Anxiety and OCD Disorders Overview
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Questions and Answers

What can chronic social isolation in children potentially lead to?

  • Enhanced social skills
  • Increased physical activity
  • Higher self-esteem
  • Major Depressive Disorder (MDD) (correct)

What characterizes mild anxiety?

  • Feelings of discomfort and restlessness (correct)
  • A loss of touch with reality
  • Requires immediate intervention for safety
  • Learning cannot occur

Which statement is a priority nursing intervention during a panic attack?

  • Encourage the patient to face their fears directly.
  • Allow the patient to leave the area until they feel better.
  • Calmly talk about things in the environment using simple statements. (correct)
  • Use complex vocabulary to explain the situation.

Which nursing diagnosis is appropriate for a patient with Obsessive-Compulsive Disorder (OCD)?

<p>Anxiety related to persistent thoughts about cleanliness (C)</p> Signup and view all the answers

Which symptoms are associated with moderate anxiety?

<p>Increased HR and RR, GI upset (A)</p> Signup and view all the answers

At what anxiety level does problem solving become impossible?

<p>Severe (A)</p> Signup and view all the answers

What is a maladaptive coping strategy commonly observed in individuals with personality disorders?

<p>Rationalization (D)</p> Signup and view all the answers

What is a key intervention for a patient experiencing panic-level anxiety?

<p>Ensure patient safety and lower anxiety first (C)</p> Signup and view all the answers

What should a nurse prioritize when caring for a patient with schizotypal personality disorder?

<p>Respecting their need for isolation (C)</p> Signup and view all the answers

Which intervention is essential when working with patients who have Borderline Personality Disorder?

<p>Building a therapeutic relationship based on trust (C)</p> Signup and view all the answers

Which of the following describes a symptom of severe anxiety?

<p>Headaches, nausea, and insomnia (B)</p> Signup and view all the answers

What occurs during mild anxiety that is beneficial?

<p>Information processing increases (A)</p> Signup and view all the answers

In managing a patient with suicidal ideation who has schizotypal personality disorder, what should a nurse ensure?

<p>Assess symptoms that may require intervention. (D)</p> Signup and view all the answers

What is a common trigger for individuals with Borderline Personality Disorder during treatment?

<p>Fear of abandonment associated with progress (B)</p> Signup and view all the answers

Which statement about panic anxiety is true?

<p>The patient may feel a sense of impending doom. (C)</p> Signup and view all the answers

What is a potential symptom of moderate anxiety?

<p>Racing heart and trembling (A)</p> Signup and view all the answers

Which statement describes body dysmorphia?

<p>Patients exaggerate a real defect or focus on an imagined defect. (B)</p> Signup and view all the answers

What is a common characteristic of obsessive-compulsive disorder (OCD)?

<p>Compulsions provide only temporary relief from anxiety. (C)</p> Signup and view all the answers

Generalized anxiety disorder is characterized by which of the following?

<p>Excessive worry about various aspects of life. (A)</p> Signup and view all the answers

What behaviors might indicate social anxiety?

<p>Avoiding public speaking or eating in front of others. (B)</p> Signup and view all the answers

Which of the following is NOT a common comorbidity with OCD?

<p>Substance use disorder. (D)</p> Signup and view all the answers

What type of childhood experience is linked to an increased risk for developing OCD?

<p>Experiencing physical and sexual abuse. (B)</p> Signup and view all the answers

In generalized anxiety disorder, what is a common behavior exhibited by individuals?

<p>Overly preparing or avoiding certain situations. (B)</p> Signup and view all the answers

How do body dysmorphia and eating disorders differ?

<p>Eating disorders are concerned with weight overall, not specific body parts. (D)</p> Signup and view all the answers

What type of intervention involves accommodations in a general classroom setting for children with ADHD?

<p>504 (C)</p> Signup and view all the answers

Which symptom is NOT typically associated with Anorexia Nervosa?

<p>Hyperactivity (D)</p> Signup and view all the answers

Which of the following requires more documentation and decision making from the school?

<p>IEP (C)</p> Signup and view all the answers

What might be a physical manifestation of Anorexia Nervosa?

<p>Cold extremities (C)</p> Signup and view all the answers

Which of the following is a characteristic of Avoidant Personality Disorder?

