1.
Acceptance and recovery: When grieving individuals begin to focus their energies on the living
2.
Acute stress disorder: Symptoms during or immediately after the distressing event.
3.
Adaptive: Solves the problem that is causing the anxiety, so the anxiety is decreased. The patient is objective, rational, and productive
4.
Anticipatory grief: Becoming aware of an impending loss
5.
Anxiety: A feeling of uneasiness, uncertainty, and helplessness
6.
At what age do children perceive loss as an adult would?: Between the age of 9 or 10.
7.
At what age does a child truly understand that death is irreversible?: By 12 years of age.
8.
Biologic Model: The effects of stress can be observed by the Objective measurements of structural and clinical changes in the body.
9.
Buspirone- buspar: Requires 7-10 days before initial signs of improvement, 3-4 weeks of therapy. Advantage over others is that is has lower sedative properties and doesn't alter psychomotor functioning.
10.
Can preschoolers understand a permanent loss such as death?: No
11.
Caregiver's grief: Relationships are formed between caregivers and clients that develop into understanding and rapport.
12.
Common adverse effects to Benzodiapzepines?: drowsiness, sedation, lethargy, transient hypotention(important for baseline VS's, sitting/standing)
13.
Complicated grief: Persistent yearning for a deceased person
14.
Crisis: One's ability to cope with anxiety is overwhelmed and new coping behaviors must be developed to successfully resolve the source problem.
15.
Defense Mechanisms: Psychological strategies that help to lessen feelings of anxiety
16.
Denial: Begins with a feeling of shock or when one wants to reject the loss
17.
Depression and identification: Feelings of guilt and remorse
18.
Dysfunctional: Is not successful in reducing anxiety or solving the problem. Even minimal functioning becomes difficult, and new problems begin to develop
19.
Fluvoxamine(luvox): This is used primarily in obsessive compulsive disorders, by reducing symptoms
20.
Generalized anxiety disorder.: Individual's anxiety is broad, long-lasting, and excessive. An unrealistic worry about two or more life circumstances for 6 months or longer.
21.
Habitual use of Benzodiapzepines may result in?: Physical and psychological dependence with withdrawl symptoms
22.
How do adults differ in their perception of loss compared to a younger individual?: They are able to perceive events more abstractly than are younger individuals
23.
How do school-age children feel about death?: They often feel that God or the Devil took a loved one.
24.
How long can the body deal with disorganization due to crisis?: It cannot be tolerated emotionally or physically for more than 4-6 weeks
25.
How should you deal with a dying child?: Parents should communicate with the dying child. Siblings of the dying child also need extra attention.
26.
How should you help someone with a mental disorder deal with loss and grief?: Encourage effective coping skills, and provide physical and emotional support
27.
Is anxiety a normal part of development & growth?: Yes
28.
Losses outside the individual.: External loss
29.
Losses that involve some part of oneself.: Internal loss
30.
Maladaptive (EX: talking about how you hated your job to coworkers): Unsuccessful attempts to decrease the anxiety without attempting to solve the problem - the anxiety remains
31.
Mild +1 Anxiety: Slight muscle tension, Occasional slight irritability, and awareness of surroundings.
32.
Moderate 2+ anxiety: Moderate muscle tension, Increased blood pressure, pulse, and respirations, Feeling uncomfortable, on edge, keyed up, and Difficulty in concentrating.
33.
Obsessive-compulsive disorder: Most common obsessions are related to cleanliness, dirt, and germs; aggressive and sexual impulses; health concerns; safety concerns; and order and symmetry. These must be performed to reduce anxiety.
34.
Palliative: Temporarily decreases the anxiety but does not solve the problem, so the anxiety eventually returns
35.
Panic 4+ anxiety: Actual flight, fight, or immobilization, Suicide attempts or violence, Depletion of body resources, Feeling overwhelmed and out of control and rage, Disorganized or irrational reasoning and problem solving, Neologisms (made up words),Clang associations (words that may sound alike/ nonsense) and Word salad (random words put together).
36.
Panic disorders: begins as a series of acute or unprovoked anxiety(panic) attacks involving an intense, terrifying fear. The attacks do not occur on exposure to an anxiety-causing situation as phobias do.
37.
Phobic disorders: A phobia is an internal fear reaction of a specific object, activity or situation. They are obsessive in nature.
38.
