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Anxiety: Etiology, Treatment, and Christian Perspectives

doi: 10.1097/CNJ.0000000000000071
CE Connection
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Anxiety: Etiology, Treatment, and Christian Perspectives


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General Purpose Statement: To provide a review of the etiology, symptoms, and common treatments of anxiety and to explore underlying spiritual issues related to anxiety.

Learning Objectives: After reading this article and taking this test, the learner will be able to:

  1. Recognize the etiology, symptoms, and pathophysiology of anxiety.
  2. Identify therapies for anxiety.
  1. What percentage of the U.population is affected by GAD?
    1. 3.1%
    2. 13.3%
    3. 23.1%
    4. 31.3%
  2. One of the strongest Bible passages about how to find and remain peaceful is
    1. Job 22:21.
    2. Psalm 4:8.
    3. Deuteronomy 28:66-67.
    4. Philippians 4:6-9.
  3. Anxiety is the response to a(n)
    1. real threat of imminent danger.
    2. physiological response.
    3. ambiguous sense of threat or danger.
    4. emotional response.
  4. According to the DSM-V, which is not considered an anxiety disorder?
    1. panic attack
    2. social phobia
    3. agoraphobia
    4. PTSD.
  5. In anxiety disorder, it is thought there is insufficient activation of the
    1. noradrenergic system.
    2. serotoninergic system.
    3. amygdala.
    4. prefrontal cortex.
  6. Which levels are high in anxiety disorders?
    1. magnesium
    2. insulin
    3. cortisol
    4. sodium
  7. Risk factors for anxiety disorders include
    1. high socioeconomic status.
    2. high educational levels.
    3. healthy lifestyle.
    4. poor social support.
  8. Stress can increase
    1. the inflammatory responses.
    2. the immune responses.
    3. blood sugar levels.
    4. temperature.
  9. On a psychological level, patients with GAD typically report subjective symptoms such as apprehension or uneasiness along with
    1. depression.
    2. a flat affect.
    3. obsessive behaviors.
    4. compulsive behaviors.
  10. What should the approach to treatment of anxiety always start with?
    1. removing the contributing cause
    2. supportive listening
    3. encouraging lifestyle modifications
    4. administering medications
  11. What is the most commonly used therapy in treating anxiety?
    1. medications
    2. psychotherapy
    3. Cognitive behavior therapy (CBT)
    4. Biblical Framework Counseling (BFC)
  12. Religious CBT uses faith-based concepts to replace
    1. negative ideas.
    2. positive ideas.
    3. anxiety-producing situations.
    4. avoidance behaviors.
  13. What does BFC use as a guide for therapy and as a model for living?
    1. reprocessing
    2. behavior
    3. scripture
    4. life experiences
  14. The medications first in line of accepted therapy for anxiety disorders are
    1. SSRIs.
    2. benzodiazepines.
    3. TCAs.
    4. MAOIs.
  15. Major advantages of using SSRIs and SSNRIs for anxiety disorders are their effects on
    1. agitation.
    2. blood pressure.
    3. constipation.
    4. depression.
  16. A commonly prescribed benzodiazepine is
    1. alprazolam.
    2. buspirone.
    3. citalopram.
    4. doxepin.
  17. According to Sweat, real care involves being present by actively listening and
    1. asking good questions.
    2. avoiding questions.
    3. learning.
    4. providing a strong support system.
  18. Which scripture reminds us that worry does not add to our lives?
    1. Ephesians 5:1-20
    2. Philippians 4:6-7
    3. Colossians 3:2
    4. Matthew 6:27


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