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Psych > Chapter 18 - Stress > Flashcards

Chapter 18 - Stress Flashcards

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1
Q

Acute Stress

A

Fight or flight

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2
Q

What part of the brain determines if something is a threat?

A

Amygdala

Hippocampus

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3
Q

What hormones does the fight or flight response secrete?

A

Adrenaline
Epinephrine
Cortisol

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4
Q

Chronic Stress

A

Ongoing stress that results in wear and tear and negative health results

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5
Q

Eustress

A

Good stress

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6
Q

Distress

A

Bad stress

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7
Q

General Adaptation Syndrome

A

Alarm
Resistance
Exhaustion

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8
Q

Alarm Phase

A

A threat is perceived and body reacts

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9
Q

Resistance Phase

A

Coping mechanisms are used to try to reestablish homeostasis

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10
Q

Exhaustion Phase

A

Occurs if homeostasis is not achieved

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11
Q

Allostatic Load

A

The consequence of the wear and tear on the body and brain and leads to ill health.

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12
Q

Appraisal

A

The perception that an event or situation is a threat

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13
Q

Primary Appraisal

A

Evaluation of events as a threat, harm, or challenge

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14
Q

Secondary Appraisal

A

Explanation of outcome of events

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15
Q

Diathesis-Stress Model

A

Early experiences of stress/trauma can impair the stress response and increase risk for mental illnesses

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16
Q

Type A personality

A

Competitive, aggression, ambitious, impatient, alert, tense, and restless

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17
Q

Type B personality

A

Relaxed, easygoing, easily satisfied

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18
Q

Type C personality

A

Introvert, respectful, conforming, complaint, and eager to please

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19
Q

Type D personality

A

increased negative emotions, pessimism, non-sharing of emotions

20
Q

Functions of Social Support

A

Emotional
Tangible
Infomational

21
Q

Emotional Support

A

Attachment, reassurance, being able to rely on and confide in a person

22
Q

Tangible Support

A

Direct aid such as loans or gifts, services such as taking care of someone who is ill, doing a job or chore

23
Q

Informational Support

A

Providing information or advice, giving feedback about how a person is doing

24
Q

Fight or Flight Physiological Changes

A 
Increase glucose
Increase CO and BP (RAAS)
Increase O2 and Hematocrit
Increase immune response
Heightened vigilance in brain
Hyperactive coagulation
25
Q

Negative emotions

A 
Anger
Fright
Anxiety
Guilt
Shame
Sadness 
Envy
Jealousy
Disgust
26
Q

Positive Emotions

A

Happiness
Pride
Relief
Love

27
Q

Borderline Emotions

A 
Hope, 
Compassion
Empathy
Sympathy
Contentment
28
Q

Nonemotions

A

Confidence
Awe
Confusion
Excitement

29
Q

Problem-Focused Coping

A

The person attacks the source of stress and solves the problem (eliminating it or changing its effects), which changes the person–environment relationship

30
Q

Emotion Focused Coping

A

The person reduces the stress by reinterpreting the situation to change its meaning (Accepting the problem and looking on the “sunny side”)

31
Q

Adaptation (resilience)

A

Person’s ability to survive and flourish

32
Q

Adaptation effect 3 areas

A

Healthy coping
Psychological well-being
Social functioning

33
Q

Overall goals for pt. who is stressed

A

Resolve stressful person-environment situations
Reduce the stress response (Deep breathing)
Develop positive coping skills (“what has worked in the past?”)

34
Q

Goals for pt. high risk for stress

A

Recognize the potential for stressful situations

Strengthen positive coping skills

35
Q

When pt. comes to hospital they must be __ __ before they can be admitted to psych unit

A

Physically cleared

36
Q

If the pt. has pancreatitis and is irritable and acting out. What is priority goal here.

A

Tx of pancreatitis - this could be causing the irritability and may fix it w/o having to admit to psych unit

37
Q

Psychological Assessment

A

Emotions

Coping strategies

38
Q

Pt. on the psych unit, the nurse should make sure they eat at least ___ amount of their meals

A

At least 75% of all of their meals

39
Q

Interventions for stressed pt.

A 
ADLs
Nutrition
Exercise
Relaxation techniques
Referral for hypnosis or biofeedback
40
Q

Psychosocial assessment

A

Severity of emotions
How the pt. acts on emotions (aggressive, angry)
Coping strategies

41
Q

What is usually the most effective Tx for psychiatric pt.

A

Med + Therapy

42
Q

Social Assessment

A 
Network and extent
Recent changes (new added stress)
Degree of interconnectedness in social network
43
Q

Social interventions

A 
Facilitation of family functioning
Assistance in expanding social network
Support of family unit
Parenting education
Family therapy
44
Q

Individual Outcomes

A

Improved health, well-being, and social function

45
Q

Family Outcomes

A

Improved communication/social support

46
Q

Social network outcomes

A

Modification of social network to increase support

Psych (19 decks)

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