5 Written Questions
5 Matching Questions
- Anxiety interventions (Panic, +4)
- Classification of Stressors
- Levels of Anxiety (Moderate + 2)
- a Guide firmly, assume control physically
Use IM medication, restraints prn
- 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)
- c coping strategies provide short term respite from pain or adversity and do not resolve the situation.
- d 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.
- e coping is not successful in resolving problem or anxiety. New problems develop due to the means of behavior
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
- comfort care, temporarily decreases problem, not solving.
- Learned behaviors in life to deal with stress
- Decrease anxiety, use firm simple direction, seclusion, meds.
Give IM medication; use time-out prn
- Need to control anxiety comes from conflicts between id and super ego
5 True/False Questions
Adaptive → coping strategies produce long term positive results in dealing with the situation.
Biologic model (Selye) → General adaptation Syndrome (GAS)
Release of hormones to counter act stress.
Physical and psychological cause additional stress if the cycle
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 → Stressor
Neurochemical Psycologic emotional reactions
Coping behaviors (Adaptive, Palliative, Maladaptive, Dysfunctional)
Anxiety interventions (Moderate, +2) → Intervene to decrease anxiety -ventilation, crying, exercise, relaxation techniques.
Refocus attention: relate feelings and behaviors to anxiety; then problem solve techniques. May need medication.