



Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
A course outline for Unit IV of the Associate Degree Nursing Program at Los Angeles Harbor College. The unit covers anxiety and anxiety-related disorders, personality disorders, therapeutic groups, and family interventions. Topics include adaptive and maladaptive levels of anxiety, defense mechanisms, group therapy, family structure, and different types of family therapy. The unit also covers the prevalence, comorbidities, etiology, and clinical manifestations of anxiety disorders and personality disorders.
What you will learn
Typology: Study notes
1 / 6
This page cannot be seen from the preview
Don't miss anything!
Los Angeles Harbor College Associate Degree Nursing Program
time
of
achievement
: One week.
Objectives
Course
Content
Learning
Activities
After appropriate study of the assigned resources,and assigned practice of the communication skills,the nursing student will be able to:
Differentiate the terms stress, anxiety, fear,normal anxiety, acute (state) anxiety, andchronic (trait) anxiety.
2.^
Compare and contrast behaviors(perceptual field, ability to learn, physicalcharacteristics) of mild, moderate, severeand panic levels of anxiety.
3.^
Propose interventions and communicationtechniques for mild to moderate and severeto panic levels of anxiety.
4.^
Examine the defining characteristics andreasons for using defense mechanisms.
5.^
Differentiate between the defensemechanisms presented (altruism,sublimation, humor, suppression,repression, displacement, reaction
Understanding
Anxiety
and
Anxiety
Defenses
Basics of anxietyLevels of anxietyInterventions for anxiety reductionDefense mechanisms Anxiety
Disorders PrevalenceComorbidityEtiology/TheorySeparation Anxiety DisorderPanic DisorderPhobiasAgoraphobiaSocial Anxiety DisorderObsessive Compulsive DisorderBody Dysmorphic DisorderHoarding Disorder
Read Varcarolisâ Foundations ofPsychiatric Mental Health Nursing, 7
h
Ed.Chapters:3: Anxiolytic Medications (52â53)15: Anxiety and ObsessiveâCompulsiveRelated Disorders24: Personality disorders33: Therapeutic Groups34: Family InterventionsDiscussion/LectureClinical ExperiencesDaily Charting
formation, somatization, undoing,rationalization, passive aggression, actingâout, idealization, splitting, devaluation,projection and denial).
6.^
Compare and contrast adaptive andmaladaptive uses of defense mechanisms.
7.^
Examine the prevalence and comorbiditiesof anxiety disorders.
8.^
Distinguish the genetic, biologic,psychological and cultural factors leadingto anxiety disorders.
9.^
Differentiate clinical manifestations of eachanxiety disorder.
Examine feelings that may manifest whenworking with patients who have anxietydisorders.
Propose nursing diagnoses for patientswith anxiety disorders.
Formulate outcome criteria.
Plan for patient centered interventions fora patient with anxiety disorders.
Characterize the five types of interventionsused for anxiety disorders (anxietyreduction techniques, coping enhancement,hope instillation, selfâesteem enhancement,and relaxation therapy).
Evaluation of outcome criteria.
Examine evidenceâbased treatment foranxiety disorders.
Relate five different classes of medicationused to treat anxiety disorders.
Relate the mechanism of action, sideeffects, nursing implications, and patientteaching for anxiolytics.
Distinguish the potential interactionbetween Kava Kava and anxiolytic
Hair Pulling and Skin Picking DisordersGeneralized Anxiety DisorderSelfâAssessment of the nurse working withanxious patientsHamilton Rating Scale for AnxietyNursing DiagnosesNursing interventions for anxiety disordersTeamwork and Safety GuidelinesEvidenceâbased treatmentPatient teaching for anxiety medicationsPsychobiologic interventions
Antidepressants
Citalopram (Celexa)Escitalopram (Lexapro)Fluoxetine (Prozac)Fluvoxamine (Luvox)Paroxetine (Paxil)Sertraline (Zoloft)Vilazodone (Viibryd)Duloxetine (Cymbalta)Milnacipran (Savella)Venlafaxine (Effexor)Amitriptyline (Elavil)Amoxapine (Asendin)Clomipramine (Anafranil)Desipramine (Norpramin)Doxepin (Adapin, Sinequan)Imipramine (Tofranil)Maprotiline (Ludiomil)Mirtazepine (Remeron)Nortriptyline (Aventyl, Pamelor)Trazodone (Desyrel)Trimipramine (Surmontil)Isocarboxazid (Marplan)Phenelzine (Nardil)Tranylcypromine (Parnate)
intervention strategies for personalitydisorders and the rationale for use(antidepressants, mood stabilizers,anxiolytics, and antipsychotics).
Categorize basic concepts related to groupwork.
Differentiate phases of group development.
Compare and contrast task andmaintenance roles of group members.
Analyze therapeutic factors that operate inall groups (Yalomâs principles).
Relate the role of the nurse in leadingtherapeutic groups.
Examine seven types of groups commonlyled by basic level registered nurses.
Relate the purpose of psychoeducation,milieu, and selfâhelp groups.
Propose interventions for challengingbehaviors of group members(monopolizing, complainer, demoralizer,silent person).
Explore the characteristics of healthyfamily function.
Differentiate between functional anddysfunctional family patterns of behavioras they relate to the five family functions(management, boundaries, communication,emotional support, and socialization).
Analyze the meaning and value of thefamilyâs sociocultural context whenassessing and planning familyâcenteredinterventions.
Appraise the process of a threeâgenerationgenogram.
Identify ten potential nursing diagnoses for
Etiology/TheoryDSMâV criteriaClinical presentations for the 11 personalitydisorders Cluster
(Odd
and
Eccentric)
Paranoid personality disorderSchizoid personality disorderSchizotypal personality disorder Cluster
(Dramatic,
Emotional,
or
Erratic)
Antisocial personality disorderHistrionic personality disorderNarcissistic personality disorderBorderline personality disorder Cluster
(Anxious
or
Fearful)
Dependent personality disorderObsessiveâCompulsive personalitydisorderAvoidant Personality disorder Personality
disorder
Assessment/Assessment toolsSeparationâindividuationSelfâassessment when working with patientswith personality disordersNursing diagnosesOutcome criteriaPlanningNursing interventionsTeamwork and Safety GuidelinesCounseling strategiesPatient educationPsychopharmacology
AntidepressantsAnxiolyticsMood stabilizersAntipsychotics Dialectical behavior therapy (DBT)
family interventions.
Distinguish outcomes relevant to eachnursing diagnosis.
Compare and contrast insightâorientedfamily therapy and behavioral familytherapy.
Behavior therapy/behavior modificationCognitive therapyCognitiveâbehavioral therapy (CBT) Therapeutic
Groups
Definition of groupPhases of group developmentRoles of group membersTherapeutic factors in groupsRole of the nurse in therapeutic groupsPsychoeducational groupsTherapeutic milieu groupsSelfâhelp groupsChallenging patient behaviors in the group Family
Interventions Family Functions ManagementBoundariesCommunicationEmotional SupportSocialization Family Theory BoundariesTriangulationScapegoatingDouble BindHierarchyFamily Life CycleDifferentiationSociocultural contextMultigenerational Issues