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Anxiety- DHL
| Question | Answer |
|---|---|
| a reaction to a specific danger. | fear |
| a vague sense of dread relating to an unspecified danger | anxiety |
| a healthy life force necessary for survival | normal anxiety |
| precipiated by an imminent loss or change that threathens an individual's sense of security | acute(state) anxiety |
| lived with for an extended period of time | chronic(trait)anxiety |
| a subjective experience that can be detected only by the objective behaviors that result from it | anxiety |
| an affective(emotional), cognitive, behavioral, or physiology response to an internal or external threat(real or imagined).The person experienced or "felt" an unpleasant emotional state. | pathological anxiety |
| what kind of response is this?pupil dilation and increased vital signs | physiological response |
| what kind of response is this?superfical vasoconstriction | physiological response |
| what kind of response is this?muscle tension | physiological response |
| what kind of response is this?trembling, shaking, twitching | physiological response |
| what kind of response is this?choking or smothering sensation | physiological response |
| what kind of response is this?sweating, chills, hot flashes | physiological response |
| what kind of response is this?appetite changes, weight changes | physiological response |
| what kind of response is this?headaches | physiological response |
| what kind of response is this?decreased vital signs | physiological response |
| what kind of response is this?faintness, dizziness | physiological response |
| what kind of response is this?N/V | physiological responses |
| what kind of response is this?numbness, or tingling sensations | physiological response |
| what kind of response is this?cold and flu symptoms | physiological response |
| what kind of response is this?grinding teeth | physiological response |
| what kind of response is this?palpitations | physiological response |
| what kind of response is this?restlessness | physiological response |
| what kind of response is this?sleep disturbances | physiological response |
| what kind of response is this?skin irritations | physiological response |
| what kind of response is this?injury prone | physiological response |
| what kind of response is this?increased use of drugs(any kind) | physiological response |
| what kind of response is this?distorted perceptions | cognitive response |
| what kind of response is this?diminished learnig skills | cognitive response |
| what kind of response is this?diminished capacity for problem solving | cognitive response |
| what kind of response is this?mind going blank , forgetfullness | cognitive response |
| what kind of response is this?inattentiveness, preoccupation | cognitive response |
| what kind of response is this?impaired verbal communication | cognitive response |
| what kind of response is this?derealization or depersonalization(a state in which the normal sense of personal identity and reality is lost | cognitive response |
| what kind of response is this?focus on self awareness of physiological symptoms | affective response |
| what kind of response is this?fatigue, feelig dull | affective response |
| what kind of response is this?irritability, emotional lability | affective response |
| what kind of response is this?feeling keyed up or on edge, wariness,frustration | affective response |
| what kind of response is this?forgetfulness, confusion,whirling mind, poor concentration, low productivity | affective response |
| what kind of response is this?negative attitude, negative self-talk, feeling discouraged | affective response |
| what kind of response is this?no new ideas, boredom | affective response |
| what kind of response is this?felt anxiety, depression | affective response |
| what kind of response is this?extreme activity or inactivity | behavioral |
| what kind of response is this?fidgeting | behavioral |
| what kind of response is this?restlessness,pacing | behavioral |
| what kind of response is this? vigilance | behavioral |
| what kind of response is this? running | behavioral |
| what kind of response is this?fighting | behavioral |
| what kind of response is this?rumination | behavioral |
| what kind of response is this?isolation;no intimacy | behavioral |
| what kind of response is this? intolerance | behavioral |
| what kind of response is this? resentment | behavioral |
| what kind of response is this? loneliness | behavioral |
| what kind of response is this? lashing out, nagging | behavioral |
| what kind of response is this?clamming up | behavioral |
| what kind of response is this? distrust | behavioral |
| what kind of response is this? using people, manipulation | behavioral |
| slight physical response energy, aware and alert, accurately perceives more than previously, may be a time of increased function and movement towards goals, able to solve problems logically | mild anxiety(+1) |
| identify and discuss the source of the anxiety, promote problem solving, tolerate and benefit from it | nursing interventions- mild anxiety |
| body prepares for defense, increased vital signs, fidgets, paces, speaks quickly, intermittent eye contact, feels uncomfortable, seeks relief, perceptual field narrows, misperceives, tunes out | moderate anxiety(+2) |
| encourage ventilation, exercise, help client focus, may need oral meds | nursing interventions- moderate |
| perceptual focus is on detail or is scattered, attention cannot be directed, uses automatic defenses to cope, feels need and motivation for immediate relief of anxiety producing stimulus | severe anxiety(+3) |
| fight of flight,continuous pacing , reflex responses, loud speech, feelings of dread, threats and demands, delusions, hallucinations, violence may result | severe anxiety(+3) |
| short, simple commands, decrease the anxiety provoking stimuli, redirect the client, seclude(time out), may need IM meds | nursing interventions-severe |
| awe, dread, terror,rage, run, hide, fight, silence, immobility, detail of the focus is exaggerated, motivation is relief whatever the cost, automatic behavior is used to reduce, relieve, or prevent greater anxiety | panic(+4) |
| suicide attempts, violence, speech disturbances and/or cognitive disorganiztion, personality disorganizaton; fugue state | panic(+4) |
| guide firmly, take physical control, IM meds, short, simple commands, restrain as needed for safety of client and others, secure enviroment | nursing interventions-panic |
| also known as Anxiolytics | Anti-Anxiety meds |
| May be given IV,PO,IM. IV administration has rapid onset (3-5 min). use w/caution in renal and hepatic impairment, myasthenia gravis, organic brain syndrome, or Parkinson's disease. brand is Ativan; generic is | lorazepam |
| may be given PO. use withdrawal precautions-seizures or other strong withdrawal symptoms may occur w/abrupt discontinuation. comtraindicated w/narrow angle glaucoma and pre-existing hypotension. brand is Xanax; generic is | alprazolam |
| may be given PO,IV,IM. contraindicated in narrow angle glaucoma. use caution w/other CNS depressants, low albumin levels, or hepatic disease. brand is Valium; generic is | diazepam |
| administered PO. increases toxicity of digoxin and haldol. adverse effects: dizziness, light headedness. avoid use in cases of hepatic or real impairment. brand is Buspar; generic is | buspirone |
| administered PO. contraindicated in concurrent administration w/MAOIs or administering within 2 weeks of discontinuation of MAOIs. use w/caution in history of seizures, mania, renal or cariac disease. brand is Paxil; generic is | paroxetine |
| what would be administered in case of acute benzodiazepine toxicity | benzodiazepine receptor antagonist(ex. Romazicon) |
Created by:
pittsleanne
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