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Anxiety Related Disorders
Anxiety Related Disorders
40
Nursing
Undergraduate 2
11/03/2012

Additional Nursing Flashcards

 


 

Cards

Term
Obsession
Definition

unwanted, intrusive, persistent ideas, thoughts, impulses or images that cause marked anxiety or distress. 

 

EXAMPLE: repeated thoughts about contamination, doubts, things in particular order, aggressive or horrific impulses, sexual imagery

 

Term
Compulsion
Definition
Unwanted repetitive behavior patterns or mental acts (hand washing, cleaning, counting, checking, requesting or demanding reassurances, repeating actions and ordering) intended to reduce anxiety, not to provide pleasure 
Term
What are the defense mechanisms overused by OCD?
Definition
isolation, undoing, displacement, reaction formation
Term
Biochemical Factors in OCD
Definition
Neurotransmitter serotonin causes OCD
Term
What are two Nursing DX for OCD?
Definition

Ineffective Coping r/t underdeveloped ego, punitive superego

Ineffective Role performance r/t the need to perform rituals evidenced by inability to fulfill usual patterns of responsibility

Term
Outcomes for Ineffective Coping
Definition

The Client:

1. Is able to refrain from ritualistic behavior in the fact of escalating anxiety

2. Is able to mantain anxiety at manageable level

Term

Ineffective Coping 

TNI's

Definition

1. Identify triggers to ritualistic behaviors

2. meet client's dependency needs

3. initially allow time for rituals

4. provide structured schedule of activities

5. Gradually begin to limit amount of time for rituals

6. Give positive reinforcement for nonritualistic behavior

Term

Ineffective Role Performance

(Compulsive disorder)

TNI's

Definition

1. Identify client's role with the family and how changed

2. Discuss client's perception of his/her role

3. Identify family conflicts

4. Roleplay potential changes

5.Encourage family participation

6. Give recognition for positive change and decreasing rituals

Term

Ineffective Role Performance

(Compulsive disorder)

Outcomes

Definition

Client demonstrates ability to fulfill role-related responsibilities

Client demonstrates more adaptive strategies to deal with anxiety and decreased need for rituals that interfere with role responsibilities

Term
Define Phobia
Definition

Fear cued by an object or anticipation of situation that causes anxiety or panic attack

(subject can realizes fear is excessive or unreasonable)

Term
Agoraphobia
Definition
Fear of being in places or situations from which escape might be difficult 
Term
What are two nursing DX for phobias?
Definition

Fear r/t causing embarrassment to self in front of others, being in place from which one unable to escape, avoidance of feared object

Social Isolatoin r/t fears of being in a place in which one unable to escape, evidence by staying home, refusal to leave room or house

Term
Outcomes for Fear
Definition

Client will discuss the phobic object or situation with the PCP by...

By the time of discharge , the clien will be able to function in presence of phobic object or situation without panic anxiety

Term
TNI's for FEAR
Definition

1. Reassure the client is safe

2. Encourage client ot verbalize about fears

3. Discuss reality of the situation

4. Help client select alternative coping strategies

5. Help client face underlying feelings that may be contributing

 

 

Term
Signs and Symptoms of Phobic Disorder
Definition

Stays alone

Refuses to leave room or home

Term
TNI's for SOCIAL ISOLATION
Definition

1. Convey acceptance and unconditional positive regard

2. attend activities with client

3. be cautious with touch

4. administer tranquilizer

5. Discuss S&S of increasing anxiety and ways to intervene

6. Give recognition for voluntary interactions with others.

Term
Outcomes for SOCIAL ISOLATION
Definition

Client voluntarily attends activities alone

Client verbalizes S&S of excalating anxiety

Client demonstrates techniques to disrupt escalating anxiety

Client is aware of help within community

Term
What are defenses mechanisms overused by client with phobias?
Definition

Repression

Displacement

Term
Define panic disorder
Definition
Characterized by recurrent panic attacks, that are unpredictable and manifest by intense apprehansion, fear, or terror, often associated with feelings if impending doom and physical discomfort
Term
What are at least 4 symptoms that must be preasent for a panic attack.
Definition

palpitations

sweating

trembling/shaking

shortness of breath

feeling of choking

chest pain

nausea/abd distress

dizzy, unsteady, lightheaded

derealization

losing control

fear of dying

chills

Term
Define Generalized Anxiety Disorder
Definition

Chronic, unrealistic, excessive anxiety and worry. 

