Anxiety & OCD Related Disorders (2) Flashcards Preview

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Flashcards in Anxiety & OCD Related Disorders (2) Deck (15):
1

Express anxiety through bodily symptoms (headache, stomach ache).

a.) Somatization

b.) Acting out

a.) Somatization

2

Discharge anxiety through agressive behavior (instead of talking).

a.) Somatization

b.) Acting out

b.) Acting out

3

What are the 2 neurotransmitters that affect anxiety?

GABA and serotonin

4

A patient experiences a sudden episode of severe anxiety.  Of these medications in the emergency department, which is most appropriate to give as a PRN for the patient's anxiety?

a.) lorazepam (Ativan)

b.) busipirone (BuSpar)

c.) SSRI antidepressant

d.) Amitriptyline (Elavil)

a.) lorazepam (Ativan)

 

b.) busipirone (BuSpar) → 2 weeks

c.) SSRI antidepressant → 4-6 weeks

d.) Amitriptyline (Elavil) → TCAs

5

When alprazolam (Xanax) is prescribed for a patient who experiences acute anxiety, health teaching should include instructions to:

a.) report drowsiness

b.) eat a tyramine-free diet

c.) avoid alcoholic beverages

d.) adjust dose and frequency based on anxiety level.

c.) avoid alcoholic beverages

6

Peplau's Level of Anxiety

External stimuli are taken in.  Enhances our ability to learn and problem solve.  Uses coping skills and mature defense mechanisms.  

1.) Mild 

2.) Moderate

3.) Severe

4.) Panic

1.) Mild

"Normal Anxiety"

Uses coping skills and mature defense mechanisms = sublimation and compensation

We use defense mechanisms in mild and moderate

7

Peplau's Level of Anxiety

Decreases our perceptions (we see, hear, and grasp less).  We may only notice what is pointed out to us.  Ability to learn decreases.

1.) Mild 

2.) Moderate

3.) Severe

4.) Panic

2.) Moderate

We use defense mechanisms in mild and moderate

8

Peplau's Level of Anxiety

Thought processes are scattered.  Focuses on small details, and problem solving decreases.  Strong physiologic response.  Unable to learn at this level of anxiety.

1.) Mild 

2.) Moderate

3.) Severe

4.) Panic

3.) Severe

Person uses avoidance to prevent panic attacks

No use of defense mechanisms in severe or panic level of anxiety

9

Peplau's Level of Anxiety

Person uses avoidance to prevent panic attacks.

1.) Mild 

2.) Moderate

3.) Severe

4.) Panic

3.) Severe

No use of defense mechanisms in severe or panic level of anxiety

10

Peplau's Level of Anxiety

Experience many physical symptoms (i.e. chest pain = heart attack).  May result in a psychotic response.

1.) Mild 

2.) Moderate

3.) Severe

4.) Panic

4.) Panic

intense fear

No use of defense mechanisms in severe or panic level of anxiety

11

A nurse assesses a patient with a tentative diagnosis of social anxiety.  Which question would be most appropriate for the nurse to ask?

a.) "Have you been a victim of a crime or seen someone badly injured or killed?"

b.) "Do you feel especially uncomfortable in social situations involving people?"

c.) "Do you repeatedly do certain things over and over again?"

d.) "Do you find it hard to control your worrying?"

b.) "Do you feel especially uncomfortable in social situations involving people?"

12

A nurse assesses a patient with a tentative diagnosis of post-traumatic stress disorder (PTSD).  Which question would be most appropriate for the nurse to ask?

a.) "Have you been a victim of a crime or seen someone badly injured or killed?"

b.) "Do you feel especially uncomfortable in social situations involving people?"

c.) "Do you repeatedly do certain things over and over again?"

d.) "Do you find it hard to control your worrying?"

a.) "Have you been a victim of a crime or seen someone badly injured or killed?"

13

A nurse assesses a patient with a tentative diagnosis of obsessive compulsive disorder (OCD).  Which question would be most appropriate for the nurse to ask?

a.) "Have you been a victim of a crime or seen someone badly injured or killed?"

b.) "Do you feel especially uncomfortable in social situations involving people?"

c.) "Do you repeatedly do certain things over and over again?"

d.) "Do you find it hard to control your worrying?"

c.) "Do you repeatedly do certain things over and over again?"

14

A nurse assesses a patient with a tentative diagnosis of generalized anxiety disorder (GAD).  Which question would be most appropriate for the nurse to ask?

a.) "Have you been a victim of a crime or seen someone badly injured or killed?"

b.) "Do you feel especially uncomfortable in social situations involving people?"

c.) "Do you repeatedly do certain things over and over again?"

d.) "Do you find it hard to control your worrying?"

d.) "Do you find it hard to control your worrying?"

15

Relaxation techniques help the patient relax becuase the exercises

a.) engage the parasympathetic system.

b.) increase the sympathetic stimulation.

c.) increase the metabolic rate.

d.) help reduce the cortisol.

a.) engage the parasympathetic system.

Parasympathetic = rest & digest

Sympathetic = fight or flight