N314 Exam III Flashcards

1
Q

______ is a continual process that starts with an event that
is experienced by the individual, perceived through
intact information processing channels, appraised
for scope and meaning, assessed as neutral,
manageable, or threatening within current capacity
of coping skills, resources, and abilities, ending
ideally in a positive outcome of homeostasis and
feeling of well-being”

A

stress

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2
Q

Primary vs secondary appraisal in stress

A

primary: interpretation of stressors
secondary: analysis of resources

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3
Q

Trauma and stress works mainly in what parts of the brain?

A

-limbic system
-amygdala (fear center)
-hippocampus (memory)

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4
Q

The following are examples of what?
anxiety, fear, depression, physical pain, chronic pain, flashbacks,
intrusive and distressing memories of the violence, disorientation
and difficulty concentrating, self-blame, guilt, and shame, “shutting down”, dissociation, avoidance, emotional numbing

A

trauma responses

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5
Q

Acute, episodic, and chronic all refer to types of _____.

A

stress

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6
Q

Physiological, psychological, cognitive and behavioral (PCBB) are types of what?

A

manifestations of stress

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7
Q

T/F: personality changes, withdrawal, and hopelessness are signs of stress.

A

T

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8
Q

________ is defined as “an ever-changing process involving both cognitive
means and behavioral actions, in order to manage
internal or external situations that are perceived as
difficult and/or beyond the individual’s current
resources”

A

coping

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9
Q

Displacement, sensitization, rationalization, and dependence are examples of what?

A

maladaptive coping responses

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10
Q

while secondary appraisal
is an analysis of resources, _______ refers to the application of those resources

A

coping

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11
Q

3 main categories of coping strategies (+define)

A

Problem focused
-evaluation –> action
Emotion focused
-avoidance
Meaning focused
-modifying response (CBT)

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12
Q

______ is an “intentional effort to reduce sympathetic nervous system
arousal”

A

relaxation

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13
Q
  • Inability to accurately assess stressor
  • Denial or avoidance
  • Actual or perceived lack of control
  • Actual or perceived lack of support
  • No experience or poor past experiences in managing stressful situations
    These are examples of what?
A

General risk factors for ineffective coping

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14
Q
  • Impaired cognition
  • Limited resources
  • Age
  • Changes in health status
  • Chronic health conditions
    are examples of _______ risk factors for ineffective coping
A

-individual

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15
Q

Long-term exposure to
__________ from excessive
activation of the ___ can lead to…
* Increased risk of CV
disease
* Decreased control of metabolic conditions
* Increased susceptibility to infection
* Exacerbation of stress mediated illnesses

A

catecholamines, SNS (sympathetic nervous system)

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16
Q

Someone in a crisis might be in a X response

A

x = fight or flight

17
Q

TIC is a ________-________ approach to providing care. TIC shifts the focus from “What’s wrong with
you?” to “What happened to you?”

A

patient-centered

18
Q

_______-____________ _______ refers to a patient’s initiating and
maintaining of behavioral change

A

self-determination theory

19
Q

Name the 3 innate psychological needs.

A

-competence
-autonomy
-relatedness

20
Q

_________ is the unconscious adoption of the ideas or attitudes of others.

A

introjection

21
Q

OARS is a good strategy for fostering _______ __________

A

behavioral change

22
Q

Range/intensity, appropriateness, and stability are categories of ______.

A

affect

23
Q

Thought process AND thought content are assessed when determining a patient’s _____.

A

mood

24
Q

What is the C-SSRS?

A

the COLUMBIA-SUICIDE SEVERITY
RATING SCALE (1-5 points)

25
Q

Dysthymia is…

A

a milder, but long-lasting form of depression.

26
Q

Depressive episodes characterized by symptoms, almost everyday, for longer than…

A

2 weeks

27
Q

The PHQ-2 is a screening tool for…

A

major depression
Ex:
In past 2 weeks, how often have you been bothered by:
* Little interest or pleasure in doing things?
* Feeling down, depressed or hopeless?
(0) Not at all
(1) Several days
(2) More than half the days
(3) Nearly every day

28
Q

A score of 3+ on the PHQ-2 indicates you should…

A

assess further

29
Q

Anhedonia is…

A

the lack of interest, enjoyment or pleasure from life’s experiences

30
Q

Mood vs affect

A

Mood is “the way a person
feels”
Affect is “the observable
response a person has to his
or her own feelings”