Week 4 anxiety and trauma

Question 1

What are some defence mechanisms?

Answer 1

1. altruism
2. compensation
3. conversion - physical manifestation
4. denial
5. Regression

Question 2

Which defense mechanisms are constructive?

Answer 2

1. altruism
2. sublimation - make up a positive story when mad at someone

Question 3

What are the 4 anxiety disorders?

Answer 3

Generalized Anxiety Disorder
Phobias – including social phobia and agoraphobia
Panic Disorders
Obsessive-Compulsive Disorder (not in DSM-5)

Question 4

what is social anxiety disorder?

Answer 4

-Fear of embarrassment, humiliation & being exposed to the scrutiny of what is in other people’s minds
-Extreme shyness
-With or without agoraphobia

Question 5

what is agoraphobia?

Answer 5

• When individuals actively avoid situations from which escape might be difficult or embarrassing or in which help might not be available if panic-like symptoms were to occur.
• so they typically don’t leave the house

Question 6

How do nurses help someone with a panic attack?

Answer 6

-Stay with the patient.
-Reassure them that you will not leave.
-Give clear directions – use a firm, authoritative voice (sound “in control”, reassurance OK)
-Breathing control – Exercises to decrease hyperventilation during panic attack
-Walk with pt. - move to quieter, less stimulating environment
-Short term use of Ativan may be considered (if prescribed)
-Allow person to vent feelings afterwards

Question 7

How can anxiety be reduced?

Answer 7

mindfulness,
relaxation,
challenging thinking errors (CBT) distraction,
general health promotion strategies

Question 8

What is the difference between anxiety and fear?

Answer 8

Anxiety has an unknown or unrecognized source, whereas fear is a reaction to a specific threat.

Question 9

Based on what you have read and heard in the AHS modules, how common is trauma?

Answer 9

70% of people experience trauma

Question 10

What is domestic trauma?

Answer 10

violence in the family or intimate partner violence

Question 11

What is interpersonal trauma?

Answer 11

actions with the intent to hurt, harm or take advantage of another person
- betray trust
- bullying
- repetitive lying or deceiving

Question 12

What is system oriented trauma?

Answer 12

services that are meant to help people unintentionally cause trauma or retraumatizeation

Question 13

What are the three complex traumas?

Answer 13

• domestic violence
• interpersonal trauma
• system-oriented trauma

Question 14

Types of Complex trauma

Answer 14

• developmental trauma
• trauma at the community level
• Historical trauma
• intergenerational trauma
• cultural trauma

Question 15

does someone need to disclose their trauma to get trauma informed care?

Answer 15

no they do not

Question 15

What is different between ASD and PTSD?

Answer 15

PTSD symptoms last longer than 4 months

Question 16

what can trauma informed care help people make connections about?

Answer 16

their past experiences and present situations

Question 17

what are the strategies for skill building and empowerment?

Answer 17

1. remain present with challenging emotions
2. offer verbal encouragement and grounding
3. encourage survivors to open their eyes and use the environment to ground and orient
4. monitor body responses and words
5. continuously revisit consent

Question 18

is trauma informed care a specific set of techniques?

Answer 18

No, it is a way of understanding and relating to others