test 3 Flashcards
Stress
The bodies nonspecific response to any demand.
Anxiety
Universal experience necessary for survival; vague sense of dread that can cause distress, dysfunctional behavior develops as a dense against anxiety
When does anxiety become a problem?
Interfers with adaptive behavior, causes physical symptoms exceeds tolerable levels
Mild anxiety
Patient behavior: Heightened perceptual field, can actively problem solve, may be irritable and restless
Nursing actions: Help person identify anxiety level, use active listening explore previous coping , explore alternative solutions
Moderate anxiety
Patient behavior: reduced perceptual field, can still actively problem solve with assistance , increased physiological responses to anxiety, may become hostile and need reassurance
nursing actions: continue to encourage person to discuss concerns, person may need help viewing concern objectively , support physical outlets for excess energy
severe anxiety
Patient behavior: further reduced perceptual field, difficultly concentrating and problem solving, physical and emotional discomfort
Nursing actions: use simple communication strategies, assist person to meet basic needs as needed , stay with the person
panic anxiety
Patient behavior: person is immobilized, may demonstrate severe disorganization, may be unresponsive to verbal direction, may take flight from situation , physical and emotional discomfort
nursing actions : stay with the patient
panic disorder
recurrent, unexpected panic attacks , at least 1 attack plus
persistent concern about more attacks ( Anticipatory anxiety)
worry about the implications of attacks
significant change in behavior r/t attacks
generalized anxiety disorder (GAD)
excessive anxiety and worry ( Apprehensive expectation),
occurring more days than not for at least 6 months, about events or activities
the individual finds it difficult to control the worry
the anxiety and worry are associated with three or more of the following six symptoms
- restlessness, feeling keyed up or on edge.
- being easily fatigued
- difficulty concentrating or mind going blank
- irritability
- muscle tension
- sleep disturbance ( Difficultly falling or staying asleep, or restless unsatisfying sleep)
agoraphobia
anxiety in places or situations from which escape may be difficult or help may be not available in the event of a panic attack
situations are avoided or endured with marked distress
agoraphobia with hx of panic disorder or without hx of panic
emotional: (Anxiety symptom)
nervousness, irritability, “Feeling of impending doom”, exaggerated startle response, inability to concentrate/easily distracted , fear of losing control or going crazy, fear of dying, derealization or depersonalization
motor tension: ( Anxiety symptoms)
muscle twitching, restlessness, shakiness, fatigue, muscle aches, parathesias (Numbness, and tingling)
autonomic hyperactivity ( anxiety symptoms)
cardiopulmonary: palpitations or tachycardia, SOB, diaphoresis, sweaty palms, chest pain, chills or hot flashes, Choking feeling , nausea or abdominal distress, frequent urination, anorexia or overeating,
neurological: dizziness, unsteadiness, lightheartedness, fainting, short attention span
behavioral (Anxiety symptoms)
avoidance of situations, compulsive behavior ( With obsessive thoughts) , Distress in social situations, phobic behavior
systematic desensitization
gradually exposing phobia to patient overtime.
