anxiety and OCD

Question 1

a vague feeling of dread or apprehension; it is a response to external or internal stimuli that can have behavioral, emotional, cognitive, and physical symptoms

Answer 1

anxiety

Question 2

caused by an existing stress-causing factor or stressor

Answer 2

stress

Question 3

stress that continues after stressor is gone

Answer 3

anxiety

Question 4

The client experiences an extreme fear of certain places (such as a outdoors or being on a bridge) where the client feels vulnerable or unsafe

Answer 4

agoraphobia with or without panic

Question 5

Discrete episodes of panic that typically last 15 to 30 minutes; no stimulus for panic response

Answer 5

panic disorder

Question 6

Four or more of the manifestations are present during a panic attack:

Answer 6

Palpitations Nausea
Shortness of breath Feelings of depersonalization
Choking or smothering sensation Fear of dying or insanity
Chest pain Chills or hot flashes

Question 7

what are panic disorders more at risk for?

Answer 7

suicide

Question 8

what is the treatment for panic disorders?

Answer 8

Cognitive behavioral techniques
Deep breathing, relaxation
Benzodiazepines, SSRIs, tricyclic antidepressants, antihypertensive (clonidine, propranolol)

Question 9

What to do when working with anxious patients?

Answer 9

Self-awareness of anxiety level
Assessment of person’s anxiety level
Teach and implement relaxation techniques
Remain with patient
Use of short, simple, easy-to-understand sentences
Lower person’s anxiety level to moderate or mild before proceeding
Low, calm, soothing voice
Safety during panic level ( “You are safe. Take a deep breath.”
Short-term use of anxiolytics (Refer to Table 14.2 on pg 236)

Question 10

Which of the following would a nurse expect to assess in a patient with a panic disorder?

A. Rational thinking
B. Blaming of others
C. Automatisms
D. Organized thoughts

Answer 10

C. Automatisms

Question 11

An illogical, intense, and persistent fear of a specific object or social situation that causes extreme distress and interferes with normal functioning

Answer 11

phobias

Question 12

fear of certain places

Answer 12

agoraphobia

Question 13

irrational fear of an object or a situation

Answer 13

specific phobia

Question 14

social anxiety disorder

Answer 14

social phobia

Question 15

treatment for phobia include?

Answer 15

Behavioral therapy: positive reframing; assertiveness training; systematic desensitization; flooding
Medications

Question 16

Is the following statement true or false?

Phobias result from a past negative experience

Answer 16

false

Question 17

Classified as an anxiety disorder, but with unique manifestations in the way patients attempt to decrease or control their anxiety

Answer 17

OCD

Question 18

recurrent, persistent, intrusive, and unwanted thoughts, images, or impulses that causes marked anxiety and interfere with interpersonal, social, or occupational function

Answer 18

obsessions

Question 19

ritualistic or repetitive behaviors that a person carries out continuously in an attempt to neutralize anxiety (i.e. repetitive of cleaning of a particular object or washing of hands).

Answer 19

compulsions

Question 20

skin picking

Answer 20

excoriation

Question 21

nail biting

Answer 21

onychophagia

Question 22

hair pulling

Answer 22

Trichotillomania

Question 23

compulsive stealing; the thrill of stealing and not getting caught

Answer 23

kleptomania

Question 24

compulsive buying, the pleasure is acquiring the purchased object rather than any sequent enjoyment of its use

Answer 24

oniomania

Question 25

Obsessive desire to save items regardless of value and experience extreme stress with thoughts of discarding or getting rid of items.)

Answer 25

hoarding

Question 26

fire setting

Answer 26

pyromania

Question 27

The patient attempts to conceal a perceived physical flaw and practices repetitive behaviors, such as mirror checking or comparison to others, in response to the anxiety experienced over the perception.)

Answer 27

Body dysmorphic disorder

Question 28

feeling alienated from a part of the body to the extent of seeking amputation of the identified body part

Answer 28

Body identity integrity disorder

Question 29

common obsessive thought themes

Answer 29

Contamination Religious preoccupation or blasphemy Aggressive urges Doubting Accidental harm to other Sexual

Question 30

what are common compulsions?

Answer 30

``` Touching/rubbing/tapping Ordering (arranging and rearranging) Exhibiting rigid performance Checking rituals Counting rituals Washing/scrubbing Praying/chanting ```

Question 31

patient/family teaching for OCD

Answer 31

* Define OCD and assist in recognizing patient’s symptoms. * Review importance of openly discussing obsessions, compulsions, and anxiety. * Emphasize that medication compliance is important part of OCD treatment. * Discuss behavioral techniques for managing anxiety and decreasing OCD symptoms.

Question 32

medication Treatment for OCD?

Answer 32

Medications: First line: SSRIs (fluvoxamine, sertraline) Second line: SNRI (venlafaxine) Treatment-resistant OCD: second-generation antipsychotics (risperidone, quetiapine, olanzapine)

Question 33

behavior therapy for OCD?

Answer 33

* cognitive behavioral therapy * exposure therapy * response prevention

Question 34

Treatment focuses on examining the relationships between thoughts, feelings, and behaviors.

Answer 34

Cognitive behavioral therapy

Question 35

Deliberately confronting situation and stimuli that one usually tries to avoid.

Answer 35

Exposure therapy

Question 36

Delay or avoid performing the rituals. Learn to tolerate the thoughts and anxiety and to recognize that it will recede without the disastrous imagined consequences

Answer 36

response prevention

Question 37

Which of the following is considered a treatment option for patients experiencing OCD? A. Avoidance therapy B. Response–reaction therapy C. Memory flooding D. Exposure therapy

Answer 37

D. Exposure therapy

Question 38

Is the following statement true or false? The best way to help a patient with OCD is to avoid talking about the obsessive–compulsive behaviors as the patient feels ashamed of the behaviors.

Answer 38

false