NUR 190;
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
, Answers
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.,
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
, Answers
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.,
