Term
|
Definition
Associated w/ daily life; motivates learning
Increases sensory awareness
Thoughts are logical; concentrate and problem solve
Appear calm and in control |
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Term
|
Definition
Motivates learning, attentive, problem solve
Dulls percepteion of sensory stimuli; hesitant
Speech rate and volume increase; restless
May have physical symptoms: headache, nausea, diarrhea |
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Term
|
Definition
Fight-or-flight response
Disorganized sensory stimuli
Impaired concentration and problem solving
Selective attention
Verbalizes emotional pain
Tremors, increased motor activity |
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Term
|
Definition
Grossly distorted perceptions
Loss of rational, logical thinkging
Loss of control, inability to function
Angry, aggressive, withdrawn
Requires immediate intervention |
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Term
| What is the physiologic response to anxiety? |
|
Definition
Increased HR and BP
Rapid, shallow respirations
Dry mouth, tight feeling in throat
Tremors and muscle tension; anorexia
Urinary frequency, palmar sweating |
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Term
| Coping styles used for panic disorders and phobias |
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Definition
Displacement
Projection
Regression
Sublimation |
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Term
| Obsessive-compulsive disorder |
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Definition
| Anxiety associated w/ repetitive thoughts |
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Term
| Coping styles to control anxiety in OCD |
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Definition
Repression
Isolation
Undoing |
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Term
Interfering w/ an obsessive compulsive act will only increase anxiety
True or False |
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Definition
|
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Term
| the best time to interact w/ a client w/ OCD is after completion of the ritual. True or False |
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Definition
| True bc the clients anxiety level is lowest after performing the act. |
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Term
| Nursing interventions for OCD |
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Definition
Provide for physical needs
Allow performance w/attention to safety
Explore meaning & purpose of behavior
Avoid punishing & criticizing
Establish routine
Learning alternative methods to deal w/ stress
Do not reinforcing compulsive behavior
Limit amount of time for performance
admin antianxiety meds and SSRIs |
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Term
| Posttraumatic Stree Disorder |
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Definition
| Severe anxiety which results from a traumatic experience |
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Term
| What are some anxiety-reducing strategies the nurse can teach. |
|
Definition
Deep breathing techniques
Visualization
Relaxation techniques
Exercise
Biofeedback |
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Term
| A Vietnam vet is plagued by nightmares and is found trying to strangle his roommate one night. What do you do as the nurse? |
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Definition
1. Protec the roommate
2. Stay w/ the client
3. If client is agitated admin antianxiety as prescribed
4. Arrage for private room
5. Place client on homicidal precautions at night. |
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Term
| Desensitiztion of a client w/ a phobia of flying includes what? |
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Definition
Establish trust first
Talk about it
Look at pics of planes
Visit the airport
Board a plane alone
Go a a short flight w/ client |
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Term
Librium
Valium
Centrax
Serax
Xanax
Tranxene
Ativan |
|
Definition
Antianxiety, sedative/hypnotics, Benzo
Admin HS, alleviates daytime sedation
Avoid alcohol and CNS depressants
Avoid driving, working equipment
Do not stop suddenly |
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Term
|
Definition
Antianxiety, Nonbenxo
Takes several wks for antianxiety effects to become apparent |
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Term
|
Definition
Antianxiety, sedative/hypnotics, Nonbenzo
Give w/ food 1-1.5h before HS |
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Term
| What are some medications for anxiety disorders? |
|
Definition
SSRIs
TCAs
MAOIs
Benzodiazepines
Beta blockers
Anti-epileptic |
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|
Term
| What are some tx for anxiety disorders? |
|
Definition
Cognitive-behavioral therapy (cognitive reframing)
Behavioral therapy
Group and family therapy (PTSD) |
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