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Mental Health-MJ > T1-Anxiety Disorders > Flashcards

T1-Anxiety Disorders Flashcards

1
Q

What are 4 types of anxiety disorders?

A
  1. GAD
  2. Panic
  3. Phobia
  4. OCD
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2
Q

Anxiety disorders have a comorbidity with ____

A

Depression

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3
Q

A group of conditions marked by extreme anxiety that is felt most of the time with no obvious reason or trigger; the anxiety can be so overwhelming or terrifying that the individual is immobilized

A

Anxiety disorders

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4
Q

What can help or hinder an individuals function in regards to anxiety?

A

The degree of anxiety they experience and the ability to manage it appropriately

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5
Q

What increases during anxiety? What decreases?

A

Norepinephrine=INCREASE
Serotonin & GABA= DECREASE

*When GABA decreases it allows for increased cellular excitability

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6
Q

What are signs of anxiety to look for during your assessment?

A 
Insomnia
Tenseness 
States they feel anxious
Shakiness
Elevated BP
Sweating
Restlessness
Increased HR and breathing
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7
Q

What are the 2 diagnosis for anxiety?

A

Anxiety r/t…

Ineffective r/t…

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8
Q

There are a lot of interventions r/t anxiety. Look those up…but What are the medical interventions?

A
  1. Individual psychotherapy
  2. Cognitive therapy
  3. Behavior therapy
  4. Psychopharmacology (anxiolytics and minor tranquilizers)
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9
Q

What anxiety disorder is anxiety in its most severe form?

A

Panic disorder

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10
Q

What is the focus for people experiencing a panic disorder?

A

Relieve panic (nothing else matters!!)

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11
Q

Who are more likely to be affected by panic disorder?

A

Women

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12
Q

What is panic disorder highly correlated with?

A

COPD and Mitral valve prolapse

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13
Q

What are the 4 nursing diagnosis for PANIC disorder?

A
  1. Panic anxiety r/t real or perceived threat AEB all the symptoms identified in the DSM-V
  2. Powerlessness
  3. Ineffective individual coping
  4. Self-esteem disturbance
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14
Q

Is it ok if we as nurses begin to experience anxiety when our patient has anxiety?

A

No, we need to remain calm because anxiety is contagious!

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15
Q

The intense fear or avoidance of situations or places that may be difficult or embarrassing to leave; suffers fear that they won’t get help or fear that they may have a panic attack and be embarrassed; interfere with ADLs; may be unable to leave home

A

Agoraphobia (within scope of panic disorder)

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16
Q

Who is GAD common in? and what is it?

A

Older adults (also screen for depression!!); anxiety and worry with physical symptoms (restlessness, irritable, indecisive, excessive worry and worrying about worry)

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17
Q

What are the nursing diagnosis for GAD? (3)

A
  1. Ineffective individual coping r/t …
  2. Anxiety
  3. Low self esteem
18
Q

What is a very important intervention we need to do with patients with GAD?

A

Establish TRUST—the foundation of ALL relationships!! (honesty, open posture during communication)

*THIS IS A TEST QUESTION, at least thats what they said

19
Q

Who are phobias more common in?

A

Women

20
Q

When do phobias come and how long do they last? What does the fear result form?

A

Onset is childhood to early adulthood

The fear usually results from an early painful experience and is displaced on something symbolic

21
Q

What phobias are more persistent: childhood or adult?

A

Adult, but childhood phobias can persist into adulthood

22
Q

Are phobias something that run in families?

A

Yes

23
Q

What are the theories of development of phobias? Describe (3)

A
  1. Learned: learned and become conditioned response to uncomfortable behaviors
  2. Cognitive: produced by anxiety and self talk
  3. Life experiences: traumatic events can set the stage for many phobias
24
Q

What are S&S of phobias?

A

Withdrawal
High level of anxiety
Inability to function

25
Q

OCD behaviors and activities take up more than __ a day–for some people the rituals take hours to complete and bemuse a major life activity

A

1 hour

26
Q

Do OCD tendencies cause distress? interfere with ADLs? do they take a little amount of time to do or a lot?

A

Yes, cause distress
Yes, interfere with ADL
They are TIME CONSUMING

27
Q

Thoughts, images, impulses that occur over and over again and feel out of your control

A

Obsession

28
Q

Does the person with OCD want the ideas of their obsessions and do they even recognize that they are obsessive?

A

No, they don’t want these ideas–they find them disturbing and intrusive
Yes, they recognize them and recognize that they don’t make sense

29
Q

Ritualistic; compulsions are acts the person performs over and over again—often according to certain “rules”

A

Compulsions

30
Q

What are the nursing diagnosis for OCD?

A
  • Anxiety
  • Ineffective indivudal coping
  • Self esteem disturbance
  • Sleep pattern disturbance
  • Social isolation
31
Q

What is the key element of treatment for most patients with OCD?

A

Cognitive-behavioral psychotherapy (CBT)

32
Q

What is CBT?

A

Thought stopping, systemic sensitization

33
Q

How does CBT work?

A
  1. Exposure to the trigger
  2. Ask client to refrain from engaging in usual anxiety reducing ritual
  3. Client journals what happens as a result of refraining
34
Q

How effective is CBT?

A

Works in 80% of clients

35
Q

Excessive fear of closed and small spaces

A

Claustrophobia

36
Q

Excessive fear of snakes

A

Ophidiophobia

37
Q

Excessive fear of being in a place from which escape is difficult or there is no reassurance or support

A

Agoraphobia

38
Q

Excessive fear of everyday social situations such as fear of speaking

A

Social

39
Q

Excessive fear of germs

A

Mysobhobia

40
Q

The fear of insantiy

A

Agateophobia

Mental Health-MJ (39 decks)

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