Anxiety and Stress Related Disorders

Question 1

eustress

Answer 1

good stress, butterflies in stomach

Question 2

distress

Answer 2

bad stress

Question 3

healthy defense mechanisms X4

Answer 3

altruism

sublimination

humor

suppression

Question 4

intermediate defense mechanisms X6

Answer 4

repression

displacement

reaction formation

somatization

undoing

rationalization

Question 5

immature or primitive defense mechanisms X8

Answer 5

passive aggression

acting out

dissociation

devaluation

idealization

splitting

projection

Question 6

serotonin is decreased/increased in stress

Answer 6

decreased

Question 7

norepinephrine is decreased/increased in stress

Answer 7

increased

Question 8

PTSD

Answer 8

exposure to actual or threatened death, injury or sexual violence

Question 9

PTSD s/s

Answer 9

presence of intrusion symptoms

avoidance of associated stimuli

negative alt in cognitions/mood

altered arousal and reactivity

symptoms must last longer than a month

Question 10

intrusion symptoms

Answer 10

flashbacks, dreams and emotional symptoms

Question 11

how is arousal and reactivity altered in PTSD

Answer 11

hypervigilant, altered startled responses

Question 12

TRAUMA acronym for PTSD

Answer 12

Traumatic event

Re-experiencing trauma

Avoiding things associated with trauma

Unable to focus
for 1 Month

Increased Arousal

Question 13

PTSD tx

Answer 13

CBT

exposure therapy

EMDR

adaptive disclosure

SSRI’s

Question 14

acute stress disorder

Answer 14

exposure to actual or threatened death, injury or sexual violence

Question 15

acute stress disorder s/s

Answer 15

negative mood

dissociative and avoidance symptoms

arousal alterations

Question 16

acute stress disorder dx

Answer 16

resolution of symptoms within 1 months

Question 17

acute stress disorder treatment

Answer 17

may resolve without treatment

benzos PRN for severe symptoms

Question 18

depersonalization

Answer 18

experiences of unreality or detachment from one’s mind, self or body

Question 19

derealization

Answer 19

experiences of unreality or detachment from one’s surroundings

Question 20

DID

Answer 20

formerly known as multiple personality disorder

Question 21

dissociative amnesia

Answer 21

unable to recall information about self

Question 22

dissociative amnesia with fugue

Answer 22

amnesia for one’s identity may involve travel or wandering

Question 23

acute anxiety

Answer 23

something changes or threatens sense of security

Question 24

pathological anxiety

Answer 24

long term disturbances in functional ability

Question 25

mild anxiety features

Answer 25

heightened awareness still able to work, learn and solve problems slight psychomotor agitation

Question 26

mild anxiety nursing interventions X6

Answer 26

reframing allow venting activity to release energy ID triggers focus on communication monitor level of anxiety

Question 27

moderate anxiety features

Answer 27

narrowed perceptual field selective inattention less able to problem solve HR and RR up somatic complaints

Question 28

moderate anxiety nursing interventions X2

Answer 28

all of the mild ones PRN anxiolytic

Question 29

severe anxiety features

Answer 29

perceptual field limited scattered attention distorted perceptions diminished problem-solving ability tunnel vision sense of impending doom somatic symptoms

Question 30

severe anxiety nursing interventions X5

Answer 30

remain calm stay with patient low-pitched voice slow down speech PRN anxiolytics

Question 31

panic level anxiety features

Answer 31

unable to focus on environment feeling of doom disorganized thinking no problem solving emotional paralysis increased HR, RR irrational agitation

Question 32

panic level anxiety nursing interventions X6

Answer 32

stay with patient remain calm simple direct statements assure safety PRN anxiolytic minimize environmental stimulation

Question 33

panic disorder dx

Answer 33

recurrent and unexpected panic attack followed by 1 month of fear of reoccurence r/o drug induced factors

Question 34

panic disorder tx modalities

Answer 34

CBT - reframing benzos - acute antidepressants - chronic

Question 35

phobic D/O dx

Answer 35

persistent and irrational fear of specific object/activity resulting in avoidance behaviors

Question 36

agoraphobia dx

Answer 36

marked fear of 2+ situations that require leaving a safe space fear must be disproportionate to the risk of danger and cause distress/impairment

Question 37

social anxiety d/o dx

Answer 37

fear of rejection or of exposure to social or performance situations

Question 38

specific phobias dx

Answer 38

fear of 1+ specific object or situation

Question 39

phobic d/o tx modality

Answer 39

CBT assertiveness training systematic desensitization social skills training

Question 40

generalized anxiety dx

Answer 40

uncontrollable worry/anxiety on more days than not for over 6 months must cause a disturbance in personal, scholastic or employment performance

Question 41

GAD tx

Answer 41

CBT stress management physical activity anxiolytics

Question 42

anxiety r/t other medical condition dx

Answer 42

symptoms are a direct result from a medical condition

Question 43

OCD dx

Answer 43

presence of obsessions and/or compulsions that are unsuppressable

Question 44

OCD obsessions

Answer 44

recurrent and persistent thoughts urges or images which are unwanted and intrusive

Question 45

OCD compulsions

Answer 45

repetitive behaviors that the individual is compelled to perform in response to related obsession

Question 46

OCD tx

Answer 46

exposure/response prevention SSRI's

Question 47

OCD related D/O's X4

Answer 47

body dysmorphic disroder hoarding disorder trichotillomania skin picking disorder