Anxiety Disorders

Front 1

A health condition characterized by significant dysfunction in individuals cognitions, emotions, or behaviors that reflects a disturbance in the psychological, biological or developmental processes underlying mental functioning?

Back 1

Mental illness

Front 2

Maladaptive responses to stressors from the internal or external environment in interfere with the individual social and occupational and physical functioning is called?

Back 2

Mental illness

Front 3

Stressors often lead to?

Back 3

Anxiety

Front 4

Who/what defines mental health?

Back 4

Culture

Front 5

Healthy individuals reach what at the highest level of Maslow‘s hierarchy of needs?

Back 5

Self actualization

Front 6

5 Steps of Maslow’s Hierarchy?

Back 6

Self actualization

Esteem

Love/belonging

Safety

Physiological

Front 7

Maslow’s Hierarchy of unmet needs results in risk for what two possibilities?

Back 7

Physical illness

Mental illness

(anxiety or depression, PTSD, physical illness, death)

Front 8

In general adaption syndrome, what is the first stage of alarm response?

Back 8

Flight or fight response to stress

Front 9

Characteristics of the body during fight or flight. (hormones, eyes, respiration, cardiac, G.I., liver, bladder, secretions)

Back 9

-Norepinephrine/epinephrine released

-pupils dilate

-respiration increases

-CO, HR, BP, contraction ⬆️

-G.I. motility, secretions ⬇️

-glycogen/glucose breakdown

-bladder contracts, ureter motility ⤴️, sphincter relax

-sweat gland secretion ⤴️

Front 10

What kind of responses are used to adapt stress?

Back 10

Physiological

Front 11

What is the second stage of General adaption syndrome?

Back 11

Resistance

Front 12

What is the third stage of the general adaption syndrome?

Back 12

Stage of exhaustion

Front 13

Exhaustion means what?

Back 13

Prolonged exposure to stressor, adaptive energy depleted

Front 14

What happens if the stage of exhaustion is not reversed?

Back 14

Exhaustion and death

Front 15

Diseases of adaption.

Back 15

Chronic headache

Mental health disorders

Coronary artery disease

Ulcers

Colitis

Front 16

What is anxiety not?

Back 16

Fear

Front 17

What are the four levels of anxiety?

Back 17

Mild

Moderate

Severe

Panic

Front 18

Perception is diminished, difficulty completing simple tasks, interferes with ADLs, physical symptoms is what type of anxiety?

Back 18

Severe

Front 19

What are the emotional and behavioral symptoms of severe anxiety?

Back 19

Emotional symptoms: confusion,dread, horror

Behavioral symptoms: agitation, withdrawn, denial, pacing, yelling, may want to flee

Front 20

Severe anxiety=?

Back 20

Neurosis

Front 21

Psychiatric disturbances, prolonged exposure to anxiety, expressed through unusual defense mechanism is called?

Back 21

Neurosis

Front 22

Unusual defense mechanisms.

Back 22

Obsessions

Compulsions

Phobia

Sexual dysfunction

Front 23

Describe a person with severe anxiety: neurosis. (Aware vs not aware)

Back 23

-aware of neurosis

-aware of maladaptive behaviors

-unaware psychological causes

-feels helpless to change

-maintains contact with reality

Front 24

Most extreme level of anxiety, unable to process events in environment, often loses contact with reality, accompanied by intense fear, may enter into a state of psychosis is called?

Back 24

Panic anxiety

Front 25

Exhibits minimal distress: flat or inappropriate affect, unaware behavior as maladaptive, flight from reality into a more adaptable one, may lead to psychotic disorders is called?

Back 25

Psychosis (panic anxiety)

Front 26

4 Causes of anxiety disorder.

Back 26

Genetics

Brain chemistry

Personality

Life events

Front 27

Women are at how many times more risk than men for anxiety?

Back 27

2x

Front 28

Social influences for anxiety.

Back 28

-social alienation

-lower socioeconomic regions

-environmental threats

Front 29

Psychosocial influences on anxiety.

