Block 8 Anxiety, Depression, Mood D/O

Question 1

the emotional state that influences a persons entire personality and life functioning is ones…

Answer 1

mood

Question 2

an emotional state in which a person is extremely euphoric, active, and grandiose is…

Answer 2

manic

Question 3

a moderate depression that lasts longer than 2 years is called…

Answer 3

dysthymia

Question 4

a last resort for severely depressed persons who do not respond to antidepressants is causing a gran mal seizure through…

Answer 4

electroconvulsive therapy

Question 5

the naturally occurring salt that helps those with bipolar disorder control their behavior and though is…

Answer 5

lithium

Question 6

a psychiatric disorder characterized by sudden dramatic extremes in emotional shifts is…

Answer 6

bipolar disorder

Question 7

an example of a tricyclic antidepressant is…

Answer 7

elavil

Question 8

a client has become more quiet and withdrawn, refuses his medications, and has stopped eating. the nurse should first assess him for…

Answer 8

suicide risk

Question 9

a feeling of uneasiness, uncertainty, and helplessness…

Answer 9

anxiety

Question 10

a normal emotional response to a real or imagines threat or stressor…

Answer 10

anxiety

Question 11

uncontrolled anxiety often leads to…

Answer 11

ineffective and maladaptive behavior

Question 12

mild anxiety can increase what by enhancing what?

Answer 12

increase learning by enhancing concentration and focus.

Question 13

positively focused anxiety helps us to…

Answer 13

learn

Question 14

maladaptive responses to anxiety are…

Answer 14

ineffective

Question 15

responses to anxiety range from…

Answer 15

mild to panic

Question 16

this type of anxiety is a learned response to an anticipated event (ex. lawyer nauseated before a case)

Answer 16

signal anxiety

Question 17

this type of anxiety allows an individuals coping abilities to become overwhelmed and emotional control is lost…

Answer 17

anxiety state

Question 18

this type of anxiety occurs in low stress situations

Answer 18

anxiety trait

Question 19

physical symptoms of anxiety include (5)…

Answer 19

muscle tension, fidgeting, headache, problems with sleep, fight or flight reaction

Question 20

during the fight or flight response what happens to the HR and the pupils?

Answer 20

the HR increases and the pupil dilate

Question 21

coping mechanisms in the physical realm include…

Answer 21

efforts to directly face and handle the problem like running away

Question 22

intelectual coping mechanisms are aimed at…

Answer 22

making the treat less meaningful by changing ones perception, ex. that test wasn’t really that bad

Question 23

psychological strategies that help to lessen the feelings of anxiety…

Answer 23

defense mechanisms

Question 24

the goal of this is to reduce uncomfortable negative emotions…

Answer 24

defense mechanisms

Question 25

the client needs to learn how to cope with stress during a...

Answer 25

crisis

Question 26

when ones ability to cope with anxiety is overwhelmed...

Answer 26

crisis

Question 27

how must a patient successfully resolve the source of the problem during a crisis?

Answer 27

develop new coping behaviors

Question 28

this is contagious...

Answer 28

anxiety

Question 29

it is important the caregivers recognize and cope effectively with...

Answer 29

their own anxieties

Question 30

problems associated with anxiety in chilhood... (4)

Answer 30

phobia, separation anxiety, overanxious disorder, avoidant disorder.

Question 31

avoidant disorder=

Answer 31

avoid what makes them anxious

Question 32

adolescents who ineffectively cope with anxiety often express themselves how?

Answer 32

inappropriately. example drugs and running away

Question 33

adults handle anxiety by using...

Answer 33

earlier established coping mechanisms

Question 34

developmental tasks such as establishing a career and family present...

Answer 34

numerous stressors

Question 35

elders often,,,,,,,,their anxiety

Answer 35

deny

Question 36

individuals anxiety is broad, long lasting, and excessive is this type of anxiety disorder

Answer 36

generalized anxiety disorder (they are worried and anxious more often than not)

Question 37

panic disorder is associated with or without this

Answer 37

agoraphobia

Question 38

when a client is having a panic attack what three things do we as nurses need to do?

Answer 38

stay with the client. initiate relaxation, and give drugs.

Question 39

an internal fear reaction=

Answer 39

phobia

Question 40

these are obsessive in nature...

Answer 40

phobia

Question 41

specific behavior must be performed to reduce anxiety=

Answer 41

obsessive compulsive disorder

Question 42

most common obsessions are related to...

Answer 42

cleanliness, dirt, germs, aggressive and sexual impulses, health concerns, safety concerns, and order and symmetry, repetitive behaviors such as gambling and hand washing.

Question 43

series of behavioral and emotional responses that follow an overwhelming stressful event=

Answer 43

traumatic stress disorder

Question 44

reliving of traumatic events or situations=

Answer 44

post-traumatic stress disorder

Question 45

what is the most effective way to cope with anxiety?

Answer 45

prevention

Question 46

what may anxiety be treated with?

