Adjustment Problems

Question 1

A nervous disorder characterized by a state of excessive uneasiness and apprehension, typically with compulsive behavior

Answer 1

Anxiety

Question 2

Physiologic manifestations of anxiety

Answer 2

Increased BP and HR
Difficulty breathing
Sweaty palms
Hyperventilation
Trembling
Dry mouth

Question 3

Behavioral manifestations of anxiety

Answer 3

Irritability
Withdrawal
Restlessness
Crying
Nervousness
Dizziness

Question 4

Behaviors you engage in to resolve anxiety

Answer 4

Coping mechanisms

Question 5

Coping mechanism: tolerates the stress

Answer 5

Adaptive coping

Question 6

Coping strategies that increase stress

Answer 6

Maladaptive coping

Question 7

Coping mechanism: problem-focused and involves taking direct action to alter the situation itself to reduce the amount of stress it evokes.

Answer 7

Task-oriented

Question 8

Has two types: physical and destructive coping

Answer 8

Attack coping

Question 9

Coping mechanism: to substitute , to sacrifice

Answer 9

Compromise

Question 10

Coping mechanism: to defend and protect ego

Answer 10

Ego-defense mechanism

Question 11

An anxiety related disorder that is recurrenta high in intesity and involves panic attacks

Answer 11

Panic disorder

Question 12

Therapeutic nursing management for panic disorder

Answer 12

Establish support

Convey calmness

Question 13

Anxiety-related disorder: chronic and unrealistic worry

Answer 13

Generalized anxiety disorder

Question 14

Manifestations of generalized anxiety disorder

Answer 14

Excessive worrying
Fatigue
Sleep disturbances
Muscle tension

Question 15

Management of generalized anxiety disorders

Answer 15

Taught coping strategies
Use problem-solving process
Promote relaxation
Cognitive Behavioral therapy

Question 16

Anxiety-related disorder: morbid fear associated with extreme anxiety

Answer 16

Phobic disorder

Question 17

Management of phobic disorder

Answer 17

Do not force contact

Desensitization

Question 18

Hallmark of post-traumatic stress disorder

Answer 18

Flashback or reliving the experience

Question 19

Management of post-traumatic stress disorder

Answer 19

Facilitate awareness

Identify triggers

Question 20

Medications for anxiety

Answer 20

Antianxiety benzodiazepines: alprazolam (xanax), chlorazepate (tranxene), lorazepam (ativan)
Sedative-hypnotics bezodiazepines: flurazepam (dalmane), temazepam (restoril)
Non benzodiazepines: antihistamines, beta adrenergic blockers
Barbiturates: secobarbital (seconal), amobarbital (amytal)

Question 21

Characterized by persistent thoughts and urges to perform repeated acts or rituals

Answer 21

Obsessive-compulsive disorder (OCD)

Question 22

Risk factors of OCD

Answer 22

Anxiety
Biochemical factors
Family history of OCD

Question 23

Biologic factors of OCD

Answer 23

Serotonin decreases OCD
Dopamine increases OCD
Glutamate increases OCD
Abnormalities in frontal lobe, basal ganglia, and thalamus

Question 24

Recurrent presistent thoughts, impulses, images that are intrusive, disturbing, inappropriate, and usually triggered by anxiety

Answer 24

Obsession

Question 25

Repetitive behaviors or mental acts that a person feels driven to perform which usually adgere to rigid and specifically defined routine

Answer 25

Compulsion

Question 26

Dorced preoccupation with thoughts about a particular topic, associated with brooding, doubting, amd inconclusive speculation

Answer 26

Ruminations

Question 27

Medications for OCD

Answer 27

SSRIs and anti-anxiety meds

Question 28

Psychological treatment for OCD

Answer 28

Individual therapy Cognitive behavioral therapy Group therapy

Question 29

Nursing interventions of OCD

Answer 29

Limit compulsive act Teach alternate coping methods Maintain sleep, nutrition, ADLs

Question 30

Characterized by exaggerated belief that the body is deformed or defective

Answer 30

Body dysmorphic disorder

Question 31

Hair pulling disorder... Impulse is preceded by increasing sense of tension and results in a sense of release or gratification from pulling out of the hair

Answer 31

Trichotillomania

Question 32

Skin picking disorder

Answer 32

Excoriation