Test 1 Blueprint (6) Flashcards

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1
Q

Name the anxiety disorders (4):

A
  • generalized anxiety disorder
  • panic disorder
  • phobia
  • OCD
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2
Q

What is a common comorbidity with anxiety disorders?

A

depression

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3
Q

A group of conditions marked by extreme anxiety that is felt most of the time with no obvious reason or trigger.

A

Anxiety disorder

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4
Q

The anxiety can be so _____ or _____ that the individual is _____.

A

overwhelming
terrifying
immobilized

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5
Q

What neurotransmitters are involved in anxiety disorders?

A

serotonin - decreases

norepinephrine - increases

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6
Q

Symptoms of anxiety:

A
insomnia
tenseness
feel anxious
shakiness
elevated BP
sweating
restlessness
increased HR
breathing
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7
Q

Nursing interventions for anxiety:

A
  • assure pt staff is nearby
  • build rapport and trust
  • empathy
  • personal space, rarely touch
  • identify stressors and how to cope
  • relaxation techniques
  • diversional activities
  • teach coping skills
  • teach problem solving skills
  • teach assertive comm. skills
  • admin. prescribed meds
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8
Q

What disorder is characterized by chronic and potentially incapacitating anxiety; nothing else matters but relieving the anxiety?

A

Panic disorder

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9
Q

Women are ____ x more likely to be affected by panic disorder than men.

A

2 1/2 to 3

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10
Q

What medical diagnoses are often seen in individuals with panic disorder?

A

COPD

MVP (mitral valve prolapse)

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11
Q

What is agoraphobia and why is it often seen with panic disorder?

A

intense fear and avoidance of social situations. Fear they will have a panic attack in public.

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12
Q

T/F: General Anxiety Disorder is very common in older adults.

A

true

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13
Q

T/F: When someone has general anxiety disorder, they should also be screened for depression.

A

True

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14
Q

T/F: Phobias are more common in men.

A

FALSE - phobias are more common in women

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15
Q

The onset of phobias are often seen in childhood to early adulthood. Which age group are the phobias more persistent?

A

Adulthood phobias are more persistent than childhood

BUT, childhood phobias can persist into adulthood

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16
Q

Phobias affect ___% of the population.

A

10%

17
Q

Do phobias run in families?

A

Yes

18
Q

_____ are thoughts, images, or impulses that occur over and over again and feel out of your control.

A

Obsessions

19
Q

_____ are acts the person performs over and over again, often according to certain rules.

A

Compulsions

20
Q

Should we allow the pt to carry out ritualistic behavior?

A

Yes, give them time to carry out their rituals; try to contract times for these

21
Q

_____ may elevate if individual is not able to carry out ritual.

A

Anxiety

22
Q

What is the key element of treatment for most patients with OCD?

A

Cognitive behavioral psychotherapy (CBT)

23
Q

What are methods of psychotherapy for OCD?

A

thought stopping/systemic desensitization
Cognitive Behavioral Therapy - exposure to trigger, try to refrain from ritual, client journals feelings. (80% effective)

24
Q

What med is usually prescribed for OCD?

A

clomipramine
fluoxetine
benzodiazepines

25
Q

PTSD is common after a trauma. Symptoms emerge within ___ months after.

A

3

26
Q

PTSD can be ___ but most remit within ___ months with treathment.

A

chronic

6

27
Q

___ to ___% of population experience PTSD in their lifetime.

A

5 to 10%