Nursing Management for Anxiety Disorders

Questions and Answers

What is the general assessment tool for anxiety?

The Generalized Anxiety Disorder Scale

The Hamilton Rating Scale (correct)

The State-Trait Anxiety Inventory

The Beck Anxiety Inventory

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 __________.

Identification data, reliability of informants, present complaints and problems.

Match the nursing diagnosis for neurotic/anxiety disorders with their descriptions:

Anxiety = Related to situational crises as evidence by increased vital signs and difficulty concentrating. Fear = Related to phobic stimulus as evidenced by verbalization of fear. Ineffective coping = Related to maturational crises as evidenced by inability to meet needs. Risk for suicide = Related to anger and hopelessness as evidenced by a suicidal plan. Signup and view all the answers

Which forms of anxiety require shared planning?

Mild anxiety Signup and view all the answers

Severe anxiety and panic require a nurse directive role.

True Signup and view all the answers

What are nursing outcomes for anxiety disorders?

Controls anxiety response, identifies coping strategies, modifies lifestyle as needed. Signup and view all the answers

Which of the following is NOT a guideline for basic nursing interventions?

Encourage isolation Signup and view all the answers

What does coping enhancement involve?

Assisting a patient to adapt to stressors and encouraging verbalization of feelings. Signup and view all the answers

What are key aspects of hope inspiration?

Identify areas of hope, demonstrate recognition of the patient’s worth, expand spiritual self. Signup and view all the answers

What is involved in self-esteem enhancement?

Make positive statements about the patient and explore previous achievements. Signup and view all the answers

What does relaxation therapy involve?

Demonstrate and practice relaxation techniques, and evaluate responses to those techniques. Signup and view all the answers

What are some interventions for mild to moderate anxiety?

Identify anxiety triggers, anticipate anxiety-provoking situations, encourage verbalization of feelings. Signup and view all the answers

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.