Symptoms
Recurrent nightmares and hypervigilance are hallmark symptoms of what disorder?
PTSD
Patient loses motor function after stress, with no physical cause, but appears calm.
Conversion Disorder
Difference between malingering and conversion disorder.
Malingering = intentional for gain; Conversion = unconscious, no gain.
First step when a patient is having a panic attack.
Stay with the patient, remain calm, and use short simple sentences.
A student worries daily about finances, grades, and health for months. Trouble sleeping. Diagnosis?
Generalized Anxiety Disorder
Excessive worry for at least 6 months, often with muscle tension and restlessness.
Generalized Anxiety Disorder
A person fakes symptoms for external gain such as money or avoiding work.
Malingering
Difference between obsession and compulsion.
Obsession = intrusive thought; Compulsion = behavior to relieve anxiety.
Non-pharmacological therapy effective for OCD.
Cognitive Behavioral Therapy (CBT)
A teen washes her hands 30+ times a day to stop intrusive germ thoughts. Diagnosis?
OCD (Obsessions + Compulsions)
Fear of being trapped or unable to escape in public places.
Agoraphobia
In OCD, the repetitive intrusive thoughts are called ______.
Obsessions
Difference between panic disorder and generalized anxiety disorder.
Panic = sudden attacks; GAD = chronic worry.
Nursing approach for body dysmorphic disorder patients who request cosmetic surgery.
Acknowledge distress, avoid reinforcing perceived defect, encourage therapy.
A war veteran avoids crowds, startles easily, and relives combat in dreams. Diagnosis?
PTSD
Sudden, intense episodes of heart racing, sweating, and fear of dying.
Panic Disorder
In OCD, the ritualistic behaviors are called ______.
Compulsions
Difference between PTSD and dissociative amnesia.
PTSD = reliving trauma; Dissociative amnesia = forgetting trauma.
Best nursing response to PTSD patient triggered by fireworks.
Provide grounding techniques, reassurance of safety, and reduce stimuli.
A woman avoids shopping malls and buses unless her husband is present. Diagnosis?
Agoraphobia
Preoccupation with an imagined or exaggerated physical defect.
Body Dysmorphic Disorder
A patient cannot recall important personal info after trauma, but continues normal routines at home.
Dissociative Amnesia without Fugue
Difference between dissociative amnesia with fugue and without fugue.
With fugue = unexpected travel/new identity; Without fugue = memory loss only.
Strategy to help agoraphobia patients gradually face fears.
Systematic desensitization (gradual exposure therapy).
After a car crash, a man cannot recall his childhood but functions in daily life. Diagnosis?
Dissociative Amnesia