PRN0098C Lecture Notes - Somatic Symptom Disorder, Anxiety Disorder, Generalized Anxiety Disorder

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alexandrasearle

31 Jan 2023

School

SJRSC, St Johns River Community College

Department

Nursing And Allied Health

Course

PRN0098C

Professor

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Document Summary

Chapter 10: anxiety, somatic symptom disorders, and post-traumatic stress disorder. Anxiety: an uncomfortable feeling of dread that is a response to extreme or prolonged periods of. Gormon and sultan (2008) - an unpleasant feeling of tension, apprehension, and uneasiness or a diffuse feeling of dread or unexplained discomfort. Mild - normal part of being human, necessary for people to develop ways of coping with stress (peplau) Person aware of what is creating the anxiety. Referred to as free-floating anxiety or signal anxiety. Free floating - feeling of impending doom. Signal - an uncomfortable response to a known stressor. Indicators of stress and anxiety in adolescents. Changes in eating habits or sleeping patterns. Freud"s psychoanalytic theory: caused by conflict between the id and superego (organized and unorganized parts of the personality) Conflict was repressed young, reemerges again in adulthood. The amygdala is involved in fight-or flight and memory, thus how fear is processed (sukel) Hot flashes, chills, polyuria, insomnia, difficulty swallowing.

Related Questions

1. The nurse working in a long-term care facility incorporates a focused assessment of
the immune system for all newly admitted patients over the age of 65. Older adults

are more likely to develop problems related to immune function than are middle-
aged people. The focused immune assessment includes a systemic approach based

on age-related changes in immunologic function. (Learning Objective 4)
a. What changes in the immune system in the older adult increase the incidence of
infection and cancer in this population?
b. Explain why older adults may have decreased inflammatory responses.
c. Why are older adults at increased risk of gastroenteritis and diarrhea secondary
to proliferation of intestinal organisms?

2. The nurse educator for an oncology unit is preparing an in-service presentation for
new nurses about the care of patients with immunodeficiencies. Patients with cancer
who are receiving chemotherapy, as well as those with bone marrow transplants, are
immunocompromised and require special attention to assess for signs of infection.
The nurse educator focuses on special care needs of this patient population.
a. What is the rationale for assessing the pulse and respiratory rates for 1 full
minute in a patient with immunodeficiency?
b. What special precautions about dietary restrictions and food preparation should
be included in the teaching for a patient with immunodeficiency?
c. What nursing actions should be implemented to decrease the risk of infection in
the patient with immunodeficiency?
3. Molly Baker, a 22-year-old patient, presents to the clinic with the diagnosis of
allergic rhinitis. She states that she develops paroxysmal sneezing, clear nasal
drainage and congestion, watery, red eyes, and nasal itching from the late spring
until the first frost in the fall. She states that she has a dry cough and voice
hoarseness. She complains of feeling extremely tired, unable to sleep at night, and
having difficulty concentrating on her collegiate course work.
a. What further assessment should the nurse provide?

Ellie Long, a 55-year-old patient, presents to the pain clinic with the diagnosis of
fibromyalgia syndrome. The nurse at the clinic obtains a history and physical
assessment of the patient. (Learning Objective 2)
a. On what areas should the nurse concentrate when interviewing the patient
during the history process?
b. On what areas should the nurse concentrate when assessing the patient?
c. What diagnostic tests are used with fibromyalgia syndrome?

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PRN0098C Lecture Notes - Somatic Symptom Disorder, Anxiety Disorder, Generalized Anxiety Disorder

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