Anxiety
True or False. Defense mechanisms can be used to help maintain one's self-image by blocking memories, feelings and conflicts.
What is "True"?
T/F Learning & problem-solving are possible in severe anxiety.
What is "False"?
T/F Therapeutic communication should be used for all levels of anxiety.
What is "false"? (would not use for severe/panic)
A husband accuses his wife of cheating, when he is actually the one seeking a companion outside of the marriage. This is an example of what defense mechanism?
What is "projection"?
This is the benefit of mild anxiety.
What is "help sharpen focus & increase problem-solving"?
Exploring past ways of dealing with one's anxiety is best for ______ anxiety level(s).
What are mild & moderate levels of anxiety?
T/F The priority intervention for the patient with tachycardia, selective inattention & pacing is staying with the patient.
What is "false"?
This is KEY to determining the intervention(s) that will be most helpful for the patient.
What is the "Level of Anxiety"?
Characterized by tension-relieving behaviors & selective inattention
What is "moderate level of anxiety"?
A patient is screaming & impulsively runs into into oncoming traffic following an accident. Name the level of anxiety.
What is "panic"?
Name two ways that the milieu helps the anxious patient.
What are: structured enviro provides sense of safety/predictability; monitor & protect from self-harm; daily activities that encourage sharing; participation in decision making
A husband experiences deafness after his partner tells him that she wants a divorce. Name the defense mechanism.
Name 3 physical symptoms we would expect from the patient experiencing moderate anxiety.
What is "tension, pounding heart, tachycardia, tachypnea, perspiration"?
T/F A sense of impending doom, somatic symptoms & hyperventilation are common in severe/panic anxiety.
What is "True"?
"What were you thinking right before you started to feel anxious?" is an appropriate question for a patient with which level(s) of anxiety?
What are "mild/moderate"?
They can problem-solve - whereas severe/panic cannot.
A woman is sitting in her car on the side of I-40 - hyperventilating & crying, with concerns of chest pain and "impending doom". Name two priority interventions for this patient.
What are: Role model calm; ALWAYS STAY w/ patient; Reinforce reality prn; Set safety limits prn; Attend to physical and safety needs (warmth, fluids, elimination, pain relief etc)
When one is under stress and their relief behavior is ineffective, several things can happen. What are 2 things beyond anxiety that may occur?
What are:
Difficulty coping
Extreme use of defenses/coping behaviors
Precipitation/exacerbation of psychotic symptoms
Chronic anxiety if unrelieved
The patient with severe anxiety may experience a greatly reduced perceptual field. Name 2 other characteristics of severe anxiety.
What are: inability to learn/problem-solve; automatic behaviors aimed at reducing or relieving anxiety; somatic symptoms ie headache, dizziness, nausea, insomnia etc; hyperventilation & sense of impending doom are common
A woman is sitting in her car on the side of I-40 - hyperventilating & crying, with concerns of chest pain and "impending doom". Name best way to communicate with this patient.
What is "short, firm, clear, simple statements. And repetition"?
This intervention can be used for all levels of anxiety because it helps to channel & relieve tension, and may temporarily lower anxiety.
What is "provide opportunity for physical activity" ie walking with the nurse, punching bag, ping pong game etc?