Psychiatric Nursing- Anxiety Disorders- Ch 3 (59-61), 11,12,22

Front 1

Sely's theory of deneral adaptation syndrom
stages

Back 1

- alarm
-resistance
-exhaution

Front 2

Serotonin
function

Back 2

-plays an important role in mood, sleep, sexuality, appetite and metabolism

Front 3

Jacobson

Back 3

- progressive muscle relaxation

Front 4

Bensons

Back 4

relaxation techniques- allows pt to switch from sympatheic system to autonomic system

Front 5

Mild anxiety
Overview

Back 5

- normal
-results in better acuity, slight irritability, mild tension relieving behaviors

Front 6

Moderate anxiety
Overview

Back 6

- decreased acuity
-selective attention
-learning/problem solving can still take place
tension, pounding heart, sweating, mild somatice symptoms
- can b constuctive

Front 7

Severe Anxiety
overview

Back 7

-oerception is greatly reduced
-Learning and problem solving are not possible
-increased somatic symptoms
-sense of impending doom

Front 8

Panic
Overview

Back 8

-disturbed behavior
-no perception of relaity
-may hallucinate
-behavior aimed at relief but may not be sucessful
-

Front 9

Compensation

Back 9

- used to make up for perceived def. and cover up shortcomings related to these def. to protect the consious mind from recognizing them

Front 10

Conversion

Back 10

- the unconscious transforamtion of anxiety into a physical symptoms with no organic cause. Of ten the sy,ptoms functions to gain attentiing or as an excuse

Front 11

Denial

Back 11

-involves escaping unpleasant, anxiety causing thought, feeling, wishes, or needs by ignoring their exisitance

Front 12

Displacement

Back 12

the transferance of emotions associated with a particular person, object, or situation to another non-threatening person, object or situation

Front 13

Dissociation

Back 13

- a distruption in the usually integrated functions of the conscioussness, memory, identity, or perception of the environment. It may results in a separation between feeling and thought or in compartmentalizing uncomfortable or unpleasant aspects of ones self.

Front 14

Identification

Back 14

- attributing oneself the characteristics of another person or group. This may be done consciously or unconsiously.

Front 15

Intellectualization

Back 15

- a process in which events are analyzed based on remote, cold facts and without passion, rather than incorporating feeling and emotion into processing.

Front 16

Intojection

Back 16

- the process by which the outside world is incorporated or absorbed into a persons view of the self

Front 17

Projection

Back 17

-refers to the unconscious rejection of emotionally unexceptable features and attributing them to other people, objects or situations.

Front 18

Rationalization

Back 18

- consists of justyifing illogical or unreasonable ideas, feelings or actions by developing acceptable explanations that satisfy the teller as well as the listender

Front 19

Reaction formation

Back 19

- when unacceptable feelings or behaviors are contolled and kept out of awareness by developing the oppisite behavior or emotion

Front 20

Regression

Back 20

- reverting to an earlier more primitive and child like pattern of behavior that may or may not have been previously exhibited

Front 21

Repression

Back 21

- first line psychological defense against anxiety. It is the temporary or long term exclusion of unpleasant or un wanted experiences, emotios, or ideas form consious awareness

Front 22

Splitting

Back 22

the inability to integrate the positive and negative qualities of oneself or others into a cohesive image

Front 23

Sublimination

Back 23

- unconsious process of substituting mature, contructive, and socially acceptable activity for immature, destructive and unacceptable impulses.

Front 24

Suppression

Back 24

- the conscoous denial of a desturbing situation or feeling

Front 25

Undoing

Back 25

- most commonly seen in children.
-When a person make sup for an act or communication

Front 26

COnversion disorders
(Somatoform)

Back 26

- marked by the presence of deficits in motor and sensory functions including paralyisis, blindeness, movement, gait, numbness, paretheis loss of vision or hearing or episodes of epilepsy.

Front 27

Assessment
Somataform disorders

Back 27

- characterisitcs of symtpoms-patients ability to meet basic needs
-risk to saftey and security
-?whether sympotms are under pt control
-?Secondary gains
-cognitive style
-ass medication

Front 28

Factitious disorders
def

Back 28

-consciously pretend to be ill to get emotional needs met and attsin the status of "patietn

Front 29

Munchausen syndrome

Back 29

-most severe form of factitious disorder
-doctor shop for attention
-pts may inject them selves with toxins

Front 30

Malingering

Back 30

- conciously motivated act to deceive based on the desire for material gain

Front 31

Dissociative disorders
overview

Back 31

-a groupd of disorders in which altered mind-body connections are believed to be related to stress and anxiety.
-respond to stress with severe interuption of consiousness and awareness of themselves and srurroundings
-not dellusional or hallucinating

Front 32

Dissociative amnesia

Back 32

-one ore more episodes of inability to recall important info-usually of a traumatic or stressful nature
-causes signifigant distress or impairment in social occupational or other important areas of functioning

Front 33

Dissociative Fugue

Back 33

-sudden, unexpected travel away from home or ones place of work with the inability to remember the past
-confusion about personal identity or assumption of new identity
-symptoms cause signifigant distress or impairment of socal occupational, or other impotrtant areas of functionig

Front 34

Dissociative Identitty Disorder

Back 34

- Existence of two or more distinct subpersonalities each with its own patterns of relating, perceiving and thinknig
-at least two of these subpersonalitties take control of the persons behavior
-inability to recall important info too extensive to be explained by ordinary forgetfullness

Front 35

Depersonalization Disorder

Back 35

- Persistant or recurrent experience of feeling detached from ones body
-reality testing is intact
-the experience causes signifigant impairment in social or occupational functioning or causes marked distresss

Front 36

Assesment guidlines
Dissosiative disorder

Back 36

-asses for ah/o a similar episode in the past with benign outcomes
-establish whether the person suffered abuse, trauma, or loss as a child
- Identify relevant psychosocial distress issues by performing a basic psychosocial assessment