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5 Written Questions

5 Matching Questions

  1. Levels of Anxiety (Severe + 3)
  2. Psychodynamic model (Freud)
  3. Classification of Stressors
  4. Anxiety
  5. Anxiety interventions (Severe, +3)
  1. a Decrease anxiety, use firm simple direction, seclusion, meds.
    Give IM medication; use time-out prn
  2. b 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)
  3. c 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,
  4. d Emotional pain, Apprehension, fearfulness, powerlessness, Warning of perceived threat
    Emotional response that triggers relief behaviors
    Alert to prepare for self-defense, Occurs in degrees, Contagious, Part of a process
  5. e Need to control anxiety comes from conflicts between id and super ego

5 Multiple Choice Questions

  1. Guide firmly, assume control physically
    Use IM medication, restraints prn
  2. General adaptation Syndrome (GAS)
    Release of hormones to counter act stress.
    Physical and psychological cause additional stress if the cycle
  3. Stressor
    Anxiety
    Neurochemical Psycologic emotional reactions
    Coping behaviors (Adaptive, Palliative, Maladaptive, Dysfunctional)
  4. Intervene to decrease anxiety -ventilation, crying, exercise, relaxation techniques.
    Refocus attention: relate feelings and behaviors to anxiety; then problem solve techniques. May need medication.
  5. Period of disorganization
    Results from:
    Failure of usual coping mechanisms, Lack of usual resources
    Time: Limited to 4-6 weeks
    Suicide assessment essential

5 True/False Questions

  1. Dysfunctionalcoping is not successful in resolving problem or anxiety. New problems develop due to the means of behavior

          

  2. Stages of GAS (General Adaption Syndrome)Alarm
    Hormones released for energy, Adrenaline, Cortical hormones, Fight or flight response

    Resistance
    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

          

  3. Basic principles in assessing anxiety in patientStressor
    Anxiety
    Neurochemical Psycologic emotional reactions
    Coping behaviors (Adaptive, Palliative, Maladaptive, Dysfunctional)

          

  4. Levels of Anxiety (Moderate + 2)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.

          

  5. Adaptivecoping strategies produce long term positive results in dealing with the situation.

          

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