Exam (elaborations)
NURS 665 Exam 2 with correct answers
- Course
- NURS 665 (NURS665)
- Institution
- Maryville College
NURS 665 Exam 2 with correct answers
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NURS 665 Exam 2 with correct answersTwo components of anxiety - **🔰 VERIFIED ANSWERS🔰 ✔✔1.The awareness
of the physiologic sensations (ex: palpitations and sweating), 2. The awareness of being
nervous or frightened
Anxiety is - **🔰 VERIFIED ANSWERS🔰 ✔✔diffuse, unpleasant, vague sense of
apprehension, usually accompanied by autonomic symptoms; different from fear as it is not
a response to an overt danger, but rather an impending one
Clinical presentation of anxiety - **🔰 VERIFIED ANSWERS🔰 ✔✔Most common
effects are on the autonomic system (headache, perspiration, palpitations, chest tightness,
mild stomach discomfort); Motor symptoms include restlessness (inability to sit still or stand
still for long); Individual may describe themselves as "nervous" or "frightened"; Mood is
frequently observable; Classic fearful expression - eyes and mouth open, eyebrows raised;
Expression may be more blunted for individuals with more chronic anxiety; Rapid thoughts,
possibly disorganized if anxiety is severe; in extreme forms, people may have difficulty w/
thinking clearly (may ruminate or stammer); Hallucinations are rare, but patients with
severe anxiety may have distortions in perception, not only of time and space but also of
persons and meanings of events; Pts with severe anxiety may become confused, have
difficulty focusing their attention, have trouble w/ recall
Clinical presentation of anxiety in special populations - **🔰 VERIFIED ANSWERS🔰
✔✔Elderly and children may present with more somatic sx
Objective rating scales for anxiety - **🔰 VERIFIED ANSWERS🔰 ✔✔Beck
Anxiety Inventory (BAI); Hospital Anxiety and Depression Scale (HADS); Generalized
Anxiety Disorder Scale (GAD-7); State-Trait Anxiety Inventory - differentiates between state
and trait anxiety, which is situational anxiety versus anxiety that seems characteristic for a
person and independent of the situation
, Comorbidity for anxiety disorders - **🔰 VERIFIED ANSWERS🔰 ✔✔Depressive
symptoms are often present; In some pts, a depressive disorder coexists w/ the panic
disorder; Agoraphobia, other phobias, and OCD can coexist w/ panic disorder; Alcohol and
other substance use disorders occur in about 20-40% of all pts; OCD may develop
Panic attack - **🔰 VERIFIED ANSWERS🔰 ✔✔Have a sudden onset and
relatively short duration; First is often spontaneous, although they occasionally follow
excitement, physical exertion, sexual activity, or moderate emotional trauma; Often begins
with 10 minutes of rapidly increasing symptoms; Mental symptoms - extreme fear, sense of
impending death or doom, may feel confused and have trouble concentrating; Pts usually
cannot name the source of their fear; Physical symptoms - tachycardia, palpitations,
dyspnea, sweating; Pts often try to leave whatever situation they are n to seek help; Attack
generally lasts 20-30 minutes; rarely more than 1 hour
Most anxiety disorders - **🔰 VERIFIED ANSWERS🔰 ✔✔have long-term courses
with multiple relapses; they are chronic disorders; Most anxiety disorders have an increased
risk of suicide
Epidemiology of Anxiety disorders and gender - **🔰 VERIFIED ANSWERS🔰
✔✔Twofold for most anxiety disorders, with an exception being social anxiety disorder
where the ratio is about equal; This difference is true across all ages, and is most evident
during early and mid-adulthood
Anxiety disorders and age - **🔰 VERIFIED ANSWERS🔰 ✔✔One of the earliest
onsets of all psychiatric disorders; Most begin in childhood or adolescence; median age is 12;
Phobic disorders are the most stable over time; Panic and generalized anxiety disorder tend
to have exacerbations and remissions over the lifespan
Anxiety disorders and sociocultural & ethnic variables - **🔰 VERIFIED ANSWERS🔰
✔✔Common in people of lower socioeconomic status and educational level; Higher rates
in African Americans, lower in Hispanics
Reactive attachment disorder & disinhibited social engagement disorder - **🔰
VERIFIED ANSWERS🔰 ✔✔characterized by aberrant social behaviors in a young
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