5 Written Questions
5 Matching Questions
- Anxiety interventions (Panic, +4)
- Anxiety interventions (Moderate, +2)
- Biologic model (Selye)
- Interpersonal model (Sullivan)
- Stages of GAS (General Adaption Syndrome)
- a Intervene to decrease anxiety -ventilation, crying, exercise, relaxation techniques.
Refocus attention: relate feelings and behaviors to anxiety; then problem solve techniques. May need medication.
- b General adaptation Syndrome (GAS)
Release of hormones to counter act stress.
Physical and psychological cause additional stress if the cycle
- c Guide firmly, assume control physically
Use IM medication, restraints prn
- d Alarm
Hormones released for energy, Adrenaline, Cortical hormones, Fight or flight response
If anxiety is resolved hormone levels back to normalContinued anxiety causes body to move to stage of exhaustion. Resources depleted is coping not effective
Exhaustion- depletion of adrenal hormones, development of ulcers, CVD, depression
- e Learned behaviors in life to deal with stress
5 Multiple Choice Questions
- Accept anxiety as natural part of daily life.
Problem solve, discuss source of anxiety
Use of adaptive coping mechanisms
- comfort care, temporarily decreases problem, not solving.
- coping strategies provide short term respite from pain or adversity and do not resolve the situation.
Neurochemical Psycologic emotional reactions
Coping behaviors (Adaptive, Palliative, Maladaptive, Dysfunctional)
- Decrease anxiety, use firm simple direction, seclusion, meds.
Give IM medication; use time-out prn
5 True/False Questions
Levels of Anxiety (Panic + 4) → Symptoms of severe anxiety, and inability to function, dread, terror, personality disorganization
Actual flight or fight
Classification of Stressors → comfort care, temporarily decreases problem, not solving.
Anxiety → Period of disorganization
Failure of usual coping mechanisms, Lack of usual resources
Time: Limited to 4-6 weeks
Suicide assessment essential
Levels of Anxiety (Mild +1) → tolerate and may benefit from it.
Becoming highly alert, mild uneasiness, feeling butterflies in stomach.
Basic principles in assessing anxiety in patient → 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.