NR 547 Week 2 Exam Questions And
Answers Newest Solution
Anxiety is often comorbid with _________________ as well as medical conditions such as
____________, ___________, and ___________ - ANS ✔✔ - major depression, COPD, asthma, diabetes
Generalized anxiety disorder (anxiety) - ANS ✔✔ - neurological condition
-characterized by persistent, uncontrollable worrying that causes emotional distress
-show symptoms on most days, for a period of at least six months
-common symptoms of anxiety include restlessness, irritability, muscle tension, fatigue, and sleep
disturbances
-GAD is twice as common in women as in men
Patients with anxiety disorders often show increased activity in the ______________ and
_______________ - ANS ✔✔ - amygdala and prefrontal cortex
Positron emission tomography (PET) scans have shown reduced ___________________ in patients with
anxiety - ANS ✔✔ - serotonin binding
Risk factors for developing anxiety: - ANS ✔✔ - -genetic predisposition (family history of anxiety)
-being female
-recent life stressors
-chronic physical illness
-lack of support during childhood
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Anxiety Disorders - ANS ✔✔ - Generalized Anxiety Disorder (GAD)
Social Anxiety Disorder
Panic
Phobias
Agoraphobia
Adjustment Disorder with Anxiety
GAD often presents with physical symptoms, including: - ANS ✔✔ - restlessness or edginess
Fatigue
Difficulty concentrating
Irritability
Muscle tension
Sleep disturbance
Functional neuroimaging studies of GAD show: - ANS ✔✔ - increased activation of the amygdala and
reduced activation in the prefrontal cortex, indicating heightened activation of the fear response with
diminished capacity for reasoning
Harold is a 32-year-old who presents to the clinic with complaints of fatigue, difficulty concentrating,
and difficulty falling asleep at night. He states he worries about finances, his performance at work, and
his relationship, and his worries have been "almost constant" for 8 months. He denies substance use
and recently had a normal physical exam. He feels that his relationship is suffering due to his constant
worry.
Based on the DSM-5-TR, does Harold meet diagnostic criteria for generalized anxiety disorder? - ANS
✔✔ - Yes
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Rationale: Harold meets the following diagnostic criteria for generalized anxiety disorder: He has three
symptoms associated with worry, including fatigue, difficulty concentrating, and sleep difficulties. He
has experienced anxiety more days than not for over 6 months, and his worries are impacting his
relationship.
Social Anxiety Disorder - ANS ✔✔ - AKA social phobia
-condition in which typical, everyday social interactions cause significant anxiety, self-consciousness,
fear of embarrassment, or a feeling of being judged negatively by others
-may worry about the presence of physical symptoms that others may notice such as trembling or
blushing
-derealization, or a feeling of "spacing out," may occur
-Causes likely include a combination of genetic and environmental factors
-past year: 7% of adults and 9% of adolescents
-DSM-5-TR defines social anxiety disorder as an individual's fear of acting in a way that might cause
judgment by others
-anxiety is persistent, lasting greater than six months
Usually, social anxiety disorder causes distress and anxiety in specific social situations such as: - ANS
✔✔ - -making small talk with others
-meeting new people
-performing in front of others (called performance anxiety)
Panic attack - ANS ✔✔ - brief episode of acute anxiety during which an individual develops an intense
fear of negative outcomes accompanied by a feeling of imminent danger
-can be unpredictable
-feelings are often accompanied by physiological symptoms
• symptoms typically peak within ten to twenty minutes, some may last for hours
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