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Anxiety DisordersPsychiatric Nursing: Contemporary Practice

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What intervention is useful in helping a patient with an anxiety disorder in their social life?
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Time management skills should be taught to ensure the patient has time for rest, relaxation and family time.
What effect does pregnancy and postpartum periods have on anxiety disorders?
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Pregnancy may protect against some anxiety disorders, but the postpartum period is a common period for onset of panic disorders.
________ therapy techniques strive to give a patient with anxiety a sense of control over the recurring threats of panic and obsessions.
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Cognitive therapy
How can success be evaluated in a patient with anxiety disorders?
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Ask them to keep a daily log recording the frequency, durationg and severity of panic episodes and track success over time.
What is the role of the family when treating anxiety disorders?
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Involving the family in therapy is imperative to reduce misunderstandings, stigma and misconceptions.
_________ is characterized by severe obsessions or compulsions that interfere with normal daily routines that a patient has no control over.
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OCD
__________ are characterized by excessive, unwanted thoughts or impulses that occur repetitively, causing severe anxiety and distress.
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Obsessions
What are common obsessions experienced by people with OCD?
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Fear of contamination, pathologic doubt, need for symmetry and completion, thoughts of hurting someone or thoughts of sexual images.
_________ are repetitive actions or behaviors employed in an attempt to neutralize the anxiety felt from obsessions.
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Compulsions
Obsessions are considered __________ because they are not under the patient's control and are incongruent with the patient's usual thought patterns.
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Ego dystonic
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When is the typical age of onset for OCD?
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Early20-30's.
What gender is more likely to have obsessions with OCD? Which gender is more likely to have checking and cleaning rituals?
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Men usually have obsessions (onset as children) and women have the cleaning/checking rituals (onset in the 20's).
What comorbidity is often seen with OCD?
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Tourette's Syndrome
What are the diagnostic criterion for OCD?
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Presence of obsessions or compulsions, the patient recognizes the thoughts and actions are unreasonable or excessive (this one doesn't apply to children), it causes a disturbance in daily routines, functions, and/or relationships, the routines take a considerable amount of time (an hour or more), and the behaviors aren't the result of another psych or physical illness.
When is With Poor Insight used during a diagnosis of OCD?
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If a patient doesn't see the bahaviors they engage in as unreasonable or excessive
Patients with ___________ obsessions are often resistant to treatment.
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Religious
What are factors that should be taken into consideration before diagnosis a patient with religious obsessions (OCD)?
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The thoughts/rituals must clearly exceed cultural or religious norms, occur at inappropriate times as described by members of the same religion/culture, or interfere with social obligations.
What neuropathic differences have been detected in patients with OCD?
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They have enlarged basal ganglia, and differences in their cerebral glucose metabolism (increased metabolism in the caudate nuclei, orbitofrontal gyri and cingulate gyri).
What neurotransmitter has been implicated in OCD?
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Serotonin
_________ theorists hypothesize that OCD symptoms and character traits arise from isolation, undoing and reaction formation resulting in a regression of stages.
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Psychoanalytical
__________ theorists believe obsessions in OCD are a contioned stimuli and compulsions develop as the individual discovers behaviors that reduce obsessional anxiety.
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Behavioral
  
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