Generalized Anxiety Disorder Overview
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Questions and Answers

Who is the client most likely experiencing generalized anxiety disorder (GAD)?

  • 70-year-old whose spouse died 1 year ago and reports severe fatigue
  • 40-year-old who has reported numerous absences from work, muscle aches, and difficulty falling asleep for the last 8 months (correct)
  • 30-year-old business executive who reports being anxious about attending meetings and social events
  • 22-year-old soldier who 'cannot sleep' and is facing criminal charges
  • For how long would a patient experience excessive anxiety and worries about multiple life circumstances before it is considered chronic and generalized?

  • 6 months (correct)
  • 4 months
  • 12 months
  • 2 months
  • Which response best explains the difference between normal anxiety and an anxiety disorder?

  • People with anxiety disorders generally find that the anxiety interferes with daily activities. (correct)
  • People with anxiety disorders experience a fight-or-flight response when threatened.
  • Normal anxiety occurs in response to everyday stressors.
  • Normal anxiety does not result in feelings of dread or restlessness.
  • When teaching a client with generalized anxiety disorder, what should the nurse instruct the client to avoid?

    <p>Caffeine</p> Signup and view all the answers

    Which medication classification used in the treatment of panic disorder can cause physical dependence?

    <p>Benzodiazepines</p> Signup and view all the answers

    What is the term for the change that takes place in response to a stressor?

    <p>Adaptation</p> Signup and view all the answers

    What would be the most appropriate response by the nurse when a client asks about the necessity of counseling in addition to medication?

    <p>Medications combined with therapy help you change how well you function.</p> Signup and view all the answers

    A client diagnosed with panic disorder has been receiving medication therapy, which is being discontinued. Which medication could result in withdrawal symptoms?

    <p>Lorazepam</p> Signup and view all the answers

    Study Notes

    Generalized Anxiety Disorder (GAD)

    • GAD symptoms include prolonged anxiety about various life circumstances.
    • A key indicator is experiencing symptoms for at least 6 months, differentiating it from other anxiety disorders.
    • Physical manifestations such as muscle aches and sleep disturbances are common.

    Distinguishing Normal Anxiety from Anxiety Disorders

    • Normal anxiety is a response to everyday stressors and does not interfere with daily activities.
    • Anxiety disorders lead to significant interference with daily functioning and can result in feelings of dread and restlessness.

    Dietary Considerations

    • Individuals with GAD should avoid caffeine as it can exacerbate anxiety symptoms.
    • Caffeine can mimic anxiety symptoms, worsening the overall condition.

    Medication for Panic Disorders

    • Benzodiazepines, while effective for panic disorders, pose a risk of physical dependence and potential withdrawal symptoms upon discontinuation.
    • Other medication classes like SSRIs, SNRIs, and TCAs do not commonly lead to withdrawal symptoms.

    Adaptation to Stressors

    • Adaptation is the natural response to stress, involving immediate and often involuntary changes in behavior and physiological state.

    Importance of Therapy in Treatment

    • A combination of medications and therapy is most effective in managing anxiety disorders.
    • Therapy complements medication, enhancing overall functional outcomes; neither should be solely relied upon.

    Withdrawal Symptoms

    • Caution is needed when discontinuing benzodiazepines, as they can cause withdrawal symptoms.
    • Withdrawal does not typically occur with other antidepressants like duloxetine or SSRIs.

    Counseling and Medication

    • Counseling is essential in addition to medication to facilitate better functioning in individuals with anxiety disorders.
    • The effectiveness of medication is not completely reliant on therapy, but both approaches work synergistically.

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    Description

    Explore the key aspects of Generalized Anxiety Disorder (GAD), including its symptoms, dietary considerations, and medication options. Understand how GAD differs from normal anxiety and learn about the impact it can have on daily functioning. This quiz serves as a comprehensive guide to recognizing and managing GAD.

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