1. Discuss various anxiety disorders by signs and symptoms and cause? Pg. 217-224 Panic disorders-tension, irritability, and sleep disturbances, extreme apprehension or fear, usually associated with feelings of impending doom; phobias-persistent, irrational fear of a specific object, activity, or situation that leads to a desire for avoidance, or actual avoidance, of the object, activity, or situation; obsessive-compulsive disorders-thoughts, impulses, or images that persist and recur, ritualistic behaviors an individual feels driven to perform in an attempt to reduce anxiety; generalized anxiety disorder-excessive anxiety or worry about numerous things, lasting for 6 months or longer, restlessness, fatigue, poor concentration, irritability, tension, and sleep disturbances; posttraumatic stress disorder-reexperiencing of a highly traumatic event that involved actual or threatened death or serious injury to self or others, to which the individual responded with intense fear, helplessness, or horror; acute stress disorder-sense of numbing, detachment, or absence of emotional responsiveness; substance-induced anxiety disorder-anxiety, panic attacks, obsessions, and compulsions that develop with the use of a substance; anxiety due to medical conditions-symptoms of anxiety are a direct physiological result of a medical condition, such as hyperthyroidism, pulmonary embolism, cardiac dysrhythmias; and anxiety disorder not otherwise specified-anxiety or phobic avoidance predominates but the symptoms do not meet full diagnostic criteria for a specific anxiety disorder. 2. Define major depressive disorder and differentiate MDD with dysthymic disorder? Pg.247-249 Major depressive disorder is when a patient experiences substantial pain and suffering, as well as psychological, social, and occupational disability. It can be hard to differentiate between the two because they both have similar symptoms but the main differences are in the duration and severity of the symptoms. 3. Formulate three nursing diagnoses for a patient with depression and include outcome criteria? Pg. none Ineffective coping r/t fear aeb anorexia nervosa, for this nurse can ensure the patient knows that they are harming their selves by their actions; low self-esteem r/t body image aeb depression, for this she/he can improve their body image to increase their self-esteem; ineffective self health management r/t knowledge deficit aeb unable to maintain weight, for this the nurse can better inform the patient on health management. 4. List common features of patients with personality disorders? 5. Identify the nursing diagnoses, long- and short-term goals, cultural implications and nursing interventions for a patient with a personality disorder? 6. Differentiate between various sexual disorders? Pg. 483 Sexual desire disorders is where there is damage to your sex drive, self-esteem, acceptance of personal sexuality, sexual experiences, and relationships; sexual arousal disorders is when the female is unable maintain lubrication and swelling response to the sexual excitement until completing the sexual act; erectile disorder is when a male is unable to maintain an erection to perform the sexual act; orgasm disorder is when a female or male is unable to achieve an orgasm during intercourse; premature ejaculation is when a male ejaculates before he wishes to; sexual pain disorders can occur in either gender during or after intercourse; vaginismus is an involuntary constriction response of the muscles that close the vagina; other sexual dysfunctions and problems include sexual dysfunction due to a general medical condition, substance-induced sexual dysfunction, and sexual dysfunction not otherwise specified. 7. Discuss health promotion, protection, and prevention strategies related to the physical and psychosocial needs of the patient affected by a gender or sexual disorder? 8. Discuss the purpose of a psychiatric nursing assessment. Describe what
