NURS 172 Exam 3 UPDATED ACTUAL
Questions and CORRECT Answers
Anxiety - CORRECT ANSWER - an emotional response to anticipation of danger, the source of
which is largely unknown or recognized.
Anxiety: Epidemiologic Statistics - CORRECT ANSWER - - most common of all psychiatric
illnesses
- more common in women than men
- minority children & children from low socioeconomic environments are at risk
Panic Disorder - CORRECT ANSWER - 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 - CORRECT ANSWER - - 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 - CORRECT ANSWER - chronic, unrealistic, and excessive anxiety
and worry
Psychodynamic Theory - CORRECT ANSWER - - ego unable to intervene between id and
superego
- overuse of ineffective use of ego defense mechanisms results in maladaptive responses to anxiety
,Cognitive Theory - CORRECT ANSWER - faulty, distorted, or counterproductive thinking
patterns result in anxiety that is maintained by mistaken or dysfunctional appraisal of a situation
Agoraphobia - CORRECT ANSWER - 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 - CORRECT ANSWER - 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: - CORRECT ANSWER - -
cardiac
- endocrine
- respiratory
- neurological
Obsessive-Compulsive Disorder - CORRECT ANSWER - recurrent obsessions or compulsions
that are severe enough to be time-consuming or to cause marked distress or significant impairment
Obsessions - CORRECT ANSWER - recurrent thoughts, impulses, or images experienced as
intrusive and stressful, and unable to be expunged by logic or reasoning
,Compulsions - CORRECT ANSWER - 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 - CORRECT ANSWER - 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) - CORRECT ANSWER - 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 - CORRECT
ANSWER - - Panic anxiety
- Powerlessness
- Fear
- Social isolation (agoraphobia)
- Ineffective coping (OCD)
- Ineffective role performance (OCD)
- Disturbed body image (body dismorphic)
- Ineffective impulse control (hair-pulling)
Psychopharmacology for Anxiety - CORRECT ANSWER - 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 - CORRECT ANSWER - - Hydroxyzine
- Alrazolam
- Chlordiazepoxide
- Clonazepam
- Clorazepate
- Diazepam
- Lorazepam
- Oxazepam
- Meprobamate
- Buspirone
Side effects of antianxiety agents - CORRECT ANSWER - - drowsiness, confusion, lethargy
- tolerance; physical and psychological dependence (does not apply to buspirone)
- potentiates effects of other CNS depressants
- orthostatic hypotension
- paradoxical excitement
- dry mouth; nausea, vomiting
- blood dyscrasias
- 10 to 14 day delayed onset of action (with buspirone)
Medication for Panic and GAD - CORRECT ANSWER - - Anxiolytics
- Antidepressants
- Antihypertensive agents
Medication for Phobic Disorders - CORRECT ANSWER - - Anxiolytics
- Antidepressants
- Antihypertensive agents
Questions and CORRECT Answers
Anxiety - CORRECT ANSWER - an emotional response to anticipation of danger, the source of
which is largely unknown or recognized.
Anxiety: Epidemiologic Statistics - CORRECT ANSWER - - most common of all psychiatric
illnesses
- more common in women than men
- minority children & children from low socioeconomic environments are at risk
Panic Disorder - CORRECT ANSWER - 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 - CORRECT ANSWER - - 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 - CORRECT ANSWER - chronic, unrealistic, and excessive anxiety
and worry
Psychodynamic Theory - CORRECT ANSWER - - ego unable to intervene between id and
superego
- overuse of ineffective use of ego defense mechanisms results in maladaptive responses to anxiety
,Cognitive Theory - CORRECT ANSWER - faulty, distorted, or counterproductive thinking
patterns result in anxiety that is maintained by mistaken or dysfunctional appraisal of a situation
Agoraphobia - CORRECT ANSWER - 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 - CORRECT ANSWER - 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: - CORRECT ANSWER - -
cardiac
- endocrine
- respiratory
- neurological
Obsessive-Compulsive Disorder - CORRECT ANSWER - recurrent obsessions or compulsions
that are severe enough to be time-consuming or to cause marked distress or significant impairment
Obsessions - CORRECT ANSWER - recurrent thoughts, impulses, or images experienced as
intrusive and stressful, and unable to be expunged by logic or reasoning
,Compulsions - CORRECT ANSWER - 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 - CORRECT ANSWER - 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) - CORRECT ANSWER - 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 - CORRECT
ANSWER - - Panic anxiety
- Powerlessness
- Fear
- Social isolation (agoraphobia)
- Ineffective coping (OCD)
- Ineffective role performance (OCD)
- Disturbed body image (body dismorphic)
- Ineffective impulse control (hair-pulling)
Psychopharmacology for Anxiety - CORRECT ANSWER - 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 - CORRECT ANSWER - - Hydroxyzine
- Alrazolam
- Chlordiazepoxide
- Clonazepam
- Clorazepate
- Diazepam
- Lorazepam
- Oxazepam
- Meprobamate
- Buspirone
Side effects of antianxiety agents - CORRECT ANSWER - - drowsiness, confusion, lethargy
- tolerance; physical and psychological dependence (does not apply to buspirone)
- potentiates effects of other CNS depressants
- orthostatic hypotension
- paradoxical excitement
- dry mouth; nausea, vomiting
- blood dyscrasias
- 10 to 14 day delayed onset of action (with buspirone)
Medication for Panic and GAD - CORRECT ANSWER - - Anxiolytics
- Antidepressants
- Antihypertensive agents
Medication for Phobic Disorders - CORRECT ANSWER - - Anxiolytics
- Antidepressants
- Antihypertensive agents
