Anxiety Disorders Overview
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Questions and Answers

What is the main difference between fear and anxiety?

  • Anxiety is always irrational, while fear can be rational.
  • Fear is a response to an actual threat, while anxiety is a response to a perceived threat. (correct)
  • Anxiety is a more intense emotion than fear.
  • Fear is more common than anxiety.
  • Which of the following is NOT a characteristic of anxiety disorders?

  • Impairment of normal daily functioning.
  • More common among women than men.
  • Abnormal or irrational responses to stressful situations.
  • Symptoms usually begin after the age of 30. (correct)
  • What kind of anxiety is beneficial and motivating?

  • Mild anxiety (correct)
  • Phobias
  • Panic disorder
  • Generalized anxiety disorder
  • Why is a thorough evaluation necessary when assessing an anxious patient?

    <p>All of the above. (D)</p> Signup and view all the answers

    What is an example of an anxiety disorder?

    <p>Obsessive-compulsive disorder (A)</p> Signup and view all the answers

    What is the role of anxiolytics in treating anxiety disorders?

    <p>To reduce feelings of anxiety. (D)</p> Signup and view all the answers

    What is the MOST common mental health disorder encountered in clinical practice?

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

    What is the MAIN reason for anxiety disorders being more common among women than men?

    <p>Women are more likely to seek help for their mental health. (C)</p> Signup and view all the answers

    What is a common approach to treating anxiety disorders?

    <p>Combination of pharmacologic and nonpharmacologic therapy (A)</p> Signup and view all the answers

    Which of these situations is a potential trigger for anxiety?

    <p>A recent loss (B)</p> Signup and view all the answers

    Which of these is NOT a sign of anxiety?

    <p>Decreased heart rate (C)</p> Signup and view all the answers

    What is a potential medical cause of anxiety symptoms?

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

    What is the correct term for a fear of situations where escape might be difficult?

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

    What is a potential risk posed by using certain medications for anxiety?

    <p>Increased risk of addiction (A)</p> Signup and view all the answers

    What is a common assessment area for anxiety patients?

    <p>Basic mental status (D)</p> Signup and view all the answers

    Which of these is an example of a maladaptive coping mechanism?

    <p>Using alcohol to relax (A)</p> Signup and view all the answers

    What is a key component of providing care for a patient with anxiety?

    <p>Involving the patient's family or support system (C)</p> Signup and view all the answers

    What is a characteristic of anxiety disorders?

    <p>Intense fear or worry about real-life problems (A)</p> Signup and view all the answers

    What is a common symptom of anxiety in individuals?

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

    Which of these medications is NOT approved by the FDA for treating generalized anxiety disorder?

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

    What is a potential benefit of using beta-blockers in anxiety treatment?

    <p>They can manage physical symptoms of anxiety. (D)</p> Signup and view all the answers

    Which of these is an FDA-approved medication for treating panic disorder?

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

    Which of these is NOT a treatment option for obsessive-compulsive disorder?

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

    What is the role of nursing implications in anxiety therapy?

    <p>Assessing and monitoring patients (B)</p> Signup and view all the answers

    What type of history is crucial in assessing a patient with anxiety?

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

    Which of these is a common symptom of a panic attack?

    <p>Fear of losing control (C)</p> Signup and view all the answers

    Which of the following is NOT a sign of escalating anxiety?

    <p>Increased focus (B)</p> Signup and view all the answers

    What is the primary purpose of assessing a patient's ability to make judgments and decisions?

    <p>To understand their capacity for participating in treatment (A)</p> Signup and view all the answers

    Which of the following is a recommended management technique for handling anxiety-producing situations?

    <p>Provide a quiet, calm environment for interaction (B)</p> Signup and view all the answers

    What is the importance of identifying the patient's coping mechanisms?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the significance of assessing a patient's sleep pattern?

    <p>To identify potential areas of concern and improve overall treatment (D)</p> Signup and view all the answers

    How can a trusting relationship be established with a patient?

    <p>Both B and C (A)</p> Signup and view all the answers

    What is the role of group process activities in patient care?

    <p>To enhance social skills and self-esteem (B)</p> Signup and view all the answers

    What is the purpose of assessing the coherency, relevancy, and organization of a patient's thoughts?

    <p>To understand their cognitive abilities and potential impairments (A)</p> Signup and view all the answers

    Why is it important to provide a safe and structured environment for patients?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the primary focus of patient education in the context of mental health care?

