Exam 3 Anxiety

Question 1

Social Anxiety disorder used to be called

Answer 1

social phobia

Question 2

What is social anxiety?

Answer 2

Severe anxiety or fear of exposure to a social or performance situation that could be evaluated negatively by others

Question 3

What are Examples of social anxiety disorder (fears)?

Answer 3

Saying something foolish in public

*Not being able to answer questions

*Looking awkward while eating or drinking in public

*Performing badly on stage

Question 4

Smaller children with social anxiety disorder may do what?

Answer 4

hide behind parents or be “mute” in publicc

Question 5

Older kids and adolescents with social anxiety disorder may what?

Answer 5

be paralyzed by fear when having to speak in class or interjustact with peers

Question 6

The most common manifestation of social anxiety disorder is?

Answer 6

fear of public speaking

Question 7

Panic disorders are diagnosed when there are at least 4 of what panic attack symptoms?

physical sensations

Answer 7

Palpitations

Shortness of breath

Smothering sensation

Chest pain

Nausea

*Depersonalization

*Fear of dying/insanity

*Chills/hot flashes

Question 8

Panic disorder attacks are _____

Answer 8

unpredictable- come out of the blue

Question 9

Panic disorder attacks last about __ minutes, then subside

Answer 9

10

Question 10

Panic disorder attacks are characterized as FEAR THE FEAR which means?

Answer 10

fear of having panic attacks that can be debilitating

Question 11

Panic disorder is comorbid with

Answer 11

major depression

Question 12

What is a panic attack?

Answer 12

the sudden onset of extreme apprehension or fear, usually associated with feelings of impending doom.

Question 13

Physical symptoms of panic attacks

Answer 13

Chest pain

*Smothering sensation

*Choking

*Breathing difficulty

*Dizziness

*Palpitations

*Sweating

Chills or hot flashes

Question 14

Generalized anxiety disorder is characterized by

think time as well

Answer 14

chronic and excessive anxiety on more days than not for at least 6 months

Question 15

What are Symptoms of general anxiety disorder?

Answer 15

• Restlessness
• *Fatigue
• *Poor concentration
• *Irritability
• *Tension
• *Sleep disturbance
• *Interferes with daily activity

Question 16

GAD can cause?

think more outside of the mind

Answer 16

muscle tension. These patients will have physical complains due to the prolonged tense feelings

Question 17

If a patient has GAD you will see avoidance of

Answer 17

stressful activities as it takes longer to prepare to do them and increased anxiety related to the activites

Question 18

Patients with GAD will ___

Answer 18

procrastinate

Question 19

Patients with GAD are anxious about making

Answer 19

decisions

Question 20

Anxious persons often seek what?

Answer 20

Reassurance and then feel bad about needing that reassurance

Question 21

What are OCD (obsessions)?

Answer 21

Recurrent, intrusive, and persistent ideas, thoughts, images, or impulses despite efforts to ignore them

Question 22

What are OCD (complussions)?

Answer 22

Ritualistic behaviors an individual feel compelled to perform in an attempt toreduce anxiety

Question 23

What are Other 3 Anxiety Related Disorders?

Answer 23

• Trichotillomania
• Excoriation Disorder
• Hoarding Disorder

Question 24

Patients with body dysmorphic disorder tend to have a ____ appearance?

Answer 24

“normal”

Question 25

You may see ____ with imagined defect in appearance (body dysmorphic patients)

Answer 25

preoccupation

Question 26

Body Dysmorphic Disorder can lead to ____ thinking. What can that lead to?

Answer 26

obsessional thinking- compulsive behaviors

Question 27

What is mirror checking?

Answer 27

Seen in Body Dysmorphic patients- camouflaging

Question 28

Do patients with body dysmorphic disorder have insight or awareness of this distorted thinking?

Answer 28

They may or may not

Question 29

Patient with body dysmorphic disorder may seek

Answer 29

surgery/repairs

Question 30

Patients with body dysmorphic disorder are at high risk for

Answer 30

suicide

Question 31

Body dysmorphic disorder is related to ____ and common with _____

Answer 31

OCD; Major Depressive Disorder

Question 32

What is Interpersonal theory?

Answer 32

early needs go unmet - anxiety has been modeled by parents or peers

Question 33

What are cultural variances?

Answer 33

for examples, somatic manifestations of anxiety

Question 34

What is Cognitive therapy?

Answer 34

flooding/exposure/response prevention

Question 35

Antidepressants are the first line of defense for?

Answer 35

anxiety and OCD related disorders

Question 36

Other meds for anxiety?

Answer 36

Benzos, Buspar, Antihistamines

Question 37

What are some Stress reduction methods?

Answer 37

group or social support - mediation, yoga, biofeedback - time management - self-hypnosis - creative imagery - thought stopping - breathing exercises - proper nutrition - regular exercise - relaxation response (quiet environment, passive attitude, comfortable position)

Question 38

Grounding tools for anxiety?

Answer 38

- 5 things you can see - 4 things you can touch - 3 things you can hear - 2 things you can smell - 1 thing you can taste

Question 39

Side effects of medication to watch for?

Answer 39

- sedation - ataxia - decreased cognitive function

Question 40

Do not change dose or frequency of medication without consulting who>

Answer 40

doctor

Question 41

What three things should you avoid when taking anxiolytic meds?

Answer 41

alcohol - caffeine - other anti anxiety drugs

Question 42

What anxiolytic is ok for pregnant women?

Answer 42

Buspirone

Question 43

Cessation of a bento 3-4 months can lead to

Answer 43

withdrawal symptoms

Question 44

Anxiety meds should be taken

Answer 44

with or shortly after meals to reduce gastric distress

Question 45

Antacids if taken with anxiolytics may delay

Answer 45

absorption

Question 46

Nursing Diagnosis for anxiety patients

Answer 46

Anxiety - Ineffective coping - Social isolation - Disturbed thought process - Post-trauma syndrome - Insomnia - Fatigue - Self-care deficit

Question 47

Goals for anxiety patients

Answer 47

Provide safe environment - Minimize symptoms - Minimize risk (self harm) - Improve coping - Improve functioning

Question 48

Examples of Therapeutic communication for anxiety patients?

Answer 48

Don't minimize or challenge the client's feelings (At least....Things could be worse, etc) *Don't give nonchalant reassurance (Don't worry, you are fine) Instead: *Factual observations (You are hyperventilating) *Offering Concrete interventions (Let's try some breathing techniques) - You want to PROMOTE dialogue, not shut it down

Question 49

How do we enhance self-esteem of anxiety patients?

Answer 49

Enhance self esteem : *Focus on past achievements *Give positive feedback *Provide unconditional positive regard in the present

Question 50

Teaching will not be effective during a?

Answer 50

crisits

Question 51

Once you can teach, teach anxiety patients

Answer 51

relaxation *problem solving *coping *breathing