Symptoms last 6 months or longer

causing significant distress or impairment in social, occupational or other important areas of functioning.

Term
Symptoms of Generalized Anxiety Disorder
Definition

Lasting more days than not over 6 months 

TENDS TO BE CHRONIC

restlessness or feeling on edge

easily fatigued

difficulty concentrating (going blank)

Irritability

muscle tension

sleep disturbance (falling or staying asleep)

Term
Define Post-traumatic streass disorder
Definition
The development of characteristic symptoms following exposure to an extreme traumatic stressor involving a personal threat to physical integrity of self or others
Term
What are types of Somatoform Disorders
Definition

Somatization Disorder

Pain Disorder

Hypochondriasis

Conversion Disorder

Body Dysmorphic Disorder

Term
Define Somatoform Disorders
Definition

Characterized by physical symptoms suggesting medical disease, but without organic pathology or dx.

 

psychological factors are the major cause

Term
Define Dissociative Disorders
Definition

anxiety becomes overwhelming and personality becomes disorganized

defense mechanisms that govern consciousness, identity and memory break down

behavior has little to do with consious self

Term
Define Conversion Disorder
Definition

Loss of or change in body function resulting from a psychological conflict.

Phsyical condition can not be explained

Term
Define La belle indifference
Definition

lack of concern -uncaring affect of physical symptom

this can clue the PCP that problem is psychological

Term
Define Primary Gain
Definition
Relief of unconsious conflict and anxiety
Term
Define Secondary Gain
Definition
perceived benefits and advantages of being sick
Term
Dissociative Amnesia
Definition
Inability to recall important personal informatoin, usually of a traumatic or stressful nature 
Term

dissociative identity disorder

 

Definition

Formally mutliple personality disorder

It's characterized by the existence of two or more personalities in single individual

Term
Depersonalization Disorder
Definition

Characterized by a temporary change in the quality of self-awareness,

which often takes the form of feelings of unreality, changes in body image,

feelings of detachment from the environment,

observing oneself outside the body

Term
NURSING OUTCOMES FOR ANXIETY
Definition

1. states decreased anxiety-feels better, more comfortable

2. exhibits decreased anxiety: specify behaviors (Less fidgeting, less pacing, dec. wringing of hangs)

3. VS witnin certain parameters

4. States ways to cope with anxiety

5. Demostrates ways to cope with anxiety (relaxation techniques, discussing feelings, using medications)

 

Term

Implementation of TNI's 

for ANXIETY

Definition
  • Perform ongoing assessments of mental status and level of anxiety
  • Minimize environmental stimuli
  • reassure and support client
  • assist with decision making/problem solving (discuss pros and cons of choices)
  • Medicate as needed with sedatives or anti-anxiety, minor tranquilizers
Term
Nursing Process: Implemantation of TNI's
Definition
  • Structure and refocus obsessive thinking
  • structure day to accommodate compulsive rituals
  • avoid challenges and logic regarding strange rituals and obsessions
  • Encourage discussion of feelings regarding client issues and coping skills instead of focus on physical symptoms/pain when physical exam is negative
Term
Teaching Topics for Anxiety
Definition

Signs and symptoms of anxiety in self

Cause of anxiety, if relevant

Management of anxiety

     Connect S&S of anxiety with stress

     Avoid anxiety-producing situations, when possible

     Learn relaxation techniques

     Utilize behavior modification and cognitive-behavioral          approaches

     Use of medications (anxiolytics an some antidepress)

     Use available resources and support services: heal care provider, clinics, groups, websites

Term
Primary Prevention for Anxiety
Definition
Stress management and relaxation/yoga/meditation/exercise classes
Term
Secondary Prevention-Anxiety
Definition
Early identification and treatment (screenings, initial treatment and use of medications)
Term
Tertiary Prevention
Definition
Longterm treatment and rehabilitation
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