    <p>To equip patients with the knowledge and skills to manage their condition (C)</p> Signup and view all the answers

    How can a patient's ability to set goals and make decisions impact their recovery?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the importance of assessing a patient's dietary history in the context of mental health care?

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

    When assessing a patient's response to daily activities, what is the primary concern?

    <p>Understanding how their mental health impacts their daily routines (C)</p> Signup and view all the answers

    What is the reason for providing a nonstimulating environment for patients who are having sleeping difficulties?

    <p>All of the above (D)</p> Signup and view all the answers

    Why is it important to explore the coping mechanisms a patient uses in response to stressors?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the primary reason for involving patients and their families in goal setting?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of these is NOT a recommendation for handling anxiety-producing situations effectively?

    <p>Confront anxieties head-on (C)</p> Signup and view all the answers

    Which of the following is NOT a common adverse effect of buspirone therapy?

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

    What is the primary therapeutic outcome expected from fluvoxamine?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following medications can potentiate the toxicity of buspirone?

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

    Which of the following is NOT a therapeutic outcome expected from hydroxyzine?

    <p>Preventing obsessions and compulsions (B)</p> Signup and view all the answers

    What is the recommended initial dosage of buspirone for adults?

    <p>5 mg two to three times daily (D)</p> Signup and view all the answers

    Which of the following medications can be used as a mild tranquilizer for anxiety, tension, and agitation?

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

    What is the recommended maximum daily dose of buspirone?

    <p>60 mg (B)</p> Signup and view all the answers

    Which of the following medications should be used with caution in patients who operate machinery or perform tasks requiring mental alertness?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following is a common adverse effect of hydroxyzine related to its anticholinergic properties?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the mechanism of action of fluvoxamine?

    <p>Inhibition of serotonin reuptake (D)</p> Signup and view all the answers

    Which of the following is NOT a common adverse effect of fluvoxamine?

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

    What is the main use of hydroxyzine as a medication?

    <p>Treatment of anxiety and tension (B)</p> Signup and view all the answers

    Which of the following drugs can increase the metabolism of buspirone, potentially requiring a higher dose?

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

    What is the mechanism of action of buspirone?

    <p>Selectively inhibiting serotonin reuptake (D)</p> Signup and view all the answers

    Which of the following is an indication for hydroxyzine therapy?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the maximum recommended daily dosage of oxazepam?

    <p>120 mg (A)</p> Signup and view all the answers

    Which of the following is a common adverse effect of benzodiazepines?

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

    What is the recommended duration for gradual withdrawal of benzodiazepines after long-term use?

    <p>2 to 4 weeks (D)</p> Signup and view all the answers

    What is the primary mechanism of action of buspirone?

    <p>Serotonin and dopamine agonism (A)</p> Signup and view all the answers

    Which of the following medications is NOT a benzodiazepine?

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

    What is the recommended dosage for lorazepam?

    <p>2–10 mg two to four times daily (A)</p> Signup and view all the answers

    Which of the following drugs can increase the toxic effects of benzodiazepines?

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

    What is the primary concern regarding benzodiazepine use during pregnancy?

    <p>Potential for birth defects (D)</p> Signup and view all the answers

    Which of the following is a potential consequence of rapid discontinuation of benzodiazepines after long-term use?

    <p>Tonic-clonic seizures (D)</p> Signup and view all the answers

    What is the rationale for recommending benzodiazepines to be avoided in the first trimester of pregnancy?

    <p>Benzodiazepines can cross the placenta and affect fetal development. (A)</p> Signup and view all the answers

    Which of the following is a sign of potential benzodiazepine abuse?

    <p>Excessive drowsiness and lethargy (C)</p> Signup and view all the answers

    What is the most common adverse effect associated with benzodiazepine use?

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

    Which of the following is a potential risk associated with taking benzodiazepines in combination with other medications?

    <p>Increased risk of sedation (C)</p> Signup and view all the answers

    What is the recommended approach for a patient experiencing physical dependence on benzodiazepines?

    <p>Gradual withdrawal under medical supervision (B)</p> Signup and view all the answers

    What is the primary advantage of buspirone over other antianxiety agents?

    <p>Less potential for abuse (A)</p> Signup and view all the answers

    Which of the following laboratory tests should be monitored regularly in patients taking benzodiazepines?