Post traumatic stress disorder: Symptoms that occur 1 month or more after the trauma. Somewhat different from the other anxiety disorders, can develop after exposure to a clearly identifiable traumatic event that threatens self, others, resources and/or sense of control or hope.
39.
Potentially fatal illness: Acts as a wake-up call and a motivator for the client to make major lifestyle changes
40.
Psychodynamic model: Need to control anxiety stems from conflicts between the Id (instincts) and the Superego (conscience).
41.
Responsiveness and preparation for death depend on?: Meaning of death to the individual and coping mechanisms used throughout life.
42.
Severe 3+ anxiety: Preparation of body for fight-or-flight, Extreme muscle tension, Extreme discomfort, and Distorted perceptions.
43.
Terminal illness: A condition in which the outcome is death
44.
The grieving process: A method of resolving losses and healing or recovering or A healing process that encourages individuals to continue on, even after a loss.
45.
Therapeutic intervention for grief.: Involve listening, providing emotional support, and referring to appropriate resources
46.
Unresolved grief: Unhealthy or ineffective grief reactions, Bereavement-related depression, and loss felt so intensely that feelings of despair and worthlessness overwhelm the client
.
47.
What 2 Benzodiapines are preferred for those with reduced hepatic function or in an older adult?: Lorazepam(ativan) and oxapam(serax) because they are short acting.
48.
What are some common adaptive coping techniques taught?: Problem solving,Assertiveness,Positive self-talk and self-acceptance, Stress and anger management, Communication and relationship skills, Conflict resolution, Time management and Community living skills.
49.
What are some common Benzodiapines?: Alprazolam (Xanax), Chlordiazepozide (Librium), Clorazepate(Tranzene), Diazepam (Valium), Lorazepam (Ativan) &Oxazepam (Serax).
50.
What are some common palliative techniques taught?: Visualization, guided-imagery, prayer, meditation, Deep-breathing, Relaxation training, Yoga, Healthy lifestyle choices,
Avoiding smoking, drinking, and other substances, Decreasing self-destructive behaviors such as avoidance, Engaging in laughter, hobbies, and noncompetitive activities that are fun.
51.
What are the 3 areas the anxiety scales analyzes?: Psychomotor, emotion & cognition.
52.
What are the meds used to treat anxiety?: Benzodiazepines, Antidepressants, Antihistamines, Propranolol, and Anxiolytics.
53.
What are the physical symptoms of anxiety ?: Muscle tension, Fidgeting, Headache, Problems with sleep, and Fight-or-flight reaction
54.
What are the stages of the grieving process?: Denial, yearning, depression & identification, acceptance & recovery.
55.
What can uncontrolled anxiety lead to?: Ineffective and maladaptive behavior.
56.
What does loss mean?: To lose,To bring about the destruction of,To become unable to find,To misplace, To fail to keep, To have taken from one by accident, separation, or death.
57.
What is a "good" death?: One in which the dying and the living participate fully and completely
58.
What is a therapeutic intervention for anxiety?: Prevention
59.
What is Elisabeth Kübler-Ross's five stages of dying?: Denial, Anger, Bargaining, Depression, and
Acceptance.
60.
What is Hospice?: A philosophy of care for people with terminal illnesses or conditions. Goal of hospice is to make the remainder of an individual's life as meaningful and comfortable as humanly possible
61.
What may happen if a person doen't receive help for issues with a crisis?: The individual might become physically ill, become violent, or commit suicide to escape the pain.
62.
What must nurses consider concerning Cultural factors, dying, and mourning?: Nurses must be careful to assess and understand the meaning of each client's cultural, religious, and social practices
63.
What purposes does anxiety have?: A warning of impending danger. Mild anxiety can increase learning by enhancing concentration and focus
64.
What should you check for before administering a Benzodiapzepine?: A history of blood dyscrasias or hepatic disease
65.
What stage is dying?: It is the last stage of growth & development.
66.
Why are Benzodiazepines the most effective drug for anxiety?: More consistently effective, Less likely to interact with other drugs, Less likely to cause overdose, and Less potential for abuse.
67.
Why should a breast feeding mother not use Benzodiapines?: They can cross easily into the breast milk and affect the infant.
68.
Why should pregnant women not take Benzodiapines in the first trimester?: Due to a possible increase in birth defects.
69.
Yearning: Crying, self-blame, and anger are common, and some may even strike out at self or others
