RNSG 2213 (M.H.) - Exam 2, Modlule 6: Anxiety-Related and Somatic Symptom Disorders: Panic Disorder, Agoraphobia, Specific Phobia, Social Anxiety, Generalized Anxiety Disorder; Obsessive-Compulsive Disorder, Body Dysmorphic Disorder, Hoarding, Trichotillo

RNSG 2213 (M.H.) - Exam 2, Modlule 6: Anxiety-Related and Somatic Symptom Disorders: Panic Disorder, Agoraphobia, Specific Phobia, Social Anxiety, Generalized Anxiety Disorder; Obsessive-Compulsive Disorder, Body Dysmorphic Disorder, Hoarding, Trichotillomania, Excoriation Disorder, Somatic Symptom Disorder, Illness Anxiety Disorder, Conversion Disorder, Factitious Disorder, Maladaptive Coping, Defense Mechanisms, Cognitive Behavioral Therapy (CBT), Exposure Therapy, Systematic Desensitization, Relaxation Training, Breathing Control, Pharmacologic Interventions (SSRIs, SNRIs, Benzodiazepines, Buspirone, Beta Blockers, Antihistamines, Anticonvulsants), Physiological Arousal, Hyperventilation, Catastrophizing, Anticipatory Anxiety, Emotional Dysregulation, Functional Impairment, Insight Development, Psychoeducation, Nurse-Patient Relationship, Crisis Management Exam Questions Verified and Provided with Complete A+ Graded Rationales Latest Updated 2026 anxiety disorders extreme or inappropriate fear or worry + some degree of life impairment = anxiety dx Anxiety definition ¢Is the subjective response to stress ¢Characterized by feelings of apprehension, uneasiness, dread resulting from a real or perceived threat ¢Occurs in degrees of intensity, mild to panic and affects one's ability to function anxiety dx = ¢Anxiety is ubiquitous; anxiety disorders are not ¢Anxiety disorder connotes significant distress and dysfunction ¢Physiologic and psychological symptoms that result from a perception of a threat to safety and security ¢Defense mechanisms are ways a person behaves to reduce fear and anxiety - adaptive and maladaptive levels of anxiety perceptual field, ability to problem solve and physical ¢characteristics differ according to one’s level of anxiety. ¢Perceptual field example: ¢Mild: alert, aware, attentive, logical reasoning ¢Moderate: difficulty concentrating, easily distracted, narrowed perceptions, decreased attention span ¢Severe: distorted perceptions, attention scattered ¢Panic- disorganized, irrational, out of contact with reality, may feel unreal ***stay with these pts., do not leave them pg 135-137 When assessing an apparently anxious client, your questions should be: A. Abstract B. Avoided - best to not ask questions C. Simple and direct D. Subtle and suggestive c The most appropriate nursing strategy when trying to give necessary information to a client with moderate anxiety is to: A.Discontinue giving information and reassure client you will tell them at a later time B. Continue giving the information as client will retain most of it C. Discontinue giving the information and instead encourage the client to talk about her feelings of anxiety D.Give the information again with simple language and in a calm manner D Which level of anxiety is this: A. Narrowed perceptual field B. Perceptual field increased, alert C. Unable to function, personality disorganized D. Learning cannot occur, severe emotional distress A. Narrowed perceptual field = moderate B. Perceptual field increased, alert = mild C. Unable to function, personality disorganized = panic D. Learning cannot occur, severe emotional distress = severe types of anxiety dx ¢Panic disorder ¢Agoraphobia ¢Specific phobia (simple phobia) ¢Social anxiety (social phobia) ¢Generalized anxiety disorder (GAD) ¢Treatment approaches for all anxiety-related disorders are fairly similar - including pharmacotherapy, psychological interventions or a combination of both etiology of anxiety ¢Genetic - clusters in families ¢Neurobiology - amygdala plays a role ¢Neurochemicals - all play a role ¢GABA - inhibitory- calms ¢Psychological theories psychodynamic - early needs unmet behavioral - learned responses cognitive - distortions in thoughts/perceptions *OCD & panic dx have strong links panic disorder ¢2x females; mid 20s ¢In childhood may be misdiagnoses as conduct disorder or school avoidance ¢ Strong genetic link = up to 40% of people whose parents exp. will also exp. it ¢Symptoms of a panic attack climb to max severity with 10 min, diminish within 30 - 60 min ¢Often seek help in ER initially ¢Recurrent, unexpected panic attacks ¢Essential to rule out physiological causes ¢Panic attacks that recur at unpredictable times with intense fear, apprehension and terror ¢Disorder may occur with agoraphobia ¢Attacks may be situation related or spontaneous ¢Sudden onset, feeling of terror/doom ¢Chest pain, dizzy, palpitations, derealization, fear of dying, shortness of breath - will present in ED (mimics heart attack) ¢Depression and drug use comorbidity; risk for suicide ¢Between attacks…..anticipatory anxiety – low level constant anxiety 30% of population exp. a panic attack, & 1 in 6 have panic dx.