Behavioral Health in Nursing: Ch 8-14, 16, 20, 23
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| What is the difference between fear and anxiety? | Fear is the reaction to specific danger; anxiety is a vague dread r/t unspecified danger (127)
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| What affects us more, fear or anxiety? | Anxiety (127)
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| What kind of anxiety is considered healthy, and necessary for survival? | "Normal" anxiety (127)
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| When might Jake experience "acute" (or "state") anxiety? | Maybe before a big test...but proly not. Acute anxiety also includes stage fright, pre-op nervousness, death in family, etc. (127)
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| Jason has anxiety he has lived with for a long time. What is a term for Jason's type (not level) of anxiety? | "Chronic" anxiety (127)
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| Which level(s) of anxiety results in a heightened perceptual field? | Mild (129)
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| Which level(s) of anxiety can alert one when something is wrong and can stimulate the appropriate reaction. | Mild and moderate (129)
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| In which level(s) of anxiety is the environment considered to be blocked out? | Severe and panic (129)
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| Describe the physical characteristics of mild anxiety. | Slight discomfort, attention-seeking, restlessness, irritability, impatience, mild tension-relieving (tapping, fidgeting, air-drumming)
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| Describe the physical characteristics of moderate anxiety. | Voice tremors, change in vocal pitch, shakiness, repetitive questioning, somatic complaints (urinary, h/a, back pain, etc), increased RR/HR/tension, extreme tension-relieving (pacing, banging on table, etc.)
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| Describe the physical characteristics of severe anxiety. | Feelings of dread/doom, confusion, intense somatic complaints (dizziness, N, H/A), hyperventilation, tachycardia, withdrawal, low/rapid speech, threats, demands
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| Describe the physical characteristics of panic anxiety. | Experience of terror, immobility or hyperactivity or flight, dilated pupils, unintelligible communication or inability to speak, severe shakiness, sleeplessness, severe withdrawal, hallucinations or delusions; out of touch with reality
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| What is the healthy defense mechanism that involves coping by meeting the needs of others? | Alturism
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| What is sublimation? | A healthy defensive mechanism that involves subconscious substitution of constructive and socially acceptable activities that would otherwise be unacceptable. (E.g. violent dude playing football instead of being violent)`
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| Jason deals with emotional conflict by pointing out the irony of the situation. Which defensive mechanism is this? | Humor; surprisingly, this is considered healthy (133)
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| T/F Suppression is considered a "healthy" form of defensiveness. | True; conscious denial of disturbing situation = super healthy (133)
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| Describe the the first-line defense mechanism, "repression". | Repression is the exclusion of unpleasant or unwanted experiences, emotions, or ideas from conscious awareness. (133)
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| What is the term for the defense mechanism that involves the transferring of emotions associated with one person/object to another? | Displacement (non-threatening)
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| What is another term for the defense mechanism "reaction formation"? | Overcompensation (e.g. recovering alcoholic becoming a bar tender)
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| Describe somatization. | Defensive mechanism involving transformation of anxiety into a physical symptom that has no organic cause (133)
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| Compulsive handwashing would be considered what type of defense mechanism? | Undoing: makes up for an act or communication (133)
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| Scenario: Jason states, "John and Jake cheat, so why shouldn't I?" This is an example of what sort of defense mechanism? | Rationalization (134)
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| Elizabeth submits her blackboard exam in the testing center and sees that she only got an 88 on her med-surge exam. On her way out of the testing center she starts tipping over desks, and looking for babies to punch. What is Liz doing? | Acting out (134)
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| What is dissociation? | An immature defensive mechanism that temporarily disrupts memory, identity, conscious, or perception (e.g. blocking out child abuse)
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| Liz scores a 100 on her HESI test. Scott only scores an 82, claiming that the test was total BS, and that Liz had to be sleeping with someone at Evolve in order to get that high of a score. What is Scott doing? | Devaluation (134)
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| Scott is constantly telling the rest of the study group how Liz is really cool even though deep down he knows she's kind've a beast. What immature defense is Scott demonstrating? | Idealization (134)
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| Kirsten says Scott is a warm, caring, and present father. One morning he slept through his daughter crying and Kirsten had to get up to feed her. Now she says he's an absent, cold, abusive douche-bag of a dad. What is Kirsten doing? | Splitting (134)
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| According to biological theorists, what is the pathophysiology of (an) anxiety disorder(s)? | Inhibition of the GABA receptor, possibly because of abnormalities within the affiliated benzodiazepine receptors. (Remember that GABA has a calming effect)
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| Jake shows up to class w/ c/o palpitations, chest pain, increased WOB, chills and hot flashes. What's likely up w/ Jakey-pooh? | Panic attack. (137)
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