exam 2 - stress, anger, grief Flashcards

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1
Q

____ stress leading to a physiologic overload has a negative impact on health

A

acute

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2
Q

_____ stress is clearly linked to negative health outcomes

A

chronic

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3
Q

what model shows stress associated with development or exacerbation of mental illness

A

diathesis-stress model

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4
Q

what describes the relationship between chronic stress and damage to the body?

A

general adaptation syndrome

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5
Q

general adaptation syndrome describes increased ____ secretion during stress

A

corticosteroids

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6
Q

what do the adrenal glands secrete in response to stress?

A

cortisol

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7
Q

excessive cortisol secretion can lead to the dysfunction of the _____ nervous system

A

autonomic

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8
Q

what is the term used to describe the consequences of wear and tear of the body and brain – ill health

A

allostatic load

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9
Q

what is the term to describe the dynamic regulation of homeostasis?

A

allostasis

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10
Q

two factors that determine if a person experiences stress response

A
  • person-environment relationships
  • appraisal
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11
Q

what is appraisal?

A

consideration of demands, constraints, resources, and personal goals and beliefs

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12
Q

what is primary appraisal?

A

what is actually going on – evaluation of events as a threat, harm, or challenge

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13
Q

what is secondary appraisal?

A

how we respond to what is going on – explanation of outcome of events

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14
Q

what personality type is competitive, aggressive, ambitious, impatient, alert, tense, and restless

A

A

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15
Q

what personality type is relaxed, easy going, and easily satisfied?

A

B

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16
Q

what personality type is introverted, respectful, conforming, compliant, and eager to please

A

C

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17
Q

what personality type is increased negative emotions, pessimism, non-sharing of emotions

A

D

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18
Q

what are the physical and social environments that impact person-environment relationships?

A

social networks
social support
demands and constraints
life events

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19
Q

what are the emotional stress responses

A

negative emotions
positive emotions
borderline emotions
nonemotions

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20
Q

hope, compassion, empathy, sympathy, and contentment

A

borderline emotions

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21
Q

confidence, awe, confusion, and excitement

A

nonemotions

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22
Q

____ is deliberate, planned, and psychological activity to manage stressful demands

A

coping

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23
Q

positive coping leads to….

A

adaptation

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24
Q

two types of coping

A

problem focused
emotional focused

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25
Q

____ is a person’s capacity to survive and flourish

A

adaptation

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26
Q

what three important areas does adaptation effect?

A

healthy coping
psychological well-being
social functioning

27
Q

___ is the internal affective state that may or may not be expressed in overt behavior

A

anger

28
Q

if anger is expressed it can be …

A

constructive or destructive

29
Q

____ anger is excessive outwardly directed anger or suppressed anger

A

maladaptive

30
Q

_____ ____ of anger is similar in all people, but the ways anger is ____ differs

A

physiologic arousal; expressed

31
Q

3 styles of anger expression

A

anger suppression
unhealthy outward anger expression
constructive anger discussion

32
Q

evidence based tool used in assessment of anger

A

spielberger state trait anger expression (STAXI)

33
Q

overt behavior intended to hurt, belittle, take revenge, or achieve domination and control

A

aggression

34
Q

___ aggression is sarcasm, insults, threats

A

verbal

35
Q

___ aggression is property damage, slapping, hitting

A

physical

36
Q

type of aggression in which the frontal cortex does not rein in the amygdala resulting in behavior comparable to a “wild horse”

A

impulsive

37
Q

___ aggression is premeditation, unrelated to person’s pain

A

instrumental

38
Q

___ is extreme aggression; the use of strong force or weapons to inflict bodily harm to another, possibly to kill

A

violence

39
Q

the biologic theories of aggression and violence include which brain structures?

A

limbic system and cerebral cortex

40
Q

what are the components of the biologic theories of aggression and violence?

A

neurocognitive impairment
social hx of abuse or family violence
monoamine oxidase A – aggression related gene
low serotonin levels
sex hormones – testosterone

41
Q

____ theories state that suppression of drives is related to aggression and anger

A

psychoanalytic

42
Q

_____ theories state that aggression and violence is a learned response to stimulus; frustration-aggression hypothesis

A

behavioral

43
Q

____ theory states that participation in environments that rewards aggression makes you more likely to be aggressive or violentWhat does the general aggression model include?

A

social learning

44
Q

what does the general aggression model include?

A

person factors
situational factors
cognition
arousal

45
Q

____ occurs when there is a perceived challenge or threat that overwhelms the capacity of the individual to cope effectively with the event

A

crisis

46
Q

crises has either ___ or ___ outcomes

A

positive; negative

47
Q

crises are ____-_____ events that trigger adaptive or nonadaptive responses to maturational, situational, or traumatic experiences

A

time-limited

48
Q

____ crisis is a maturational event such as leaving home, completing school, or new adulthood

A

developmental

49
Q

____ crisis occurs when there is a specific stressful event; loss of a job, graduation

A

situational

50
Q

____ crisis is initiated by an unexpected and unusual event such as trauma, injury, breakup, death of a loved one

A

traumatic

51
Q

____ response is an intense, emotional reaction to the loss of a loved one

A

grief

52
Q

the grief response often includes spontaneous expression of ….

A

pain, sadness, and desolation

53
Q

____ process refers to the process of mourning and coping with the loss of a loved one beginning immediately after the loss but possible lasting months or years

A

bereavement

54
Q

first stage of grief and bereavement

A

shock and disbelief

55
Q

second stage of grief and bereavement

A

awareness of loss

56
Q

third stage of grief and bereavement

A

conservation-withdrawal

57
Q

fourth stage of grief and bereavement

A

healing

58
Q

fifth stage of grief and bereavement

A

renewal

59
Q

what model shows the everyday life experience going back and forth between loss oriented and restoration oriented grief

A

dual process model

60
Q

loss oriented experiences of grief/bereavement

A

grief work
intrusion of grief
breaking bonds/lies/relocation
denial/avoidance or restoration changes

61
Q

restoration oriented experiences of grief/bereavement

A

attending to life changes
doing new things
distraction from grief
denial/avoidance of grief
new roles/identities/relationships

62
Q

what type of grief is experienced by most

A

uncomplicated

63
Q

what type of grief is when you are frozen in chronic mourning

A

complicated