PTSD
Patients who suffer from PTSD feel the obsessive need to talk about the traumatic event. True or False.
False: avoidance of stimuli associated with the traumatic event is usually observed.
OCD is more likely to occur in men or women?
What is OCD has equal prevalence in men and women. Anxiety disorders are much more likely to occur in women overall though.
What should be done first for a patient that comes in for arm numbness that you believe is experiencing a somatic disorder?
Rule out physical causes! Maslow's.
These anti-anxiety medications are indicated for short term use and have a fast onset.
What is Benzodiazepines such as diazepam (Valium).
The client fears a specific object or situation to an unreasonable level.
What is Phobia.
Patients with PTSD often display feelings or sadness. True or False?
False: They often have difficulty showing emotion besides rage or anger.
First line of drug treatment for PTSD?
SSRIs Pro Zolo Pax'd his CELEbrated LEXus.
*Zoloft
*Prozac
What is the term to describe a somatic symptom disorder in which one has an intense preoccupation with having a serious disease or medical condition based on misinterpretation of body signs and symptoms.
What is hypochondriasis.
An anti-hypertensive that decreases elevated vital signs and manifestations of anxiety, panic, hypervigilance, and insomnia.
What is propranolol.
The client exhibits uncontrollable, excessive worry for more than 3 months.
What is Generalized Anxiety Disorder (GAD).
List 3 characteristics of a patient with PTSD.
What are: have frequent flashbacks/hallucinations/nightmares, poor sleep patterns, feelings of guilt, withdrawn/isolate themselves, outbursts of rage, irritability, had previous exposure to real or perceived threat to life or limb, increased arousal, inability to show emotion, avoidance of talking about the event.
A distressing persistent thought.
What is an obsession.
A somatic symptom disorder in which the individual presents problems related to the sensory or motor functions.
conversion disorder aka functional neurological symptom disorder.
The symptoms match the client's ideas but not a physically based disease process.
Name the different types of medications used to help treat anxiety disorders. You must name at least 3.
What are SSRI antidepressants, Benzos, nonbarbiturate anxiolytics or atypical anxiolytics (Buspirone), beta-blockers, antihistamines and anticonvulsants.
What are maladaptive responses to anxiety?
What is ineffective attempts to cope with stress that do nothing to eliminate the source of the anxiety.
What should the nurse do when a patient is experiencing a flashback?
What is ensure everyone's safety and reorient the patient to his/her present surroundings. The patient in the flashback thinks the experience is real and life threatening to the individual.
Why does a person with OCD feel the need to do the compulsion even though they are aware it is maladaptive?
To relieve the anxiety (although temporarily) caused from the obsession.
Somatic complaints are simulated on purpose to achieve some type of gain.
What is factitious disorder.
A nurse is caring for a client who has been taking sertraline for the past 2 days. Which of the following findings should alert the nurse to the possibility that the client is developing serotonin syndrome?
1. Bruising
2. Fever
3. Abdominal pain
4. Rash
What is B. Fever.
You should be careful when taking SSRIs with blood thinners. It can cause bleeding but it is not a manifestation of SS.
The others are not manifestations of SS.
Disorder where people are obsessed with a flaw in their body.
What is body dismorphic disorder.
A client who is a veteran of the Gulf War is being assessed by a nurse for post-traumatic stress disorder (PTSD). Which of the following client symptoms would support this diagnosis? (Select all that apply.)
A. The client has experienced symptoms of the disorder for 2 weeks.
B. The client fears a physical integrity threat to self.
C. The client feels detached and estranged from others.
D. The client experiences fear and helplessness.
E. The client is lethargic and somnolent.
ANS: B, C, D
Clients diagnosed with PTSD can experience the following symptoms: fear of a physical integrity threat to self, detachment and estrangement from others, and intense fear and helplessness. Characteristic symptoms of PTSD include re-living the traumatic event, a sustained high level of arousal, and a general numbing of responsiveness.
A defense mechanism used commonly by patients with OCD?
Projection
Conversion
Displacement
Denial
What is displacement
pg 211
They focus anxieties into compulsive actions.
Individual purposely produces symptoms to meet a recognizable external goal.
What is malingering.
A nurse is reinforcing teaching with a patient who has a new prescription for escitalopram (Lexapro) for treatment of generalized anxiety disorder. Which of the following statements indicates that the client understands the teaching?
A. I should take this medication on an empty stomach.
B. I will follow a low Na+ diet while taking this medication.
C. I need to discontinue this medication slowly.
D. I should stop this medication if it causes nausea.
What is C. When discontinuing Lexapro, the client should taper the medication slowly to reduce the risk of withdrawal syndrome.
It can be taken with food. There is a risk of HYPOnatremia with Lexapro, the side effect of nausea and drowsiness should improve after the first few days/weeks.
A nurse is caring for a patient who is experiencing a panic attack. Which of the following actions should the nurse take?
1. Discuss new relaxation techniques.
2. Show the client how to change the behavior.
3. Distract the client with a TV show.
4. Stay with the client and remain quiet.
What is D. During a panic attack, the nurse should quietly remain with the client. This promotes safety and reassurance without additional stimuli.
LOW STIMULI
Patient can't concentrate to learn new information during a panic attack.