NUR 3 56 Exam 1 Test Wi th Correct Answe rs Maslow's Hierarchy of Needs - ANSWER physiological safety love/belonging esteem/respect self-actualization anxiety - ANSWER Paplau established 4 levels mild anxiety - ANSWER - tensions experienced daily - prepares for action and motivates - sharpens senses and environmental awareness coping mechanisms (1) - ANSWER behaviors that satisfy need for comfort (Menninger 1963) - yawning - nail biting - eating/drinking - exercise - fidgeting some more adaptive than others, each person finds their own moderate anxiety - ANSWER - as anxiety increases, awareness to environment decreases - decreased attention span - can attend to needs with direction - may need problem-solving assistance - increased muscular tension and restlessness - increases HR, RR, perspiration - increased speech volume, rate, and pitch - gastric discomfort Ego Defense Mechanisms (2) - ANSWER (mechanisms employed by ego in the fa ce of threat) - compensation - rationalization - denial - reaction formation - displacement - regression - identification - repression - intellectualization - introjection - suppression - isolation - undoing - projection psycho-physiological responses (3) - ANSWER - anxiety remains unresolved - extended period may exacerbate symptoms, delay recovery, interfere with treatment of medical condition severe anxiety - ANSWER - awareness greatly diminished - concentration on one detail - diminished attention span - overt behavior aimed at relieving anxiety - physical symptoms: headache, palpitations, insomnia, trembling, dizziness, tachycardia, hyperventilation, urinary frequency, diarrhea, palpitations - emotional symptoms: confusion, dread, horror psychoneurotic behavior patterns (4) - ANSWER - aware of stress and maladaptive behaviors - unaware of possible psychological causes of distress - helpless feeling - experiences no loss of contact with reality - ex) anxiety disorders, somatic symptom disorders, dissociative disorders panic anxiety - ANSWER - most intense state of anxiety - prolonged can lead to physical and emotional exhaustion, maybe life-threatenin g - inability to focus on one detail - experience hallucinations or delusions - may display wild or desperate actions or extreme withdraw
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