Back 29

-Disturbances and mother/Child relationship

-fear of abandonment

-recent object loss

-abuse

-emotional neglect

-violence

-poverty

Front 30

What triggers anxiety disorders?

Back 30

Trumatic events

Front 31

What events threaten family integrity?

Back 31

Spousal or child abuse

Front 32

Anxiety is linked to what medical conditions?

Back 32

-migraines

-obstructive sleep apnea

-mitral valve prolapse

-irritable bowel syndrome

-chronic fatigue syndrome

-Premenstrual syndrome

Front 33

Intense apprehension, terror, fear of impending doom or death, pain is called?

Back 33

Panic attacks

Front 34

Unpredictable onset panic disorder usually happens what age?

Back 34

20s

Front 35

Adults have three or more of which symptoms of general anxiety disorder GAD?

Back 35

Restlessness

Easily fatigue

Difficulty concentrating

Irritability

Muscle tension

Sleep disturbance

Front 36

“Inability to turn off my mind” resulting in lack of sleep is called?

Back 36

General anxiety

Front 37

Symptoms of general anxiety disorder GAD.

Back 37

-Overwhelmed by tasks

-Procrastination of behaviors

-Seeks reassurance

-Depressive symptoms

-Somatic symptoms

Front 38

Unconscious fears expressed symbolically is called?

Back 38

Phobia

Front 39

Types of physical distress with exposure to phobic stimulus?

Back 39

Panic

Palpitations

Sweating

Dizziness

Difficulty breathing

Front 40

Anxiety about a place or situation where escape may be difficult or embarrassing is called?

Back 40

Agoraphobia

Front 41

A persistent, irrational fear of a situation in which the person may be exposed to unfamiliar people or scrutiny?

Back 41

Social anxiety

Front 42

Recurrent & persistent thoughts, impulses or images?

Back 42

Obsessions

Front 43

Repetitive/ritualistic behavior?

Back 43

Compulsion

Front 44

Which recognizes thoughts are a product of his/her mind, Inability to control behavior? (Compulsion/Obsession)

Back 44

Obsessed

Front 45

Which behavior is unrelated to the object causing anxiety, recognizes their action is unreasonable? (Obsession or compulsion)

Back 45

Compulsion

Front 46

What relieves anxiety

Back 46

Compulsion

Front 47

OCD is often a result of?

Back 47

Trauma

Front 48

Exaggerated belief that the body is deformed is called?

Back 48

Body dysmorphic disorder

Front 49

Re-current pulling out of one’s hair is called?

Back 49

Trichotillomania

Front 50

Treatments for trichotillomania.

Back 50

Behavioral, Cognitive therapy

Treatment of comorbidity

Front 51

When ego development is delayed, what is perceived?

Back 51

Unsatisfactory parenting

Front 52

Person unable to manage anxiety leads to what?

Back 52

Maladaptive behaviors to resolve conflicts (panic, GAD, OCD)

Front 53

Fear of aggression from same gender parent displaced onto safer object: phobic stimulus is called what complex?

Back 53

Oedipal/Electra complex

Front 54

1. A stressor creates fear.

2. Stressor is paired with harmless object.

3. Harmless object alone instills fear overtime.

(which response is this?)

Back 54

Unconditioned response

Front 55

In conditioned responses, how are OCD behaviors rewarded?

Back 55

By sense of control

Front 56

In conditioned responses, how are phobic behaviors rewarded?

Back 56

By a sense of safety when avoiding the harmless object.

Front 57

When children learn fear behaviors this is called?

Back 57

Modeling

Front 58

What two things produce anxiety?

Back 58

-negative self statements

-irrational beliefs

Front 59

Which hormone causes hyper arousal and anxiety, increased levels found in anxiety disorders?

Back 59

Norepinephrine

Front 60

Which hormone has a positive effect in OCD?

Back 60

Serotonin

Front 61

Which hormone causes a relaxed state, decreases levels that lead to anxiety?