Answer 46

benzodiazepines

Question 47

two examples of benzodiazepines=

Answer 47

valium and ativan

Question 48

three side effects of benzodiazepines=

Answer 48

dizziness, blurred vision, and dry mouth

Question 49

what is an example of therapy for anxiety?

Answer 49

desensitization

Question 50

what is the nursing priority during therapy for anxiety?

Answer 50

safety

Question 51

billy is getting ready to give a speech tomorrow. He is very anxious about getting up in front of a large audience. he begins to close his eyes and to imagine that everyone in the audience is smiling while he is giving his speech. This is what type of coping mechanism?

Answer 51

intellectual

Question 52

a client is being admitted to the psychiatric unit. he recently serve in the iraq war and lost his legs. he very casually describes how he lost both legs in the battle. what type of coping mechanism is this?

Answer 52

dissociation

Question 53

a teenager who is doing very poorly in school is consistently daydreaming about the private jet he will one day own. this is an example of what type of coping mechanism?

Answer 53

fantasy

Question 54

the first priority in taking care of a client with an anxiety disorder is...

Answer 54

protecting the client from injury to self and others

Question 55

the most sever form of anxiety is...

Answer 55

panic

Question 56

using defense mechanisms to deal with anxiety is an example of...

Answer 56

emotional coping

Question 57

anxiety results form a conflict between the ego and id in which theory?

Answer 57

freudian

Question 58

development of thumb sucking or nail biting is...

Answer 58

a behavior that may lessen anxiety in a child

Question 59

running away from home is an example of...

Answer 59

ineffective coping

Question 60

gambling or working excessively can be classified as..

Answer 60

addictive behavior

Question 61

a person who recently had his drivers license revoked for driving under the influence states that he is not an alcoholic because he never misses work as a result of his drinking. a psychiatric nurse recognizes this behavior as...

Answer 61

denial

Question 62

neurotransmitters and hormones are involved in...

Answer 62

mood regulation

Question 63

which hormone has to do with mood?

Answer 63

serotonin

Question 64

this type of depression leaves when the issue is resolved...

Answer 64

situational depression

Question 65

this type of depression is depressive responses in children that are tied to a specific event...

Answer 65

situational depression

Question 66

what four factors does depression in adolescence usually relate to?

Answer 66

self-esteem, loneliness, family strengths, and parent-teen communications

Question 67

what four groups of people are most likely to be depressed?

Answer 67

people with physical illness, women, people 35-44, white and Hispanic people.

Question 68

this is not a normal part of aging...

Answer 68

depression

Question 69

emotions that are elevated, expansive, and irritable accompanied by loss of identity, increased activity, and grandiose thought and actions=

Answer 69

mania

Question 70

feelings of sadness, disappointment, and despair=

Answer 70

depression

Question 71

suicidal thought may be entertained in..

Answer 71

major depressive episode

Question 72

which psych patient should be assessed first?

Answer 72

the depressed patient

Question 73

episodes of depression alternate with episodes of mania=

Answer 73

bi polar

Question 74

behavior of repeated mood swings alternating between hypomania and depressive symptoms with no normalcy periods=

Answer 74

cyclothymic disorder

Question 75

this occurs in many people from october to april=

Answer 75

seasonal affective disorder

Question 76

how is seasonal affective disorder treated?

Answer 76

phototherapy

Question 77

postpartum depression occurs after chidbirth if lasts longer than...

Answer 77

2 weeks

Question 78

what is the purpose of the maintenance treatment plan?

Answer 78

to prevent relapse

Question 79

most of the time for this treatment phase the patient has to be in the hospital...

Answer 79

acute treatment phase

Question 80

what are the three current standard treatments for mood disorders?

Answer 80

psychotherapy, pharmacological therapy, and electroconvulsive therapy

Question 81

what do you need to watch for when a patient is on MAOIs?

Answer 81

food interactions

Question 82

SSRI example=

Answer 82

prozac

Question 83

SSRI side effects (2)

Answer 83

dry mouth (oral care and gum) and blurred vision (prozac is an SSRI)

Question 84

how long do most antidepressants require before their effects are noted and the clients well being improves?

Answer 84

2-4 weeks

Question 85

antimanic=

Answer 85

lithium

Question 86

what is the therapeutic level of lithium?

Answer 86

0.6-1.2

Question 87

when do you need to call the doctor when a patient is on lithium?

Answer 87

if nystagmus, tremors, decreased urine output, decreased LOC, hallucinations, seizures, or coma

Question 88

when a patient is depressed or manic what needs to be assessed?

Answer 88

their level of depression or mania

Question 89

holistic interventions should look at...

Answer 89

physical, emotional, social, intellectual, spiritual

Question 90

the nurse is admitting a client who has daily moderate depression that has lasted 3 years. the clients condition is known as what?

Answer 90

mood disorder

Question 91

the nurse is admitting a client with suspected bipolar disorder. the client has repeated patterns of mood swings alternating between hypomania and depressive symptoms; hover, they are less intense than classic bipolar disease. what is this condition known as?

Answer 91

cyclothymic disorder