Rasmussen Mental Health Exam 2 questions and Answers.

Rasmussen Mental Health Exam 2
questions and Answers

- ANSW -
m m




Agoraphobia - ANSW -An intense, excessive anxiety about or fear of being in places where they feel
m m m m m m m m m m m m m m m m



vulnerable or unsafe. The feared places or situations are avoided by the individual in an effort to
m m m m m m m m m m m m m m m m m



control anxiety.
m m




Examples:

-Being alone outside the home
m m m m




-Using public transportation (traveling in a car, bus, or airplane)
m m m m m m m m m




-Being in open spaces (bridges, marketplaces, or parking lots)
m m m m m m m m




-Being in an enclosed place (elevators, churches, or theaters)
m m m m m m m m




-Being in a crowd
m m m




ANXIETY

Four Cardinal Symptoms of PTSD - ANSW -Intrusive reexperiencing of the initial trauma (flashbacks,
m m m m m m m m m m m m m



nightmares, unwanted distressing memories of the event, feelings of unreality)
m m m m m m m m m m




• Avoidance (avoid all memories and feelings as well as people or places that might recall the event)
m m m m m m m m m m m m m m m m m




• Persistent negative alterations in cognitions and mood (distorted cognitions about themselves and
m m m m m m m m m m m m



others [fear, guilt] and feelings of detachment)
m m m m m m m




• Alteration and arousal and activity (irritability, angry outbursts, self-destructive behavior,
m m m m m m m m m m



exaggerated startle response, hypervigilance, sleep difficulties)
m m m m m m




ANXIETY

Generalized Anxiety Disorder - ANSW -ANXIETY
m m m m m




Basically, GAD is characterized by excessive, persistent, and uncontrollable anxiety, and by excessive
m m m m m m m m m m m m



and constant worrying. It is sometimes referred to as the "worry disease."
m m m m m m m m m m m m

, Symptoms lasted for six months m m m m




ANXIETY

Medications - ANSW -**Buspirone (BuSpar) reduces rumination and worry, NOT ADDICTIVE
m m m m m m m m m m




• SSRI [escitalopram (Lexapro), paroxetine (Paxil), sertraline (Zoloft), fluoxetine (Prozac), citalopram
m m m m m m m m m m



(Celexa), fluvoxamine (Luvox)]
m m m




• TCA 's [clomipramine (Anafranil), amytriptyline (Elavil), imipramine (Tofranil)]
m m m m m m m m




• Investigational drugs include pregabalin and other anticonvulsants
m m m m m m m




ANXIETY

Nursing Diagnoses - ANSW -Anxiety (moderate, severe, panic)
m m m m m m m




Fear

Ineffective coping m




Social isolation
m




Self-care deficit m




Ineffective role performance m m




Risk for injury
m m




Disturbed thought process m m




ANXIETY

Nursing Diagnoses for PTSD - ANSW -Disturbed thought process
m m m m m m m m




Sleep deprivation r/t nightmares associated with traumatic event
m m m m m m m




Post-trauma syndrome r/t exposure to traumatic event
m m m m m m




***Prioritize nursing diagnoses for PTSD related to safety/violence and self-harm
m m m m m m m m m




ANXIETY