NURS 1023 - Exam 1
Implosion therapy - Answer- -therapist flood patient with trigger for anxiety
--keeps going until anxiety is reduced
--relaxation techniques are not involve
--session ends when client has less anxiety than when the session started
Systemic Desensitization - Answer- -Pati...
NURS 1023 - Exam 1
Implosion therapy - Answer- -therapist flood patient with trigger for anxiety
--keeps going until anxiety is reduced
--relaxation techniques are not involve
--session ends when client has less anxiety than when the session started
Systemic Desensitization - Answer- -Patient is gradually exposed to phobic stimulus
--restricting anxiety
--use relaxation techniques
--start with least amount of fear and gradually build up
Somatic symptom disorder - Answer- -characterized by physical symptoms without
organic pathology
-patients dont think they have mental problem
-result of severe anxiety that has been repressed and expressed through physical
symptoms
Affective disorders: depression
Types of depressive disorders - Answer- -major depressive disorder (MDD)
-Dysthymic disorder (moderate depression)
-Premenstrual dysphoric disorder
-Depressive disorder associated with another medical condition
-Bipolar disorder
Depression
- ( ) recognized psychiatric disorder
- occurs in ( ) ( ) levels
-Ranges from ( ) to ( )
- ( ) symptoms are normal healthy responses to everyday disapointments - Answer- -
oldest
-all developmental
-transient, severe
-transient
, Clinician - Hamilton Anxiety Rating Scale (HAM-A)
*widely used in clinical and research
Biological theories of GAD + Panic Attacks - Answer- -Genetics - strong correlation
in twin studies
-Neuroanatomical - structural changes in the temporal lobes, limbic system
- Biochemical - abnormal elevation in serum lactate
-Neurochemical - strong evidence that increased norepinephrine involved
--serotonin and GABA thought to be decreased
Anxiety & Panic Disorders
Psychodynamic theory
Cognitive Theory - Answer- -Overuse or ineffective use of ego defense mechanisms
in maladaptive response to anxiety
-feeling vulnerable in a given situation that distorted thinking results in a irrational
appraisal fostering a negative outcome
Panic Disorder
-Defined as
-Symptoms occur? not associated with?
-Attack lasts how long?
-Average onset? - Answer- -Recurrent panic attacks
-unexpectedly w/out trigger
-minutes to hours
-late 20s
Generalized Anxiety Disorder
-What it is, occurs?
-cannot be attributed to?
-symptoms?
-common onset age?
-may have numerous what? - Answer- -Persistent, unrealistic, excessive anxiety and
worry, Occurred more days than not for 6 months
-Physical etiology
-muscle tension, restlessness, feeling on edge, activity avoidance, procrastination
-onset commonly 20 and older ( may also occur in childhood & adolescence)
-may have numerous somaticcomplaints
Panic attack symptoms - Answer- -palpitations, tachycardia
-sweating - chills/hot flashes
-trembling or shaking
-feelings of choking, SOB
-chest pain/ discomfort
-nausea/abdominal distress
-Dizzy, lightheaded, faint, unsteady
-paresthesia
-fear of dying/going crazy/losing control
-derealization - detached reality
-depersonalization - detached from self
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