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Exam (elaborations)

NUR 354 Exam 3 QAS (100% CORRECT!!

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Symptoms of major anxiety - ANSWERSanxiety - apprehension, uneasiness, uncertainty, or dread from real or perceived threat. separation anxiety, manifestions and when is it diagnoses? - ANSWERSnormal part of infant development around 8-14 mo disorder when: developmentally innapropriate levels of concern for being away from a significant other or family member. - diagnosed prior to age 18 after approx 1 month of symtpoms. adult from of SAD is also possible; may begin in childhood or adulthood more likely to be unmarried - does not respond well to most therapes. - harm avoidance, worry, shyness, lack of self direstions agoraphobia - ANSWERSexcessive anxiety or fear about being in places or situations from which escape might be difficult or embarrassing (they just stay home) social phobia and example, most common manifestation of this and how do younger ppl present - ANSWERSsevere anxiety or fear provoked by exposure to a social or a performance situation that will be evaluated negatively by others - ex: fear of saying something foolish in public, not being able to answer questions in class - younger ppl may act out instead of avoinding in order to compensate for this fear, which makes it harder to diagnose - fear of public speaking is the most common manifestation GAD - ANSWERSexcessive worry that lasts for months. worry is out of proportion to true impacts of events or situations - often manifests as restless, irritable, and tense ppl - decision making is difficult due to poor concentration and fear of making mistakes - sleep disturbances very common, leading to fatigue substance induced anxiety disorder - ANSWERSSymptoms of anxiety, panic attacks, obsessions, and compulsions that develop with the use of a substance or within a month of stopping use anxiety due to medical condition - ANSWERSDirect physiological result of medical conditions such as: hyperthyroidism, pulmonary embolism, cardiac dysrythmias - must do careful and comprehensive assessment of multiple factors to r/o dx OCD - ANSWERSobsessions - thoughts, impulses, or images that persist and recur, so that they cannot be dismissed from the mind

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NUR 354 Exam 3 QAS (100% CORRECT!!

Symptoms of major anxiety - ANSWERSanxiety - apprehension, uneasiness,
uncertainty, or dread from real or perceived threat.

separation anxiety, manifestions and when is it diagnoses? - ANSWERSnormal part of
infant development around 8-14 mo
disorder when: developmentally innapropriate levels of concern for being away from a
significant other or family member.
- diagnosed prior to age 18 after approx 1 month of symtpoms.
adult from of SAD is also possible; may begin in childhood or adulthood
more likely to be unmarried
- does not respond well to most therapes.
- harm avoidance, worry, shyness, lack of self direstions

agoraphobia - ANSWERSexcessive anxiety or fear about being in places or situations
from which escape might be difficult or embarrassing (they just stay home)

social phobia and example, most common manifestation of this and how do younger ppl
present - ANSWERSsevere anxiety or fear provoked by exposure to a social or a
performance situation that will be evaluated negatively by others
- ex: fear of saying something foolish in public, not being able to answer questions in
class
- younger ppl may act out instead of avoinding in order to compensate for this fear,
which makes it harder to diagnose
- fear of public speaking is the most common manifestation

GAD - ANSWERSexcessive worry that lasts for months.
worry is out of proportion to true impacts of events or situations
- often manifests as restless, irritable, and tense ppl
- decision making is difficult due to poor concentration and fear of making mistakes
- sleep disturbances very common, leading to fatigue

substance induced anxiety disorder - ANSWERSSymptoms of anxiety, panic attacks,
obsessions, and compulsions that develop with the use of a substance or within a
month of stopping use

anxiety due to medical condition - ANSWERSDirect physiological result of medical
conditions such as: hyperthyroidism, pulmonary embolism, cardiac dysrythmias
- must do careful and comprehensive assessment of multiple factors to r/o dx

OCD - ANSWERSobsessions - thoughts, impulses, or images that persist and recur, so
that they cannot be dismissed from the mind

, compulsions- ritualistic behaviors an individual feels driven to perform in an attempt to
reduce the anxiety
can occur independly, but most commonly occur tg

when do OCD symptoms occur and when do most symptoms begin -
ANSWERSsymptoms are daily, and rituals are time conusimg, shameful and interfere
with normal routines and relationships
1/3 of adult cases begin in childhood and can be present as early as 3

body dysmorphic disorder - ANSWERSappearance is usually normal, preoccupation
with imagined defective body part results in obsessional thinking and compulsions such
as mirror checking and camouflaging the part of the defective body part
levels of insight var

hoarding disorder and who does it affect more - ANSWERSobsessions that lead to
compulsions of accumulation of belongings that have little to no value
more women than men are treated, but affect men and women equally

trichotillomania - ANSWERShair pulling disorder. helps to relieve anxiety
- childhood, adolescence, or adult onset and can last weeks to decades

dermatillomania and complications - ANSWERSskin picking disorder, typically face but
can be anywhere. means of managing stress. can use fingers, or tools
complications include infections, pain, sores, scares

substance induced OCD and ex - ANSWERSobsessions and compulsions that develop
with use of substance or within a month of stopping substance.
ex- parkinsons drugs have been reported to cause obsessions with gambling, sex and
spending

normal anxiety - ANSWERShealthy, necessary for survival, motivates to survive change

mild anxiety - ANSWERSsees, hears, grasps more info
problem solving more effective
- slight discomofort, restlessness, irritability
- mild tensions- relieving behaviors (nail biting, etc)

moderate anxiety - ANSWERSperceptual field narrows, sees hears and grasps less info
- may demonstrate selective attentions
- ability to think is hampered, but learning and problem solving still taking place
- tension, increased HR, and RR, sweating, urinary urgency, gastric discomfort,
headache, tremors

severe anxiety - ANSWERSperceptual field greatly reduced (tunnel vision)
- may focus on one particular details and have difficulty noticing anything else
- learning and problem solving not possible

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