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Anxiety DisordersPsychiatric Nursing: Contemporary Practice

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_________ is an uncomfortable feeling of apprehension or dread that occurs in response to internal or external stimuli and can result in physical, emotional, cognitive and behavioral symptoms.
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Anxiety
What is considered normal anxiety?
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It is a realistic intensity and duration for the situation and is folloed by relief behaviors to reduce or prevent more anxiety.
What are the factors that determine whether anxiety is a symptom of a mental disorder (3)?
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The intensity of the anxiety relative to the situation, the trigger, and the particular symptom clusters that manifest the anxiety.
What characteristics are associated with a higher risk of developing anxiety disorders?
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Female, smokers, under 45, separated or divorced, survivor of abuse, or in a low socioeconomic group.
What anxiety disorders are children more likely to develop?
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Separation anxiety disorder and OCD
When is panic abnormal?
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In situations that pose no real physical or psychological threat.
What are parasympathetic system manifestations of anxiety?
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Fainting, decreased BP, decreased pulse, bronchial spasms, abdominal pain, n/v, heartburn, need/pressure to urinate
What degree of anxiety? Perceptual field widens, learning is possible, patient is aware, alert, seems to grasp more than before, can name anxiety easily.
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Mild
What degree of anxiety? Perceptual field narrows, patient has selective attention but can be redirected easily. Usually able to state that he/she is anxious.
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Moderate
What degree of anxiety? Tendency towards dissociation, not able to notice what is going on outside the current reduced focus of attention, unable to redirect, unaware of and unable to name anxiety. Relief behaviors used.
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Severe
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What degree of anxiety? Massive dissociation expecially of contents of self-system. Learning is impossible. May manifest rage, pace, run or fight violently. Can proceed a psychotic break.
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Panic
________ disorder is characterized by the appearance of disabling attacks of panic that often leads to other symptoms such as phobias.
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Panic disorder
_______ are sudden, discrete periods of intense fear or discomfort that are accompanied by significant physical and cognitive symptoms.
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Panic attacks
How long does a panic attack generally last?
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It peaks in 10 minutes and can last up to 30.
What are the specific characterisitics of a panic disorder?
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The person experiences recurrent, unexpected panic attacks followed by persistent concern about experiencing subsequent attacks.
What medical conditions have been associated with panic attacks?
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Asthma or illicit substance use
What is an example of an externally driven panic attack?
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One that is triggered from actually seeing a feared object.
What is an example of an internally driven panic attack?
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One that is triggered from an uncomfortable internal feeling like being too hot and feeling cramped in a small room or space.
_________ are persistent, unrealistic fears of situations, objects or activities.
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Phobias
Fear of heights?
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Acrophobia
  
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