Anxiety

Question 1

Anxiety

Answer 1

Apprehension, uneasy, uncertain, dread

Threat (from negative thinking)

can erode self worth

Question 2

Mild Anxiety

Definition and Symptom (1)

Answer 2

tension of day-to-day
increased alertness/awareness
wide perception
motivates learning and creativity

SX: Slight discomfort Fidgeting

Question 3

Moderate anxiety

Answer 3

Nervous/Agitated
focus on immediate concerns
narrows perceptual field

SX:
Selective inattention:
only certain things seen/heard

SNS: increased tension, restless, increase HR, RR (Mild somatic: tummy hurts, gotta pee!)

Question 4

Severe Anxiety

Answer 4

one detail at a time
cannot complete task

SX:
HA, dizzy, insomnia, hyperventilation, impending doom.
Automatic beh

Question 5

Panic

Answer 5

Fight, Flight, Freeze

No comprehension
Possible psychosis

Behvior: screaming, pacing, running, shouting, extreme withdrawal

Question 6

Repression

Answer 6

involuntary

body takes away memory

Question 7

Supression

Answer 7

voluntary

you seclude memory
(trouble when its excessive)

Question 8

When is anxiety pathologic?

Answer 8

Interferes with life

Question 9

Which populations are more at risk for anxiety? (gender, age, environment)

Answer 9

Women
<45 y/o
Divorced
Low SES

Question 10

Children stats for anxiety

Answer 10

separation / OCD

more likely to exhibit SI

Question 11

Elderly stats for anxiety

Answer 11

depressive and anxiety

decreased social functioning, somatic sx more common

High suicide risk

Question 12

Anxiety Neurotransmitters

Answer 12

Decrease GABA/Seratonin

Increase Norepineprhine

Question 13

Anxiety limbic system

Answer 13

Hippocampus (memory relates to FEAR)

Question 14

Psychodynamic - Freud
(anxiety)

Answer 14

repressed unconscious childhood conflicts

Ego defense mechanism used

Question 15

Interpersonal- Sullivan
(anxiety)

Answer 15

early needs unmet

Question 16

Cognitive
(anxiety)

Answer 16

negative thinking

Question 17

Behavioral - Learning
(anxiety)

Answer 17

learned response that you cant unlearn

ANXIETY IS CONTAGIOUS!

Active avoidance- cannot avoid

Passive avoidance- stay away

Question 18

Separation Anxiety Disorder

Answer 18

Normal: 8 mo
Peaks: 18mo

Abnormal: inappropriate level of concern away from s/o

Risks: major life change/environment or trauma

Question 19

Panic attacks
(Onset, SX )

Answer 19

sudden onset - Rapid, intense, escalating anxiety
—-few min to 15 min

Unpredictable: does not occur immediately before of on expose to trigger (fear the fear)

SX: palpation, sweating, tremor, SOB, CP, fear fear fear

Question 20

Panic disorder

Answer 20

reoccurring unexpected panic attacks

1mo+ of concern about another, change of behavior

can lead to phobia

Question 21

Specific phobia

Answer 21

Irrational fear to trigger

GREEN OLIVESSSSS

Question 22

Agoraphobia

Answer 22

fear of being in situations where unable to leave freely
fear to leave house

Spongebob with chip, paperclip and penny

Question 23

Arachnophobia

Answer 23

(spiders) - Ron Wesley

Question 24

Acrophobia

Answer 24

height

Question 25

Belonephobia

Answer 25

needles

Question 26

Hematophobia

Answer 26

blood

Question 27

Zoophobia

Answer 27

all animals

Question 28

Claustrophobia

Answer 28

spaces

Question 29

taphophobia

Answer 29

buried alive

Question 30

Generalize Anxiety Disorder (Onset, dx factors, sx)

Answer 30

chronic, unrealistic most days for 6mo+ impairment of day to day depression common restless, fatigue easy, difficulty concentrating, irritable

Question 31

Obsessive-Compulsive Disorder

Answer 31

recurrent obsessions/compulsions (severe, take more than 1hr) Recognizes that thoughts/actions are excessive but w/o cause discomfort (exclude children*)

Question 32

Obsessions

Answer 32

unwanted, recurrent, intrusive, persistent ideas contamination, harm to self/others, aggression, sexual, religion, symmetry urges

Question 33

Compulsions

Answer 33

unwanted repetitive rituals/patterns washing/cleaning, repeating, checking, touching, counting, ordering, hoarding, praying

Question 34

Trichotillomania

Answer 34

Hair - Pulling

Question 35

Trichophagia

Answer 35

swallowing pulled fair Massess --> Rapunzel syndrome

Question 36

Excoriation Disorder

Answer 36

Skin picking disorder face - head, cuticles, back, arms, legs, hands/feet

Question 37

Hoarding disorder

Answer 37

cannot part with posessions food/pets (LILLIE!) SSRI/Therapy

Question 38

Body dysmorphic disorder

Answer 38

belief body is deformed/defective -- mirror checking/camouflage False assumptions, disgust, high suicide risk

Question 39

Assessment of anxiety

Answer 39

presense of sx physical/neuro severity (beck) screen/self-harm support?

Question 40

Displacement

Answer 40

transfer of emotion on to another

Question 41

compulsion (DEFENSE MECH)

Answer 41

undoing (making up for act)

Question 42

Reaction-formation

Answer 42

avoid/expresses opposite of negative feelings

Question 43

intellectualization

Answer 43

attends to details but not feelings

Question 44

Nursing interventions for Anxiety

Answer 44

assess level promote safety decrease stimulation WITH PANIC remain with client, soothe, simple directions w repetition, deep breathing

Question 45

Family education for Anxiety

Answer 45

manage triggers/symptoms of escalating anxiety

Question 46

Increasing self care

Answer 46

coping, hope, self-esteem enhancement, relaxation nutrition/fluid intake, hygiene/grooming, elimination, sleep

Question 47

phobia interventions

Answer 47

explore perception of threat, discuss reality, coping strats Therapists - systematic desensitization (pictures of plane --> get on plane) flooding (implosion therapy) - uncomfortable just jumping in

Question 48

OCD interventions

Answer 48

don't be judgmental or disapproving provide structure gradually decrease ritual time recognize/reduce family accommodation behaviors

Question 49

OCD Exposure and Response Prevention

Answer 49

"fear hierarchy"

Question 50

Interventions of trichotillomania/excoriation

Answer 50

non-judgemental, let them know they can stop habit reversal, competing response, social support/stress management