Chapter 10: Stress Response

Question 1

where does stress affect immune system

Answer 1

during alarm phase of GAS

Question 2

Distress vs eustress

Answer 2

eustress is when stressed but for a good reason. new job, lost job but not as stressed from job, vacation, favorite physical activities, baby birth

Question 3

managing stress through relaxation techniques such as

Answer 3

biofeedback: using an EKG to monitor stress levels when talking

deep breathing exercises

guided imagery (NOT A SCENARIO W/ IN STRESSOR, about putting them out of the stressor and putting them somewhere else that has nothing to do with that stressor)

Progressive relaxation (tense up for a few seconds and then relax)

Meditation/mindfulness (purposeful attempt to void mind of everything, paying attention to surrounding/senses in real time)

physical exercise

cognitive reframing

journaling

humor: if pt makes a joke you can laugh with them, don’t make jokes

Question 4

define ACE

Answer 4

ADVERSE CHILDHOOD EXPERIENCES

Question 5

WHO IS WALTER CANNON

Answer 5

FLIGHT/FIGHT

INVESTIGATED SYMPATHETIC NERVOUS SYSTEM. DISCOVERED ACUTE STRESS RESPONSE (FIGHT/FLIGHT) INCREASED BP, RESP, HR, AND CARIDAC OUTPUT

Question 6

WHO IS HANS SELYE

Answer 6

GENERAL ADAPTION SYNDROME

A NONSPECIFIC RESPONSE OF THE BODY TO ANY DEMAND FOR CHANGE

3 STAGES
1. ALARM: SENSE STIMULI, SIGNALS AMYGDALA WHERE IT DECIDES IF DANGEROUS, IF BAD SENDS SIGNAL TO HYPOTHALAMUS WHICH USES AUTONOMIC NERVES TO HAVE ADRENAL REALEASE EPI
ONCE EPI SUBSIDES THE HYPOTHALAMIC PITUITARY ADRENAL AXIS IS GAS PEDAL OF SYSTEM THAT KEEP ON HIGH ALERT. PIUITARY GLAND RELEASES ACTH WHICH TELLS ADRENALS TO RELEASE CORTISOL TO INCREASE BG, MUSCLE ENDURANCE, AND DECREASE IMMUNE/MEMORY

2. RESISTANCE: SUSTAINED/OPTIMAL RESISTANCE TO STRESSOR OCCURS AT THIS POINT VALUABLE RESORCES USED UP.
3. EXHAUSTION: STRESS IS CHRONIC. CONSTANT HIGH CORTISOL LEVELS CREATE ANXIETY DISORDERS, MAJOR DEPRESSIVE, SLEEP DIS, HERAT DISEASE, DIGEST PROB, WEIGHT GAIN

Question 7

Assess stress level using the…

Answer 7

pss-10

 Social Readjustment Rating Scale (Holmes and
Rahe)
* Measures level of positive and negative stressful life events
over a 1-year period

 Recent Life Changes Questionnaire