    <p>Complete blood count (D)</p> Signup and view all the answers

    Which benzodiazepine is particularly appropriate for patients with reduced hepatic function or older adults?

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

    What is the primary therapeutic outcome expected from benzodiazepine antianxiety agents?

    <p>Reduction of anxiety to a manageable level (A)</p> Signup and view all the answers

    Which of the following is NOT a reason why benzodiazepines are commonly used for anxiety?

    <p>They are more likely to interact with other drugs (A)</p> Signup and view all the answers

    Which benzodiazepine is preferred for patients with severe liver impairment?

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

    Which of the following is a reason to avoid benzodiazepines during pregnancy?

    <p>They can affect fetal development, potentially leading to congenital malformations (C)</p> Signup and view all the answers

    Which of the following is NOT a symptom of a panic attack?

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

    What is the recommended approach for discontinuing long-term benzodiazepine therapy?

    <p>Gradually reducing the dosage over 4 weeks (C)</p> Signup and view all the answers

    What is the most common age group for generalized anxiety disorder to develop?

    <p>20-30 years old (C)</p> Signup and view all the answers

    What is the mechanism of action of benzodiazepines in reducing anxiety?

    <p>Stimulating the inhibitory neurotransmitter GABA (C)</p> Signup and view all the answers

    Which of the following mental health conditions is NOT classified under obsessive-compulsive and related disorders (OCRDs) in the DSM-5?

    <p>Generalized anxiety disorder (C)</p> Signup and view all the answers

    What is the typical timeframe for patients to respond to benzodiazepine therapy for anxiety?

    <p>Within a week (A)</p> Signup and view all the answers

    Which of the following is NOT a common compulsion associated with OCD?

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

    Which of the following is NOT a crucial aspect of patient education regarding benzodiazepine therapy?

    <p>The need for immediate discontinuation if adverse effects occur (C)</p> Signup and view all the answers

    What is a key difference between a phobia and a panic attack?

    <p>Phobias are always triggered by specific objects or situations, while panic attacks are spontaneous. (D)</p> Signup and view all the answers

    Why is it important to record baseline vital signs before initiating benzodiazepine therapy?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following is a distinguishing feature of social phobia?

    <p>Fear of being judged by others (D)</p> Signup and view all the answers

    Which of the following benzodiazepines has an extended-release formulation?

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

    Why is a patient's history of blood dyscrasias or hepatic disease relevant before initiating benzodiazepine therapy?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following statements is TRUE about the frequency of anxiety disorders in men and women?

    <p>Panic disorder is more common in women than in men. (B)</p> Signup and view all the answers

    Which of the following is NOT a common psychiatric disorder that patients with generalized anxiety disorder may develop?

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

    What is the recommended nursing intervention for patients taking benzodiazepines to enhance their understanding of the medication?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following is a potential adverse effect of benzodiazepines that should be monitored for?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the primary feature that distinguishes OCD from anxiety disorders?

    <p>OCD is characterized by obsessions and compulsions, while anxiety disorders involve fear and worry. (C)</p> Signup and view all the answers

    Which of the following statements about benzodiazepine therapy is TRUE?

    <p>Benzodiazepines are effective in the short-term, but careful monitoring for tolerance and dependence is crucial (D)</p> Signup and view all the answers

    What is an example of a simple phobia?

    <p>Fear of flying (B)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of obsessions in OCD?

    <p>They are enjoyable and provide relief from anxiety. (C)</p> Signup and view all the answers

    How do compulsions in OCD relate to obsessions?

    <p>Compulsions are a way to avoid the anxiety associated with obsessions. (C)</p> Signup and view all the answers

    Which of the following is a TRUE statement about the prevalence of OCD?

    <p>OCD is one of the most common personality disorders. (D)</p> Signup and view all the answers

    How do panic attacks differ from anxiety caused by phobias?

    <p>Panic attacks are spontaneous and unexpected, while phobias are triggered by specific stimuli. (C)</p> Signup and view all the answers

    Which of the following statements accurately describes the relationship between panic disorder and generalized anxiety disorder?

    <p>Panic disorder and generalized anxiety disorder are distinct entities. (D)</p> Signup and view all the answers

    Which of the following is NOT considered a possible trigger for exacerbations in generalized anxiety disorder?

