Summary
Summary Nurs 172 Unit 1 Study Guide
- Course
- Nur 172
- Institution
- Brookdale Community College
This is a comprehensive and detailed study guide on unit 1 for Nurs 172.
[Show more]
Content preview
Week 1 learning guide:Anxiety / Panic ch14
Anxiety: vague feeling of dread or apprehension. A response to external or internal stimuli that
can have behavioral, emotional, cognitive, and physical symptoms. Distinguished from fear.
Unavoidable. Has positive and negative side effects.
positive: produce growth and adaptive change
negative: produce poor self-esteem, fear, inhibition, anxiety disorders
Anxiety disorders: comprise a group of conditions that share a key feature of excessive anxiety
with ensuing behavioral, emotional, cognitive, and physiological responses.
4 Stages of anxiety:
1-Mild: helps people learn, grow, change
2- Moderate: increases focus on alarm and learning is still possible
3- severe: greatly decreases cognitive function, increases prep for physical
response, increases space needs)
4- Panic: flight/fight/freeze response (alarm,resistance,exhaustion), no
learning possible, person is attempting to free self from discomfort of this high stage)
Panic disorder: composed of discrete episodes of panic attacks
Panic attacks: 15-30 minutes of rapid, intense, escalating anxiety in which the person
experiences great emotional fear as well as physiological discomfort. Displays 4+ symptoms:
palpitations, sweating, tremors, SOB, sense of suffocation, chest pain, nausea, abdominal
distress, dizzy, chills, hot flashes, paresthesia.
Defense mechanisms: intrapsychic distortions that a person uses to feel more in control. Anxiety
disorder= defense mechanisms overused.
Neurochemical theories:
*GABA, Serotonin, norepinephrine*
GABA- inhibitory neurotransmitter, amino acid. Functions as the body’s natural antianxiety
agent by reducing cells excitability – thus decreasing rate of neuronal firing. Believed to be
dysfunctional in anxiety disorders due to regulation problem between GABA and
norepinephrine.
Serotonin- subtypes play a role in anxiety, aggression, and mood. Serotonin play direct role in
OCD, panic disorder, GAD.
*Excess of Norepinephrine is suspected in panic disorder, GAD, PTSD.
Anxious behavior care plan:
interventions: safety, calm/quiet area/voice, relaxation techniques, supportive sources, identify
anxiety – no avoiding/self awareness.
, Drugs used to treat anxiety disorders (p.230)
benzodiazepines, SSRI, antidepressants – see med list
Applying nursing process- panic disorder
appearance/mood/behavior: speech increase; rate, pitch, volume, difficultly staying still – tap
finger, play w/ hair. *could also be normal
mood/affect: appears worried, anxious, worried, tense, depressed, serious, sad. Tearful when
discussing attacks.
thought process/sensory/intellect/judgement/insight: sense of losing control, overwhelmed,
disorganized, suicidal thoughts*, confused/disoriented, judgement/insight=suspended.
self-concept/roles&relationships: patient evaluates self negatively, consumed with worry.
Altercations on personal life (social, occupational, family). Avoids people/places in fear of panic
arising. May even quit job and never leave house over fear of having panic attack.
Nursing interventions:
SAFETY. Provide safe environment, maintain patient privacy, stay with patient, help focus on
deep breathing, talk to client in calm voice, teach patient relaxation techniques, use cognitive
restructuring techniques, explore how to decrease stressors and anxiety provoking situations
Client/family education:
review breathing and relaxation techniques, positive coping strategies, regular exercise, stay on
medications and do follow up MD visits, time management techniques (to-do list, realistic daily
goals), support groups and community contact.
Self-awareness:
avoid getting emotionally involved, client needs are #1 priority. SAFETY.
Considerations:
do not try to fix clients problems, don’t allow own life stressors/anxiety to interfere with client
care, discuss uncomfortable feelings w/ team and ask for help, practice stress relieving
techniques for own life.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now