Anxiety
This is phobia experience.
What are symptoms of panic occur that overwhelming and unreasonable in response to a stimulus?
These drugs may be given for panic disorders.
What are benzos?
Name a benzo ________
SSRIs are given in this amount to patients with OCD.
What is higher than normal amounts given for depression?
Patients are often given SSRIs in higher than what is effective amounts for treating depression.
What is derealization?
What is an unreality of surroundings?
The world around the individual may appear unreal, dreamlike, distant, or distorted.
Gaps in time, or blackouts, when they patient may wake up and not know what happened when they have splits, signals this disorder.
What is dissociative identity disorder?
These are the types of interactions that patients with social phobias may avoid.
What are symptoms experienced in social settings?
Bonus question: What types of social experiences does the patient with schizoid personality d/o experience?
How do you determine if anxiety is abnormal?
What is when it is out of proportion to the stimulus and impairs one's functioning?
(page 571)
Remember, anxiety is a normal reaction to a realistic danger.
Symptoms of this medical condition often mimic anxiety.
What is an MI?
This is the difference between PTSD and ASD.
What is in PTSD, symptoms last longer than one month?
In both disorders, the person can witness a trauma but the difference is the amount of time the symptoms continue to occur.
The patient with somatic symptom disorder primary focus is this.
What are physical symptoms that suggest medical disease but have no basis? Although the symptoms are associated with psychosocial distress, the person focuses on the seriousness of the physical symptoms rather than underlying psychosocial issues. An example could be someone with persistent abdominal pain.
This is a symptom seen in panic disorder but not GAD.
What is depersonalization?
GAD is characterized by restlessness, persistent worry while panic disorder can experience. This differs from panic disorder when there is extreme anxiety, which can experience unreality, or psychotic symptoms.
The nurse can offer this when a patient is having a panic attack.
What is offering self?
Remaining with the patient and offering reassurance can alleviate their fears.
A patient is unusually calm and emotionally blunted after being raped. Name their response pattern.
What is a controlled response pattern?
These are common behaviors with PTSD.
What are aggressive behaviors, substance abuse, and intrusive recollections or nightmares?
Frank is assigned to secure a contract for his company. The boss tells Frank, "If we don't get this contract, the company may have to fold." When Frank wakes up on the morning of negotiations, he is unable to see. The the doctor in the ER has ruled out organic pathology. Name this disorder and a nursing intervention.
What is functional neurological symptom disorder (conversion disorder)?
What is dealing with physical symptoms in a detached manner? Withdraw attention if the patient continues to focus on the physical limitation because lack of reinforcement may help to extinguish the maladaptive response. (page 638).
Bonus question: When do symptoms resolve?
This is the long term treatment recommended for GAD.
What is buspirone (Buspar)?
Buspar is an antianxiety agent that is non-addictive and does not cause respiratory depression or dependence.
This therapy can gradually increase anxiety tolerance via exposure.
What is systematic desensitization?
Exposure to a series of anxiety-provoking steps can gradually increase anxiety tolerance.
This parent behavior may mean that their child is experiencing emotional abuse.
What is blaming the child constantly?
What is shrinks at the approach of adults and physical signs such as bruises and burns?
This is the priority nursing intervention for someone with dissociate identity disorder (DID).
What is establishing trust and rapport? Each personality, or alter, must establish trust with the nurse.
Bonus question: What is the process that a person with DID will go through?
Abreaction, a therapeutic technique that will help the person remember with feeling.
This is true about panic attacks, and can be comforting to the patient experiencing them.
What is they usually are brief?
The nurse can educate patients that the intense symptoms of panic attacks are usually brief.
Early on in a hospitalization, a patient with OCD spends 2 hours organizing their nightstand. The nurse should do this.
What is have the patient wake up early enough to complete the rituals prior to breakfast and unit activities?
As the patient makes progress, time limits can be set.
A patient experiences a major bus accident where there are multiple fatalities. They are now unable to recall all incidents associated with the accident. The patient is experiencing this.
What is localized amnesia?
These two components are central to the domestic violence relationship.
What is power and control?
Additionally, victims often have limited skills and are unable to make it on their own (pages 794-795).
This is the goal of dissociative identity disorder (DID).
What is collaboration among alters to improve the patient's functioning?