    <p>Increased levels of dopamine (B)</p> Signup and view all the answers

    Which of the following is a possible adverse effect of Ativan (lorazepam) use?

    <p>Blurred vision (B), Morning hangover (C)</p> Signup and view all the answers

    A patient experiencing a panic attack lasting over 15 minutes is being admitted to a mental health unit. Which of the following assessments would be MOST relevant to prioritize in this scenario?

    <p>Clarity of thought (C)</p> Signup and view all the answers

    Which of the following drug classes is NOT commonly used in the treatment of anxiety disorders?

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

    A patient on Ativan (lorazepam) reports feeling lightheaded and experiencing blurred vision. Which of the following actions should the nurse prioritize?

    <p>Assess for other signs of adverse effects (D)</p> Signup and view all the answers

    Which of the following scenarios is MOST likely to be indicative of a phobic disorder?

    <p>A patient declining an MRI due to feeling confined (A)</p> Signup and view all the answers

    Which of the following statements made by a patient taking lorazepam (Ativan) for anxiety indicates a need for further teaching?

    <p>Taking Ativan always helps me feel calmer and more relaxed (B)</p> Signup and view all the answers

    While assessing a patient with an anxiety disorder, the nurse observes that the patient frequently performs repetitive hand-washing rituals. Which of the following would be the MOST relevant assessment category?

    <p>Obsessions or compulsions (B)</p> Signup and view all the answers

    A patient is experiencing severe anxiety related to their upcoming surgery. Which of the following nursing interventions would be LEAST helpful in managing this anxiety?

    <p>Administering a sedative medication as prescribed (B)</p> Signup and view all the answers

    Which of the following nursing actions is a priority when providing care for a patient with anxiety?

    <p>Identifying potential triggers for anxiety (C)</p> Signup and view all the answers

    A patient experiencing a panic attack is exhibiting hyperventilation, dizziness, and a racing heart. Which of the following nursing actions would be MOST appropriate?

    <p>Encourage the patient to take deep, controlled breaths (A)</p> Signup and view all the answers

    Which of the following drug classes can be used for the treatment of both generalized anxiety disorder (GAD) and panic disorder?

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

    A patient with generalized anxiety disorder (GAD) is also experiencing insomnia. Which of the following non-pharmacological interventions would be LEAST helpful in promoting sleep?

    <p>Engaging in strenuous exercise close to bedtime (D)</p> Signup and view all the answers

    Which of the following would be considered a potential trigger for a panic attack?

    <p>Feeling trapped in a crowd (B), A sudden, unexpected loud noise (D)</p> Signup and view all the answers

    Which of the following is a common symptom of a panic attack?

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

    A patient with a panic disorder is being treated with a selective serotonin reuptake inhibitor (SSRI). Which of the following nursing interventions would be MOST important?

    <p>Assess for the development of new or worsening anxiety symptoms (B)</p> Signup and view all the answers

    Flashcards

    Anxiety

    An unpleasant feeling of apprehension or nervousness due to perceived danger.

    Generalized Anxiety Disorder

    Persistent and excessive worry about various aspects of life.

    Panic Disorder

    Unexpected and repeated episodes of intense fear or discomfort.

    Phobias

    Intense, irrational fears of specific objects or situations.

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    Obsessive-Compulsive Disorder (OCD)

    Characterized by unwanted repetitive thoughts (obsessions) and behaviors (compulsions).

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    Anxiolytics

    Medications prescribed to alleviate anxiety symptoms.

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    Tranquilizers

    A category of drugs that calm agitation and reduce tension.

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    Psychological Dependence

    A state of emotional reliance on a substance for coping.

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    Symptoms of GAD

    Includes psychological symptoms like tension and fear, and physical symptoms like tachycardia and gastrointestinal upset.

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    Age of Onset for GAD

    Typically occurs in individuals aged 20 to 30, with a higher prevalence in women.

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    Panic Attack Symptoms

    Includes palpitations, sweating, trembling, shortness of breath, and feelings of choking.

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    Average Onset Age for Panic Disorder

    Often begins in early 20s and can require lifelong treatment.

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    Social Phobia

    Fear of social situations where one may be scrutinized, often leading to avoidance.

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    Simple Phobia

    Irrational fear of specific objects like heights or animals, causing panic upon exposure.

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    Obsessions in OCD

    Unwanted thoughts or impulses that intrude on a person’s mind, causing anxiety.

