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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?

24
Q

What disorder is associated with acetylcholine?

25
What are the 3 parts of personality as defined by Freud?
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
What is the most common stage psych patients are stuck in?
Trust vs mistrust
27
Who is Peplau?
Founder of mental health nursing as a science
28
What are Maslow’s hierarchy of needs (in order most-least important)?
``` Physiological Safety Love and belonging Esteem Self-Actualization Self-transcendent ```
29
What defense mechanism is described by “overachievement in one area to offset deficiencies in another area”?
Compensation
30
What defense mechanism is described by “anxiety converted into physical symptoms”?
Conversion
31
What is denial as a defense mechanism?
Refusal to acknowledge reality
32
What is displacement as a defense mechanism?
Directing feelings about on object or person toward a less threatening object or person
33
Which defense mechanism can be described as “separating or splitting off”
Dissociation
34
What defense mechanism can be described as “person regards as his own traits”
Identification
35
What is isolation as a defense mechanism?
Repression of the emotional component of a situation
36
What is projection as a defense mechanism?
Placing own undesirable trait onto another, blaming others
37
What defense mechanism can be described as “developing a justifiable reason for behavior to self”?
Rationalization
38
What defense mechanism can be described as “behavior that reflects an earlier level of development”?
Regression
39
What is repression as a defense mechanism?
Inability to conscious awareness of conflicts that are sources of anxiety
40
What is reaction/formation as a defense mechanism?
Engaging in behavior opposite of true desire; I accepted impulses are repressed
41
What defense mechanism can be described as “substituting unacceptable behaviors with acceptable behaviors”?
Sublimation
42
What defense mechanism can be described as “representing idea or object by a substitute idea or object”?
Symbolization
43
What is undoing as a defense mechanism?
Opposite of earlier unacceptable or thought; action taken to neutralize a previous unacceptable action
44
What is suppression as a defense mechanism?
Consciously putting a threatening or unwanted thought of one’s awareness; choosing not to think about something
45
What is used to treat OCD?
SSRIs
46
What is used to treat GAD?
SSRI Benzo Buspar
47
What is used to treat PTSD?
SSRI | Benzos
48
What is use to treat panic disorders?
SSRI Benzo Buspar
49
What is used to treat phobias?
SSRI Benzo Beta blocker
50
What is postpartum depression? How is it treated?
Depression which is brought on by the hormone change after having a baby. Doxepin, clonepramine

NSG 211 (2 decks)

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