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BEACON MedSurg/Peds > Test 3 Anxiety > Flashcards

Test 3 Anxiety Flashcards

1
Q

anxiety disorders affect ?% of population

A

affect 15-25% of the US population

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2
Q

Anxiety disorders are frequently co morbid with?

A

Co morbid with other psychiatric disorders and physical illness

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3
Q

5 anxiety disorders

A
  • Generalized anxiety disorder
  • panic disorder
  • phobias
  • obsessive compulsive disorder
  • post traumatic stress disorder
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4
Q
  • affective/cognitive/behavioral/physiological response to real or imagined threat
  • universal human experience
  • life force that is necessary for survival
A

anxiety

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5
Q

-caused because the id, the ego, and the superego are in conflict

A

Freud’s theory of anxiety

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6
Q

Freud anxiety as a defense mechanism to…?

A

techniques to avoid or decrease anxiety back to equilibrium

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7
Q

Sullivan, Peplau, and Mays theory on anxiety

A
  • anxiety arises from problems in therapeutic relationship
  • anxiety lead to growth
  • anxiety can be destructive
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8
Q

Who said that “anxiety protects individuals from feelings of inadequacy and prevent awareness of anxiety”

A

Freud on anxiety

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9
Q

autonomic nervous system response to anxiety is sometimes called?

A

“fight or flight”

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10
Q

adrenaline rush, pupils dilate, blood pressure goes up

A

sympathetic system response to anxiety

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11
Q

body tries to conserve resources, hr decreases, pupils constrict, blood pressure and pulse decrease, people may faint

A

parasympathetic response to anxiety

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12
Q
  • coordination problems during anxiety
  • involuntary movements
  • type of behavioral expression*
A

Personal characteristics of behavioral expressions of anxiety

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13
Q
  • withdrawn or out of character behaviors

* type of behavioral expression*

A

interpersonal characteristics of anxiety, behavioral expressions

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14
Q

-identification of anxiety is critical for good nursing care

A

Hildegard Peplau

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15
Q

Peplau said mild anxiety…?

A

does not need intervention

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16
Q

Peplau said moderate anxiety is reduced using ..?

A

problem solving, cognitive reframing, relaxation training, deep breathing

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17
Q

Peplau said severe anxiety is…?

A

not conducive to problem solving-focus is on concrete direction to protect the patient

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18
Q

Panic level of anxiety renders the person…?

A

Renders them unable to focus- remain with the patient until the episode subsides

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19
Q

Alert and aware anxiety level?

A

mild anxiety, +

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20
Q

Perceptual field narrows?

anxiety level

A

moderate anxiety, ++

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21
Q

Focus on relief of anxiety?

anxiety level

A

Severe anxiety, +++

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22
Q

Unable to communicate effectively?

anxiety level

A

Unable to communicate effectively, ++++

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23
Q
  • protect the individual from painful awareness of feelings that can produce anxiety
  • always on alert
  • may be subject to overuse
A

Defense mechanisms

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24
Q
  • Major means of managing conflict and affect
  • predominantly unconscious
  • discrete from one to another
  • reversible
  • adaptive as well as maladaptive
A

defense mechanisms

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25
Q

Adaptive defense mechanisms

A

Healthy, altruism and sublimation

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26
Q

altruism

A

A person has an emotional conflict or stressor, that person will go out of their way to do something for another

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27
Q

sublimation

A

unconscious process of substituting something acceptable for something that’s not in order to decrease anxiety

28
Q

repression, displacement, reaction formation, somatization, rationalization

A

intermediate defenses

29
Q

excluding an unwanted or experience you want to forget about, excluding it from your memory banks

A

repression, intermediate defense

30
Q

transfer of emotions associated with a particular person or event to something that’s non-threatening

A

displacement, intermediate defense

31
Q

you have unacceptable feelings, but you keep them out of your awareness because you try really hard to put them in your awareness
ex: person who hates animals decides to become a vet

A

reaction formation, intermediate defense

32
Q

the unacceptable anxiety symptoms transfer themselves into a physical symptom

A

somatization, intermediate defense

33
Q

justification of some illogical or unreasonable behavior by concocting an acceptable reason for it
ex: everyone else cheats on the test, why shouldn’t I

A

rationalization, intermediate defense

34
Q

Passive aggression, acting out, dissociation, idealization, splitting, devaluation, projection, denial

A

immature defenses, often the ones that get us into trouble and are the least healthy of the defense mechanisms

35
Q

dealing with anxiety or stressors by unassertively expressing aggression towards others

A

passive aggression, immature defense

36
Q

transferring focus, making this anxiety an emotional conflict. Acting out with angry or aggressive feelings out in the open

A

acting out, immature defense

37
Q

when a person, there’s a disruption in the conscious integration of experiences
ex: i have no idea what i did last night

A

dissociation, immature defense

38
Q

attributing characteristics to a person that are over the top, they are perfect in every way.

