In this topic, you will learn how to differentiate among normal anxiety, acute anxiety, and chronic anxiety to determine appropriate, safe nursing care. You will develop an understanding of anxiety defense mechanisms. Healthy, intermediate, and immature defenses will be explored. The clinical presentation of panic disorder, generalized anxiety disorder, somatic symptoms disorders (including factitious disorders, illness anxiety disorder, and functional neurological disorder), and obsessive-compulsive disorders will be discussed, building on previously learned concepts. The neurobiology of anxiety disorders and pharmacotherapies will be presented. This information will be utilized to develop understanding, critical thinking skills, and clinical
nursing judgment when providing care for clients who are experiencing alterations in anxiety level or related conditions.
Objectives:
- Examine the psychosocial, cultural, and spiritual influences; signs and symptoms; age-related considerations; and evidence-based screening and assessment tools related to anxiety disorders, somatic disorders, and obsessive-compulsive disorders.
- Utilize the nursing process to develop, implement, and evaluate client-centered plans of care for clients who are experiencing anxiety, somatic, or obsessive-compulsive disorders.
- Discuss the classifications, therapeutic effects, major adverse effects, client and family education, and nursing considerations of medications used in the treatment of acute and chronic anxiety, somatic, and obsessive-compulsive disorders.
- Utilize effective therapeutic communication with clients experiencing anxiety, somatic, and obsessive-compulsive disorders.
- Differentiate between adaptive and maladaptive defense mechanisms.
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