Psychiatric Mental Health Nursing Exam 3 short questions and answers 2023/2024

Psychiatric Mental Health Nursing Exam 3 short questions and answers 2023/2024 Mild Anxiety - >>a sensation that something is different and warrants special attention. Increased focus and attention Psychological Responses to Mild Anxiety - >>-Wide perceptual field -Sharpened senses -Increased motivation -Effective problem solving -Increased learning ability -Irritability Physiological responses to Mild Anxiety - >>- Restlessness - Fidgeting - GI "butterflies" - Trouble sleeping - Hypersensitivity to noise Moderate Anxiety - >>Feeling something is definitely wrong. - Nervousness/agitation - Difficulty concentrating - Able to be redirected Nursing intervention for Moderate Anxiety - >>- Use short, simple sentences - Redirect patient to topic Psychological Responses to Moderate Anxiety - >>- Perceptual field narrowed to immediate task - Selectively attentive - Can't connect thoughts/events independently - Increased use of automatisms Physiological Responses to Moderate Anxiety - >>-Muscle tension -Diaphoresis -Pounding pulse -Headache -Dry mouth -High voice pitch -Faster rate of speech -GI upset -Frequent urination Severe Anxiety - >>-Greatly diminished perceptual field - Difficulty completing simple tasks - Trouble thinking and reasoning Nursing interventions for severe anxiety - >>-Lower the patient's anxiety level to mild -moderate before proceeding. - Stay with the patient Psychological Responses to Severe Anxiety - >>- Can't complete tasks - Doesn't problem solve or effectively learn - Doesn't respond to direction - Cries - Feels dread, awe, horror -Ritualistic behavior Physical Responses to severe anxiety - >>-Severe headache - n/v/d - Trembling - Rigid stance - Vertigo - Pale - Tachycardia - chest pain Panic Anxiety - >>-Loss of contact with reality. -Functioning and communication ineffective. -Learning not possible - Can be life -threatening - "flight or fight" Nursing interventions for panic anxiety - >>-Stay with the patient* -1st go to a quiet place, non -stimulating environment. - Then if needed, we can use benzos for short -term sedation Panic anxiety psychological responses - >>-Perceptual field reduced to focus on self -Cannot process any environmental stimuli -Distorted perceptions -Loss of rational thought -Doesn't recognize potential danger -Can't communicate verbally -Possible delusions and hallucination -May be suicidal Panic anxiety physiologic responses - >>-May bolt and run