5 Written questions
5 Matching questions
- Stages of GAS (General Adaption Syndrome)
- Anxiety interventions (Mild, +1)
- Anxiety interventions (Severe, +3)
- Levels of Anxiety (Panic + 4)
- a coping strategies provide short term respite from pain or adversity and do not resolve the situation.
- b Decrease anxiety, use firm simple direction, seclusion, meds.
Give IM medication; use time-out prn
- c Symptoms of severe anxiety, and inability to function, dread, terror, personality disorganization
Actual flight or fight
- 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 Accept anxiety as natural part of daily life.
Problem solve, discuss source of anxiety
Use of adaptive coping mechanisms
5 Multiple choice questions
- 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,
- comfort care, temporarily decreases problem, not solving.
- 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.
Neurochemical Psycologic emotional reactions
Coping behaviors (Adaptive, Palliative, Maladaptive, Dysfunctional)
- Learned behaviors in life to deal with stress
5 True/False questions
Biologic model (Selye) → General adaptation Syndrome (GAS)
Release of hormones to counter act stress.
Physical and psychological cause additional stress if the cycle
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.
Dysfunctional → comfort care, temporarily decreases problem, not solving.
Anxiety interventions (Panic, +4) → Guide firmly, assume control physically
Use IM medication, restraints prn
Psychodynamic model (Freud) → Need to control anxiety comes from conflicts between id and super ego