NR-547 Differential Diagnosis in Psychiatric-Mental Health across the Lifespan Practicum
NR547 Midterm Exam (Latest Update)
Question:
Social Anxiety Disorder
Answer:
While it is common to feel nervous in some social situations, social anxiety disorder (also called social phobia) is a condition in which typical, everyday social interactions cause significant anxiety, self-consciousness, fear of embarrassment, or a feeling of being judged negatively by others.
Question:
DSM-5 defines SAD
Answer:
as an individual's fear of acting in a way that might cause judgment by others Anxiety leads to avoidance of social situations which disrupts an individual's relationships and daily routines. The anxiety is persistent, lasting greater than six months.
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Question:
What anxiety can become so severe that derealization, or a feeling of "spacing out"?
Answer:
SAD
Question:
What may individuals with SAD resort to?
Answer:
Drugs or alcohol to reduce social inhibitions
Question:
In the past year SAD has impacted approximately ____% of adults and _____% of adolescents
Answer:
7, 9
Question:
Risk Factors for SAD
Answer:
HX of abuse or Neglect Close relative with SAD 2 / 4
Question:
SAD causes distress in what kind of social situations?
Answer:
Making small talk with other Meeting new people Performing in front of other (called performance anxiety)
Question:
Greta who is clingy to her mom when meeting adults but does not have anxiety in peer setting. Would this meet DSM-5 criteria?
Answer:
Greta displays anxiety when meeting adults in a social situation. Her anxiety is expressed as clinging to her mother and not speaking. The anxiety has been present for several years; however, Greta does not have anxiety in peer settings. Therefore, she does not meet DSM-5 criteria for social anxiety disorder
Question:
Panic attacks
Answer:
is a brief episode of acute anxiety during which an individual develops an intense fear of negative outcomes accompanied by a feeling of imminent danger. Panic attacks can be unpredictable, often occurring in familiar places where there are no apparent threats. The feelings are often accompanied by 3 / 4
physiological symptoms. While symptoms typically peak within ten to twenty minutes, some may last for hours
Question:
Physical symptoms of a panic attack include?
Answer:
Palpitations, pounding heart, or accelerated heart rate Trembling or shaking Paresthesias (numbness or tingling sensations) Sensation of shortness of breath or smothering Derealization (feelings of unreality) or depersonalization (feeling detached from oneself) Feeling of choking Feeling of chest pain or discomfort Nausea or abdominal stress Feeling dizzy, unsteady, light-headed or faint Chills or heat sensations
Question:
Panic disorder
Answer:
occurs when a person experiences repeated panic attacks, usually accompanied by fears about future attacks. Anxiety about future attacks may lead to behavioral changes to avoid situations that might trigger attacks
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