Test 1 Blueprint (6) Flashcards
Name the anxiety disorders (4):
- generalized anxiety disorder
- panic disorder
- phobia
- OCD
What is a common comorbidity with anxiety disorders?
depression
A group of conditions marked by extreme anxiety that is felt most of the time with no obvious reason or trigger.
Anxiety disorder
The anxiety can be so _____ or _____ that the individual is _____.
overwhelming
terrifying
immobilized
What neurotransmitters are involved in anxiety disorders?
serotonin - decreases
norepinephrine - increases
Symptoms of anxiety:
insomnia tenseness feel anxious shakiness elevated BP sweating restlessness increased HR breathing
Nursing interventions for anxiety:
- 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
What disorder is characterized by chronic and potentially incapacitating anxiety; nothing else matters but relieving the anxiety?
Panic disorder
Women are ____ x more likely to be affected by panic disorder than men.
2 1/2 to 3
What medical diagnoses are often seen in individuals with panic disorder?
COPD
MVP (mitral valve prolapse)
What is agoraphobia and why is it often seen with panic disorder?
intense fear and avoidance of social situations. Fear they will have a panic attack in public.
T/F: General Anxiety Disorder is very common in older adults.
true
T/F: When someone has general anxiety disorder, they should also be screened for depression.
True
T/F: Phobias are more common in men.
FALSE - phobias are more common in women
The onset of phobias are often seen in childhood to early adulthood. Which age group are the phobias more persistent?
Adulthood phobias are more persistent than childhood
BUT, childhood phobias can persist into adulthood
Phobias affect ___% of the population.
10%
Do phobias run in families?
Yes
_____ are thoughts, images, or impulses that occur over and over again and feel out of your control.
Obsessions
_____ are acts the person performs over and over again, often according to certain rules.
Compulsions
Should we allow the pt to carry out ritualistic behavior?
Yes, give them time to carry out their rituals; try to contract times for these
_____ may elevate if individual is not able to carry out ritual.
Anxiety
What is the key element of treatment for most patients with OCD?
Cognitive behavioral psychotherapy (CBT)
What are methods of psychotherapy for OCD?
thought stopping/systemic desensitization
Cognitive Behavioral Therapy - exposure to trigger, try to refrain from ritual, client journals feelings. (80% effective)
What med is usually prescribed for OCD?
clomipramine
fluoxetine
benzodiazepines
PTSD is common after a trauma. Symptoms emerge within ___ months after.
3
PTSD can be ___ but most remit within ___ months with treathment.
chronic
6
___ to ___% of population experience PTSD in their lifetime.
5 to 10%
