NURS 172 Exam
NURS 172 Exam 3 Quizzes and
Solutions
Anxiety - an emotional response to anticipation of danger, the source of which is
largely unknown or recognized.
Anxiety: Epidemiologic Statistics - - most common of all psychiatric illnesses
- more common in women than men
- minority children & children from low socioeconomic environments are at risk
Panic Disorder - characterized by: recurrent panic attacks, the onset of which are
unpredictable and manifested by intense apprehension, fear, or terror
- may or may not be accompanied by agoraphobia
Symptoms of Panic Attacks - - sweating, trembling, shaking
- shortness of breath, chest pain or discomfort
- nausea or abdominal distress
- dizziness, hot flashes, chills
- numbness or tingling sensation
- derealization or depersonalization
- fear of losing control
- fear of dying
Generalized Anxiety Disorder - chronic, unrealistic, and excessive anxiety and
worry
NURS 172 Exam
,NURS 172 Exam
Psychodynamic Theory - - ego unable to intervene between id and superego
- overuse of ineffective use of ego defense mechanisms results in maladaptive
responses to anxiety
Cognitive Theory - faulty, distorted, or counterproductive thinking patterns result
in anxiety that is maintained by mistaken or dysfunctional appraisal of a situation
Agoraphobia - fear of being in places or situations from which escape might be
difficult or in which help might not be available in the event of panic-like
symptoms
examples:
- traveling in public transportation
- being in open spaces
- being in shops, theatres, or cinemas
- standing in line or being in a crowd
- being outside of the home alone
Social Anxiety Disorder - excessive fear of situations in which the affected person
might do something embarrassing or be evaluated negatively by others
Medical conditions that may produce anxiety symptoms include: - - cardiac
- endocrine
- respiratory
- neurological
NURS 172 Exam
,NURS 172 Exam
Obsessive-Compulsive Disorder - recurrent obsessions or compulsions that are
severe enough to be time-consuming or to cause marked distress or significant
impairment
Obsessions - recurrent thoughts, impulses, or images experienced as intrusive and
stressful, and unable to be expunged by logic or reasoning
Compulsions - repetitive ritualistic behavior or thoughts, the purpose of which is to
prevent or reduct distress or to prevent some dreaded event or situation
Body Dismorphic Disorder - exaggerated belief that the body is deformed or
defective in some specific way
- if true defect is present, the person's concern is unrealistically exaggerated and
grossly excessive
- symptoms of depression and OCD are common
Hair-Pulling Disorder (Trichotillomania) - the recurrent pulling out of one's own
hair that results in noticeable hair loss
- preceded by increasing tension and results in sense of release or gratification
- not common, but more often in women than men
Nursing Diagnosis commonly associated with anxiety, OCD, and related disorders
- - Panic anxiety
- Powerlessness
- Fear
- Social isolation (agoraphobia)
NURS 172 Exam
, NURS 172 Exam
- Ineffective coping (OCD)
- Ineffective role performance (OCD)
- Disturbed body image (body dismorphic)
- Ineffective impulse control (hair-pulling)
Psychopharmacology for Anxiety - Antianxiety Agents
Action:
- depress subcortical levels of the CNS
- potentiate the inhibitory effects of GABA
- EXCEPTION: Buspirone. Does not depress the CNS. It is thought to produce its
effects through interactions with serotonin, dopamine, and other neurotransmitter
receptors.
Antianxiety Agents - - Hydroxyzine
- Alrazolam
- Chlordiazepoxide
- Clonazepam
- Clorazepate
- Diazepam
- Lorazepam
- Oxazepam
- Meprobamate
- Buspirone
Side effects of antianxiety agents - - drowsiness, confusion, lethargy
NURS 172 Exam
NURS 172 Exam 3 Quizzes and
Solutions
Anxiety - an emotional response to anticipation of danger, the source of which is
largely unknown or recognized.
Anxiety: Epidemiologic Statistics - - most common of all psychiatric illnesses
- more common in women than men
- minority children & children from low socioeconomic environments are at risk
Panic Disorder - characterized by: recurrent panic attacks, the onset of which are
unpredictable and manifested by intense apprehension, fear, or terror
- may or may not be accompanied by agoraphobia
Symptoms of Panic Attacks - - sweating, trembling, shaking
- shortness of breath, chest pain or discomfort
- nausea or abdominal distress
- dizziness, hot flashes, chills
- numbness or tingling sensation
- derealization or depersonalization
- fear of losing control
- fear of dying
Generalized Anxiety Disorder - chronic, unrealistic, and excessive anxiety and
worry
NURS 172 Exam
,NURS 172 Exam
Psychodynamic Theory - - ego unable to intervene between id and superego
- overuse of ineffective use of ego defense mechanisms results in maladaptive
responses to anxiety
Cognitive Theory - faulty, distorted, or counterproductive thinking patterns result
in anxiety that is maintained by mistaken or dysfunctional appraisal of a situation
Agoraphobia - fear of being in places or situations from which escape might be
difficult or in which help might not be available in the event of panic-like
symptoms
examples:
- traveling in public transportation
- being in open spaces
- being in shops, theatres, or cinemas
- standing in line or being in a crowd
- being outside of the home alone
Social Anxiety Disorder - excessive fear of situations in which the affected person
might do something embarrassing or be evaluated negatively by others
Medical conditions that may produce anxiety symptoms include: - - cardiac
- endocrine
- respiratory
- neurological
NURS 172 Exam
,NURS 172 Exam
Obsessive-Compulsive Disorder - recurrent obsessions or compulsions that are
severe enough to be time-consuming or to cause marked distress or significant
impairment
Obsessions - recurrent thoughts, impulses, or images experienced as intrusive and
stressful, and unable to be expunged by logic or reasoning
Compulsions - repetitive ritualistic behavior or thoughts, the purpose of which is to
prevent or reduct distress or to prevent some dreaded event or situation
Body Dismorphic Disorder - exaggerated belief that the body is deformed or
defective in some specific way
- if true defect is present, the person's concern is unrealistically exaggerated and
grossly excessive
- symptoms of depression and OCD are common
Hair-Pulling Disorder (Trichotillomania) - the recurrent pulling out of one's own
hair that results in noticeable hair loss
- preceded by increasing tension and results in sense of release or gratification
- not common, but more often in women than men
Nursing Diagnosis commonly associated with anxiety, OCD, and related disorders
- - Panic anxiety
- Powerlessness
- Fear
- Social isolation (agoraphobia)
NURS 172 Exam
, NURS 172 Exam
- Ineffective coping (OCD)
- Ineffective role performance (OCD)
- Disturbed body image (body dismorphic)
- Ineffective impulse control (hair-pulling)
Psychopharmacology for Anxiety - Antianxiety Agents
Action:
- depress subcortical levels of the CNS
- potentiate the inhibitory effects of GABA
- EXCEPTION: Buspirone. Does not depress the CNS. It is thought to produce its
effects through interactions with serotonin, dopamine, and other neurotransmitter
receptors.
Antianxiety Agents - - Hydroxyzine
- Alrazolam
- Chlordiazepoxide
- Clonazepam
- Clorazepate
- Diazepam
- Lorazepam
- Oxazepam
- Meprobamate
- Buspirone
Side effects of antianxiety agents - - drowsiness, confusion, lethargy
NURS 172 Exam
