NURSl 222l NURS222l Quizl 4l l Mentall

NURSl 222/l NURS222l Quizl 4l –l Mentall Healthl |l WCUl (Latestl 2026/l 2027l Update)l 100%l Verifiedl Questionsl &l Answersl |l Gradel Al

Q:l Generalizedl Anxietyl Disorderl (GAD)l

Answer:

-Dol youl findl itl difficultl tol controll yourl worryingl ?-excessivel worryl thatl lastsl forl monthsl forl atl leastl 6l monthsl -thel worryl isl experiencedl asl veryl challengingl tol controll suchl asl inl work-relatedl dutiesl -edginessl andl restlessnessl -fatiguedl thanl usuall -impairedl concentrationl ofl feelingsl asl thoughl thel mindl goesl blankl -irritabilityl (whichl mayl orl mayl notl bel observablel tol others)l -increasedl musclel tension,l aches,l orl sorenessl -difficultyl sleepingl -avoidancel ofl stressfull activitiesl -increasedl timel andl effortl requiredl tol preparel forl stressfull activitiesl eventsl -procrastinationl inl decisionl makingl -seeksl repeatedl reassurance

Q:l Assessmentl ofl Anxietyl

Answer:

-Selfl assessmentl -Soundl physicall andl neurologicall examl -Determinel sourcel ofl anxietyl (primaryl vsl secondary)l l -establishl trustl andl rapportl -Gatherl informationl froml thel patientl usingl open-endedl questionsl -Determinel currentl level/causel ofl anxietyl -Assessl forl potentiall self-harml -identifyl currentl levell ofl anxietyl andl assistl withl probleml solvingl 1 / 4

-completel psychosociall assessment l -askl patientl aboutl causesl theyl canl identify

Q:l Nursingl Diagnosisl

Answer:

ANXIETYl -selfl monitorsl intensity;l usesl reductionl techniques;l maintainsl rolel performancel

INEFFECTIVEl COPINGl -identifiesl ineffectivel andl effectivel patterns;l asksl forl assistancel andl information;l modifiesl asl neededl

CHRONICl LOWl SELF-ESTEEMl -verbalizesl self-acceptancel andl increasedl confidencel

SELF-MUTILATION

-identifiesl predictivel feelings;l practicesl self-restraint

Q:l Nursingl Actionsl

Answer:

-Validatel thel clientsl feelingsl -Discussl previousl copingl mechanismsl -Explorel alternativesl tol problematicl situationsl -Encouragel participationl inl physicall activitiesl

-Remainl withl thel client:

l -reducel anxietyl l -helpsl clientl feell safel l -preventl self-injury

Q:l Bupropionl (Wellbutrin)l

Answer:

Antidepressant

-SSRI/SNRI/TCA 2 / 4

-dosel ofl 150l mgl dailyl -improvesl panicl andl anxiety

Q:l Buspironel (Buspar)l

Answer:

Antianxiety -GAD -takesl 2-3l weeksl tol bel effectivel -takel itl consistencyl -dol notl usel withl grapefruitl juice

Q:l Lorzepaml (Ativan),l Alprazoleml (Xanax),l Clonazepaml (Klonopin),l Diazepaml (Valium),l Alprazolaml (Xanax)l

Answer:

BENZODIAZEPINESl -treatmentl forl severel anxietyl disorderl -usel withl cautionl -patientl withl historyl ofl substancel abusel -canl potentiallyl bel habitl formingl -couldl buildl tolerancel

TEACHING:

-theyl arel sedativesl -exercisel cautionl whenl drivingl usingl machineryl -notl usingl otherl centrall nervousl systeml depressantsl l -alcoholl orl sedativesl tol avoidl potentiationl -restrictl caffeinel tol 1l cupl l -centrall nervousl systeml stimulantl thatl actsl asl anl antagonistsl tol thel benzodiazepines

Q:l Pharmacologicall Interventionsl

Answer:

Clonidinel (Catapres)

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Betal Blockers-l Propranolol

Pregabalinl (Lyrica)-l GADl andl sociall anxiety.l Augmentsl benzosl

Gabapentin-l potentiatel thel anti-panicl effectl ofl clonazepaml

Hydroxyzinel (Vistaril)

Venlafaxinel (Effexor)

Valproatel Acid-l anti-panicl effectl throughl GABAl mechanisml

Trazadone-sleepl

Quetiapine

Q:l defensel mechanismsl

Answer:

DISSOCIATION-l unconsciousl separationl ofl painfull feelingsl froml unacceptablel idea.l Witnessingl anl accidentl ofl al familyl member,l butl tellingl thel policel youl cannotl rememberl whatl happenedl

IDENTIFICATION-l al consciousl orl unconsciousl attemptl modell oneselfl afterl al respectfull

person.l EX:l Il wantl tol bel likel mikel

INTROJECTION-l unconsciouslyl incorporatingl wishesl andl valuesl ofl othersl asl yourl own.l Incorporatingl outsidel factorsl tol self-fatherl belittlesl orl overl criticall ofl youl

EX:l youl growl upl tol feell youl arel nol goodl

IDEALIZATION-l conflictsl orl stressorsl dealtl withl byl attributingl exaggeratedl positivesl qualitiesl tol others.l Idealize/overvaluel al person,l thel personl disappointsl you.l Thel idealizationl turnsl outl tol bel humanl

COMPENSATION-l overachievingl inl onel areal tol compensatel forl failuresl inl anotherl

ISOLATIONl OFl EFFECT-l Separationl ofl feelingsl froml thoughts/ideasl froml thel originall cause.l EX:l il feell sadl butl cannotl figurel outl why

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