Term
| Anxiety is a response to a ________. A diagnosis of an anxiety disorder may be given if anxiety is experienced ________ after stressor is gone. |
|
Definition
Stressor
6 months after stressor is gone |
|
|
Term
| A good time to do patient teaching might be when a patient is ____ _____ because they are experiencing ______ anxiety, |
|
Definition
First diagnosed
Mild anxiety |
|
|
Term
| A bad time to teach a patient is when they are going ___ _____ because they are experiencing _______ anxiety. |
|
Definition
into surgery
moderate anxiety |
|
|
Term
| When a person has a disturbed feeling like something is wrong and they are nervous/agitated with difficulty concentrating, they have _____ _____. A key marker is that they still may be _______. What are some good nursing interventions? |
|
Definition
moderate anxiety
Redirected
interventions: relaxation techniques, assist with problem solving, teach coping strategies, encourage verbalization of feelings |
|
|
Term
| A client has a sensation something is DIFFERENT. Their sensory perceptions are increased. This is ______ ______. What are some good nursing interventions? |
|
Definition
Mild anxiety.
interventions ----_ Learn methods to decrease anxiety, stress management education, enhance problem solving skills. |
|
|
Term
| A person has trouble thinking and reasoning, muscle tightening and their vital signs begin to increase. They may be restless, irritable, angry and have difficulty completing tasks. This is ______ _______. The nurse should Encourage _____ ______ and ______ _____. |
|
Definition
Severe anxiety
Encourage physical activity and structured tasks |
|
|
Term
|
Definition
The person can only focus on self, not on anything in the environment.
Distorted perceptions
Loss of rational thought
Can't communicate verbally-- may be suicidal* |
|
|
Term
Nursing interventions for panic
Decrease _______ _____, stay _____ ___ _____, use a ____ ______, do ______ ______ with the client |
|
Definition
Decrease environmental stimuli
Stay with the client
Use a calm voice
Do relaxation breathing with them |
|
|
Term
| Recurrent panic attacks with _____ ______, manifested by intense ______, fear, or ____, often associated with feelings of ____ ____ and accompanied by _______ _____ _____. |
|
Definition
Panic disorder
unpredictable onset
intense apprehension, fear, or terror, associated with impending doom and physical discomfort |
|
|
Term
| Panic attacks must have _ of these symptoms: |
|
Definition
Must have 4:
Palpitations, sweating, shaking, feeling SOB, feeling of chocking, nausea, vomiting, derealization, fear of losing control, fear of dying paresthesia, chills/hot flashes
unsteadiness, feeling faint |
|
|
Term
| During which phase of anxiety does a person experience fight of flight response? |
|
Definition
|
|
Term
| You may give ____ meds at _________ during anxiety |
|
Definition
| PRN meds at any time during anxiety |
|
|
Term
| During which phase of anxiety might a person be violent or suicidal? |
|
Definition
|
|
Term
| Person has a panic disorder and is also afraid of being in a place where they can't escape? What are some examples |
|
Definition
Panic disorder with Agoraphobia
examples: being outside of the home alone, being in a crowd, being on a bridge, traveling in a bus, train or airplane |
|
|
Term
| There are 5 Anxiety disorders. What are they? |
|
Definition
Generalized anxiety disorder
Panic disorder
OCD
Phobic disorder
PTSD |
|
|
Term
Chronic, unrealistic, excessive anxiety and worry. Occurs more days than not for at least 6 months
May lie in bed constantly worried that the ceiling will fall.
Person may feel restless, on edge, easily fatigued, difficulty concentrating, muscle tension, sleep disturbances |
|
Definition
| GAD- Generalized anxiety disorder |
|
|
Term
| The goal of treating anxiety is _____ meds, but they are ______ to help. |
|
Definition
| without meds, but meds are quick to help |
|
|
Term
| The patient should always _____ in the plan |
|
Definition
|
|
Term
| 2 nursing dx for panic disorders |
|
Definition
Panic anxiety r/t real or precieved threat
Powerlessness r/t impaired cognition |
|
|
Term
| Illogical and intense fear of a specific object.situation that causes extreme distress and interferes with normal functioning. Symptoms must be present for __ months. Is more common in ____. |
|
Definition
Phobias
6 months
more common in women |
|
|
Term
|
Definition
| fear of being in places or situations from which escape might be difficult |
|
|
Term
Social phobia
Often accompanied by _____ or ___ ____. Related to _____ _____ _____ and may be so severe person ______ _____ _ _______, avoids making _____, remains _____ |
|
Definition
Fear of situations where person might do something embarrassing. Often accompanied by depression or substance abuse.
