Stress & Coping-Nursing III-Test 4

Physiologic stress indicators include:

sweating, muscle tension, increase blood glucose

cognitive stress indicators could show up as:

problem solving mode

defense mechanism: displacement

taking feelings out on others

defense mechanism: Denial

denying that something exists

defense mechanism: repression

unconsciously keeping unpleasant information from your conscious mind

defense mechanism: suppression

consciously keeping unpleasant information from your conscious mind

defense mechanism: sublimation

converting unacceptable impulses into more acceptable outlets (like being mad at your spouse and going out for a walk)

projection

assigning your own unacceptable feelings to others

intellectualization

thinking about stressful things in a clinical way (like losing a family member and staying busy with making arrangements instead of feeling sad)

reaction formation

replacing an unwanted impulse with its opposite (like being sad about your breakup but acting happy about it)

hamilton anxiety rating scale

mild: 17 or less

moderate: 18-24

severe: 25-30

GABA

inhibitory NT that acts as a break to excitatory NTs

physical symptoms with anxiety

think fight or flight

criteria for GAD

excessive anxiety/worrying about numerous things

duration of at least 6 months

occurs more days than not

anxiety out of proportion to actual stress

symptoms of GAD

fatigue

restlessness

increased muscle aches or soreness

impaired concentration

irritability

difficulty sleeping

panic disorder encompasses:

sudden attacks of terror

belief they are dying

agoraphobia

fear of open or crowded spaces

social anxiety disorder

extreme fear of being in a position that could lead to scrutiny from other people

treatment for phobias

systemic desensitization (exposure therapy)

antianxiety medications

1. Antidepressants

   1. SSRIs

2. benzodiazepines

   1. enhance GABA'

3. non-benzo’s

   1. buspirone-not addictive but takes longer to work than benzo’s

4. antihistamines’

5. atypical antipsychotics

for children and adolescents experiencing a crisis, we want to:

maintain their normal routine

criteria for OCD

experience distress and lose time (spend at least 1hour/day doing compulsion)

older adults with OCD present with

physical symptoms over mental symptoms

risk factors of OCD

first degree relative

ACEs

strep infection

de escalation strategies

listen to understand

validate

remain calm

be aware of body language

maintain order