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22 Cards in this Set
- Front
- Back
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Anxiety
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ia a normal human emotion, similar to fear.
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Mild Anxiety
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is a state of heightened awareness of the surroundings & is seen in response to day-to-day circumstances.
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Anxiety Disorder
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when ppl's responses to stressful situations are abnormal or irrational & impair normal daily functioning.
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Generalized Anxiety diorder
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is described as excessive & unrealistic worry about 2 or more life circumstances for 6 months or longer.
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panic disorder
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-is recognized as a separate disease & not a more severe form of chronic generalized anxiety disorder.
-Acute, unprovoked anxiety -Often have other psych disorders |
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Phobia
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irrational fear of a specific object, activity, or situation.
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Social Phobia
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is described as a fear of certain social situations in which the person is exposed to scrutiny by others & fears doing something embarrassing.
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Simple Phobia
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is an irrational fear of a specific object or situation such as heights (acrophobia), closed spaces (claustrophobia), air travel, or driving.
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Obsessive- compulsive disorder
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-is the most disabling of the anxiety disorders, although it is responsive to treatment.
- primary features of the illness are recurrent obsessions or compulsions that cause significant distress & interfere w/ normal occupational responses, social activities, & relationships. |
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Obsession
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is a unwanted thought, idea, image, or urge that the patient recognizes as time- consuming & senseless but repeatedly intrudes into the consciousness, despite attempts to ignore, prevent, or counteract.
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Compulsion
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is a repetitive, intentional, purposeful behavior performed to decrease the anxiety associated w/ an obsession.
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What do common compulsion's deal w/?
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cleanliness, grooming, & counting.
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PTSD (post traumatic stress disorder)
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A condition of persistent mental and emotional stress occurring as a result of injury or severe psychological shock
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Feelings of PTSD
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Anger, sadness, rage, depression common feelings
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Claustrophobia
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-fear of closed spaces
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Nursing Diagnoses
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ANXIETY
INEFFECTIVE COPING POST-TRAUMA SYNDROME RISK FOR INJURY INEFFECTIVE SELF HEALTH MANAGEMENT SOCIAL ISOLATION NO DIAGNOSTIC TEST FOR ANXIETY! |
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MEDICATIONS COMMONLY PRESCRIBED FOR ANXIETY
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-Sedative Hypnotic Anxiolytics or tranquilizers- Benzodiazepines (Ativan, Xanax, Klonopin)
-Atypical anxiolytic/nonbarbituate anxiolytics- Buspirone (Buspar) -Antidepressant drugs SSRI’s ie: Luvox, Lexapro, Prozac, Celexa, Paxil -SNRI Venlafaxine (Effexor XR) Meprobamate (Miltown) Beta-blockers-Propranolol (Inderal) Antihistamines-Hydroxyzine (Vistaril) Anticonvulsants- gabapentin (Neurontin) |
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Benzodiazepines
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-Are Controlled Substances
-Reduce anxiety by increasing availability of GABA -Many uses ie: seizures, sedative-hypnotic, muscle relaxant -Need titration to D/C -Physical and psychological dependence |
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Benzodiazepine Adverse Effects
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-CNS- drowsiness, sedation, lethargy
-Blurred vision, hypotension -Blood dyscrasias Need routine RBC, WBC -Hepatotoxicity- NO ALCOHOL!! Alcohol has additive effect |
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Azaspirones
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-Buspirone or BuSpar
-Used for anxiety, smoking cessation -Improved coping -Po 5mg TID not to exceed 60mg/daily -Useful in treating OCD, panic disorder, PTSD -No physical/psychological dependence like benzodiazepines -Assess for s/e of CNS depression (slurred speech, dizziness) |
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Anxiety is the primary symptom of many psychiatric disorders such as
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Schizophrenia, mani, depression, dementia, & substance abuse.
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When it is decided to treat the anxiety in addition to the other medical or psychiatric diagnoses, anti anxiety medications, also known as
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anxiolytics or tranquilizers
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