5 Written questions
5 Matching questions
- Basic principles in assessing anxiety in patient
- Levels of Anxiety (Moderate + 2)
- Interpersonal model (Sullivan)
- Levels of Anxiety (Panic + 4)
- a 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.
- b Symptoms of severe anxiety, and inability to function, dread, terror, personality disorganization
Actual flight or fight
- c 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.
- d comfort care, temporarily decreases problem, not solving.
- e Learned behaviors in life to deal with stress
5 Multiple choice questions
- 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
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
- 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,
- Accept anxiety as natural part of daily life.
Problem solve, discuss source of anxiety
Use of adaptive coping mechanisms
- Decrease anxiety, use firm simple direction, seclusion, meds.
Give IM medication; use time-out prn
5 True/False questions
Biologic model (Selye) → Need to control anxiety comes from conflicts between id and super ego
Levels of Anxiety (Mild +1) → Symptoms of severe anxiety, and inability to function, dread, terror, personality disorganization
Actual flight or fight
Adaptive → coping strategies produce long term positive results in dealing with the situation.
Anxiety interventions (Panic, +4) → Guide firmly, assume control physically
Use IM medication, restraints prn
Process of Anxiety → Stressor
Neurochemical Psycologic emotional reactions
Coping behaviors (Adaptive, Palliative, Maladaptive, Dysfunctional)