NUR 214 Test 2 Questions and Correct
Answers
Anxiety ✅Emotional response to anticipation of danger, the source of which is
unknown or unrecognized.
Anxiety ✅A feeling of discomfort, apprehension or dread related to anticipation of
danger. Considered a disorder when fears are excessive and there are associated
behavioral disturbances such as interferance with social and occupational functioning
__________ is an external pressure that is brought to bear on the individual.
_________ is the subjective emotional response to that stressor ✅Stressor, anxiety
what is the former of anxiety? ✅An emotional process
what is the former of fear? ✅A cognitive response
Cognitive theory of GAD and panic disorders: ✅Faulty, distorted, or counterproductive
thinking patterns accompany or precede maladaptive behaviors and emotional
disorders. When there is a disturbance in this central mechanism of cognition, there is a
consequence disturbance in feeling and behavior
GAD ✅Characterized by chronic, unrealistic, and excessive anxiety and worry that
occur more days than not and and has lasted for at least 6 months
GAD symptoms: ✅Avoids activities, events that may result in negative outcomes, or
spends considerable time and effort preparing for such activities. Often result in
procrastination in behavior or decision-making and the person repeatedly seeks
reassurance from others.
Panic ✅Sudden overwhelming feeling of terror or impending doom. This is the most
severe form of emotional anxiety and is usually accompanied by behavioral, cognitive,
and physiological signs and symptoms considered extremely intense and frightening.
Some people may fear that are having a heart attack or another critical illness.
Symptoms of a panic attack: ✅Must have 4 from different rows:
-sweating, tremble, shaking
-nausea or abdominal distress
-dizzy, chills, hot flash
-numbness or tingling sensation
-derealization or depersonalization
-fear of going crazy
-fear of dying
,Phobia ✅A persistent, intensely felt, and irrational fear of a specific object, activity, or
situation that results in a compelling desire to avoid the feared stimulus. Responses
typically include intense anxiety or panic attacks.
Agoraphobia ✅Fear of being in places or situations from which escape might be
difficult or in which help might not be available if panic-like symptoms or other
incapacitating symptoms
Examples of agoraphobia: ✅-Traveling in public transportation
-Being in open spaces
-Being in shops, theaters
-Crowds
-Being outside the home alone
Specific phobia ✅Fear of specific objects or situations that could conceivably cause
harm, but the person's reaction to them is excessive, unreasonable, and inappropriate
Psychoanalytic theory of OCD: ✅-Weak, underdeveloped egos
-Aggressive impulses are channeled into thoughts and behaviors that prevent the
feelings of aggression from surfacing and producing intense anxiety fraught with guilt
Trichotillomania ✅a disorder characterized by the repeated pulling out of one's own
hair
psychosocial influences related to trichotillomania ✅-Stressful situations
-Mother-child relationship disturbances
-Fear of abandonment
-Recent object loss
-Possible childhood abuse or emotional neglect
Compulsions ✅Repetitive ritualistic behaviors, the purpose of which is to prevent or
reduce distress or to prevent some dreaded situation
What are common compulsions? ✅Hand washing, ordering, checking, counting,
praying, and repeating words silently
Ineffective impulse control ✅Defined as a pattern of performing rapid, unplanned
reactions to internal or external stimuli without regard for the negative consequences of
these reactions to the impulsive individual or to others
What should the nurse do if a client is having a panic attack? ✅Use simple words and
brief messages, spoken calmly and clearly
, What type of medication is a good treatment for GAD and social anxiety?
✅Benzodiazepines
What is the first line treatment for social anxiety disorder? ✅SSRI (paroxetine and
sertraline)
Mood ✅What the person says or feels their emotional state is
Affect ✅What the assessment of the emotional state is
Depression ✅Alteration in mood that is expressed by feelings of sadness, despair, and
pessimism
Psychosocial theory for depression: ✅A loss is internalized and becomes directed
against the ego
Transient depression ✅affective: the "blues"
behavioral: some crying
cognitive: some difficulty getting mind off of one's dissappointment
-feeling tired
Mild depression: ✅-anger/anxiety
-tearful, regression
-preoccupied with loss
-anorexia, insomnia
moderate depression: ✅-helpless, powerless
-slowed physical movements, slumped posture, limited verbalization
-retarded thinking process, difficulty with concentration
-anorexia or overeating, sleep disturbance, headaches
Treatment for depression: ✅-Duloxetine
-Amitriptyline
-Fluoxetine
-Bupropion
When teaching about the tricyclic groups of antidepressants, what is important to
include? ✅The full therapeutic potential may not be reached for 4 weeks
Bipolar I disorder ✅currently experiencing a manic episode or has a history of one or
more manic episodes. This diagnosis is further specified by the current or most recent
behavioral episode experienced. The specifier might be single manic episode or current
episode manic, hypomanic, mixed, or depressed. Psychotic or catatonic features may
also be present
