Types of Anxiety Disorders
This disorder is the fear of open spaces or certain places such outside or bridges, where they feel vulnerable.
What is agoraphobia?
A nurse sees a patient repeatedly washing their hands so that the hands are bleeding. The nurse identifies the underlying cause of this repetitive behavior is
What is .....an attempt to reduce anxiety.
True or False: Patients experiencing PTSD will have an obsessive need to talk about the experience and have diminished reflexes.
What is ....False
This class of medication is one of the first-line treatment for severe anxiety and panic. Especially in a crisis or acute setting.
What are.....Benzodiazepines
True or False: Most people that experience a horrific traumatic event, eventually develop PTSD.
What is ......False. Most people do not develop PTSD. Most will not develop PTSD.
This is the difference between obsession and compulsion in OCD.
What is.... an obsession is an intrusive thought that does not go away and a compulsion is acting on that thought.
While assessing the patient that has just been admitted for panic-level anxiety, the nurse needs to be aware of this comorbid conditions.
What is .....suicide, depression, and Substance abuse
Patients with Acute Stress Disorder (ASD) is different from PTSD, because ASD symptoms will only last this length of time.
What is .....3 days but not longer than 1 month, PTSD can last for years.
This may result if a patient stops taking benzodiazapine abruptly.
What are .....Seizures and Death.
True or False: A patient tells you that the FBI is following her and trying to control her thoughts. This is an example of dissociative amnesia.
What is.....False. This is an example of paranoid thoughts.
The difference between a phobia and generalized anxiety disorder (GAD).
What is....a phobia is fear of a specific object and GAD is uncontrollable, excessive worry for at least 6 months.
A patient comes in to the ED after a horrific AVA, and is now experiencing Acute Stress Disorder (ASD). The nurse can expect the patient to recall how much about the accident.
What is ....very little detail.
These are the behavioral and manifestations of patients with PTSD.
What is....aggression and irritability, guilt, hyper-vigilance, sleep disturbances, destructive behaviors (SI or HI), detachment, dissociative manifestations (amnesia, derealization or depersonalization).
This class of drug is also used for panic and stress/trauma disorders. Examples include Paroxetine, Sertraline, Fluoxetine, and many others.
What are....SSRIs.
A patient becomes agitated, pacing the room, and cursing at staff. She will not respond to the nurse and unable to focus. She then picks up a chair and is threatening to hurt the staff and other patients. This patient is exhibiting mild, moderate, or severe anxiety.
What is ....severe panic.
This person has a preoccupation with perceived flaws or defects in physical appearance.
What is.....Body dysmorphic disorder.
A nurse working in the ED has been involved in a serious mass causality. This nurse has cared for multiple patients that have died. These are the best strategies the nurse should do to prevent this nurse from developing PTSD.
What is ....take breaks for food and water, debrief with others after the incident, and get counseling.
The nurse would recognize this disorder if the patient presented with a life-long pattern of resistance to change, pattern of difficulty with coping, and when a stressful situation occurs the response to that stress is out of proportion to the stress.
What is....Adjustment Disorder.
This drug is an anxiolytic, but unlike Benzodiazepines it is not habit forming, intended for long-term use, and takes 2-6 weeks to reach full effect.
What is .....Buspirone (Buspar).
True or False: A nurse is caring for a patient that calls the nurse to her room and is having a panic attack. The nurse should go to the room and teach the patient about the medication ordered for panic attacks.
What is .....false.
Inability to recall personal information regarding stressful events for a period of time.
What is.....Dissociative amnesia
When assessing a patient with generalized anxiety disorder, the nurse would expect the patient to report uncontrollable and excessive worry for this length of time.
What is .... for more than 3 months,
When assess a patient, the patient tells the nurse that they feel like they are observing their body from a distance. The nurse this patient is experiencing a dissociative disorder known as....
What is....Depersonalization
This is the expected pharmacological action of 1) Benzodiazepines and 2)SSRI.
What is ....Benzodiazepines depress the CNS and SSRIs increase serotonin levels.
These are the signs and symptoms of Serotonin Syndrome.
What is ......SHIVERS, S=Shivers/tremors, H=Hyperflexia, I=Increase temperature, V=Vital Sign Instability, E=Encephalopathy (LOC), R=Restlessness, S=Sweating