5 Written questions
5 Matching questions
- Psychodynamic model (Freud)
- Levels of Anxiety (Panic + 4)
- Basic principles in assessing anxiety in patient
- Anxiety interventions (Moderate, +2)
- a Need to control anxiety comes from conflicts between id and super ego
- b coping strategies produce long term positive results in dealing with the situation.
- c Symptoms of severe anxiety, and inability to function, dread, terror, personality disorganization
Actual flight or fight
- d Intervene to decrease anxiety -ventilation, crying, exercise, relaxation techniques.
Refocus attention: relate feelings and behaviors to anxiety; then problem solve techniques. May need medication.
- e 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.
5 Multiple choice questions
Neurochemical Psycologic emotional reactions
Coping behaviors (Adaptive, Palliative, Maladaptive, Dysfunctional)
- coping strategies provide short term respite from pain or adversity and do not resolve the situation.
- Period of disorganization
Failure of usual coping mechanisms, Lack of usual resources
Time: Limited to 4-6 weeks
Suicide assessment essential
- 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)
- 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,
5 True/False questions
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.
Biologic model (Selye) → Need to control anxiety comes from conflicts between id and super ego
Anxiety interventions (Mild, +1) → Guide firmly, assume control physically
Use IM medication, restraints prn
Interpersonal model (Sullivan) → General adaptation Syndrome (GAS)
Release of hormones to counter act stress.
Physical and psychological cause additional stress if the cycle
Anxiety interventions (Panic, +4) → Accept anxiety as natural part of daily life.
Problem solve, discuss source of anxiety
Use of adaptive coping mechanisms