disorders, & substance abuse)
questions and answers
Difference between fear and anxiety - ANSWER>>fear is present, anxiety is future.
Primary gains of anxiety - ANSWER>>Primary gain example: A patient feels guilty
about not being able to perform a task, but if there is a medical condition
justifying this inability, the guilt diminishes.
Secondary gains of anxiety - ANSWER>>A patient is allowed to miss work and gets
financial compensation as the result of a medical condition.
Ego-syntonic - ANSWER>>the individual perceives her behavior as correct,
normal, or in harmony with her goals
Ego dystonic - ANSWER>>the individual sees the illness as something thrust upon
her that is intrusive and bothersome
What other disorders are associated with anxiety - ANSWER>>COPD, depression,
PTSD, substance abuse
Which neurotransmitters are associated with anxiety? -
ANSWER>>Norepinephrine
serotonin
gaba
Age of onset of Generalized anxiety disorder - ANSWER>>19-60
Preferred medical treatment for generalized anxiety disorder - ANSWER>>SSRIs
,SSRIs - ANSWER>>tine & pram
Benzodiazepines - ANSWER>>Last name: Lam & Pam
Benzodiazepines mechanism of action - ANSWER>>Helps gaba do its job
Cautions for benzodiazepines - ANSWER>>Don't take with caffeine, opiates,
alcohol, glaucoma, pregnant women
Short term meds for anxiety - ANSWER>>Benzodiazepines (Xanax, Librium,
klonopin, Valium, serax, Ativan)
Nonbenzodiazepine antianxiety med - ANSWER>>Buspar (long term)
Takes a few weeks to work
Take 3-4x/day
Beta blockers used for anxiety - ANSWER>>Propranolol (Inderal)
Best medication for social phobias - ANSWER>>Propranolol (inderal)
Antihistamines used for anxiety - ANSWER>>"Yzine"
Atarax
Vistaril
Benadryl
Anticonvulsants used for anxiety - ANSWER>>Tegretol (Carbamazepine)
Depakote (Valproate acid)
Neurontin (Gabapentin)
Side effects of Tegretol (carbamazepine) - ANSWER>>agranulocytosis
Monitor CBC & Liver
Therapeutic range 4-12
, Alternatives to anxiety meds - ANSWER>>Massage
Acupunture
herbs
valarian root
kavakava
Nursing Interventions: Forms of cognitive behavioral interventions for Anxiety -
ANSWER>>Relaxation
Modeling
Systemic desensitization
Flooding
Thought stopping
Changing faulty thinking
Symptoms are: restlessness, fatigue, poor concentration, irritability, muscle
tension, sleep disturbances, dread, feeling on edge, seeks reassurance, difficulty
with decision making - ANSWER>>Generalized Anxiety Disorder
What is known as the "Worry Disease"? - ANSWER>>Generalized anxiety disorder
Do phobias occur unexpectedly? - ANSWER>>No
2 types of phobias - ANSWER>>Agoraphobia
Social Phobia
Fear of being in places or situations where help may not be available and escape
might be difficult or embarrassing. - ANSWER>>Agoraphobia
Fear of being evaluated our rejected by others - ANSWER>>Social Anxiety
Treatment for Social anxiety - ANSWER>>Behavioral Therapy
Cognitive Therapy
SSRIs (tine & pram)