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motivation for achievement and necessary force for survival |
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not the same -stress: external pressure that is brought to bear on an individual -anxiety: subjective emotional response to stressor |
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fear is cognitive (thought process) anxiety is emotional (feeling) |
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panic disorder characteristics |
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recurrent attacks with unpredictable onsets -intense apprehension fear or terror -associated with feelings of impending doom and intense physical discomfort |
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panic disorder with -fear of being in places or situations where escape is difficult or embarrassing or help is not available |
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generalized anxiety disorder |
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Definition
chronic, unrealistic and excessive anxiety and worry |
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panic/anxiety disorder etiology -overuse or ineffective use of ego defense mechanisms results in maladaptive responses to anxiety |
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panic/anxiety disorder etiology -faulty, distorted or counterproductive thinking patterns accompany or precede maladaptive behaviors and emotional disorders |
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biological aspects resulting in panic or anxiety disorders |
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Definition
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Panic Anxiety -related to real or perceived threat to biological integrity or self-concept Powerlessness -related to impaired cognition |
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-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 |
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Definition
excessive fear of situations which person might do something embarrassing or be evaluated negatively by others |
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psychoanalytical theory for phobias |
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Definition
unconscious fears may be expressed in a symbolic manner as phobia |
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learning theory for phobias |
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Definition
fears are learned and become conditioned responses when individual escapes panic anxiety by avoidance |
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cognitive theory for phobias |
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Definition
anxiety is product of faulty cognitions or anxiety-inducing self-instructions -negative self statements -irrational beliefs |
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innate fears. characterics tthat you are born with |
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early life experiences can set stage phobic reactions |
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-fear r/t causing embarrassment, unable to escape or to specific stimulus -social isolation r/t being unable to escape |
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focus of nursing care for phobias |
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Definition
-help client learn to function in presence of phobic object with out panic anxiety - assist in reducing fear of leaving home alone |
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Definition
recurrent obsessions or compulsions that are severe enough to be time-consuming or cause marked distress or significant impairment |
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unwanted, intrusive, persistent -ideas, thoughts, impulses or images -cause marked anxiety or distress. |
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unwanted repetitive behavior patterns or mental acts that are -intended to reduce anxiety not provide pleasure or gratification |
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psychoanalytical theory of OCD |
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Definition
pts with OCD and weak and underdeveloped egos -habitual actions to prevent aggression from surfacing which would produce anxiety and guilt |
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other etiological OCD factors |
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Definition
learned experiences (passive and active avoidence) neuro anatomy neurotransmitters- serotonin OCD and depression linked |
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Definition
-ineffective coping r/t underdeveloped ego, superego, avoidance learning and biochemical changes -ineffective role performance r/t rituals |
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-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 |
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Anxiety d/t general medical condition |
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Definition
sx judged to be direct physiological consequence of medical condition or substance (meds alcohol recreational drug) |
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family education for anxiety disorders |
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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 |
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meds for Panic and Generalized anxiety disorders |
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Definition
antiolytics antidepressants antihypertensive agents |
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meds for phobic disorders |
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Definition
same as panic and generalized anxiety |
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