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    Compulsions in OCD

    Repetitive actions performed to reduce the anxiety associated with obsessions.

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    Genetic Factors in Anxiety Disorders

    Genetic predisposition observed in anxiety disorders, with family history being common.

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    Relapsing Nature of Panic Disorder

    Panic disorder often reoccurs, necessitating ongoing treatment.

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    Separation of OCRDs and Anxiety Disorders

    OCRDs, including OCD, have unique features that separate them from typical anxiety disorders.

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    Altered Thinking

    Disorganized or incoherent thoughts inconsistent with circumstances.

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    Psychomotor Functions

    Ability to perform physical activities and maintain responsibilities.

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    Obsessions

    Persistent, unwanted thoughts causing anxiety.

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    Compulsions

    Repetitive behaviors performed to reduce anxiety from obsessions.

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    Sleep Pattern

    Individual's regular sleep habits and any deviations.

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    Escalating Anxiety

    Increasing distress recognizable by specific signs.

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    Patient Environment

    The setting where care is provided, which should be safe and calm.

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    Therapeutic Communication

    Effective conversation methods to support patient expression.

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    Coping Skills

    Methods individuals use to manage stress and anxiety.

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    Self-Care Activities

    Actions taken by patients to care for their own needs.

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    Patient Education

    Process of informing patients about their care and options.

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    Relaxation Techniques

    Methods used to reduce stress and foster calmness.

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    Goal Setting

    Process of identifying specific objectives for treatment.

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    Trusting Relationship

    A bond formed with the patient to enhance support and care.

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    Medication Information

    Details about prescribed drugs and their benefits.

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    Anxiety Treatment Components

    Includes pharmacologic, behavioral, and psychosocial therapies.

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    Classes of Medications for Anxiety

    Includes benzodiazepines, SSRIs, SNRIs, and buspirone.

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    Benzodiazepines

    A class of medications effective for anxiety; includes alprazolam and diazepam.

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    SSRIs

    Selective serotonin reuptake inhibitors used for anxiety and depression.

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    Tricyclic Antidepressants

    Older class of antidepressants used for various anxiety disorders.

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    Coping Mechanisms

    Strategies individuals use to manage anxiety or stress.

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    Assessment in Anxiety Treatment

    Evaluating the patient’s history, symptoms, and behavior.

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    Mood and Affect

    Observations of a patient's emotional state and outward expressions.

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    Support Groups

    Community resources that provide emotional and practical support.

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    Behavior Therapy

    A non-pharmacologic approach focusing on changing harmful behaviors.

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    Beta-Adrenergic Blockers

    Medications like propranolol used for anxiety and to control physical symptoms.

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    FDA Approved Medications

    Medications sanctioned for the treatment of anxiety disorders.

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    Nonpharmacologic interventions

    Strategies that do not involve medications to manage health, crucial for chronic conditions.

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    Medications compliance

    Adherence to prescribed medication regimens to ensure effectiveness.

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    GABA-A receptor

    A key site where benzodiazepines bind to enhance inhibitory effects.

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    Adverse effects of benzodiazepines

    Potential negative reactions to benzodiazepines, requiring monitoring.

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    Withdrawal process

    Gradual reduction of medication dosage under healthcare guidance to avoid complications.

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    Lorazepam and Oxazepam

    Benzodiazepines suitable for patients with reduced liver function due to low active metabolites.

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    Therapeutic outcome of benzodiazepines

    Reduction of anxiety levels to improve management and coping abilities.

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    Important premedication assessments

    Baseline checks before administering benzodiazepines including anxiety level and vital signs.

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    Oxazepam and Lorazepam Uses

    Primary choice for treating anxiety linked with severe liver impairment and alcohol withdrawal.

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    Side effects of Benzodiazepines

    Possible reactions include drowsiness, coordination issues, and confusion.

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    Patient Self-Assessment Form

    A tool for patients to track their response to antianxiety medications.

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    Pregnancy and Benzodiazepines

    Avoiding benzodiazepines during pregnancy due to risks of congenital malformations.

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    Injection route for Benzodiazepines

    Method of administration when oral routes are not viable due to nausea or vomiting.

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    Buspirone

    An anxiolytic medication used to treat anxiety.

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    Primary Therapeutic Outcome of Buspirone

    Decrease in anxiety to a manageable level, improving coping and reducing physical anxiety signs.

