

A

Opposite of earlier unacceptable or thought; action taken to neutralize a previous unacceptable action

44
Q

What is suppression as a defense mechanism?

A

Consciously putting a threatening or unwanted thought of one’s awareness; choosing not to think about something

45
Q

What is used to treat OCD?

A

SSRIs

46
Q

What is used to treat GAD?

A

SSRI
Benzo
Buspar

47
Q

What is used to treat PTSD?

A

SSRI

Benzos

48
Q

What is use to treat panic disorders?

A

SSRI
Benzo
Buspar

49
Q

What is used to treat phobias?

A

SSRI
Benzo
Beta blocker

50
Q

What is postpartum depression? How is it treated?

A

Depression which is brought on by the hormone change after having a baby. Doxepin, clonepramine

NSG 211 (2 decks)

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