Emotional response.
What is Anxiety?
Restlessness, irritability, able to work effectively towards a goal, aware of anxiety, able to focus.
What is Mild Anxiety?
CAM therapy for weight loss.
What is Hypnotherapy?
*Trial-and-error attempts fail
*Anxiety can escalate to severe level or panic
*Unable to problem solve, withdrawal, fight
*Need to redefine the problem/compromise
What is Crisis Phase 3?
Events that are:
Extraordinary, External & Unanticipated.
What is a Situational Crisis?
Focus on one detail, NO problem solving, confusion, withdrawal, feeling of dread, loud and rapid speech, chest discomfort, dizziness, sweating, N/V/D
What is Severe Anxiety?
S/S: tachycardia, HTN, decreased peristalsis, hyperglycemia, headache, constipation/diarrhea, increased gastric secretions, tension.
What is the Fight or Flight Response?
Neurotransmitter that inhibits excitability.
What is GABA?
Actual physiological response.
What is Stress?
Immediate crisis goals (2).
What is:
1. Patient safety
2. Anxiety reduction
New developmental stage is reached.
Old coping skills no longer effective.
What is a Maturational Crisis?
Plays an important role in mood, sleep, sexuality, appetite and metabolism.
What is Serotonin?
Events that are: Unplanned & accidental.
Natural/National disasters, Crimes of Violence.
What is a Adventitious Crisis?
Median age of diagnosis for anxiety.
What is 30 years old?
*Defense mechanisms fail
*Threat persists, anxiety increases, extreme discomfort
*Trial-and-error attempt to solve problem and restore normal balance
What is Crisis Phase 2?
Alerts the brain to danger & stores emotional memories.
What is the Amygdala?
3 assessment steps for a crisis.
What is:
*Assessment of perception of precipitating event
*Assessment of situational supports
*Assessment of personal coping skills
GAS Stages.
1. Alarm/Acute Stress
2. Resistance/Adaptation
3. Exhaustion
Poor concentration, focus on source of anxiety, muscle tension, less effective problem solving, insomnia, increased HR/RR/BP, pacing, voice tremors.
What is Moderate Anxiety?
Nurse's 3 roles in CAM therapy.
What is:
*Be knowledgeable
*Do NOT advise
*Patient education
*Conflict or problem occurs, feels threatened, increased anxiety
*Use of problem-solving techniques and defense mechanisms
*Conflict resolved, decrease anxiety
What is Crisis Phase 1?
S/S: apprehension, unhappiness, decreased appetite, low immune response, tachypnea, tachycardia, HTN, high metabolism.
What is Acute Stress?
Palpitations, SOB, immobility/severe hyperactive, NO focus, irrational reasoning, unable to speak, unintelligible speech, experience terror, out of touch with reality.
What is Panic Anxiety?
Acute/time limited, coping mechanisms fail, inability to function.
What is a Crisis?
*Problem is unsolved and coping skills are ineffective
*Overwhelming anxiety
*Possible serious personality disorganization, depression, confusion, violence, suicidal behavior
What is Crisis Phase 4?