<p>Extremely sensitive to rejection (D)</p> Signup and view all the answers

Which statement about the assessment of Anorexia Nervosa is true?

<p>Lanugo is a common physical finding. (B)</p> Signup and view all the answers

What is classified as a compensatory behavior in patients with Anorexia Nervosa?

<p>Forcing oneself to vomit (C)</p> Signup and view all the answers

What describes an individual with obsessive-compulsive personality disorder?

<p>Preoccupation with orderliness and perfectionism (B)</p> Signup and view all the answers

Which of the following is NOT a symptom of Borderline Personality Disorder?

<p>Stable self-image (C)</p> Signup and view all the answers

What is the primary fear experienced by individuals with Anorexia Nervosa?

<p>Fear of gaining weight (C)</p> Signup and view all the answers

What is a defining trait of Schizotypal Personality Disorder?

<p>Severe social deficits (C)</p> Signup and view all the answers

Which of the following is NOT a symptom of Anorexia Nervosa?

<p>Normal appetite (D)</p> Signup and view all the answers

How are obsessive-compulsive personality disorder and obsessive-compulsive disorder different?

<p>OCPD focuses on orderliness and perfectionism whereas OCD involves unwanted thoughts (B)</p> Signup and view all the answers

Which characteristic is associated with Narcissistic Personality Disorder?

<p>Exaggerated sense of self-importance (A)</p> Signup and view all the answers

What is a common consequence if the support system fails for someone with Avoidant Personality Disorder?

<p>Development of acute anxiety and anger (B)</p> Signup and view all the answers

Which of the following is NOT typically true for individuals with Obsessive-Compulsive Personality Disorder?

<p>They are highly tolerant of mistakes (A)</p> Signup and view all the answers

What is a characteristic of individuals with narcissistic traits?

<p>Lack of empathy (C)</p> Signup and view all the answers

Which of the following is a priority nursing diagnosis for children diagnosed with autism spectrum disorder?

<p>Impaired relationships (A)</p> Signup and view all the answers

What is the primary use of Risperdal in the treatment of autism spectrum disorder?

<p>Treat autism-associated agitations (D)</p> Signup and view all the answers

What is the assessment level for an individual who requires substantial support and has limited social interactions?

<p>ASD Level 2 (B)</p> Signup and view all the answers

Which medication is classified as a stimulant for treating Attention-deficit hyperactivity disorder?

<p>Lisdexamfetamine (Vyvanse) (D)</p> Signup and view all the answers

What is a common diagnostic test used for autism spectrum disorder?

<p>Autism Diagnostic Observation Schedule (ADOS-2) (D)</p> Signup and view all the answers

Which of the following is NOT typically used as a medication for ADHD?

<p>Citalopram (Celexa) (B)</p> Signup and view all the answers

Which nursing diagnosis is associated with risk for impaired socialization in children with autism spectrum disorder?

<p>Impaired communication (D)</p> Signup and view all the answers

Flashcards

Mild Anxiety

Normal, everyday anxiety that helps us focus and process information. It's beneficial for learning. Symptoms include restlessness, irritability, and tension-relieving behaviors.

Moderate Anxiety

Anxiety level where focus and information processing decrease. Learning is possible but not optimal. Symptoms include increased heart rate, tension, GI upset, and tremors.

Severe Anxiety

Anxiety level where the perceptual field is extremely reduced. Learning and problem-solving are impossible. Symptoms include headache, nausea, insomnia, hyperventilation, and a sense of impending doom.

Panic Anxiety

The most extreme level of anxiety. The patient loses touch with reality, may experience hallucinations, and is unable to process the environment. Learning and problem-solving are impossible.

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Nursing Interventions for Mild Anxiety

Interventions aim to maintain the patient's focus and enhance learning. Techniques include relaxation techniques, distraction, and supportive communication.

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Nursing Interventions for Moderate Anxiety

Interventions focus on reducing anxiety levels to facilitate learning. Techniques include reassurance, guided breathing exercises, and providing a calm environment.

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Nursing Interventions for Severe Anxiety

Interventions prioritize safety and lowering anxiety before teaching or learning can happen. Techniques include creating a safe space, reducing stimulation, and using calming techniques.

