Flashcards in T1-Anxiety Disorders Deck (40):
What are 4 types of anxiety disorders?
Anxiety disorders have a comorbidity with ____
A group of conditions marked by extreme anxiety that is felt most of the time with no obvious reason or trigger; the anxiety can be so overwhelming or terrifying that the individual is immobilized
What can help or hinder an individuals function in regards to anxiety?
The degree of anxiety they experience and the ability to manage it appropriately
What increases during anxiety? What decreases?
Serotonin & GABA= DECREASE
*When GABA decreases it allows for increased cellular excitability
What are signs of anxiety to look for during your assessment?
States they feel anxious
Increased HR and breathing
What are the 2 diagnosis for anxiety?
There are a lot of interventions r/t anxiety. Look those up...but What are the medical interventions?
1. Individual psychotherapy
2. Cognitive therapy
3. Behavior therapy
4. Psychopharmacology (anxiolytics and minor tranquilizers)
What anxiety disorder is anxiety in its most severe form?
What is the focus for people experiencing a panic disorder?
Relieve panic (nothing else matters!!)
Who are more likely to be affected by panic disorder?
What is panic disorder highly correlated with?
COPD and Mitral valve prolapse
What are the 4 nursing diagnosis for PANIC disorder?
1. Panic anxiety r/t real or perceived threat AEB all the symptoms identified in the DSM-V
3. Ineffective individual coping
4. Self-esteem disturbance
Is it ok if we as nurses begin to experience anxiety when our patient has anxiety?
No, we need to remain calm because anxiety is contagious!
The intense fear or avoidance of situations or places that may be difficult or embarrassing to leave; suffers fear that they won't get help or fear that they may have a panic attack and be embarrassed; interfere with ADLs; may be unable to leave home
Agoraphobia (within scope of panic disorder)
Who is GAD common in? and what is it?
Older adults (also screen for depression!!); anxiety and worry with physical symptoms (restlessness, irritable, indecisive, excessive worry and worrying about worry)
What are the nursing diagnosis for GAD? (3)
1. Ineffective individual coping r/t ...
3. Low self esteem
What is a very important intervention we need to do with patients with GAD?
Establish TRUST---the foundation of ALL relationships!! (honesty, open posture during communication)
*THIS IS A TEST QUESTION, at least thats what they said
Who are phobias more common in?
When do phobias come and how long do they last? What does the fear result form?
Onset is childhood to early adulthood
The fear usually results from an early painful experience and is displaced on something symbolic
What phobias are more persistent: childhood or adult?
Adult, but childhood phobias can persist into adulthood
Are phobias something that run in families?
What are the theories of development of phobias? Describe (3)
1. Learned: learned and become conditioned response to uncomfortable behaviors
2. Cognitive: produced by anxiety and self talk
3. Life experiences: traumatic events can set the stage for many phobias
What are S&S of phobias?
High level of anxiety
Inability to function
OCD behaviors and activities take up more than __ a day--for some people the rituals take hours to complete and bemuse a major life activity
Do OCD tendencies cause distress? interfere with ADLs? do they take a little amount of time to do or a lot?
Yes, cause distress
Yes, interfere with ADL
They are TIME CONSUMING
Thoughts, images, impulses that occur over and over again and feel out of your control
Does the person with OCD want the ideas of their obsessions and do they even recognize that they are obsessive?
No, they don't want these ideas--they find them disturbing and intrusive
Yes, they recognize them and recognize that they don't make sense
Ritualistic; compulsions are acts the person performs over and over again---often according to certain "rules"
What are the nursing diagnosis for OCD?
-Ineffective indivudal coping
-Self esteem disturbance
-Sleep pattern disturbance
What is the key element of treatment for most patients with OCD?
Cognitive-behavioral psychotherapy (CBT)
What is CBT?
Thought stopping, systemic sensitization
How does CBT work?
1. Exposure to the trigger
2. Ask client to refrain from engaging in usual anxiety reducing ritual
3. Client journals what happens as a result of refraining
How effective is CBT?
Works in 80% of clients
Excessive fear of closed and small spaces
Excessive fear of snakes
Excessive fear of being in a place from which escape is difficult or there is no reassurance or support
Excessive fear of everyday social situations such as fear of speaking
Excessive fear of germs