Anxiety

Question 1

levels of anxiety

Answer 1

mild-moderate (alerting you to take action)

severe - panic (need intervention)

Question 2

primary intervention for mild to moderate anxiety

Answer 2

therapeutic questioning with broad openings

be calm and listen

Question 3

what NOT to do for mild to moderate anxiety

Answer 3

introduce irrelevant topics r/t self anxiety

ask why

Question 4

**interventions for severe anxiety

Answer 4

be calm
assess safety/physical needs
decrease outside stimuli - environment is serene
firm, short, simple statements

Question 5

do we want to introduce meds for severe anxiety

Answer 5

as a last resort (benzo PRN)

Question 6

what NOT to do with severe anxiety pt.

Answer 6

cannot teach

Question 7

assessing anxiety

Answer 7

determine if anxiety is primary or secondary - due to med. condition (thyroid problems, high BP)
assess for self harm
psycho-social (too much caffeine?)
culture 
assessments (GAD)

Question 8

what outcomes are appropriate for anxiety

Answer 8

community services (therapists)

Question 9

best treatment for anxiety

Answer 9

psychotherapy and medication

Question 10

the milieu goals for anxiety are

Answer 10

structure - activities

make decisions - set goals

Question 11

cognitive therapy for anxiety includes

Answer 11

identifying faulty assumptions - redefine fears - talk differently about how you feeling r/t anxiety

Question 12

behavioral therapy for anxiety

Answer 12

modeling - mimicking behaviors (role models)

systematic desensitization - Pavlov - teach how to cope

Question 13

evaluating therapy for anxiety

Answer 13

are their symptoms getting better

are you feeling a little-moderate-high anxiety?

Question 14

systematic desensitization is ideal for panic disorders, t or f

Answer 14

true

Question 15

interventions for generalized anxiety disorder (GAD)

Answer 15

teach client about meds - don’t stop taking

Question 16

best treatment for OCD

Answer 16

graduated exposure

Question 17

interventions for hospitalized pt. with OCD

Answer 17

let them do their ritual in the beginning - given its safe
teach them skills they need
ultimately don’t allow them to do their rituals
try to socialize/engage with peers
teach about their meds

Question 18

goal of trt for PTSD

Answer 18

come to terms with the event

Question 19

trt of choice for PTSD

Answer 19

exposure based therapy

Question 20

A nurse wishes to teach alternative coping strategies
to a patient who is experiencing severe anxiety. The
nurse will first need to:

Answer 20

A.Lower the patient’s current anxiety level.
B.Verify the patient’s learning style.
C.Create outcomes and a teaching plan.
D.Assess how the patient uses defense 
mechanisms.

Question 21

A nurse encourages an anxious patient to talk about feelings and concerns. What is the rationale for this intervention?

Answer 21

D.Encouraging patients to explore alternatives

increases the sense of control and lessens anxiety.