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3116 Psych Test 1
Crisis and Anxiety
49
Nursing
Undergraduate 3
03/26/2011

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Cards

Term
What are the four F's of stress responses?
Definition
Fight, Flight, Freeze, and Flow
Term
What are the 3 C's that we should watch for?
Definition
Comparing, Complaining, Criticizing
Term
Define crisis:
Definition
an internal disturbance that results from a stressful event of a perceived threat to self
Term
crises are self-limited in time and usually last how long on average?
Definition
4-6 weeks
Term
maturational (or developmental) crisis:
Definition
transistional periods in a person's life where their psychological equilibrium is upset
Term
situational crisis:
Definition
when a specific external event upsets an individual or group's psychological equilibrium
Term
adventitous crises are usually from what?
Definition
traumatic stress that is accidental or uncommon or unexpected
Term
how many phases are there of disaster response?
Definition
7
Term
define psychiatric emergency:
Definition
crisis situation in which genreal functioning has been severely impaired and the person rendered incompeteent or unable to assume personal responsibility
Term
What are the three balancing factors in a stressful event?
Definition
1. realistic perception of the event 2. adequate situational support 3. adequate coping mechanisms to help alleviate the anxiety
Term
what is the goal of crisis intervention?
Definition
for the person to return to pre-crisis level of functioning
Term
what are the three most important points of your crisis assessment?
Definition
the patients perception, support system, and coping mechanisms
Term
What are some crisis related nursing diagnoses?
Definition
self harm, coping, behavioral, cognitive
Term
There are _______ levels of crisis intervention
Definition
four
Term
environmental manipulation
Definition
interventions that directly change the person's physical or interpersonal situation
Term
general support:
Definition
provides individuals with the feeling that the nurse is on their side and will help them
Term
generic approach:
Definition
designed to reach individuals at high risk and large groups of people as quickly as possible
Term
which approach applies a specific method of coping to all victims of a very similar crisis?
Definition
generic approach
Term
individual approach
Definition
treatment of a specific problem in a specific person
Term
which approach is good with all types of crises and when there is a suicide/homoside risk?
Definition
individual approach
Term
what do we do to help people recall events?
Definition
debriefing
Term
during evaluation we hope that the intervention resulted in a ___________ resolution of the crisis
Definition
positive
Term
define anxiety
Definition
the subjective emotional response to the intellectual appraisal of danger (fear)
Term
what is the most common psychiatric disorder in the US?
Definition
anxiety
Term
what's characteristic about pathological anxiety?
Definition
the response is greatly disproportionate to the risk and severity of the danger of the threat and may continue after the threat is over
Term
which level of anxiety is marked by increased alertness and perception, with enhanced learning?
Definition
mild anxiety over everyday tensions
Term
whick level of anxiety is marked by difficulty staying attentive but ability to redirect focus?
Definition
moderate anxiety
Term
which level of anxiety is marked by reduction in perceptual field with ability to focus on only one detail?
Definition
severe anxiety (encourage energy release and exercise)
Term
which anxiety level is marked by inability to focus or cope and physical fight/flight symptoms
Definition
panic level
Term
what are the two threat categories of anxiety?
Definition
1. threats to physical integrity, 2. threats to self-system
Term
the following symptoms diagnose what? restlessness, fatigue, concentration problems, irritability, muscle tension, sleep problems
Definition
generalized anxiety
Term
the following symptoms diagnose what? palpitations, sweating, trembling, SOB, choking feeling, CP, fear of losing control or dying
Definition
panic disorder
Term
we try to relieve acute panic and assist client in taking control of own life situation for which disorders?
Definition
panic disorder and generalized anxiety disorder
Term
we aim to decrease the fear and increase the ability to function in the face of the stimulus in what disorder?
Definition
phobias
Term
we try to help the patient manage anxiety without ritualistic behavior and switch the focus to better coping in what disorder?
Definition
OCD
Term
_______ stress disorder lasts 2 days to 4 weeks after a traumatic event
Definition
acute
Term
_______ stress disorder lasts for more than a month after a traumatic event
Definition
post traumatic
Term
Acute stress disorder has three of more _________ symptoms
Definition
dissociative symptoms: numbing/detachment/absence of emotion, daze, derealizations, depersonalization, amnesia of trauma
Term
insomnia:
Definition
difficulty initiating or falling asleep
Term
hypersomnia:
Definition
excessive sleepiness or seeking excessive amts of sleep
Term
parasomnias:
Definition
unusual to undesirable behaviors that occur in sleep
Term
what disorders are characterized by physical symptoms suggesting a medical disease but with no real pathology
Definition
somatoform disorders
Term
which disorder is marked by a loss or change in body functioning from a psychological conflict not a physical one
Definition
conversion disorder
Term
what somatoform disorder is assiciated with OCD personality?
Definition
body dysmorphic disorder
Term
what is a high priority short term goal for severe and panic level?
Definition
lowering anxiety
Term
benzo's, sedative hypnotics, antihistamines, and antidepressant SSRI's can be used for _________-
Definition
antianxiety
Term
what do you use for short term anxiety, insomnia, ETOH withdrawal, seizure
Definition
benzos
Term
when withdrawing benzos you have to _____.
Definition
taper
Term
slide 85 has withdrawal symptoms of benzos
Definition
know them!
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