Associated with low self-esteem. May be so severe that person drops out of school, avoids making friends, or remains unemployed. |
|
|
Term
Specific phobia feels _______, ________, and _________ when exposed to object
4 types |
|
Definition
Palpitations, sweating and diziness when exposed to object.
Person appears like others until exposed to specific object. 4-5 types: Animal, Natural environment, Blood-injection, Situational, ( and other) |
|
|
Term
|
Definition
Fear r/t
Social isolation r/t fears |
|
|
Term
| OCD symptoms worsen with ______. The compulsive behavior is an attempt to resist _______ _______ and decrease ______. People with OCD are aware their behavior is ______. |
|
Definition
stress
resist compulsive thoughts
decrease anxiety
abnormal |
|
|
Term
| _____are unwanted, intrusive ideas; ______ is unwanted, repetitive behaviors or mental acts that are intended to reduce ____. These behaviors do not provide ______ or gratification. |
|
Definition
Obsessions are thoughts, impulses or images
Compulsions are behaviors or mental acts intended to reduce anxiety. These acts do not provide pleasure or gratification |
|
|
Term
| Good nsg dx for the OCD patient |
|
Definition
Ineffective coping
Ineffective role performance |
|
|
Term
For all anxiety-related illness, goal may be to:__________
In addition to "________-stopping," the OCD patient may benefit from ______ _____. |
|
Definition
reduce anxiety level
Thought-stopping, may benefit from physical exercise. |
|
|
Term
| Goal for OCD patient is for the patient to identify link between ______ ______ and _______ ________. |
|
Definition
obsessive thoughts
increased anxiety |
|
|
Term
In beginning of treatment of the OCD patient, allow plenty of time for ______. Provide structured schedule of activity for the client, including adequate time for completion of _____. Without this time, they may go into ____.
Gradually ______ the time permitted for ______ _______,SO LONG as the client ______ and give ____ ______ for non-ritualistic behavior. |
|
Definition
Allow time for rituals
Provide structured schedule of activities, including time for rituals. Without this time, they may go into panic.
Gradually reduce time permitted for ritualistic behavior, so long as the client agrees*. Give positive reinforcement for non-ritualistic behavior. |
|
|
Term
| ______ is the development of characteristic symptoms following exposure to an extreme _____ involving a personal ____ to _____ _____ or to the _____ ______ of others |
|
Definition
PTSD
Extreme traumatic stressor involving personal threat to physical integrity or to the physical integrity of others. |
|
|
Term
| Symptoms of PTSD must be present for more than _____ . These symptoms may occur __-__ ____ after trauma, or may be delaysed several _____ to ____. |
|
Definition
One month
May occur 1-3 months after trauma, or may be delayed several months to years or decades. |
|
|
Term
| Characteristic symptoms of PTSD include _________ the traumatic event, a sustained _____ level of _____ or ____, or a general ______ of responsiveness. Intrusive ________ or nightmares of the event are common. |
|
Definition
| Re-experiencing the traumatic event, a sustained high level of anxiety or arousal, or a general numbing of responsiveness. Intrusive recollections or nightmares are common. |
|
|
Term
| To be diagnosed with PTSD, the patient must have ___ or more of the following symptoms. What are they? |
|
Definition
2 or more
1. Difficulty sleeping
2. Irritable outbursts of anger
3. Difficulty concentrating
4. Hypervigilant
5.Exaggerated startle response |
|
|
Term
| An example of a situation that might give a child PTSD is a ___ ____ with _______ |
|
Definition
| Plane ride with turbulence |
|
|
Term
|
Definition
|
|
Term
| ______ and _____ are antianxiety medications used for GAD, OCD, Phobic Disorders and PTSD |
|
Definition
|
|
Term
| _______ ______ is a type of behavioral therapy used for ______ and _____ where the patient learns relaxation first, and gradually adds phobia, stressor & or anxiety stimulus |
|
Definition
| Systematic desensitation, used for phobias and PTSD |
|
|
Term
| _______ _____ is a type of behavioral therapy where the therapist flood the client with information concerning the situation that triggers anxiety. Therapy continues until anxiety decreases. Be careful with _____ _____. |
|
Definition
| Implosion therapy, be careful with medical condition |
|
|
