What is anxiety?
emotional response to the anticipation of danger
How many levels of anxiety are there?
four: mild, moderate, severe, panic
What is mild anxiety?
Associated with tension of day-to-day living
What are some s/s of mild anxiety?
restlessness, increased questioning
What is moderate anxiety?
perceptual field is narrowed so that the focus is the immediate concern
What are some s/s of moderate anxiety?
quivering voice, tremors, increased muscle tension, butterflies in stomach, increased HR and RR
What is severe anxiety?
perceptual field is greatly reduced with distorted perceptions
What are some s/s of severe anxiety?
loud and rapid speech, fearful facial expression, HA, nausea, dizziness, tachycardia, hyperventilation,
insomnia, diarrhea, trembling
What is panic?
loss of control with feelings of extreme dread/terror
What are some s/s of panic?
loss of rational thought, agitation, poor motor control, tachycardia, hyperventilation, dyspnea, chest
pain
Would it be appropriate to educate a patient in a heightened state of anxiety?
no, heightened anxiety impairs learning
What are the stages of grieving?
denial, anger, bargaining, depression, acceptance
What is the denial stage of grieving?
difficulty believing the loss has occurred
, What is the anger stage of grieving?
anger is directed toward self, others, and objects
What is the bargaining stage of grief?
tries to prevent acceptance of loss by making deals or promises
What is the depression stage of grieving?
mourns and confronts feeling
What is the acceptance stage of grieving?
accepts loss and plans for the future
What is anticipatory loss/grieving?
experiencing a loss before it occurs
What are the complications of anticipatory grieving?
family members complete the process of grieving prematurely and detach from the loved one
What should adults be educated regarding preventing influenza?
receive the annual vaccine, use proper hand hygiene, avoid others who are sick
What are some nursing interventions when caring for a client with pneumonia?
administer antibiotics, ensure adequate hydration, bedrest, administer oxygen PRN
What is therapeutic communication?
Verbal and nonverbal communication techniques that encourage patients to express their feelings and
to achieve a positive relationship.
What is active listening?
giving undivided attention to a speaker in a genuine effort to understand the speaker's point of view
What are the five aspects of active listening?
- face the other person squarely
- adopt an open posture
- lean toward the person
- maintain good eye contact
- try to be relatively relaxed
What are some listening barriers?
rehearsing, being concerned with oneself, assuming, judging, getting off track, filtering
What is SBAR?