Test 3 Anxiety Flashcards
(67 cards)
1
Q
anxiety disorders affect ?% of population
A
affect 15-25% of the US population
2
Q
Anxiety disorders are frequently co morbid with?
A
Co morbid with other psychiatric disorders and physical illness
3
Q
5 anxiety disorders
A
- Generalized anxiety disorder
- panic disorder
- phobias
- obsessive compulsive disorder
- post traumatic stress disorder
4
Q
- affective/cognitive/behavioral/physiological response to real or imagined threat
- universal human experience
- life force that is necessary for survival
A
anxiety
5
Q
-caused because the id, the ego, and the superego are in conflict
A
Freud’s theory of anxiety
6
Q
Freud anxiety as a defense mechanism to…?
A
techniques to avoid or decrease anxiety back to equilibrium
7
Q
Sullivan, Peplau, and Mays theory on anxiety
A
- anxiety arises from problems in therapeutic relationship
- anxiety lead to growth
- anxiety can be destructive
8
Q
Who said that “anxiety protects individuals from feelings of inadequacy and prevent awareness of anxiety”
A
Freud on anxiety
9
Q
autonomic nervous system response to anxiety is sometimes called?
A
“fight or flight”
10
Q
adrenaline rush, pupils dilate, blood pressure goes up
A
sympathetic system response to anxiety
11
Q
body tries to conserve resources, hr decreases, pupils constrict, blood pressure and pulse decrease, people may faint
A
parasympathetic response to anxiety
12
Q
- coordination problems during anxiety
- involuntary movements
- type of behavioral expression*
A
Personal characteristics of behavioral expressions of anxiety
13
Q
- withdrawn or out of character behaviors
* type of behavioral expression*
A
interpersonal characteristics of anxiety, behavioral expressions
14
Q
-identification of anxiety is critical for good nursing care
A
Hildegard Peplau
15
Q
Peplau said mild anxiety…?
A
does not need intervention
16
Q
Peplau said moderate anxiety is reduced using ..?
A
problem solving, cognitive reframing, relaxation training, deep breathing
17
Q
Peplau said severe anxiety is…?
A
not conducive to problem solving-focus is on concrete direction to protect the patient
18
Q
Panic level of anxiety renders the person…?
A
Renders them unable to focus- remain with the patient until the episode subsides
19
Q
Alert and aware anxiety level?
A
mild anxiety, +
20
Q
Perceptual field narrows?
anxiety level
A
moderate anxiety, ++
21
Q
Focus on relief of anxiety?
anxiety level
A
Severe anxiety, +++
22
Q
Unable to communicate effectively?
anxiety level
A
Unable to communicate effectively, ++++
23
Q
- protect the individual from painful awareness of feelings that can produce anxiety
- always on alert
- may be subject to overuse
A
Defense mechanisms
24
Q
- Major means of managing conflict and affect
- predominantly unconscious
- discrete from one to another
- reversible
- adaptive as well as maladaptive
A
defense mechanisms
25
Adaptive defense mechanisms
Healthy, altruism and sublimation
26
altruism
A person has an emotional conflict or stressor, that person will go out of their way to do something for another
27
sublimation
unconscious process of substituting something acceptable for something that's not in order to decrease anxiety
28
repression, displacement, reaction formation, somatization, rationalization
intermediate defenses
29
excluding an unwanted or experience you want to forget about, excluding it from your memory banks
repression, intermediate defense
30
transfer of emotions associated with a particular person or event to something that's non-threatening
displacement, intermediate defense
31
you have unacceptable feelings, but you keep them out of your awareness because you try really hard to put them in your awareness
ex: person who hates animals decides to become a vet
reaction formation, intermediate defense
32
the unacceptable anxiety symptoms transfer themselves into a physical symptom
somatization, intermediate defense
33
justification of some illogical or unreasonable behavior by concocting an acceptable reason for it
ex: everyone else cheats on the test, why shouldn't I
rationalization, intermediate defense
34
Passive aggression, acting out, dissociation, idealization, splitting, devaluation, projection, denial
immature defenses, often the ones that get us into trouble and are the least healthy of the defense mechanisms
35
dealing with anxiety or stressors by unassertively expressing aggression towards others
passive aggression, immature defense
36
transferring focus, making this anxiety an emotional conflict. Acting out with angry or aggressive feelings out in the open
acting out, immature defense
37
when a person, there's a disruption in the conscious integration of experiences
ex: i have no idea what i did last night
dissociation, immature defense
38
attributing characteristics to a person that are over the top, they are perfect in every way.
