Vocab Unit 1 (3) Flashcards
Anxiety
Emotional-irritation, anger, depression, or apathy
Mild Anxiety
Individuals still use coping behaviors that satisfy their needs for comfort. Some are more adaptive than others. Alert, ready, every day life stress.
Moderate Anxiety
Defense mechanisms used. Movements starting - looking away, tapping, fidgeting, pacing, foot tapping
Severe Anxiety
Focuses on one point, becoming maladaptive, increasing movements. continue to use ego defense mechanisms and long term can cause anxiety disorders
Panic Anxiety
Inability to communicate, to move, and to function, difficulty breathing
Primary Gain
Relief of unconscious conflict and anxiety
Secondary Gain
Perceived benefits and advantages of being “sick”
Tertiary Gain
Shift in family’s focus from conflict to concern for “sick” family member
Obsessive-Compulsive Disorder
The presence of obsessions, compulsions, or both, the severity of which is significant enough to cause distress or impairment in social, occupational, or other important areas of functioning.
Obsessions
Repetitive and persistent thoughts, impulses, or images experienced as intrusive and stressful. Recognized as being excessive and unreasonable even though thtey are a product of one’s mind. The thought, impulse, or image cannot be expunged by logic or reason
Compulsions
Repetitive ritualistic behavior or thoughts, the purpose of which is to prevent or reduce distress or to prevent some dreaded event or situation. The person feels driven to perform such actioins in response to an obsession or according to rules that must be applied rididly even though the behaviors or thoughts are recognized to be excessive or unreasonable.
Phobia
Fear cued by the presence or anticipation of a specific object or situation, exposure to which almost invariably provokes an immediate anxiety response or panic attack even though the subject recognizes that the fear is excessive or unreasonable. The phobic stimulus is avoided or endured with marked distress.
Panic Disorder
Recurrent panic attacks, the onset of which is unpredictable, and manifested by intense apprehension, fear, or terror, often associated with feelings of impending doom and accompanied by intense physical discomfort.
Panic
A sudden overwhelming feeling of terror or impending doom. This most severe form of emotional anxiety is usually accompanied by behavioral, cognitive, and physiological signs and symptoms considered to be outside the expected ranger or normalcy.
Generalized Anxiety Disorder
A persistent, unrealistic, and excessive anxiety and worry, which have occurred more days than not for at least 6 months and cannot be attributed to specific organic factors, such as caffeine intoxication or hyperthyroidism. Individual often avoids activities or events that mya result in negative outcomes, or spends considerable time and effort preparing for such activities. Often results in procrastination in behavior or decision making, and the individual repeatedly seeks reassurance from others.
Post-Traumatic Stress Disorder
A reaction to an extreme trauma, which is likely to cause pervasive distress to almost anyone, such as natural or man-made disasters, combat, serious accidents, witnessing the violent death of others, being a victim of torture, terroism, rape, or other crimes. Symptoms include re-experiencing the traumatic event, a sustained high level of anxiety or arousal, or a general numbing of responsiveness. Nightmares common
Somatic Symptom Disorder
A synddrome of multiple somatic symptoms that cannot be explained medically and are associated with psychosocial distress and long-term seeking of assistance from health-care professionals. Symptoms may be vague, dramatized, or exaggerated in their presentation and an excessive amount of energy is devoted to worry and concern about the symptoms.
Conversion Disorder
A loss of or change in a body function that cannot be explained by any known medical disorder or pathophysiological component involved in the initiation, exacerbation, or prepetuation of the symptom, although it may or may not be obvious or identifiable.
Dissociative Amnesia
An inability to recall important personal information, usually of a traumatic or stressful nature, that is too extensive to be explained by ordinary forgetfulness, and is not due to the direct effects of substance use or a neurological or other medical condition.
Dissociative Identity Disorder
The existence of two or more personalities in a single individual. Only one of the personalities is evident at any given moment, and one of them is dominant most of the time over the course of the disorder.
Depersonalization Disorder
A disturbance in one’s perception of oneself. Experiences of unreality, detachment, or being an outside observer with respect to one’s thoughts, feelings, sensations, body, or actions
Derealization Disorder
An alteration in the perception of the external environment. Experiences of unreality or detachment with respect to surroundings
Anxiolytic
anti-anxiety agents
Minor tranqualizers
anti-anxiety agents
Lorazepam (ativan) Use, Side/Adverse Effects, Nursing Implications
Benzodiazepine
Uses: Anxiety, irritability with psychiatric or organic disorders, preoperatively, insomnia, adjunct for endoscope procedures
Side Effects: dizziness, drowsiness, anxiety, orthostatic hypotension, hallucinations, ECG changes, tachycardia, apnea, cardiac arrrest, blurred vision
Nursing Implications: physical dependency, withdrawl symptoms
Clonazepam (klonopin) Use, Side/Adverse Effects and Nursing Implications
Benzodiazapine
Uses: Absence, atypical absence, akinetic, myoclonic seizures, panic disorder, anziety, insomina, nystagmus, restless leg syndrome
Side Effects: drowsiness, dizziness, suicidal tendencies, increased salivation, nystagmus, diploptia, constipation, thrombocytopenia, leukocytosis, eosinophilia, respiratory depression
Nursing Implications: assess mental status changes, blood dycrasias, monitor for toxicity
