1. Discuss source of anxiety (steps Preparation of body for Alertness of learning) constructive action Occasional slight irritability Awareness of surrounding 2. Problem Solving Slight muscle tension Feeling challenged Concentration 3. Accept anxiety as natural; Slight fidgeting Confident Accurate perception tolerates and benefit from it. Energetic Use of Adaptive coping mechanism Attentiveness Good eye contact Logical reasoning and problem solving Moderate +2 Preparation of body for Difficulty concentrating protective action Feeling uncomfortable, on edge, Easily distracted, can focus with 1. Decrease Anxiety – ventilation, Moderate muscle tension keyed up assistance crying, exercise Increase BP, pulse and Motivated to decrease anxiety Circumstantiality 2. Re-focus attention respirations. Increased irritability Tangeniality 3. Relate feelings and behaviors to Startle reflex Decreased confidence Loose association anxiety. Slight perspiration Use of Palliative coping mechanism Narrowed perceptions 4. The use of problem solving Difficulty sitting still Decreased span of attention 5. Oral medication if needed Repeated fidgeting Misperception of stimuli Periodic slow pacing Tuning out of stimuli Increased rate of speech Problem Sporadic eye contact Severe +3 Preparation of body for Distorted perceptions flight or fight Extreme discomfort Difficulty focusing even with 1. Decrease anxiety, stimuli and Extreme muscle tension Feeling of dread assistance pressure Increased perspiration Hypersensitivity Flight of ideas 2. Use kind, firm, simple directions Continuous rapid reflex Defensiveness with threats and Ineffective reasoning and problem 3. Use time out (seclusion). responses. demands solving Intramuscular medication if Loud and/or rapid speech Use of Maladaptive coping Disorientation Poor eye contact mechanism Delusions and hallucinations if needed. Somatic symptoms – sleep prolonged disturbance Suicidal/homicidal ideations if prolonged Panic +4 Disorganized perceptions Actual flight, fight or Feeling overwhelmed and out of Disorganized or irrational reasoning 1. Guide firmly or physically take immobilization control and problem solving control, IM medication Suicide Attempt or Violence Rage Flight of ideas 2. Restraints needed Depletion of body resources, Desperation Neologisms eyes fixed, hysterical or Feeling of totally drained Clang associations mute Use of Dysfunctional coping Word salad Incoherent mechanism Out of contact with reality Personality disorganization
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