Anxiety Disorders
An anxiety disorder where a person is unable to speak in certain social situations.
What is selective mutism?
True or False: All stress is bad
What is false?
Type of grief typically experienced by clients and their families when a client is terminally ill
What is anticipatory grief?
Name two NSSH interventions...
What is...
Intervening early to prevent further self-harm
Developing an action plan that can be implemented when the desire to engage in NSSH occurs
Educating clients and significant others about NSSH thought processes
Establishing a support system of trusted individuals
Can be addictive, often prescribed for anxiety
What is a benzodiazepine?
Scale used to assess opioid withdrawal
What is the COWS scale?
Constant irrational and excessive fear or worry without any specific cause.
What is Generalized Anxiety Disorder?
An automatic physiological reaction to an event that is perceived as stressful or frightening.
What is fight-flight-freeze or fawn?
Immediate attention is required if the loved one left behind exhibits this
What is self-harm or suicidal ideations?
Name 3 coping skills nurses can teach patients with anger issues
What is...
focus on deep breathing
avoiding alcohol/substances
anger management classes
journaling
seeing a therapist
walking
Name 3 food items to avoid when taking MAOI inhibitors...
What is....
cheese
fermented meats/fish
beer/wine (most)
avocados
over-ripe bananas
yeast extract
Medication that causes severe vomiting if taken while ingesting alcohol
What is disulfiram (Antabuse)?
Excessive anxiety related to being in a social situation where one might be judged- ex: public speaking
What is Social Anxiety Disorder?
Name 3 nonpharmacological ways to reduce stress
What is:
journaling
CBT
Biofeedback
Exercise
Support group
Decreasing expectation
Spending time with a pet
Meditation/Mindfullness
Acknowledging the client's loss and how they are feeling demonstrates this type of care.
What is grief-informed care?
Techniques used before secluding/using restraints.
What is therapeutic communication and setting limits for the client?
Name 3 teaching points when educating a client using a benzo.
Avoid caffeine
Use caution when operating heavy machinery
Avoid alcohol
Avoid sedatives
Change positions slowly (watch for orthostatic hypotension)
Only use when needed due to risk of dependence
Name one medication used to decrease an individual's desire to drink alcohol
What is...
naltrexone (Revia)
disulfiram (Antabuse)
Name 2 pharmacologic treatments that are most effective at treating anxiety disorders (classes)
What are:
SSRI's
SNRI's
TCA's
MAOI Inhibitors
Benzodiazepines
The body physiologically responds to fight or flight by...
What is increasing in blood pressure, heart rate, respiration, and cardiac output?
The length of time in which grief is considered persistent and prolonged
What is 12 months or longer?
Name 3 signs someone is beginning to escalate in anger
What is....
Pacing
Rigid Posture
Clenched Jaw/face
Continuous eye contact
Threatening to leave AMA
Name 3 signs of serotonin syndrome
What is...
Hyperpyrexia
Nausea/vomiting
Hypertension
Monoclonis/Rigidity
Decreased coordination
The time frame in which an individual's withdrawal symptoms from alcohol peak
What is 24-48 hours?
In this stage of anxiety, people experience poor concentration, inability to respond to outside stimuli, and somatic symptoms
What is severe stage of anxiety?
What is the perceived stress scale?
Name three clinical manifestations of prolonged grief.
What is...
Desire to join their deceased partner
Self-care deficit
Poor appetite
Depressed mood persisting 15 months following the death of their partner
Identity disruption – feeling part of self has died
Disbelief of death
Intense emotional pain
Difficulty engaging with friends, relationships, or activities
Hopelessness – life is meaningless
Intense loneliness
When a person is yelling due to anger, the nurse should focus on (name 3 things)...
What is...
speaking in a low tone of voice
remaining calm
ensuring there is an escape route
not wearing any dangling objects/earrings/scarves/ponytails
giving the patient adequate space
What is a Hypertensive Crisis?
Three symptoms that occur when an individual is experiencing acute substance abuse withdrawal
What is...
gooseflesh skin
yawning
runny nose
nausea/vomiting
restlessness
muscle & bone pain
insomnia