Vocab Unit 1 (3)

Question 1

Anxiety

Answer 1

Emotional-irritation, anger, depression, or apathy

Question 2

Mild Anxiety

Answer 2

Individuals still use coping behaviors that satisfy their needs for comfort. Some are more adaptive than others. Alert, ready, every day life stress.

Question 3

Moderate Anxiety

Answer 3

Defense mechanisms used. Movements starting - looking away, tapping, fidgeting, pacing, foot tapping

Question 4

Severe Anxiety

Answer 4

Focuses on one point, becoming maladaptive, increasing movements. continue to use ego defense mechanisms and long term can cause anxiety disorders

Question 5

Panic Anxiety

Answer 5

Inability to communicate, to move, and to function, difficulty breathing

Question 6

Primary Gain

Answer 6

Relief of unconscious conflict and anxiety

Question 7

Secondary Gain

Answer 7

Perceived benefits and advantages of being “sick”

Question 8

Tertiary Gain

Answer 8

Shift in family’s focus from conflict to concern for “sick” family member

Question 9

Obsessive-Compulsive Disorder

Answer 9

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.

Question 10

Obsessions

Answer 10

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

Question 11

Compulsions

Answer 11

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.

Question 12

Phobia

Answer 12

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.

Question 13

Panic Disorder

Answer 13

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.

Question 14

Panic

Answer 14

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.

Question 15

Generalized Anxiety Disorder

Answer 15

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.

Question 16

Post-Traumatic Stress Disorder

Answer 16

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

Question 17

Somatic Symptom Disorder

Answer 17

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.

Question 18

Conversion Disorder

Answer 18

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.

Question 19

Dissociative Amnesia

Answer 19

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.

Question 20

Dissociative Identity Disorder

Answer 20

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.

Question 21

Depersonalization Disorder

Answer 21

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

Question 22

Derealization Disorder

Answer 22

An alteration in the perception of the external environment. Experiences of unreality or detachment with respect to surroundings

Question 23

Anxiolytic

Answer 23

anti-anxiety agents

Question 24

Minor tranqualizers

Answer 24

anti-anxiety agents

Question 25

Lorazepam (ativan) Use, Side/Adverse Effects, Nursing Implications

Answer 25

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

Question 26

Clonazepam (klonopin) Use, Side/Adverse Effects and Nursing Implications

Answer 26

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