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Anxiety Disorders
Characteristics of various anxiety disorders and nursing interventions
Question | Answer |
---|---|
Nursing approaches for mild and moderate anxiety | -Pt. can still have open-ended convo -Do not change subject -Nurse should be calm, listening -Encourage pt. to talk about feelings -Provide distraction- through activity -Identify past coping skills |
Nursing approaches for severe to panic levels of anxiety | -Person is not always in control -Pt. unable to problem solve -Nurse should be calm -Benzos prn. P.O. or I.M. -Short, simple sentences -Reduce stimuli- remove crowd, audience -Never leave the pt. alone -Safety 1st! -Can't be logical w/ pt. |
Symptoms of Panic Disorder | -Tension -Irritability -Sleep disturbances -Increased HR -Dizziness -Fear going to die -Nausea -Chest pain -Choking |
Nursing interventions for a pt experiencing panic | -Stay w/ pt. -Speak slowly and softly -Decrease stimuli -No tight clothing around pt's neck -Slow, deep breaths, into bag...have them make eye contact and breathe w/ you |
Nursing interventions for phobia | -Identify phobia -Allow pt. to fully express fears -Teach relaxation techniques -Give only as much help prn to avoid secondary gains -Common fears w/ phobias (losing control, appearing inadequate, not being perfect, and fear of dying) -Desensitization |
Defense mechanisms used in phobia | Displacement, Repression, Symbolism |
Defense mechanisms used in OCD | Undoing, Reaction formation, Intellectualization (to cover up compulsion) |
Nursing interventions for OCD | Asses level of anxiety, determine how much behavior interferes w/ life, **provide schedule of activities, modify enviro so behavior can be accomplished (initially), safety measures, set limits on destructive rituals |
Drugs used in OCD | Anafranil and Luvox |
Nursing interventions for PTSD | Night lights, relaxation at bedtime, massage. Asses drug and alcohol use. Encourage support groups. Journal keeping. Be honest, don't judge. Listen. Group, 1:1. Suicide precautions. Previous coping. |
Defense mechanisms used in PTSD | Isolation. Repression. |
Nursing interventions for somataform disorder | Offer explanations & support during Dx testing, avoid further reinforcement after tests completed. Do NOT ask "how are you feeling?" Compliment when not talking about symptoms. Don't ignore/avoid. Spend unexpected time w/ pt. Don't tell them it isn't real |
Key areas of assessment for any pt. w/ anxiety | Assess level of anxiety. Focus on feelings. Offer self. Open ended communication (exception w/ somataform). Distract w/ activities. Be firm to encourage participation in activities. Meds are for short term use only. |
4 categories of drugs used to treat anxiety | Benzodiazepines, Beta blockers, antihistamines, anticonvulsants. |
First choice drug in treating acute anxiety | Benzo's |
First choice drug in treating chronic anxiety | Antidepressants |