Vocabulary
An anxiety about possible situations in which a panic attack may occur.
What is agoraphobia.
People with agoraphobia avoid people, places, or events from which escape would be difficult or embarrassing.
Typically, agoraphobia is associated with public situations, such as being in a crowd, standing in line, or traveling on a bus or plan.
Also, standing on bridges or being afraid to leave the house alone are associated with agoraphobia.
Vital signs are normal, minimal muscle tension, pupils normal/constricted
Perceptual field is broad. Awareness of multiple environmental and internal stimuli. Thoughts may be rando but controlled.
Feelings of relative comfort and safety. Relaxed, calm appearance and voice. Performance is automatic; habitual behaviors occur.
What is Mild
Give two examples of physical coping mechanisms.
What is: Walking, running, physical exercise, stretching, yoga
Example: A teenager doing poorly in school daydreams about owning a private jet.
What is Fantasy.
True or False: It is OK for Benzodiazepines to be stopped abruptly
What is False
Name 2 problems related to childhood anxiety.
What is Phobias, Separation anxiety disorder, Overanxious disorders, Avoidant behaviors.
What is the most effective way to cope with anxiety?
What is Prevention.
Vivid recollections of the event in which the individual relives the frightening experience.
What is Flashbacks.
Flashbacks can last from a few seconds to longer than a half hour.
The preceding symptoms escalate until sympathetic nervous system release occurs. Person may become pale, blood pressure decreases, hypotension. Poor muscle coordination. Pale/hearing sensations minimal
Problem-solving and logical thinking highly improbable.
Completely disorganized
What is 'Panic'
Give 2 examples of spiritual coping mechanisms.
What is Faith, Prayer, Ritual, Attending Church, Communicating with Nature
Example: A hostile young man who enjoys fighting becomes a football player
What is Sublimination
Name 3 uses for Benzodiazepines.
(When would we use it?)
What is Anxiety, Panic Disorders, Seizure Activity, Decreasing Muscle Tension, Ativan is used for Alcohol Withdrawal
________ who ineffectively cope with anxiety often express themselves inappropriately.
What are adolescents.
True or False: Mental health facilities and medications are frequently used as treatment for anxiety.
What is True.
A learned response to an anticipated event.
What is Signal Anxiety.
Example: A usually calm student who becomes nauseated during examinations.
Fight-or-Flight response. Vital signs increased, sweating, urinary urgency and frequency, diarrhea, dry mouth, appetite decreased, pupils dilated. Muscles rigid/tense. Senses affected; hearing decreased, pain sensation decreased.
Selective inattention, Distortion of time (things seem faster or slower than normal). Problem solving difficult.
What is Severe
Give 2 examples of emotional coping mechanisms.
What is Crying, Communicating or sharing one's anxious feelings, Using ego defense mechanisms
Example: A man physically abuses his wife and then cleans her wounds and nurses her back to health.
What is Undoing
Name 3 side effects of Benzodiazepines.
Decreased respiratory rate, decreased blood pressure, decreased GI motility (constipation), decreased energy levels (sedation), decreased secretions of the mouth (dry mouth).
Table 18.3
_________ often deny their anxiety.
What is The Elderly.
Name 3 therapeutic nursing interventions used for a patient who has anxiety.
What is Cognitive Behavioral Therapy (CBD), Desensitization, Meditation, Therapy Animals, Medications, Mental Health Facilities....
When one's coping abilities become overwhelmed, and emotional control is lost.
What is anxiety state.
Example: Many emergencies, accidents, and truamas are associated with anxiety states.
Vital signs normal or slightly elevated.
Optimal state for problem solving and learning.
Attentive.
Feelings of readiness and challenge/energized.
What is Moderate
Describe intellectual coping mechanism.
What is Aimed at making the threat less meaningful but by changing one's perception
Example: Pretending everyone in the audience is smiling when they are about to give a speech.
What is Restitution.
Name four Benzodiazepine medications.
What is apraxolam, lorazepam, diazepam, clonazepam
(Xanax, Ativan, Valium, Klonopin)
When _________ are not successfully managed, a number of mental health problems may result
What are Adult Anxieties.
Name 3 fears in the medical field that patients may need to overcome treatment.
What are needles, CT/MRI machines (claustrophobia), hyperbaric chambers, germs, procedures...
Related to a treatment or process that diminishes emotional responsiveness to a negative or aversive stimulus after repeated exposure.
What is Desensitization.
Example: For someone who is afraid of spiders, Treatment: First have them think about spiders. Slowly lead up to being around a spider.
A nurse is assessing a client who is pacing rapidly, trembling, and repeatedly stating, “I can’t think… I don’t know what to do… I feel like something bad is going to happen!” The client is unable to follow directions and cannot focus on the nurse’s questions. Which level of anxiety is the client experiencing?
What is Severe Anxiety.
A Native American patient has been recently diagnosed with a chronic illness. During the nursing assessment, the patient shares that they would like a medicine man to perform a healing ritual before starting treatment. Which type of coping mechanism best describes this situation?
What is Spiritual Coping
A young man with homosexual feelings, which he finds to be threatening, engages in excessive heterosexual activities.
What is Reaction Formation.
What is the antidote for Benzodiazepines?
What is Flumazenil.
I FLU fast in my Mercedez BENZ!
A nurse is assessing a client with generalized anxiety disorder (GAD). Which of the following findings should the nurse expect?
A. Recurrent chest pain with exertion
B. Excessive worry occurring more days than not for at least 6 months
C. Sudden episodes of intense fear lasting less than 10 minutes
D. Fear of being in places where escape might be difficult
What is B- The hallmark of generalized anxiety disorder (GAD) is chronic, excessive worry that is difficult to control, lasting ≥6 months.
A- Cardiovascular symptoms C-Panic Attack/Panic Disorder D. Agoraphobia
A patient was taken to the radiology department to obtain a CT. The radiology department called the patient's nurse and said the patient states she is unable to complete the procedure due to claustrophobia. What medication(s) could the nurse request the doctor order to attempt to get the CT completed?
What are Benzodiazepines.
(Ativan, Xanax, Valium, Klonopin)