Term
| What is concept of Anxiety? |
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Definition
| Universal feeling, uncomfortable feeling of apprehension or dread, response to internal or external stimuli |
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Term
| What is the difference between normal and abnormal? |
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Definition
| Normal is appropriate to situation and dissipates when situation resolves. Abnormal is when determined by intensity of anxiety relative to situation, trigger for anxiety, and symptoms |
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Term
| What kind of symptoms might Anxiety have? |
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Definition
| physical, affective, cognitive or behavioral |
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Term
| What are some physical symptoms of anxiety? |
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Definition
| Palpitation, Increase BP, SOB, Difficulty breathing, Tremors, weakness, twitching, GI distress, abd pain, choking, gasping, sweating |
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Term
| What are affective symptoms of anxiety? |
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Definition
| edgy, uneasy, fearful, nervous, tense, scared, jittery, jumpy, terrified |
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Term
| What are some cognitive symptoms? |
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Definition
| Mind is hazy, feelings of unreality, can't concentrate, recall, loss of objectivity, fear of losing control, self-consciousness, difficulty reasoning |
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Term
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Definition
| Flight, avoidance, restlessness, immobility, impaired coodination |
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Term
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Definition
| Sensation that something is different. Increased sensory stimulation |
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Term
| What is moderate Anxiety? |
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Definition
| Disturbing feeling that something is wrong, nervous and agitated |
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Term
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Definition
| Primitive survival skills take over, difficulty thinking and reasoning |
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Term
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Definition
| Emotional-psychomotor realm predominates, adrenalin surge |
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Term
| How does gener play a role? |
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Definition
| Affect women more than men |
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Term
| What are some risk factors? |
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Definition
| smokers, age above 45, separated/divorced, survivors of abuse |
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Term
| Does anxiety normally happen on its own? |
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Definition
| Commonly associated with other psychiatric illnesses or physiologic disorders |
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Term
| What are DSM Classification of Anxiety Disorders? |
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Definition
| Panic Disorders, Agoraphobia, OCD, Generalized Anxiety Disorder, Phobic Disorders, PTSD, Acute Stress Disorder, Anxiety Disorder Due to a General Medical Condition, Substance-induced anxiety disorder, Anxiety disorder NOS |
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Term
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Definition
| Extreme, overwhelming form of anxiety, intense apprehension, fearfulness, terror. Build to peak in 10-15 min. |
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Term
| What is primary concern for a Panic Attack? |
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Definition
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Term
| Review DSM Criteria for Panic Attack |
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Definition
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Term
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Definition
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Term
| What are the Emergency Care Interventions for Panic Attack? |
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Definition
| Stay w. pt and remain calm, give clear, simple instructions, non-stimulating environment, reassurance, administer PRN anxiolytic medications |
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Term
| What are Nursing Assessment for Panic Disorder? |
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Definition
| Determine patterns of attacks, symptoms, responses, mental status, suicide assessment, family functioning, cultural factors, cognitive thought patterns, avoidance behavior patterns |
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Term
| Treatment for Panic Disorders? |
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Definition
| Stabilize pt, administer & moniter medication, comorbid conditions, suicide assessment, pt education |
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Term
| Treatment for panic disorder? |
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Definition
| Cognitive therapy, Interoceptive exposure technique |
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Term
| What is Behavioral Therapy? |
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Definition
| Desensitization, break down fearful situations into small, manageable steps, helps with situational avoidance |
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Term
| What are Psychopharmacologic Treatments for Panic Disorder? |
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Definition
| Selective Serotonin Reuptake Inhibitors (SSRIs), Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs), Tricyclic Antidepressants (TCAs), Monoamine Oxidase Inhibitors (MAOIs). Benzodiazepines, |
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Term
| What constitutes Obsessive-Compulsive Disorder? |
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Definition
| Severe obsessions/compulsions that take up more than 1 hour/day and interfere w. function |
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Term
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Definition
| Unwanted, recurrent, intrusive thoughts. Fear of contamination most common |
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Term
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Definition
| Rituatlistic, repetitive behaviors that relieve anxiety. Handwashing, checking, praying, counting |
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Term
| What are Signs and Symptoms of OCD? |
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Definition
| Obessions & Compulsions, Disturbing comulsions increase anxiety. Perceived need to achieve perfection. Many patients hide symptoms |
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Term
| What are Nursing Assessments for OCD? |
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Definition
| Type and severity of obsessions & compulsions, Degree which symptoms interfere w. func. Consequences of compulsions, nutrition and sleep, suicide assessment |
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Term
| What are treatment options for OCD? |
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Definition
| Behavioral Therapy (exposure & response-prevention), Partial hospitalization, day treatment |
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Term
| What medications are for OCD? |
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Definition
| SSRIs, SNRIs, TCAs, MAOIs |
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Term
| What are other Treatment Options? |
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Definition
| Relaxation techniques, support groups, ECT, Deep brain stimulation, psychosurgery |
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Term
| What are nursing interventions for OCD? |
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Definition
| Provid basic needs, ask specific questions about thoughts and behaviors, maintain accepting attitude, allow time to carry out ritualistic behavior, explain unit routines, monitor suicidal thoughts, set realistic expectations, monitor medication |
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Term
| What are characteristics of Generalized Anxiety Disorder? |
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Definition
| Excessive worry, common disorder, onset gradual or acute, immunosuppression |
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Term
| When is onset for Generalized Anxiety Disorder? |
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Definition
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Term
| What are Comorbidity for Generalized Anxiety Disorder? |
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Definition
| Panic Disorder, substance abuse |
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Term
| What are 3 categories of Signs and Symptoms of General Anxiety Disorder? |
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Definition
| Excessive physiologic arousal, Distorted Cognitive Processes, Poor Coping |
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Term
| Treatment for Generalized Anxiety Disorder? |
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Definition
| Relaxation Techniques, psychotherapy, Cognitive Therapy |
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Term
| What are Pharmacologic Treatments for GAD? |
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Definition
| BuSpar (Buspirone), Benzodiazepines, SSRIs, TCAs |
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Term
| Nursing Interventions for GAD? |
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Definition
| Similar to Panic Disorder, suggest activities to distract from anxiety, teach relaxation techniques, medication issues, sleep hygiene, appropriate referrals |
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Term
| What are some characteristics of PTSD? |
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Definition
| After serious tramatic event, flashbacks, nightmares, risk for develping other disorders |
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Term
| What are Signs & symptoms of PTSD? |
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Definition
| Anger, Poor impulse control, anxiety and tension, avoidance of people, places, and things associated with traumatic experience, emotional numbness, difficulty concentrating, insomnia, depersonalization |
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Term
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Definition
| Psychotherapy, Exposure therapy, stress management, relaxation techniques, group therapy, pharmacologic treatment |
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Term
| What are Nursing Interventions for PTSD? |
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Definition
| Encourage pts to express grief and gain coping skills, deal with anger, encourage pt to assess angery outbursts, help pt regain control over angry impulses, medication issues |
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