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Nursing Interventions for Panic Anxiety

Interventions prioritize safety and provide immediate support to de-escalate the panic. Techniques include staying with the patient, providing reassurance, and creating a safe environment.

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Social Anxiety in Children

Children with social anxiety may exhibit behaviors such as relying on parents to speak for them, faking physical symptoms to avoid social settings, and experiencing chronic social isolation, which can lead to depression.

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Panic Attack Intervention

During a panic attack, prioritize calming the individual by reassuring them of safety, offering help, and speaking calmly while focusing on the environment.

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OCD Nursing Diagnosis

A nursing diagnosis for OCD might be "anxiety related to persistent thoughts about bacteria, germs, and dirt as evidenced by inability to control compulsive cleaning."

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Rationalization

A defense mechanism where individuals justify illogical or unreasonable behavior by creating believable explanations to satisfy themselves and others.

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Schizotypal vs. Schizophrenia

While both involve distorted thinking, schizotypal personality disorder allows for awareness of the misinterpretations of reality, unlike schizophrenia.

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Nursing Intervention for Schizotypal PD

Prioritize respecting their need for isolation, preparing for their potential eccentricities, and carefully assessing symptoms that require intervention, especially suicidal ideation.

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Priority Intervention for Borderline PD

Focus on building trust through therapeutic relationships, managing manipulative behaviors, setting clear boundaries, and maintaining consistent communication.

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Manipulative Behaviors in BPD

Individuals with Borderline Personality Disorder may exhibit manipulative behaviors as a way to control situations and relationships, often stemming from a fear of abandonment.

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Body Dysmorphia

A mental health disorder where a person is preoccupied with a perceived flaw in their appearance, even if others do not see it. They may feel intense distress, shame, and disgust, leading to compulsions like mirror checking or camouflaging. The perceived flaw might be a real but minor defect, or entirely imagined.

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OCD Obsessions

Intrusive thoughts that cause distress, anxiety, and are difficult to dismiss. These repetitive thoughts can be unpleasant, disturbing, or even frightening. They often relate to fears about contamination, harm, or order.

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OCD Compulsions

Repetitive behaviors or mental acts that a person feels compelled to do in response to an obsession. These acts provide only temporary relief from the anxiety caused by the obsession. Compulsions can be related to the obsession, such as washing hands because of germ phobia, or unrelated, like counting to a specific number

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Generalized Anxiety

Characterized by excessive worry about many things that is often out of proportion to the actual situations. This worry can impact sleep, lead to avoidance behaviors, and create feelings of restlessness and difficulty concentrating.

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Social Anxiety

A fear of social situations. A person with social anxiety may experience intense anxiety about interacting with others, feeling judged, or being scrutinized. This often leads to avoidance of social situations.

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OCD vs. Body Dysmorphia

While both involve intrusive thoughts and compulsions, Body Dysmorphia is focused on a specific body part, while OCD can be about a wide range of topics, including contamination, order, or safety.

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What is the connection between OCD and Body Dysmorphia?

Both disorders often share traits like obsessions and compulsions, suggesting a possible overlap. Body Dysmorphia is often considered a subtype of OCD, and the two disorders sometimes co occur.

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What is the main difference between Generalized Anxiety and Social Anxiety?

Generalized Anxiety encompasses worry about many things, while Social Anxiety focuses specifically on social situations. Generalized Anxiety is characterized by a pervasive worrisome state, while Social Anxiety is marked by fear of social judgment, scrutiny, or rejection.

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Autism Spectrum Disorder (ASD) Level 1

Individuals with ASD Level 1 require support, have difficulty initiating social interactions, and may struggle with understanding social cues.

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Autism Spectrum Disorder (ASD) Level 2

Individuals with ASD Level 2 require substantial support, have limited social interactions, and often focus on narrow special interests.

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Autism Spectrum Disorder (ASD) Level 3

Individuals with ASD Level 3 require very substantial support, have severe deficits in verbal and nonverbal communication skills, and struggle with social interaction.

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Applied Behavioral Analysis (ABA)

A therapy used for individuals with ASD that encourages positive behaviors and discourages negative behaviors through reinforcement and structured learning.

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Methylphenidate

A stimulant medication commonly used to treat Attention-Deficit Hyperactivity Disorder (ADHD), acting on the brain to improve focus and attention.

