5 Written questions
5 Matching questions
- Levels of Anxiety (Severe + 3)
- Basic principles in assessing anxiety in patient
- Anxiety interventions (Severe, +3)
- Process of Anxiety
- a Most symptoms of moderate anxiety intensified. Hyperventilation, dizziness, vomiting, tachycardia, inability to hear or speak, further decreased perception, hallucinations, delusions.
Prepare for flight or fight, reflexes, extreme muscle tension, pacing,
- b Stressor
Neurochemical Psycologic emotional reactions
Coping behaviors (Adaptive, Palliative, Maladaptive, Dysfunctional)
- c Identify for the level of anxiety.
Listen to client and look for body language.
Keep outside stimulation low, when anxiety is high, Provide for privacy.
Acknowledge anxious behavior, If patient is trying to cope, assist them to more effectively.
Maintain accepting and helpful attitude.
- d Decrease anxiety, use firm simple direction, seclusion, meds.
Give IM medication; use time-out prn
- e coping strategies provide short term respite from pain or adversity and do not resolve the situation.
5 Multiple choice questions
- Period of disorganization
Failure of usual coping mechanisms, Lack of usual resources
Time: Limited to 4-6 weeks
Suicide assessment essential
- Symptoms of severe anxiety, and inability to function, dread, terror, personality disorganization
Actual flight or fight
- Internal - subjective; Fear, pain, self-esteem.
External- others can view; Illness, injury
Maturational - an expected part of daily life
Starting school, leaving home, marriage, birth of a child
Situational- less predictable, may have warning signs but we fail to notice. (divorce, loss of a job)
- Slight perspiration, increased pulse, resp. and BP. Muscle tension, urinary frequency, nausea, anorexia, heart pounding, dry mouth, cold and clammy pale skin. Poor comprehension, selective inattentiveness.
- tolerate and may benefit from it.
Becoming highly alert, mild uneasiness, feeling butterflies in stomach.
5 True/False questions
Biologic model (Selye) → Need to control anxiety comes from conflicts between id and super ego
Palliative → coping strategies provide short term respite from pain or adversity and do not resolve the situation.
Adaptive → coping strategies produce long term positive results in dealing with the situation.
Interpersonal model (Sullivan) → Learned behaviors in life to deal with stress
Stages of GAS (General Adaption Syndrome) → Symptoms of severe anxiety, and inability to function, dread, terror, personality disorganization
Actual flight or fight