Exam 3 Anxiety Flashcards

1
Q

Social Anxiety disorder used to be called

A

social phobia

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2
Q

What is social anxiety?

A

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

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3
Q

What are Examples of social anxiety disorder (fears)?

A

Saying something foolish in public

*Not being able to answer questions

*Looking awkward while eating or drinking in public

*Performing badly on stage

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4
Q

Smaller children with social anxiety disorder may do what?

A

hide behind parents or be “mute” in publicc

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5
Q

Older kids and adolescents with social anxiety disorder may what?

A

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

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6
Q

The most common manifestation of social anxiety disorder is?

A

fear of public speaking

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7
Q

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

physical sensations

A

Palpitations

Shortness of breath

Smothering sensation

Chest pain

Nausea

*Depersonalization

*Fear of dying/insanity

*Chills/hot flashes

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8
Q

Panic disorder attacks are _____

A

unpredictable- come out of the blue

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9
Q

Panic disorder attacks last about __ minutes, then subside

A

10

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10
Q

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

A

fear of having panic attacks that can be debilitating

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11
Q

Panic disorder is comorbid with

A

major depression

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12
Q

What is a panic attack?

A

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

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13
Q

Physical symptoms of panic attacks

A

Chest pain

*Smothering sensation

*Choking

*Breathing difficulty

*Dizziness

*Palpitations

*Sweating

Chills or hot flashes

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14
Q

Generalized anxiety disorder is characterized by

think time as well

A

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

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15
Q

What are Symptoms of general anxiety disorder?

A
  • Restlessness
  • *Fatigue
  • *Poor concentration
  • *Irritability
  • *Tension
  • *Sleep disturbance
  • *Interferes with daily activity
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16
Q

GAD can cause?

think more outside of the mind

A

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

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17
Q

If a patient has GAD you will see avoidance of

A

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

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18
Q

Patients with GAD will ___

A

procrastinate

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19
Q

Patients with GAD are anxious about making

A

decisions

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20
Q

Anxious persons often seek what?

A

Reassurance and then feel bad about needing that reassurance

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21
Q

What are OCD (obsessions)?

A

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

22
Q

What are OCD (complussions)?

A

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

23
Q

What are Other 3 Anxiety Related Disorders?

A
  • Trichotillomania
  • Excoriation Disorder
  • Hoarding Disorder
24
Q

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

A

“normal”

25
Q

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

A

preoccupation

26
Q

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

A

obsessional thinking- compulsive behaviors

27
Q

What is mirror checking?

A

Seen in Body Dysmorphic patients- camouflaging

28
Q

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

A

They may or may not

29
Q

Patient with body dysmorphic disorder may seek

A

surgery/repairs

30
Q

Patients with body dysmorphic disorder are at high risk for

A

suicide

31
Q

Body dysmorphic disorder is related to ____ and common with _____

A

OCD; Major Depressive Disorder

32
Q

What is Interpersonal theory?

A

early needs go unmet

  • anxiety has been modeled by parents or peers
33
Q

What are cultural variances?

A

for examples, somatic manifestations of anxiety

34
Q

What is Cognitive therapy?

A

flooding/exposure/response prevention

35
Q

Antidepressants are the first line of defense for?

A

anxiety and OCD related disorders

36
Q

Other meds for anxiety?

A

Benzos, Buspar, Antihistamines

37
Q

What are some Stress reduction methods?

A

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)
38
Q

Grounding tools for anxiety?

A
  • 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
39
Q

Side effects of medication to watch for?

A
  • sedation
  • ataxia
  • decreased cognitive function
40
Q

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

A

doctor

41
Q

What three things should you avoid when taking anxiolytic meds?

A

alcohol

  • caffeine
  • other anti anxiety drugs
42
Q

What anxiolytic is ok for pregnant women?

A

Buspirone

43
Q

Cessation of a bento 3-4 months can lead to

A

withdrawal symptoms

44
Q

Anxiety meds should be taken

A

with or shortly after meals to reduce gastric distress

45
Q

Antacids if taken with anxiolytics may delay

A

absorption

46
Q

Nursing Diagnosis for anxiety patients

A

Anxiety

  • Ineffective coping
  • Social isolation
  • Disturbed thought process
  • Post-trauma syndrome
  • Insomnia
  • Fatigue
  • Self-care deficit
47
Q

Goals for anxiety patients

A

Provide safe environment

  • Minimize symptoms
  • Minimize risk (self harm)
  • Improve coping
  • Improve functioning
48
Q

Examples of Therapeutic communication for anxiety patients?

A

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
49
Q

How do we enhance self-esteem of anxiety patients?

A

Enhance self esteem :

*Focus on past achievements

*Give positive feedback

*Provide unconditional positive regard in the present

50
Q

Teaching will not be effective during a?

A

crisits

51
Q

Once you can teach, teach anxiety patients

A

relaxation

*problem solving

*coping

*breathing