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Atomoxetine (Strattera)

A non-stimulant medication used to treat ADHD, working on neurotransmitters involved in attention and impulsivity.

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Nursing Diagnosis for ASD

Common nursing diagnoses for children with ASD include impaired communication, social-emotional reciprocity, impaired relationships, and risk for impaired socialization.

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Stimulant Medications for ADHD

Stimulant medications like methylphenidate (Ritalin, Concerta), amphetamine salts (Adderall), and lisdexamfetamine (Vyvanse) are used to improve focus and attention in individuals with ADHD.

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504 Plan

A plan that provides accommodations in a general education setting for students with disabilities. It helps students with ADHD to succeed in a classroom setting.

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IEP (Individualized Education Program)

A specialized and rigorous plan for students with disabilities, including ADHD. It involves multiple staff members and more documentation than a 504 plan.

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Anorexia Nervosa

An eating disorder characterized by an intense fear of gaining weight, distorted body image, and severe calorie restriction.

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Purging

Methods used by individuals with anorexia to compensate for eating, such as forced vomiting, laxative abuse, and excessive exercise.

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Lanugo

Fine, downy hair that can develop on the body of individuals with anorexia nervosa.

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Amenorrhea

Absence of menstruation, which can occur in individuals with anorexia nervosa due to hormonal imbalances.

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Compensatory Behavior

Maladaptive behavior exhibited by individuals with anorexia nervosa out of fear or shame for eating and gaining weight.

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Low BMI (Body Mass Index)

A significantly low body mass index, indicating underweight, which is a common symptom of anorexia nervosa.

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Avoidant Personality Disorder

A personality disorder characterized by extreme sensitivity to rejection, feelings of inadequacy, social inhibition, and avoidance of interpersonal contact. Individuals with this disorder often feel preoccupied with rejection and failure, exhibit low self-esteem, and may experience depression, anxiety, or anger if their support system fails.

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Obsessive-Compulsive Personality Disorder

A personality disorder characterized by a preoccupation with orderliness, perfectionism, and control. Individuals with this disorder exhibit rigid standards for themselves and others, struggle with emotional expression, and may experience increased relapse rates of depression and suicidal risk.

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Schizotypal Personality Disorder

A personality disorder characterized by strange thinking, unusual beliefs, and odd speech patterns. Individuals with this disorder often exhibit inappropriate affect, experience severe social deficits, and may also display extreme anxiety, paranoia, and suspiciousness.

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Borderline Personality Disorder

A personality disorder characterized by severe impairments in functioning and instability in relationships, self-image, and emotions. Individuals with this disorder often experience impulsivity, self-destructive behaviors, chronic suicidal ideation, and antagonism manifested by anger, hostility, and irritability.

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Avoidant vs. Schizotypal

Avoidant Personality Disorder involves social anxiety and avoidance, while Schizotypal Personality Disorder focuses on unusual thoughts, beliefs, and social deficits.

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Obsessive-Compulsive Personality Disorder vs. Obsessive-Compulsive Disorder

Obsessive-Compulsive Personality Disorder is a general pattern of focusing on order, control, and perfectionism, while Obsessive-Compulsive Disorder involves specific, intrusive thoughts (obsessions) and repetitive behaviors (compulsions).

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Narcissistic Personality Disorder

A personality disorder marked by an inflated sense of self-importance, a need for admiration, and a lack of empathy for others. Individuals with NPD often exhibit a grandiose sense of self, exploit others, and struggle to maintain healthy relationships.

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Borderline vs. Narcissistic

Borderline Personality Disorder is characterized by instability in relationships and self-image, while Narcissistic Personality Disorder focuses on a grandiose sense of self and lack of empathy.

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Study Notes

Anxiety and Obsessive Compulsive Disorders

  • Mild Anxiety: Normal daily anxiety levels, beneficial for learning, feelings of discomfort, restlessness, irritability, tension-relieving behaviors.
  • Moderate Anxiety: Perceptual narrowing, decreased attention to detail, decreased information processing, still possible to learn but not as optimal. Increased heart rate/respiration, GI upset, headache, voice quivering, body part shaking.
  • Severe Anxiety: Extreme reduction of perceptual field with scattered focus, patient struggles to ground themselves, learning and problem solving are impossible. Headache, nausea, insomnia, sense of impending doom, potential agitation/increased irritability.

