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What is Anxiety
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Why is Fear different from anxiety?
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Anxiety Chapter 14
MedSurg Mental Health
| Question | Answer |
|---|---|
| What is Anxiety | -Vague of dread or apprehension -Response to external & internal Stimulus Note: Anxiety is different from Fear |
| Why is Fear different from anxiety? | Fear is feeling afraid or threatened by clearly identifiable, external stimulus that represents danger to a person |
| What is Stress? | Wear and tear that life causes on the body Note: Universal, stress can bring you anxiety |
| What are the 3 physiological aspects of stress; identified by Selye? | 1. Alarm reaction Stage- preparation of defense 2.Resistance Stage- blood shunted to areas needed for defense 3.Exhaustion Stage- body stores depleted, emotional components unresolved |
| What are the 4 levels of anxiety? | 1.Mild- motivation, you have it everyday 2.Moderate- Having a problem that you're focusing on but won't get rid of 3. Severe- Anything to get rid of the symptom, troubled thinking and reasoning 4.Panic- Flight, fight or freeze, |
| When you are in panic mode of anxiety what happens to your body? | Increased vital signs, enlarged pupils, cognitive processes focusing on defense |
| When working with anxious clients you must be aware of: | Be self-aware of your own anxiety |
| What are the steps of working with an anxious client? | -Use short simple easy to understand sentences -Lower anxiety level to moderate or mild before proceeding -low calm soothing voice -Short term use of anxiolytics |
| When a person is in Panic mode what is the main concern for the client? | Safety |
| Anxiety and fear are considered to be 2 different things? True or False | True |
| What is Agoraphobia? | Fear of leaving the house, Fear of being in Large spaces. |
| What is Panic Disorder? | Unexpected episodes of intense fear or anxiety, known as panic attacks |
| What is categorized as specific phobia? | A strong, persistent fear of a particular object or situation that causes significant distress and anxiety, even though the danger is minimal or nonexistent |
| Social Anxiety disorder known as social phobia is: | A mental health condition where individuals experience intense fear and anxiety in social situations. Note: This fear can stem from a worry about being negatively judged, embarrassed, or humiliated by others. |
| GAD- Generalized Anxiety Disorder is: | A mental health condition characterized by excessive and persistent worry and anxiety about everyday events, often interfering with daily life. Note: People with GAD find it difficult to control their worry |
| Anxiety is more prevalent in: | Women, people under 45 years -Onset, clinical course extremely variable |
| There are related disorders to anxiety which include: | -Selective Mutism - Anxiety that makes you mute -Anxiety disorder due to another mental condition -Substance/Medication-induced anxiety disorder -Separation anxiety- being separated from a close attachment figure, home, or other familiar surrounding |
| What are 2 Biological Theories of Anxiety Disorders: | Genetic theories- genes influence an individual's predisposition to develop anxiety disorders Neurochemical theories: GABA( Gamma-aminobutyric acid & Serotonin Note: Gaba makes you feel relaxed, suppresses CNS activity |
| Cultural considerations for anxiety include: | -Expression through somatic symptoms like- headaches, backaches, fatigue, dizziness, stomach problems -Supernatural spirits or bad air |
| It is important that a nurse to practice what type of care when dealing with cultural differences? | Being aware of the cultural differences but not stereotyping clients because of their beliefs |
| What medications can help with anxiety? | SSRIs, Benzos, & Buspar, and occasionally antidepressants |
| What are some CBT- Cognitive behavioral therapies that help with anxiety? | -Positive reframing-turning negative messages into positive ones -Decatastrophizing- Realistic appraisal of situation (Must remain calm) -Assertiveness training- Learn to negotiate interpersonal situations |
| Age related considerations of anxiety seen in children are: | -Selective Mutism -Separation Anxiety -Social anxiety (Can persist until adult hood) |
| What are some late life anxiety disorders? | -Phobias (agoraphobia, GAD,)-Most common -Panic attacks- less common- related to other illnesses -Ruminative thoughts- Reputative Thinking |
| What is the most common treatment of choice for late life anxiety disorders? | Selective serotonin reuptake inhibitors (SSRI) antidepressants |
| What is Primary Gain? | Physical symptoms that help reduce mental symptoms -Help resolve a conflict or reduces anxiety within a person |
| What is Secondary Gain? | When symptoms provide external benefits (intentionally do something) |
| Which finding would a Nurse expect to assess in a client with a panic disorder? A. Rational thinking B. Blaming others C. Automatisms D. Organized Thoughts | C. Automatisms - meaning chronic movements |
| A Client that is presenting with a phobia will: | Intense, illogical, persistent fear of a specific object or situation Response is out of proportion to the situation or circumstance |
| Categories of Phobias are: | Agoraphobia, specific phobia, social anxiety or phobia |
| Categories of specific phobias are: | Natural environment Blood -injections Situational Animal other types of specific phobias |
| True or False? Phobias result from a past negative experience. | False. |
| Self Awareness Issues that a nurse needs to understand: | -What and how anxiety behaviors work -Nurses are vulnerable to stress and anxiety -Everyone occasionally experiences stress and anxiety -Avoid trying to "FIX" client problems -Use techniques to manage stress and anxiety in personal life |
Created by:
LorrenIsrael