idealization, immature defense
39
inability to integrate both a positive and negative attribute to a person or a system
ex: best nurse in the world! That one last night was the worst in the world
splitting, immature defense mechanism
40
attributing negative attributes to someone or something
devaluation, immature defense mechanism
41
scapegoating or blaming
projection, immature defense mechanism
42
escaping the situation by denying that it's a problem
denial, immature defense mechanism
43
-restlessness, tremor, startle
behavioral assessment of anxiety
44
-inattention, poor concentration, confusion, fear
cognitive assessment of anxiety
45
-impatience, jittery, unease, nervousness
affective assessment of anxiety
46
- establishing and maintaining the therapeutic alliance to facilitate progress in health
- facilitates energy to progress
* interventions for _____ anxiety*
interventions for MILD anxiety
47
- trusting relationship; therapeutic alliance
- control personal anxiety (nurse)
- discuss cause/effect
- What is the relationship of anxiety to threat
- explore meaning of events
- provide information to decrease fears of unknown
- explore usual coping strategies
- relaxation/distraction
- supportive relationship/spiritual support
- modify physical environment
* interventions for ______ anxiety*
interventions for MODERATE anxiety
48
- stay with client
- calm voice; eye contact
- short, simple sentences
- one step direction
- firm, authoritative manner
- safe environment
* interventions for ___________ anxiety*
interventions for SEVERE anxiety
49
- Quiet
- safety
- modify environment
- focus on simple, repetitive task
- evaluate effectiveness of anti anxiety meds
* interventions for ______ and ____ levels of anxiety*
interventions for SEVERE and PANIC levels of anxiety
50
Benzodiazepines, antidepressants
ani-anxiety meds (2 types)
51
- unrealistic and excessive anxiety
- sustained feeling of distress
- physiologic symptoms of anxiety
* _______ anxiety disorder*
GENERALIZED anxiety disorder
52
Benzodiazepines, SSRI's, sometimes tricyclic antidepressants
| *meds for _______ ?*
meds for generalized anxiety disorder
53
- intense, discrete episode, intermittent
- physical exam to r/o medical causes
* ________ disorder*
PANIC disorder
54
- cognitive therapy: change self talk
- stress management
- antidepressant: SSRIs, SNRIs
- Benzodiazepines
* treatment for?*
Panic disorder treatment
55
- Marked and persistent fear of an object, place, or situation
- exposure to the stimulus provides an immediate anxiety response
- interferes with a person's daily life
- distress is disproportionate to the actual event
- extreme care may be taken to avoid the stimulus
Phobias
56
- Behavioral therapies: desensitization
- Cognitive strategies: thought stopping
- hypnosis
- medication
* treatment for?*
treatment for phobias
57
- more than 10 minutes per day
| - dual components: obsessive thinking and compulsive activity
Obsessive compulsive disorder
58
- desensitization
- thought stopping
- exposure/response prevention
- coping skills
- medication: antidepressants/anxiolytics
* treatment for?*
Treatment for OCD
59
- actual or threatened physical harm or death directed or witnessed or revealed to a person
- Traumatic event-->fear, helplessness, horror
- Post-Trauma-->hyper vigilance, intrusive memories, dissociation, numbing, avoidance
Post-Traumatic Stress Disorder
60
```
*treatment for?*
Counseling:
-safe environment
-structure
-acceptance of feelings
-coping strategies
-letting go rituals
-grieving process
-positive regard
```
Medication: symptom relief
- antidepressants
- antianxiety
Treatment of PTSD
61
ativan is a type of ? medicine.
Benzodiazepine, used for less than 14 days does not produce an addiction
62
Xanax (alprasolam)
- Shortest acting benzodiazepine, active in 15 minutes, gone in an hour
- good for stage fright, or fear of flying (needs a boost to get on a plane)
- other than that, it makes people go constantly up and down
63
why are antidepressants an attractive anxiety med
long acting, not addictive
| -bad parts are side effects, dry mouth, hypotension
64
affexor, pristique
-SSRIs particularly helpful in decreasing long term anxiety
65
risk with benzodiazepines
-tolerance and dependence
66
klonopin
Benzodiazepine used to treat panic attack
67
Luvox
SSRI, particularly helpful in decreasing OCD activity. Cannot work alone, needs the behavioral therapy aspect with it