A

idealization, immature defense

39
Q

inability to integrate both a positive and negative attribute to a person or a system
ex: best nurse in the world! That one last night was the worst in the world

A

splitting, immature defense mechanism

40
Q

attributing negative attributes to someone or something

A

devaluation, immature defense mechanism

41
Q

scapegoating or blaming

A

projection, immature defense mechanism

42
Q

escaping the situation by denying that it’s a problem

A

denial, immature defense mechanism

43
Q

-restlessness, tremor, startle

A

behavioral assessment of anxiety

44
Q

-inattention, poor concentration, confusion, fear

A

cognitive assessment of anxiety

45
Q

-impatience, jittery, unease, nervousness

A

affective assessment of anxiety

46
Q
  • establishing and maintaining the therapeutic alliance to facilitate progress in health
  • facilitates energy to progress
  • interventions for _____ anxiety*
A

interventions for MILD anxiety

47
Q
  • trusting relationship; therapeutic alliance
  • control personal anxiety (nurse)
  • discuss cause/effect
  • What is the relationship of anxiety to threat
  • explore meaning of events
  • provide information to decrease fears of unknown
  • explore usual coping strategies
  • relaxation/distraction
  • supportive relationship/spiritual support
  • modify physical environment
  • interventions for ______ anxiety*
A

interventions for MODERATE anxiety

48
Q
  • stay with client
  • calm voice; eye contact
  • short, simple sentences
  • one step direction
  • firm, authoritative manner
  • safe environment
  • interventions for ___________ anxiety*
A

interventions for SEVERE anxiety

49
Q
  • Quiet
  • safety
  • modify environment
  • focus on simple, repetitive task
  • evaluate effectiveness of anti anxiety meds
  • interventions for ______ and ____ levels of anxiety*
A

interventions for SEVERE and PANIC levels of anxiety

50
Q

Benzodiazepines, antidepressants

A

ani-anxiety meds (2 types)

51
Q
  • unrealistic and excessive anxiety
  • sustained feeling of distress
  • physiologic symptoms of anxiety
  • _______ anxiety disorder*
A

GENERALIZED anxiety disorder

52
Q

Benzodiazepines, SSRI’s, sometimes tricyclic antidepressants

meds for _______ ?

A

meds for generalized anxiety disorder

53
Q
  • intense, discrete episode, intermittent
  • physical exam to r/o medical causes
  • ________ disorder*
A

PANIC disorder

54
Q
  • cognitive therapy: change self talk
  • stress management
  • antidepressant: SSRIs, SNRIs
  • Benzodiazepines
  • treatment for?*
A

Panic disorder treatment

55
Q
  • Marked and persistent fear of an object, place, or situation
  • exposure to the stimulus provides an immediate anxiety response
  • interferes with a person’s daily life
  • distress is disproportionate to the actual event
  • extreme care may be taken to avoid the stimulus
A

Phobias

56
Q
  • Behavioral therapies: desensitization
  • Cognitive strategies: thought stopping
  • hypnosis
  • medication
  • treatment for?*
A

treatment for phobias

57
Q
  • more than 10 minutes per day

- dual components: obsessive thinking and compulsive activity

A

Obsessive compulsive disorder

58
Q
  • desensitization
  • thought stopping
  • exposure/response prevention
  • coping skills
  • medication: antidepressants/anxiolytics
  • treatment for?*
A

Treatment for OCD

59
Q
  • actual or threatened physical harm or death directed or witnessed or revealed to a person
  • Traumatic event–>fear, helplessness, horror
  • Post-Trauma–>hyper vigilance, intrusive memories, dissociation, numbing, avoidance
A

Post-Traumatic Stress Disorder

60
Q 
*treatment for?*
Counseling:
-safe environment
-structure
-acceptance of feelings
-coping strategies
-letting go rituals
-grieving process
-positive regard

Medication: symptom relief

  • antidepressants
  • antianxiety
A

Treatment of PTSD

61
Q

ativan is a type of ? medicine.

A

Benzodiazepine, used for less than 14 days does not produce an addiction

62
Q

Xanax (alprasolam)

A
  • Shortest acting benzodiazepine, active in 15 minutes, gone in an hour
  • good for stage fright, or fear of flying (needs a boost to get on a plane)
  • other than that, it makes people go constantly up and down
63
Q

why are antidepressants an attractive anxiety med

A

long acting, not addictive

-bad parts are side effects, dry mouth, hypotension

64
Q

affexor, pristique

A

-SSRIs particularly helpful in decreasing long term anxiety

65
Q

risk with benzodiazepines

A

-tolerance and dependence

66
Q

klonopin

A

Benzodiazepine used to treat panic attack

67
Q

Luvox

A

SSRI, particularly helpful in decreasing OCD activity. Cannot work alone, needs the behavioral therapy aspect with it

BEACON MedSurg/Peds (21 decks)

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