NUR 256 exam 2.docx

Fight or flight - correct answer The bodys way of preparing for a situation the individual perceives as a threat to survival (increased BP, HR, respiration, cardiac output) General adaptation syndrome stages - correct answer alarm, resistance, exhaustion Maturational crisis - correct answer Refer to eriksons 8 stages of development; how the person progresses through each stage, effects the next; new coping strategies Situational crisis - correct answer Unanticipated external events i.e. death, divorce, sudden death, tired from job Adventitious crisis - correct answer Not part of everyday life, caused by nature or human-made Levels of anxiety - correct answer Mild, moderate, severe, panic Mild anxiety symptoms - correct answer Sharp focus, more effective problem solving, may have slight physical symptoms Moderate anxiety symptoms - correct answer Sees, hears, and grasps less info; selective inattention, ability to think clearly hindered; problem solving can take place; tension, increased HR, BP, respiration, GI upset Severe anxiety symptoms - correct answer Focused narrowed, doesn't not notice the details of the environment; learning and problem solving not possible; HA, nausea, insomnia; hyperventilation may occur Panic anxiety symptoms - correct answer Most intense; unable to process what is happening in the environment; may lose touch with reality; physical behavior may become erratic or impulsive Defense mechanisms - correct answer Obsession OCD - correct answer Intrusive and recurrent thoughts Compulsion OCD - correct answer Ritualistic behavior/s that reduces anxiety related to the obsession Priority for panic levels of anxiety - correct answer Safety for the pt and those around teamwork Benzos - correct answer Quick onset (good for panic attacks); not recommended for elderly; risk for dependence; paradoxal reactions Buspar - correct answer No dependency risk; not recommended for those with impaired renal or hepatic function SSRIs - correct answer Paroxetine, fluoxetine, sertaline, etc Phases of group development - correct answer Planning, orientation, working, termination Group leader communication techniques - correct answer Active listening, asking questions, clarification, reflection, support