ch 7 managing self (stress and time)

Question 1

consequence or response to an event or stimulus

Answer 1

stress

Question 2

examples of external sources of work related stress

Answer 2

-role expectations
-relationships
-position
-gender roles

Question 3

3 components of role stress

Answer 3

-role ambiguity
-role conflict
-role overload

Question 4

examples of internal sources of stress

Answer 4

-death of loved one
-car broke down
-losing a job
-marriage/divorce

Question 5

selye’s general adaptation syndrome theory, 6 stages of predictable pattern of response to stress

Answer 5

-perceived stressor-
stage 1: fight or flight
stage 2: emotional reaction
stage 3: cognitive or intellectual response
stage 4: physical reaction to stress
stage 5: change in stressor or person/no change
stage 6: adaptation or burnout

Question 6

stress theory: unmet needs motivate employees most of the time

Answer 6

maslow’s hierarchy of needs

Question 7

stress theory: stress response is a stressor accompanied by psychological changes and physiological alterations that follower fight/flight

Answer 7

selye’s general adaptation syndrome

Question 8

stress theory: emphasis on importance of innovation and rapid information sharing to improve performance in unpredictable interactions between interdependent people

Answer 8

plsek and greenhalgh’s complex adaptive systems

Question 9

stress theory: universal observation of the “vital few, trivial many”. 80-20 rule

Answer 9

pareto principle

Question 10

chronic signs of decreased ability to manage stress (4)

Answer 10

-headaches
-HTN
-backaches
-GI problems

Question 11

unhealthy coping activities (4)

Answer 11

-increased use drugs/alcohol
-increased weight
-smoking
-crying, yelling, blaming

Question 12

mental S+S of overstress

Answer 12

-dread going to work
-inability to tolerate change
-frequent errors and incidents
-returning home exhausted and unable to participate in enjoyable activities
-generalized anxiety
-decreased concentration
-depression
-anger, irritability, impatience
-blaming, negotiating

Question 13

spiritual S+S of overstress

Answer 13

-sense of being a failure
-irritable attitude
-lack of positive feelings toward others
-cynicism towards pts
-excessive worry, insecurity, lowered self-esteem
-increased friend and family conflict
-disconnection from usual sources support/love

Question 14

effect of prolonged emotional and physical exhaustion and diminished interest caused by an unrelenting workload without relief

Answer 14

burnout

Question 15

state characterized by distancing oneself from the work itself and developing negative attitudes toward work in general

Answer 15

depersonalization

Question 16

physical strategies for stress reduction

Answer 16

-accept physical limitations
-modify nutrition
-exercise
-make physical health a priority
-take times for breaks and lunch
-sleep

Question 17

mental strategies for stress reduction

Answer 17

-learn to say no
-imagery
-hobbies/activities
-plan vacations
-learn communication, conflict resolution, time management skills

Question 18

emotional/spiritual strategies for stress reduction

Answer 18

-relax
-pray
-professional counseling, mentor
-support groups, networking
-communicate feelings
-ask for feedback and clarification

Question 19

3 questions to evaluate if stressor can be ignored/minimized

Answer 19

1. is this important
2. does this affect me/my unit
3. can i change this situation

Question 20

4 time management techniques

Answer 20

-organization
-keeps focused on goals
-tool usage
-time management plan

Question 21

Absorption in one aspect of a task, or even distractions that prevent focus on a task, preventing successful resolution in a time-effective manner

Answer 21

losing track of time

Question 22

interventions to avoid losing track of time

Answer 22

-concentrate on results
-guard against common “time stealers”
-minimize distractions
-use an alarm

Question 23

interventions to avoid doing too much

Answer 23

-reduce number of important tasks due at same time
-be realistic
-avoid multitasking whenever possible
-make a daily to do list

Question 24

interventions to learn how to say no/not now

Answer 24

-consider delegation
-discuss request in detail

Question 25

Putting off important tasks because they may not be enjoyable or involve a level of difficulty

Answer 25

procrastination

Question 26

interventions to avoid procrastination

Answer 26

-identify reason for procrastination
-select least attractive or easiest to do first
-reward yourself after completion of task