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Nursing > Maegan's Exam #4 - Stress & Anxiety > Flashcards

Maegan's Exam #4 - Stress & Anxiety Flashcards

0
Q

What is an event or stimulus that causes an individual to experience stress?

A

Stressor

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1
Q

What is a condition in which the person experiences changes in the normal balanced state?

A

Stress

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2
Q

What are some sources of stress?

A

Death of Family Member

Marriage or divorce

Birth of a child

New job

Illness

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3
Q

What are some young adult stressors?

A

Marriage

Leaving home

Managing a home

Getting started in occupation

Continuing ones occupation

Children

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4
Q

What are some middle adult stressors?

A

Physical changes of aging Maintaining social status and standard of living Helping teenage children become independent Aging parents

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5
Q

What are some stressors for older adults?

A

Decreasing physical abilities & health Changes in residence Retirement and reduced income Death of spouse or friends

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6
Q

What kinds of stress are there?

A

Internal

External

Situational

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7
Q

What is General adaptation syndrome?

A

It is a chain or pattern of physiological events

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8
Q

What does your body release to deal with stress?
3 things - Pg. 1081 Box 42-2

A

Epinephrine

Norepinephrine

Cortisone
(Leading to fight or flight response)

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9
Q

What are the 3 stages of stress?

A
  1. Alarm
    Stressor is perceived. Homeostasis slightly drops as the mind and body temporarily lose balance
  2. Resistance
    Adaptation resources are mobilized to combat stressor. Endocrine system comes into play
  3. Exhaustion
    Adaptation and energy stores are depleted. When replensished, body returns to homeostasis
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10
Q

During the assesment of stress what are some of the physical indicators?

Pg. 1082 Box on top right of page

A

Pupils Dilate

Diaphoresis (Sweating)

Heart rate increases

Skin color is pallid (Pale)
BC constriction of peripheral bloodvessels

Increase of sodium and water

Increase of rate and depth of respirations

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11
Q

During the assessment of stress what are some of the emotional indicators?

Pg. 1082-1083

A

Anxiety

Fear
(Feeling of apprehension)

Depression
(Feeling of sadness)

Anger
(Feeling of strong displeasure)

Use of ego defense mechanisms

(Emotional Response)

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12
Q

What are some assessments of “MILD” Anxiety?

Pg. 1083 Box 42-2

A

Mild Restlessness

Productive for most part

Increase in BP, HR due to sympathetic response

Exessive Talking

Nailbiting

Fidgeting

Affect is Positive
(Gotta do something about this)

Increased Alertness/Awareness

Logical & Critical thinking pops in

Able to problem solve

(Cant sit still)

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13
Q

What are some assessments of “MODERATE” Anxiety?

Pg. 157 in Workguide (Chart)

A

Muscle tension

Diaphoresis

Pupils Dilated

Pounding pulse, BP and Breathing Rate

Sweating of Palms

Tension/Fear/Shakiness

Attention focused on issue of concern
(Able to shut of irrelevant data)

You need a little help to problem solve

Learning can occur but takes more time

Sense of Helplessness

apprehensive expectation

Vigilance and irritability
(A little edge: Ex. I cant do it, I just cant do it)

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14
Q

What are some assesments of “SEVERE” stress?

A

FIGHT OR FLIGHT

Dry Mouth

Numbness of extremities

Confused

Distress/Trembling

Sensory perception greatly reduced

Can only focus on small details

Learning CANNOT occur nor can problem solve

Illogical noncritical thinking

Dyspnea

Dizziness

Fear of going crazy

Visual disturbances

Motor tension with hyperactivity

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15
Q

What are some assesments of “PANIC”?

A

Hallucinations

Out of touch with Reality

Emotionally overwhelmed

May regress to primitive coping behaviors

Responds only to internal distress

Cannot focus even with help

Perception limited to one detail that is blown out of proportion or rapid observation of scattered details

Learning is IMPOSSIBLE

Feelings of impending doom or death

Chest pain

Terror

DO NOT LEAVE THEM ALONE

At this stage they are likely to hurt themselves

16
Q

What is the definition of ego defense mechanisms?

A

It is an unconscious mechanisms to protect the person from anxiety

It is what our body naturally does
Denial is usually what comes 1st

17
Q

What is a crisis?

A

It is immediate, sudden events

Short term (6-10 Weeks)

It is the inability to make coping mechanisms work and give relief

18
Q

What is your primary responsibility to help a patient in crisis?

A

CRISIS INTERVENTION

You have to know what flipped the switch and figure out a way to eliminate the stressors

Abusive woman leaving husband
(Help with shelter, food cost, etc)

19
Q

What are some Interventions a Nurse can do/teach to minimize stress, anxiety and crisis?

A

Benzodiazepines

Teach Relaxation

Music Therapy

Aromatherapy

Accupuncture

Exercise

Meditation

STAY WITH CLIENT

(Valum, Adavan, Xanax)

20
Q

What is a good outcome for stress/anxiety?

A

Client’s anxiety level will be at a level (2, 3, 4) by end of shift today.

(Vital signs are a good way to check this)

21
Q

What is Buspar?

A

It is an anxietylitic

For long term management of anxiety

Teach:
It takes a while to take effect
2-3 weeks to begin to take effect

22
Q

What are some examples of Benzodiazepines?

A

Valum

Adavan

Xanax

23
Q

What would you teach about Benzodiazepines?

A

Do not take with Alcohol

Don’t just stop taking it

It is an Anticholergenic

24
Q

A client expresses to the nurse that she constantly feels irritated and loses her temper. During the course of the interview, the nurse finds that the client takes care of her mother who was confined to bed following a stroke. The client struggles to balance caring for her family and her mother. Which nrusing diagnosis would the nurse most likely identify for this client?

a) Compromised family adjustment
b) Caregiver role strain
c) Ineffective coping
d) Anxiety

A

b) Caregiver role strain

Explanation: The most appropriate nursing diagnosis is caregiver role strain because the client feels tired and fatigued by struggling to care for her mother and fulfilling family needs. Ineffective coping, compromised family adjustment, and anxiety would be inappropriate nursing diagnoses based on the information provided.

25
Q

A middle-aged woman’s father has passed away, and her mother requires physical and emotional help due to disabilities. The woman is married and raising two children, along with working full time. All of the factors described are

a) Stressors
b) Demands
c) Illnesses
d) Stimuli

A

a) Stressors

Explanation: Stress is defined as any event or set of events, a stressor, that causes a response. Everyday triggers associated with work or social relationships, and uncommon events such as natural disasters, physical trauma, injuries, illnesses, divorce, death of a loved one, or loss of a job are commonly recognized stressors.

26
Q

An adolescent entering high school voices anxiety over changing schools. Stating anxiety is an act of

a) Valuation
b) Adaptation
c) Evaluation
d) Reaction

A

b) Adaptation

Explanation: Adaptation is generally considered a person’s capacity to flourish and survive, even with diversity.

27
Q

What would you do for S.A.F.E.T.Y for Stress/Anxiety?

A

S - Vital Signs - Physical Components

A - Get Data About Events

F - Keep them Safe

E - Meds

T - Coping Mechanisms/Stress Reduction

Y - Document

KNOW THIS!!

Nursing (20 decks)

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