Therapeutic Interventions
OCD
Stress Response
Neurotransmitters
Stress & Anxiety
100
A counseling technique where the client identifies an event that leads to negative self-talk and negative emotional responses and the counselor helps them substitute the distorted thought with a positive one.
What is Cognitive Behavioral Therapy?
100
Same proposed etiology as GAD: complex interaction of genetic predisposition neurobiological dysfunction and interaction with the environment.
What is Obsessive Compulsive Disorder?
100
A glucocorticoid that can lead to suppression of the immune system increasing risk of infection and malignancies with chronic anxiety disorders.
What is Cortisol?
100
A chemical brain substance that is responsible for regulating sleep, arousal levels, memory, and emotion.
What is Serotonin?
100
A normal response to daily pressure that offer us an alert that we need to monitor and correct our behavior.
What is stress?
200
Teaching a client how to identify and manage stessors before emotions escalate into anxiety is best done at this stage of anxiety.
What is mild anxiety?
200
Joy has been diagnosed with OCD because she cannot sleep at night due to checking to see if the doors are locked at night. She has been doing this how long?
What is over 6 months?
200
Pupils constrict, increases salivation, Heart slow, bronchial constriction, gut stimulated, incontinence risk
What are actions of the Parasympathtic Nervous system?
200
A chemical messenger that regulates voluntary movement, learning, and pleasure.
What is Dopamine?
200
An emotional reaction to a well-defined danger or threat that prompts a reaction of self-preservation. Can escalate to panic.
What is fear?
300
Appropriate nursing interventions during this stage of anxiety include, reducing external stimulation, speaking in a calm, direct voice, and encouraging the client to discuss what they are thinking and feeling along with possible triggers.
What is Mild-moderate anxiety?
300
Joys obsessive thought that the door is unlocked and an intruder could come in leads to her checking the locks which is a ________________.
What is a compulsive behavior.
300
Release of Corticotropic-releasing hormone, Acetylcholine, and cortisol with increased glucose circulation and suppression of the immune system.
What is the HPA response system (Hypothalmus, Pituitary, Adrenals)?
300
A chemical messenger that regulates alertness, simulation of the sympathetic nervous system and arousal levels.
What is Norepinephrine?
300
Jordan is on the bus riding home and suddently breaks out in a sweat, feels pressure on her chest and her heart is beating fast. She has had this happen in various places with no known threat. It is hard for her to stop worrying about when it will happen again.
What is a Panic Disorder?
400
Decreases neurotransmisson as a GABA agonist. A CNS depressant like alcohol.
What is a benzodiazepine?
400
Joy is was started on an SSRi for her OCD diagnosis and 3 weeks later admitted to an inpatient mental health facility for response prevention therapy. You teach Joy and her family that during the therapy her anxiety will escalate when the _____________ is prevented.
What is the compulsive behavior/checking the locks?
400
Pupils dilate, dry mouth, increased heart rate, hyperglycemia, constipation
What are the effects of stimulation of the Sympathetic Nervous System?
400
Without this neurotransmitter, memory deficits may occur and muscle contraCtion may be altered.
What is acetylcholine?
400
Bill grew up with high expectations for success from his family. Here at GSU his GPA is 3.8. He is finding it hard to sleep, and he is losing weight. In April Bill tells the nurse at the counseling center that since the academic year started, he wakes up at all hours feeling like something bad is going to happen.
What is a generalized anxiety disorder?
500
This medication is prescribed for you to take if your relaxation and CBT due not interrupt the sudden onset of panic. It is to be taken as needed every 6 hours by mouth. This medication may make you drowsy and impair your driving. It is important only to take it as prescribed, not more as this medication can lead to dependence or addiction. Please make your followup appointment with the MD in 2 weeks.
What is discharge teaching for a person newly prescribed a benzodiazepine?
500
This leads to high risk of suicide with individuals who have OCD.
What is loss of normalcy, FUNCTION in work, family and social roles?
500
Activated by situations where Adrenaline and noradrenaline are released to increase energy and arousal in preparation to fight or flee.
What is the Sympathetic Nervous System?
500
Genetic predisposition, alterations in neurotransmitters, broken circuits, endocrine system malfunction, and/or physiological malformation interact with the environment.
What is the cause of mental health disorders?
500
I can't relapse again, I can't face another failure.
What is an example of a cognitive disortion?