NUR 190: Pathophysiology: Admitting diagnosis and
primary diagnosis of concern
Pathophysiology: Admitting diagnosis and primary diagnosis of concern. Is this
diagnosis pertinent to course content Anxiety Disorder- answer the question
regarding anxiety disorder
1-what is Expected Symptoms: Were actual and potential symptoms listed and pertinent
to this disorder?
2-what is Targeted Physical Assessment: Were pertinent symptoms related to disorder?
Were specific things listed that would assess for?
3-what is System Assessment Findings: Was a system specific targeted to diagnosis
assessment ?
4-what is General Survey: Was a general survey documented and covered all areas?
(Head to Toe)
3-ANATOMY & PHYSIOLOGY Anxiety Disorder-
4-what is NURSING DIAGNOSIS (#1)(Nursing Diagnosis, meaningful to this patient. Not
more than one
"at risk for" Used Maslow's Hierarchy and NANDA
4-what is NURSING DIAGNOSIS (#2)(Nursing Diagnosis, meaningful to this patient. Not
more than one
"at risk for" Used Maslow's Hierarchy and NANDA)
5-what is NURSING DIAGNOSIS (#3)(Nursing Diagnosis, meaningful to this patient. Not
more than one
"at risk for" Used Maslow's Hierarchy and NANDA)
6-what is Interventions: 3 for each of the three Nursing Diagnosis based on
NANDA .Outcomes must be measurable
7- what is the patient responses for the 3 diagnosis
please provide the link and no copy and past
ANSWERS & EXPLANATION:
Question: Answer
1. What are the expected Symptoms: were actual and potential symptoms listed and
pertinent to this disorder?
, The experience of anxiety has two components: the awareness of the physiological
sensations, such as palpitations and sweating; and the awareness of being nervous or
frightened. The feeling of shame that others will recognize that the patient is frightened
increases the level of his/her anxiety.
Furthermore, anxiety affects thinking, perception, and learning. It tends to produce
confusion and distortions of perception, not only of time and space but also of persons
and the meanings of events. These distortions can interfere with learning by lowering
concentration, reducing recall, and impairing the ability to relate one item to another
that is, to make associations. A patient who is experiencing anxiety attacks will have
selective attention, where they select certain things
in their environment and overlook others. If
they falsely justify their fear, they augment their anxieties by the selective response and set
up a vicious circle of anxiety, distorted perception, and increased anxiety. On the other
hand, if they falsely
reassure themselves by selective thinking, appropriate anxiety may be reduced, and they
may fail to take necessary precautions.
2. what is targeted physical assessment: Were pertinent symptoms related to the disorder?
Were specific things listed that would assess for?
The frightened man at first stands like a statue
motionless and breathless or crouches down as if instinctively to escape observation.
Pale, cold, and sweaty skin with erected hairs and shivering superficial muscles will
be noted. The heart and respiratory rate will increase. The mouth becomes dry, the
voice is husky and indistinct, and the lips tremble.
As fear increases into an agony of terror, breathing is labored; the wings of the nostrils
are widely dilated; gulping and catching of the throat; eyeballs are fixed on the object
of fear or may roll restlessly from side to side. The pupils are said to be enormously
dilated. All the muscles of the body may become rigid or may be thrown into
convulsive movements. The hands are alternately clenched and opened, often with a
twitching movement.
3. What is system assessment findings: Was a system-specific targeted to diagnosis
assessment?
The autonomic nervous system is stimulated when the anxiety level of a person rises. This
affects the cardio (e.g., tachycardia), vascular (e.g., dizziness, lightheadedness, syncope),
integumentary (e.g., hyperhidrosis), muscular (e.g., headache, tremors), gastrointestinal
(e.g., diarrhea), neurological (e.g., pupillary mydriasis), urological (e.g., urinary frequency,
hesitancy, urgency), and respiratory (e.g., tachypnea) system of an individual. Patients
slowly adapt to repeated stimuli, leading to excessive responses to moderate stimuli
(e.g., easily startled).
4. what is the general survey: Was a general survey documented and covered all areas?
(Head to Toe)
A general survey of the patient is obtained through inspection in a cephalocaudal order.
