Psychiatric Nursing: Anxiety, Personality, and Eating Disorders

Vocabulary practice flashcards defining psychiatric disorders, nursing interventions, levels of anxiety, and defense mechanisms based on lecture notes.

Panic Attack Intervention

Stay with the patient and provide reassurance.

Panic Disorder (First-Line Treatment)

Fluoxetine.

Acute Panic Attack Symptoms (First-Line Treatment)

Alprazolam.

Diazepam

A medication that can cause dependence.

Obsessive-Compulsive Disorder (Nursing Intervention for Rituals)

Allow rituals to prevent an increase in anxiety.

Bulimia Nervosa (Post-Meal Intervention)

Sit with the patient after meals.

Antisocial Personality Disorder (ASPD)

A condition where the nurse must set clear limits and boundaries.

Self-Harm Ideation Intervention

Notify staff immediately and maintain a nonjudgmental attitude with the patient.

Histrionic Personality

Characterized by individuals who love attention.

Bulimia vs. Anorexia Distinction

Bulimics throw up, distinguishing them from individuals with anorexia.

Eating Disorder (Self-Monitoring Intervention)

Have the patient keep a food diary.

Anorexia Nervosa (Primary Clinical Concerns)

Cardiac issues and electrolyte imbalances.

Lanugo

Fine hairs that grow back in patients with anorexia to provide warmth.

Eating Disorder Weighing Protocol

Weigh in the morning, in the bathroom, using the same clothes and scale.

Generalized Anxiety Disorder (GAD)

Persistent, unrealistic, and excessive anxiety and worry that occur more days than not for at least $6\,\text{months}$.

Trichotillomania

Compulsive, irresistible urge to pull out one's own hair from the scalp, eyebrows, lashes, beard, etc.

Ego Defense Mechanisms

In mild to moderate anxiety, they are more adaptive than others, but are used consciously or unconsciously as protective devices in an effort to relieve anxiety.

Obsessive-Compulsive Disorder (OCD)

A disorder whose manifestation includes the presence of obsessions, compulsions, or both, the severity of which is significant enough to cause distress or impairment in social, occupational, or other important areas of functioning.

Social Anxiety Disorder

Excessive fear of situations in which a person might do something embarrassing or be evaluated negatively by others; onset is typically late childhood or early adolescence, and it occurs more in women than men.

Obsessions

Intrusive and recurring thoughts.

Compulsions

Repetitive, ritualistic actions.

Mild Anxiety

Anxiety associated with tension experienced in response to the events of day-to-day life.

Moderate Anxiety

State where the individual is less alert to environmental events, exhibits a decreased attention span and ability to concentrate, and may need assistance with problem solving.

Severe Anxiety

State where concentration centers on only one particular detail or many extraneous details, attention span is extremely limited, difficulty completing simple tasks occurs, and physical and emotional symptoms may be present.

Panic Anxiety

State where the individual is unable to focus on even one detail within the environment; misperceptions are common, loss of contact with reality may occur, hallucinations or delusions may be experienced, behavior may be wild, desperate, or withdrawn, communication is ineffective, and the person feels like they are going crazy or losing control.

Projection

Attributing feelings or impulses unacceptable to oneself to another person (e.g., a man blames his wife for his drinking problem).

Denial

Refusing to acknowledge the existence of a real situation or the feelings associated with it.

Russell's Sign

Calluses on the knuckles or back of the hand due to repeated contact with teeth during purging in bulimia.