Anxiety Panic Attack Simulation Prep-1 PDF

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Anxiety Panic Attack Simulation Student Prep Name: _________________Maria Hancock__________ Date: ______________3/8/22_________

1. What is generalized anxiety disorder and the symptoms? Anxiety is a vague feeling of

dread or apprehension; it is a response to external or internal stimuli that can have behavioral, emotional, cognitive, and physical symptoms. Anxiety is distinguished from fear, which is feeling afraid or threatened by a clearly identifiable external stimulus that represents danger to the person. Anxiety disorders comprise a group of conditions that share a key feature of excessive anxiety with ensuing behavioral, emotional, cognitive, and physiological responses. Clients suffering from anxiety disorders can demonstrate unusual behaviors such as panic without reason, unwarranted fear of objects or life conditions, or unexplainable or overwhelming worry. S/S include increased sensory simulation, motivational. Agitation, nervousness, needs redirection, difficulty concentrating, tightened muscles, increased VS, anger, and irritability, freeze or fight and flight response.

2. What is PTSD and the symptoms? Posttraumatic stress disorder (PTSD) is a disturbing

pattern of behavior demonstrated by someone who has experienced, witnessed, or been confronted with a traumatic event such as a natural disaster, combat, or an assault /S include hallucinations, nightmares, flashbacks, emotional numbness, increased irritability, insomnia, and isolation.

3. What is a panic attack? What symptoms might the patient with a panic attack have?

Panic disorder is composed of discrete episodes of panic attacks, that is, 15 to 30 minutes of rapid, intense, escalating anxiety in which the person experiences great emotional fear as well as physiological discomfort. During a panic attack, the person has overwhelmingly intense anxiety and displays four or more of the following symptoms: palpitations, sweating, tremors, shortness of breath, sense of suffocation, chest pain, nausea, abdominal distress, dizziness, paresthesias, chills, or hot flashes.

4. What is the usual onset of panic attacks? Panic attacks usually occur in a sudden manner.

5. Is any of these illness different during pregnancy? All of these illnesses can cause pregnancy complications. Including loss of pregnancy, early delivery, abnormal VS of mother and baby. Lead to feelings of hopelessness and fear during pregnancy and post delivery.

6. Is there a gender difference in the prevalence of panic attacks? They are more common in

women than men.

7. How can the patient’s significant others best support her in dealing with panic attacks and anxiety? Provide an open ear, offer self, patience, without judgement, attend meetings, appts and therapy groups together, monitor and report of new or harmful behaviors to provider, therapeutic touch.

8. What is included in a suicide assessment? A history of previous suicide attempts increases risk for suicide. The first 2 years after an attempt represents the highest risk period, especially the first 3 months. Those with a relative who committed suicide are at increased risk for suicide; the closer the relationship, the greater the risk. One possible explanation is that the relative’s suicide offers a sense of “permission” or acceptance of suicide as a method of escaping a difficult situation. This familiarity and acceptance is also believed to contribute to “copycat suicides” by teenagers, who are greatly influenced by their peers’ actions. Many people with depression who have suicidal ideation lack the energy to implement suicide plans. The natural energy that accompanies increased sunlight in spring is believed to explain why most suicides occur in April. Most suicides happen on Monday mornings, when most people return to work (another energy spurt). Research has shown that antidepressant treatment can actually give clients with depression the energy to act on suicidal ideation.

9. What is included in a mental illness intake? Mentality level, irritability, stressors, current functioning process, pain, medical hx, family background, physical appearance, hygiene, current medications, substance abuse, social environment, family support, suicidal thoughts, harm to self or others, triggers.

10. What is TBI? How could this play a role in PTSD, anxiety, and panic attacks? TBI is a traumatic brain injury whether voluntary or involuntary caused by a sudden blow or hard hit of an object to the head. Can be a result of an accident, trauma, violence of abuse or bullet.

11. What nursing diagnoses would you write for this patient? High fall risk d/t confusion or hallucinations of panic attacks and TBI. Risk for further injury d/t head trauma caused from TBI. Ineffective airway d/t increased SOB with panic attack with anxiety.

12. Discuss some nursing interventions for the likely nursing diagnoses. Neurological assessment, monitor VS, fall risk precautions, deep breathing exercises, remove all hazardous objects, limit toxic and loud environment.

Generic name/ Trade name Prenatal Vitamin

Action of Medication

Common Side Effects

Reason ordered for patient

Provides increased vitamins and minerals including folic acid for a healthy pregnancy.

Nausea, vomiting, bloating, tarry stools, hair loss, weakness, irritability, dry mouth.

Prevent neural tube defects and anomalies of an unborn fetus.

Inhibits, prevents and removes pain. Non antiinflammatory.

Hepatotoxicity, nausea and vomiting, anemia with excess use, constipation.

General pain, joint pain and antiemetic.

Selective antagonist dopamine D2 receptors. Blocks the effect of dopamine responsible for mood and behaviors

Lethargy, irritability, tardive dyskin=sia, insomnia, HTN, body temperature

Antipsychotic typical of schizophrenia, bipolar disorder and hallucinations

Acetaminophen

Haloperidol (Haldol)

Fill in the information on the following diagnostics: Diagnostic test

Normal range

Why ordered for this patient

Nursing interventions

Hemoglobin M: 13.0-18.0 F: 12-15.6

Assess for active bleed or anemia dx, CA.

Report to provider abnormal values

Hematacrit M:40-52%

% by volume of red cells in blood

Report to provider abnormal values

5-6 pH

Detect UTI, kidney function, DM

Report to provider abnormal values

1351465mEq/L

Electrolyte monitoring

Report to provider abnormal values

3.5-5 mEq/L

Electrolyte monitoring / nutrients

Report to provider abnormal values

35-45 mEq/L

Assess for Co2 in the body

Report to provider abnormal values

2-2.6 mEq/L

Assess for calcium deficiency

Report to provider abnormal values

95-105 mEq/L

Electrolyte monitoring

Report to provider abnormal values

70-110 mg/dL

Blood sugar level in body

Report to provider abnormal values

1.2-3 mg/dL

Assess kidney/renal function

Report to provider abnormal values

0.8-.1.3 mg/dL

Assess kidney/renal function

Report to provider abnormal values

F:36-46% Urinalysis

Sodium

Potassium

Carbon Dioxide

Calcium

Chloride

Glucose

BUN

Creatinine...