Back 61

GABA

Front 62

Routine sessions with license professional, discusses concerns, insight oriented, increases clients logic is what?

Back 62

Individual psychotherapy

Front 63

What is used to alter distorted perceptions?

Back 63

Education

Front 64

Which therapy assists clients in modifying maladaptive or self obstructing behaviors, habit reversal, often used to treat phobias?

Back 64

Behavioral therapy

Front 65

What involves imagery & then physical exposure to the stimulus & stages while using relaxation techniques?

(Exposure to fear stimuli is gradual & progressive based upon client tolerance)

Back 65

Desensitization

Front 66

Which therapy does not allow rewarding patterns of escape?

Back 66

Implosion therapy (flooding)

Front 67

Which type of med is used for GAD?

Back 67

Antihypertensives

Front 68

Which assessment tool is used for anxiety?

Back 68

Hamilton anxiety rating scale

Front 69

Nursing interventions.

Front 70

Severe emotional shock resulting from tramatic event is called?

Back 70

Post dramatic stress disorder PTSD

Front 71

Recurrent distressing memories, dreams, flashbacks, what type of disorder?

Back 71

Stress intrusion disorders

Front 72

Which disorder has similar causes/symptoms of PTSD, experience causes intense fear, symptoms immediate last up to three days but no more than a month?

Back 72

Acute stress disorder ASD

Front 73

When surroundings do not feel real?

Back 73

Derealization

Front 74

When disconnected or detached from one’s body/thoughts?

Back 74

De-personalization

Front 75

Inability to recall important aspects of an event?

Back 75

Dissociative amnesia

Front 76

What reduces vividness of trauma & increases memory?

Back 76

Eye movement desensitization & reprocessing

Front 77

A maladaptive reaction to a loss or life changes called what disorder?

Back 77

Adjustment disorder

Front 78

Timeline for adjustment disorder is?

Back 78

3 months after stressor

No more than 6 months

Front 79

Symptoms of adjustment disorder.

Back 79

-defiant/impulsive behavior

-nervous/tense

-crying/overwhelming sadness

-withdrawal

-palpitations

-trembling/twitching

Front 80

What does the nurse offer/use in the therapeutic nurse client relationship?

Back 80

Offers use of self

Uses communication techniques

Front 81

Real felt physical symptoms without pathophysiological cause are called?

Back 81

Somatic symptoms

Front 82

What is the possible cause of somatic symptoms?

Back 82

Repressed severe anxiety

Front 83

Excessive thoughts about seriousness of symptoms, multiple trips to the doctor/hospital are part of what disorder?

Back 83

Somatic symptom disorder

Front 84

Treatment thru what helps clients recall repressed memories and deal with the anxiety related to the memory?

Back 84

Hypnosis

Front 85

Preoccupied with having or developing a serious illness?

Back 85

Illness anxiety disorder

Front 86

Anticipation of harmful events to mentally prepare for or prevent them from happening is a symptom of what disorder?

Back 86

Illness anxiety disorder

Front 87

Which disorder to clients or caregiver is intentionally fake illness? Driven by a need to be seen as ill or injured and order to receive emotional care and support offered to “sick” people.

Back 87

Factitious disorder

Front 88

When client pretends to be sick or injured, may endure painful treatments for attention?

Back 88

Münchausen syndrome

Front 89

The separation of something from something else or the state of being disconnected is called? (Alters one’s self awareness and effort to escape it upsetting event or feeling)

Back 89

Dissociative disorders

Front 90

Unable to recall personal info caused by stress or trauma is called?

Back 90

Dissociative amnesia

Front 91

Dissociative amnesia during fugue state.

Back 91

-leads a simple life

-seeks little attention from others

-significant distress in life functioning

Front 92

When two or more identity/personalities control a clients behavior?

Back 92

Dissociative identity disorder DID

Front 93

What is the ultimate goal?

Back 93

Healthy mind, soul, spirit.