Stress and Adapation Flashcards

1
Q

Stress

A

a condition where the human system responds to changes that disrupt its normal balance (homeostasis).

πŸ“Œ Key Facts About Stress
βœ… 1️⃣ Major Stressors in Society
Most stress comes from interpersonal relationships and performance demands, rather than actual physical threats.
βœ… 2️⃣ Individual Responses Vary
How a person experiences and copes with stress differs from one individual to another.
βœ… 3️⃣ Factors That Shape Stress Perception & Response
Culture – Some cultures value emotional expression, while others emphasize stoicism.
Family Influence – Upbringing shapes coping skills and emotional regulation.
Genetic Inheritance – Some individuals are more predisposed to anxiety or resilience.
Life Experiences – Past traumas or challenges influence future stress responses.

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2
Q

What are stressors, and how does adaptation help manage them?

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πŸ“Œ 1️⃣ Definition of Stressors
βœ… Anything perceived as challenging, threatening, or demanding.
βœ… Can be internal (illness, emotions) or external (work, relationships, finances).

πŸ“Œ 2️⃣ Examples of Stressors
βœ… Physical Stressors – Injury, illness, lack of sleep.
βœ… Emotional Stressors – Grief, anxiety, relationship conflicts.
βœ… Social Stressors – Work pressure, financial struggles, discrimination.

πŸ“Œ 3️⃣ What is Adaptation?
βœ… Adaptation is the change that occurs in response to a stressor to restore balance (homeostasis).
βœ… If a stressor is perceived as a threat, the body activates coping responses.

πŸ“Œ 4️⃣ Examples of Adaptation
βœ… Healthy Adaptation – Practicing relaxation techniques, problem-solving, exercise.
βœ… Unhealthy Adaptation – Avoidance, denial, substance abuse.

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3
Q

Local Adaptation System (LAS)

A

βœ… A localized response that affects only one body part or system.
βœ… