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Anxiety, OCD and phobias
Psyc Exam 2
31
Nursing
Undergraduate 3
10/27/2012

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Cards

Term
usefulness of anxiety
Definition
motivation for achievement and necessary force for survival
Term
stress v anxiety
Definition
not the same -stress: external pressure that is brought to bear on an individual -anxiety: subjective emotional response to stressor
Term
fear v anxiety
Definition
fear is cognitive (thought process) anxiety is emotional (feeling)
Term
panic disorder
characteristics
Definition
recurrent attacks with unpredictable onsets
-intense apprehension fear or terror
-associated with feelings of impending doom and intense physical discomfort
Term
agoraphobia
Definition
panic disorder with
-fear of being in places or situations where escape is difficult or embarrassing or help is not available
Term
generalized anxiety disorder
Definition
chronic, unrealistic and excessive anxiety and worry
Term
psychodynamic theory
Definition
panic/anxiety disorder etiology
-overuse or ineffective use of ego defense mechanisms results in maladaptive responses to anxiety
Term
cognitive theory
Definition
panic/anxiety disorder etiology
-faulty, distorted or counterproductive thinking patterns accompany or precede maladaptive behaviors and emotional disorders
Term
biological aspects resulting in panic or anxiety disorders
Definition
also contribute
Term
nursing diagnosis
Definition
Panic Anxiety
-related to real or perceived threat to biological integrity or self-concept
Powerlessness
-related to impaired cognition
Term
outcomes
Definition
-pt able to recognize escalating feelings
-pt able to intervene so that anxiety does not reach panic level
-pt able to discuss long term plan to prevent panic anxiety when stressful situations occur
-practices relaxation techniques daily
-physical exercise three times a week
-independent ADLs and decision making
Term
social phobia
Definition
excessive fear of situations which person might do something embarrassing or be evaluated negatively by others
Term
psychoanalytical theory for phobias
Definition
unconscious fears may be expressed in a symbolic manner as phobia
Term
learning theory for phobias
Definition
fears are learned and become conditioned responses when individual escapes panic anxiety by avoidance
Term
cognitive theory for phobias
Definition
anxiety is product of faulty cognitions or anxiety-inducing self-instructions
-negative self statements
-irrational beliefs
Term
biological aspects
Definition
innate fears.
characterics tthat you are born with
Term
life experences
Definition
early life experiences can set stage phobic reactions
Term
Phobias nursing Dx
Definition
-fear r/t causing embarrassment, unable to escape or to specific stimulus
-social isolation r/t being unable to escape
Term
focus of nursing care for phobias
Definition
-help client learn to function in presence of phobic object with out panic anxiety
- assist in reducing fear of leaving home alone
Term
OCD
Definition
recurrent obsessions or compulsions that are severe enough to be time-consuming or cause marked distress or significant impairment
Term
obsessions (def)
Definition
unwanted, intrusive, persistent
-ideas, thoughts, impulses or images
-cause marked anxiety or distress.
Term
compulsions (def)
Definition
unwanted repetitive behavior patterns or mental acts that are
-intended to reduce anxiety not provide pleasure or gratification
Term
psychoanalytical theory of OCD
Definition
pts with OCD and weak and underdeveloped egos
-habitual actions to prevent aggression from surfacing which would produce anxiety and guilt
Term
other etiological OCD factors
Definition
learned experiences (passive and active avoidence)
neuro anatomy
neurotransmitters- serotonin
OCD and depression linked
Term
OCD nursing DX
Definition
-ineffective coping r/t underdeveloped ego, superego, avoidance learning and biochemical changes
-ineffective role performance r/t rituals
Term
OCD outcomes
Definition
-pt able to maintain safe amount of anxiety without ritual
-pt able to ADLs independently
-pt verbalizes understanding of connection of ritual to anxiety
-pt identifies trigger from past leading to ritual
Term
Anxiety d/t general medical condition
Definition
sx judged to be direct physiological consequence of medical condition or substance (meds alcohol recreational drug)
Term
family education for anxiety disorders
Definition
What is the illness
symptoms of the illness
management of illness
-meds-s/e, length of time ect
-stress management (interrupt escalating stress and how to relax)
-support services
Term
DOC for OCD?
Definition
antidepressants
Term
meds for Panic and Generalized anxiety disorders
Definition
antiolytics
antidepressants
antihypertensive agents
Term
meds for phobic disorders
Definition
same as panic and generalized anxiety
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