NURS 421 - Coping, Cognition, Addiction
exam with complete solutions
ineffective and maladaptive coping responses
appropriate but insufficient, use/abuse of alcohol/substances, smoking,
overeating, denial, avoidance
PTSD noticing
flashbacks/dreams about event, distressing memories, night terrors, avoidance of
reminders
PTSD manifestations
anxiety, anger, decreased interest in activities, guilt, detachment, hypervigilance,
sleep disturbances, destructive behavior
agoraphobia
fear of certain places where client feels vulnerable or unsafe
generalized anxiety disorder (GAD)
uncontrollable excessive worry for at least 6 months
panic disorder manifestations
palpitations, SOB, choking, chest pain, nausea, fear of dying/impending doom,
chills/hot flashes
panic attacks
four or more manifestations, last 15-20 mins
GAD manifestations
restlessness, muscle tension, avoidance, sleep disturbance, procrastination
anxiety interventions
structured interview, calm & quiet environment, remain w/client & provide
reassurance, relaxation techniques, enhance self esteem, identify mechanisms
interfering recovery, suicide risk, CBT, behavioral therapy
cognitive-behavioral therapy (CBT)
reframing to help client identify negative thoughts
behavioral therapy
relaxation, modeling, systemic desensitization, flooding, response prevention,
thought stopping