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    Buspirone Dosing

    Initially 5 mg two to three times daily; maintenance at 30 mg daily, do not exceed 60 mg.

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    Common Adverse Effects of Buspirone

    Includes sedation, lethargy, dizziness, and insomnia.

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    Buspirone Drug Interactions

    Potentially toxic with itraconazole, erythromycin, and grapefruit juice; may require dose adjustments.

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    Fluvoxamine

    A selective serotonin reuptake inhibitor used for obsessive-compulsive disorders.

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    Primary Therapeutic Outcome of Fluvoxamine

    Reduction in anxiety and compulsive activities, though obsessions persist.

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    Hydroxyzine

    An antihistamine with multipurpose effects, including sedation and anti-anxiety properties.

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    Hydroxyzine Uses

    For anxiety, agitation, pre-/post-operative sedation, and allergic reactions.

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    Hydroxyzine Dosing

    25 to 100 mg PO three to four times daily or IM 50 to 100 mg every 4 to 6 hours.

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    Adverse Effects of Hydroxyzine

    Anticholinergic effects leading to blurred vision, sedation, and dizziness.

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    Sedation Monitoring

    Monitor for sedation levels, slurred speech, or excessive dizziness in patients receiving buspirone or hydroxyzine.

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    Grapefruit Juice Interaction

    Potentiates toxicity of buspirone; doses should be reduced when taken together.

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    Rifampin Interaction

    Enhances metabolism of buspirone; may require increased dosing.

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    Sedation Safety Protocols

    Implement safety measures for patients experiencing sedation or dizziness from hydroxyzine or buspirone.

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    Lorazepam

    A benzodiazepine used to treat anxiety and seizures.

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    Oxazepam

    A benzodiazepine used for anxiety, effective for alcohol withdrawal.

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    Dependence

    Physical or psychological reliance on a substance.

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    Withdrawal symptoms

    Symptoms that occur after stopping long-term benzodiazepine use.

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    Accurate Monitoring

    Necessary routine tests for patients on benzodiazepines.

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    Adverse effects

    Unwanted side effects of benzodiazepines like sedation.

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    GABA receptors

    Targets affected by traditional benzodiazepines.

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    Hepatotoxicity

    Liver damage that can occur with benzodiazepine use.

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    Drug interactions

    Benzodiazepines can interact dangerously with alcohol and opioids.

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    Azaspirones

    A drug class that includes buspirone for anxiety.

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    Quick acetaminophen

    Combination of drugs can enhance toxicity, causing harm.

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    Gradual withdrawal

    Recommended method for stopping benzodiazepines.

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    Mucosal Dryness

    Dryness of the mucosa of the mouth, throat, and nose.

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    Stool Softeners

    Medications like docusate used to relieve constipation.

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    Excessive Dosing Symptoms

    Signs include sedation, slurred speech, and dizziness.

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    Generalized Anxiety Disorder (GAD)

    Excessive worry about many life aspects, affecting daily function.

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    Panic Attack Duration

    A sudden episode of intense fear lasting more than 15 minutes.

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    Evaluation of Anxious Patients

    Requires thorough history and psychiatric examination.

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    Treatment of Anxiety Disorders

    Often involves a mix of pharmacologic and nonpharmacologic therapies.

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    Role of Nurses in Anxiety Treatment

    Educate about therapies, monitor effects, and intervene as needed.

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    Mazicon for Benzodiazepines

    Drug class prescribed for anxiety disorders including lorazepam.

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    Mental Status Assessment Components

    Observing general appearance, clarity of thought, mood/affect, and any obsessions or compulsions.

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    Phobic Disorder

    Intense fear of specific objects or situations, causing avoidance behavior.

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    Obsessive-Compulsive Disorder (OCD) Treatment

    Treatment often includes medications like SSRIs and therapy.

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    Common Anxiety Disorders

    Includes GAD, panic disorder, social phobia, simple phobia, OCD.

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    Anxiety and Medical Conditions

    Anxiety often accompanies medical conditions of cardiovascular, pulmonary, gastrointestinal, and endocrine systems.