Panic

  • Panic: Most extreme level of anxiety, unable to process the environment, loss of touch with reality, potential hallucinations, erratic movements, feeling like one is dying, exhaustion, no learning and problem-solving possible. Safety is needed.

Body Dysmorphia, OCD, Generalized Anxiety, and Social Anxiety

  • Body Dysmorphia: Patients have normal appearance but may focus on an imagined or exaggerated real defect, compulsive mirror checking, camouflage, overwhelming shame/disgust, increased risk of suicide.
  • OCD: Obsessive thoughts that are upsetting/disturbing, cannot be dismissed from the mind causing anxiety. Ritualistic behaviors in response to anxiety, temporary relief, physical or sexual abuse in childhood are risk factors, comorbidity with other anxiety disorders.
  • Generalized Anxiety: Excessive worry about many things, worry is inappropriate for the situation.

Nursing Interventions

  • Panic attacks: Stay safe, calmly talk about the environment, help the patient sit down.
  • Nursing diagnosis for OCD: Anxiety related to thoughts of bacteria, germs, evidence by compulsive cleaning.
  • Maladaptive coping strategies: recognize and evaluate strategies, rationalization/justifying illogical actions, reaction formation, avoidance.
  • Schizophrenia/Schizotypal: Distinguish between the two disorders, schizophrenic are unaware of misinterpretations, schizotypal can be made aware. Nursing care should include respecting the need for isolation.
  • Borderline Personality Disorder: Therapeutic relationship, building trust, clear boundaries, consistent limits.
  • Dialectical Behavior Therapy: Mindfulness, deep breathing, relaxation, distress tolerance, building coping strategies.
  • Avoidant Personality Disorder: Extremely sensitive to rejection, feel inadequate, socially inhibited, avoid interpersonal interactions, preoccupied with failure and humiliation, shy/low self-esteem.
  • Obsessive-Compulsive Personality Disorder: Limited emotional expression, stubborn, perfectionistic, precoccupation, rigid inflexibility, higher risk depression/suicide.
  • Schizotypal: Odd beliefs, strange speech, inappropriate affect, severe social deficits, and extreme anxiety/suspiciousness.
  • Avoidant/Borderline/Narcissistic Personality Disorder: Differentiate between traits, common characteristics including sensitivity to rejection, humiliation and feelings of inferiority, social anxiety.

Childhood Neurodevelopmental Disorders

  • Autism Spectrum Disorder (ASD): Psychopharmacology - medications, therapies, evaluation levels based on support needed, common symptoms (communication, social).
  • Attention-Deficit Hyperactivity Disorder (ADHD): Understand appropriate interventions for improving relationships with others.

Eating Disorders

  • Anorexia: Intense fear of gaining weight, intense fear of gaining weight, purging behaviors, people experience differences in taste, appetite, and satiety.
  • Bulimia: Repeated episodes of binge eating followed by compensatory behaviors (purging), recurrent episodes of binge eating, marked distress associated with these episodes, compensatory behaviors regularly occur (purging).

Impulse Control Disorders

  • Pyromania: Deliberate fire-setting, difficulty with communication, and other issues.
  • Kleptomania: Urges to steal but not for personal use, not done for money or materialistic reasoning.

Cognitive Disorders

  • Delirium: Disturbance in attention/awareness and disturbance that develops over a short period of time. Risk for injury is highest priority intervention.
  • Dementia: Difficulty with reorientation, validating feelings and experiences, avoid arguing, keep safety priority as there is an increased risk.
  • Depression: Low moods are symptoms that may indicate depression, complete the Geriatric Depression Scale, safety is the priority intervention.

Suicidal Ideation

  • Risk assessment: Loss of loved/significant ones, economic issues, and disturbed thought process are signs.
  • Suicide prevention: Advance directives are legally binding and used when a patient is unable to communicate their needs.

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Explore the various levels of anxiety from mild to panic, alongside implications of obsessive-compulsive disorders. This quiz will help you understand how anxiety affects perception, learning, and behavior. Gain insights into symptoms and coping strategies associated with different anxiety levels.

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