Podcast
Questions and Answers
What is the general assessment tool for anxiety?
What is the general assessment tool for anxiety?
What should be determined in a sound physical and neurological examination for anxiety assessment?
What should be determined in a sound physical and neurological examination for anxiety assessment?
Whether anxiety is primary or secondary (medical condition or substance use).
The nursing assessment form should include __________.
The nursing assessment form should include __________.
Identification data, reliability of informants, present complaints and problems.
Match the nursing diagnosis for neurotic/anxiety disorders with their descriptions:
Match the nursing diagnosis for neurotic/anxiety disorders with their descriptions:
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Which forms of anxiety require shared planning?
Which forms of anxiety require shared planning?
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Severe anxiety and panic require a nurse directive role.
Severe anxiety and panic require a nurse directive role.
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What are nursing outcomes for anxiety disorders?
What are nursing outcomes for anxiety disorders?
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Which of the following is NOT a guideline for basic nursing interventions?
Which of the following is NOT a guideline for basic nursing interventions?
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What does coping enhancement involve?
What does coping enhancement involve?
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What are key aspects of hope inspiration?
What are key aspects of hope inspiration?
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What is involved in self-esteem enhancement?
What is involved in self-esteem enhancement?
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What does relaxation therapy involve?
What does relaxation therapy involve?
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What are some interventions for mild to moderate anxiety?
What are some interventions for mild to moderate anxiety?
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Study Notes
General Assessment for Anxiety
- Utilizes the Hamilton Rating Scale to measure anxiety levels.
Guidelines for Anxiety Assessment
- Conduct thorough physical and neurological examinations to differentiate between primary anxiety and secondary anxiety due to medical conditions or substance use.
- Evaluate current anxiety levels as mild, moderate, severe, or panic.
- Assess potential for self-harm and suicidal ideation; hospitalization may be necessary.
- Perform psychosocial assessments to uncover underlying problems.
Nursing Assessment Form Components
- Include identification data, informant reliability, present complaints, and history of present illness.
- Record past illness history, personal and family history (using a genogram).
- Document premorbid personality, functional history, and social history.
Nursing Diagnoses for Anxiety Disorders
- Anxiety linked to situational crises, shown by elevated vital signs and difficulty concentrating.
- Fear associated with specific phobias, indicated by verbal expressions of fear.
- Ineffective coping related to developmental stages, reflecting an inability to meet basic needs.
- Risk for suicide due to feelings of helplessness and anger, demonstrated by suicidal planning.
Additional Nursing Diagnoses for Anxiety Disorders
- Powerlessness stemming from fear of disapproval, evidenced by feelings of lack of control.
- Social isolation resulting from high anxiety levels, noted in withdrawn behaviors.
- Self-care deficits due to ritualistic behavior, affecting hygiene and appearance.
- Knowledge deficits regarding disease processes, indicated by inquiries about conditions and treatments.
Anxiety Forms and Nursing Approaches
- Shared planning is necessary for mild and moderate anxiety; this involves collaborative decision-making.
- Nurse directive roles are essential for managing severe anxiety and panic situations.
Nursing Outcomes for Anxiety Disorders
- Patients should achieve control over their anxiety responses.
- Encourage identification of various coping strategies.
- Support modifications in lifestyle as required.
- Promote successful social interactions.
- Enhance understanding of the anxiety disorder.
Guidelines for Basic Nursing Interventions
- Identify community resources and support groups.
- Implement counseling, milieu therapy, self-care facilitation, and health education interventions as suitable.
Nursing Interventions for Anxiety
- Focus on coping enhancement, inspiration of hope, self-esteem improvement, and relaxation techniques.
Coping Enhancement Strategies
- Assist patients in adapting to stressors and life changes.
- Create an accepting atmosphere for expression of feelings.
- Discourage decision-making for patients experiencing severe anxiety.
- Review past defense mechanisms (e.g., denial, displacement) to understand coping patterns.
Hope Inspiration Techniques
- Help patients recognize areas of hope in their lives.
- Affirm their intrinsic worth without masking the truth.
- Encourage spiritual growth and exploration.
Self-Esteem Enhancement Activities
- Offer positive affirmations and monitor negative self-talk.
- Discuss past achievements to build confidence.
- Address sources of self-criticism and guilt.
Relaxation Therapy Techniques
- Instruct patients in relaxation methods and provide written resources.
- Monitor and document patient responses to these techniques.
Interventions for Mild to Moderate Anxiety
- Encourage patients to vocalize and validate their feelings about anxiety.
- Anticipate anxiety-inducing scenarios and use non-verbal cues to express empathy.
- Facilitate discussions concerning feelings and thoughts; clarify any ambiguous statements.
- Support development of alternative solutions and explore past effective behaviors to combat anxiety.
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Description
Explore key concepts in nursing management for anxiety disorders through this flashcard quiz. It includes essential assessment guidelines and tools such as the Hamilton Rating Scale, aimed at enhancing your understanding and skills in managing anxiety in patients.