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    Study Notes

    Anxiety Disorders Overview

    • Anxiety is a normal human emotion, similar to fear, a feeling of apprehension or nervousness caused by perceived danger threatening security.
    • Mild anxiety is a heightened awareness, beneficial for motivating adaptive action
    • Anxiety disorders arise when responses to stress are abnormal, irrational, and impair daily life.
    • 16% of the population experiences anxiety disorders at some point.
    • Onset is typically before age 30, more common in women.
    • Anxiety can be a primary symptom of other conditions like schizophrenia, mania, depression, dementia, and substance abuse.

    Types of Anxiety Disorders

    • Generalized Anxiety Disorder (GAD): Excessive, unrealistic worry about two or more life circumstances for 6 months or more. Symptoms are psychological (tension, fear, concentration issues) and physical (tachycardia, sweating, GI upset). Onset is gradual, typically ages 20-30. More frequent in women. Chronic and fluctuating.
    • Panic Disorder: Sudden surge of intense fear or discomfort peaking within minutes. At least four symptoms (palpitations, sweating, trembling, shortness of breath, etc.). Average onset in early twenties, often relapsing, may require lifelong treatment. More common in women. Genetic predisposition evident in relatives. Spontaneous attacks, which over time may become linked to specific situations.
    • Phobias: Irrational fears of specific objects, activities, or situations. The feared object or situation is recognized as unreasonable. Symptoms include panic, sweating, and tachycardia. Avoidance is a key characteristic. Social phobias involve fear of scrutiny in social situations. Simple phobias are fears of specific objects (e.g., heights, enclosed spaces).
    • Obsessive-Compulsive and Related Disorders (OCRDs): Includes OCD. Marked by recurrent obsessions (unwanted thoughts) and compulsions (repetitive behaviors). Obsessions lead to immense anxiety, while compulsions are performed to reduce it. Average onset in late adolescence to early 20s, more common in men.

    Drug Therapy for Anxiety

    • Many medications treat anxiety, ranging from sedatives to more specific anti-anxiety agents.
    • Benzodiazepines are a common class used for their effectiveness, less interactivity, lower overdose risk, and lower abuse potential.
    • SSRIs, SNRIs, and tricyclic antidepressants are also used.
    • Treatment frequently combines medication and non-pharmacological therapies.
    • Drug selection depends on metabolism and patient factors.

    Benzodiazepines

    • Commonly used for anxiety due to consistency, safety, and reduced abuse potential.
    • Used in anxiety reactions, and some medical anxiety.
    • Rapid effectiveness (generally 1 week).
    • Potential for physical and psychological dependence if taken long-term.
    • Withdrawal can be problematic and should be managed gradually.
    • Category D/X pregnancy risk, not recommended during pregnancy or breastfeeding.

    Buspirone

    • Azaspirone class, not a benzodiazepine.
    • Gradual onset (7-10 days for initial improvement, 3-4 weeks for optimal).
    • Less sedative than benzodiazepines; doesn't affect psychomotor function.
    • Not a controlled substance.

    Other Agents

    • Fluvoxamine: Used for OCD, reduces symptom severity but not the thoughts.
    • Hydroxyzine: Antihistamine with antianxiety effects, also used as a sedative pre/post-op.

    Nursing Implications

    • Assessment: Comprehensive history, including precipitating factors, medication use, medical history, and mental status (appearance, orientation, mood, thought processes, psychomotor function, etc.). Assess coping mechanisms.
    • Implementation: Create a safe, structured environment, establish trust, reduce stimulation, encourage expression of feelings, and monitor carefully for potential harm. Support the use of coping skills.
    • Education: Orient patients, explain treatment details and benefits, highlight non-pharmacological interventions, and monitor for adverse effects. Gradually wean from benzodiazepines.

    Adverse Effects

    • Benzodiazepines: Drowsiness, hangover, sedation, lethargy, blurred vision, hypotension. Potential for psychological dependence and severe withdrawal reactions with rapid cessation. Blood dyscrasias, hepatotoxicity (liver damage), and drug interactions are also risks.
    • Buspirone: Dizziness, insomnia, nervousness, drowsiness, lightheadedness
    • Other agents: Specific adverse effects associated with their role and use.

    Important Considerations/Key Points

    • Drug interactions are relevant for all agents.
    • Baseline assessments are pivotal to measure treatment responses.
    • Patient education is key to improving adherence to treatment plans.

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    Test your knowledge on anxiety disorders with this quiz. Explore the differences between fear and anxiety, the characteristics of anxiety disorders, and the common treatments available. Answer questions on signs, symptoms, and the role of medications in managing anxiety.

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