Patients with anxiety disorders may manifest restless pacing, pale, sweaty skin with
erected hairs; widely opened eyes with dilated pupils that are fixed on the object of
fear; dilated wings of nostrils; open or shut mouth with trembling lips and voice; rigid
or convulsive movements, alternatively clenching and opening their hands.
primary diagnosis of concern
Pathophysiology: Admitting diagnosis and primary diagnosis of concern. Is this
diagnosis pertinent to course content Anxiety Disorder- answer the question
regarding anxiety disorder
1-what is Expected Symptoms: Were actual and potential symptoms listed and pertinent
to this disorder?
2-what is Targeted Physical Assessment: Were pertinent symptoms related to disorder?
Were specific things listed that would assess for?
3-what is System Assessment Findings: Was a system specific targeted to diagnosis
assessment ?
4-what is General Survey: Was a general survey documented and covered all areas?
(Head to Toe)
3-ANATOMY & PHYSIOLOGY Anxiety Disorder-
4-what is NURSING DIAGNOSIS (#1)(Nursing Diagnosis, meaningful to this patient. Not
more than one
"at risk for" Used Maslow's Hierarchy and NANDA
4-what is NURSING DIAGNOSIS (#2)(Nursing Diagnosis, meaningful to this patient. Not
more than one
"at risk for" Used Maslow's Hierarchy and NANDA)
5-what is NURSING DIAGNOSIS (#3)(Nursing Diagnosis, meaningful to this patient. Not
more than one
"at risk for" Used Maslow's Hierarchy and NANDA)
6-what is Interventions: 3 for each of the three Nursing Diagnosis based on
NANDA .Outcomes must be measurable
7- what is the patient responses for the 3 diagnosis
please provide the link and no copy and past
ANSWERS & EXPLANATION:
Question: Answer
1. What are the expected Symptoms: were actual and potential symptoms listed and
pertinent to this disorder?
, The experience of anxiety has two components: the awareness of the physiological
sensations, such as palpitations and sweating; and the awareness of being nervous or
frightened. The feeling of shame that others will recognize that the patient is frightened
increases the level of his/her anxiety.
Furthermore, anxiety affects thinking, perception, and learning. It tends to produce
confusion and distortions of perception, not only of time and space but also of persons
and the meanings of events. These distortions can interfere with learning by lowering
concentration, reducing recall, and impairing the ability to relate one item to another
that is, to make associations. A patient who is experiencing anxiety attacks will have
selective attention, where they select certain things
in their environment and overlook others. If
they falsely justify their fear, they augment their anxieties by the selective response and set
up a vicious circle of anxiety, distorted perception, and increased anxiety. On the other
hand, if they falsely
reassure themselves by selective thinking, appropriate anxiety may be reduced, and they
may fail to take necessary precautions.
2. what is targeted physical assessment: Were pertinent symptoms related to the disorder?
Were specific things listed that would assess for?
The frightened man at first stands like a statue
motionless and breathless or crouches down as if instinctively to escape observation.
Pale, cold, and sweaty skin with erected hairs and shivering superficial muscles will
be noted. The heart and respiratory rate will increase. The mouth becomes dry, the
voice is husky and indistinct, and the lips tremble.
As fear increases into an agony of terror, breathing is labored; the wings of the nostrils
are widely dilated; gulping and catching of the throat; eyeballs are fixed on the object
of fear or may roll restlessly from side to side. The pupils are said to be enormously
dilated. All the muscles of the body may become rigid or may be thrown into
convulsive movements. The hands are alternately clenched and opened, often with a
twitching movement.
3. What is system assessment findings: Was a system-specific targeted to diagnosis
assessment?
The autonomic nervous system is stimulated when the anxiety level of a person rises. This
affects the cardio (e.g., tachycardia), vascular (e.g., dizziness, lightheadedness, syncope),
integumentary (e.g., hyperhidrosis), muscular (e.g., headache, tremors), gastrointestinal
(e.g., diarrhea), neurological (e.g., pupillary mydriasis), urological (e.g., urinary frequency,
hesitancy, urgency), and respiratory (e.g., tachypnea) system of an individual. Patients
slowly adapt to repeated stimuli, leading to excessive responses to moderate stimuli
(e.g., easily startled).
4. what is the general survey: Was a general survey documented and covered all areas?
(Head to Toe)
A general survey of the patient is obtained through inspection in a cephalocaudal order.
Patients with anxiety disorders may manifest restless pacing, pale, sweaty skin with
erected hairs; widely opened eyes with dilated pupils that are fixed on the object of
fear; dilated wings of nostrils; open or shut mouth with trembling lips and voice; rigid
or convulsive movements, alternatively clenching and opening their hands.
