The best goal for a client learning a relaxation technique is that the client will

experience anxiety without feeling overwhelmed.

A client with GAD states, “I have learned that the best thing I can do is to forget my worries.” How would the nurse evaluate this statement?

The client needs encouragement to verbalize feelings.

Actions for a client with panic disorder would include

encouraging the client to verbalize feelings reminding the client to practice relaxation when anxiety level is ilow. teaching the client reframing techniques. teaching relaxation exercises to the client

When working with a client with moderate anxiety, the nurse would expect to see

increased automatisms or gestures. narrowed perceptual field selective attention. inability to connect thoughts independently.

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Med Surg I Chapt 14

Mental Health

Term	Definition
Anxiety is vague feelings of dread or apprehension
Levels of anxiety are MILD=Alert, Motivated MODERATE=Narrow Focus SEVERE=Difficulty Thinking PANIC=Loss of Control
Physiological Symptoms are Tachycardia Sweating Tremors Hyperventilation GI Upset
Mild anxiety can improve learning Severe anxiety impairs learning
Panic Attack symptoms are Chest Pain Shortness of Breath Fear of Dying Palpitations Dizziness (Duration last usually 15-20 minutes)
Phobia Types are Specific=Ex. Snakes Social=Ex. Public Speaking Agoraphobia= Ex. Fear of public places
Generalized anxiety Disorder is excessive worry for more than 6 months
Anxiety medications are Benzodiazepines=Xanax, Valium- Risks for dependence SSRIs=Prozac, Paxil-First-line Long-term Buspirone=Buspar No abuse potential
Benzodiazepine safety is Fall precaution Avoid alcohol Sedation Risk
Nursing interventions during panic are Stay with patient Reduce stimuli Use calm voice Give simple directions
DO NOT OVERLOAD PATIENT WITH INFORMATION DURING SEVER ANXIETY
Defense mechanisms are Denial=Refusing reality Projection=Blaming others Regression=Childlike behavior
CBT Techniques are Positive reframing Thought stopping Deep breathing Decatastrophizing
Relaxation Techniques are Guided imagery Meditation Progressive muscle relaxation
Panic level anxiety Safety 1st The nurse should remain calm, stay with client, and decrease environmental stimuli
	His speech is high pitched and random; he seems preoccupied with his thoughts. He is pounding his fist into his other hand. The nurse identifies his anxiety level as SEVERE
When assessing a client with anxiety, the nurse’s questions should be	specific and direct.
The best goal for a client learning a relaxation technique is that the client will	experience anxiety without feeling overwhelmed.
Which of the four classes of medications used for panic disorder is considered the safest because of low incidence of side effects and lack of physiological dependence	SSRIs
Which would be the best intervention for a client having a panic attack?	Remain with the client.
A client with GAD states, “I have learned that the best thing I can do is to forget my worries.” How would the nurse evaluate this statement?	The client needs encouragement to verbalize feelings.
A client with anxiety is beginning treatment with lorazepam (Ativan). It is most important for the nurse to assess the client’s	use of alcohol.
Actions for a client with panic disorder would include	encouraging the client to verbalize feelings reminding the client to practice relaxation when anxiety level is ilow. teaching the client reframing techniques. teaching relaxation exercises to the client
When working with a client with moderate anxiety, the nurse would expect to see	increased automatisms or gestures. narrowed perceptual field selective attention. inability to connect thoughts independently.

Created by: Daarina Jones

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