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5 Written questions

5 Matching questions

  1. Palliative
  2. Crisis
  3. Stages of GAS (General Adaption Syndrome)
  4. Classification of Stressors
  5. Biologic model (Selye)
  1. a comfort care, temporarily decreases problem, not solving.
  2. b General adaptation Syndrome (GAS)
    Release of hormones to counter act stress.
    Physical and psychological cause additional stress if the cycle
  3. c 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)
  4. d Period of disorganization
    Results from:
    Failure of usual coping mechanisms, Lack of usual resources
    Time: Limited to 4-6 weeks
    Suicide assessment essential
  5. e 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

5 Multiple choice questions

  1. Accept anxiety as natural part of daily life.
    Problem solve, discuss source of anxiety
    Use of adaptive coping mechanisms
  2. coping strategies produce long term positive results in dealing with the situation.
  3. Stressor
    Neurochemical Psycologic emotional reactions
    Coping behaviors (Adaptive, Palliative, Maladaptive, Dysfunctional)
  4. Need to control anxiety comes from conflicts between id and super ego
  5. Guide firmly, assume control physically
    Use IM medication, restraints prn

5 True/False questions

  1. 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.


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


  3. Levels of Anxiety (Mild +1)Symptoms of severe anxiety, and inability to function, dread, terror, personality disorganization
    Actual flight or fight
    "Runaway Bride"


  4. Maladaptivecoping strategies provide short term respite from pain or adversity and do not resolve the situation.


  5. Levels of Anxiety (Moderate + 2)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,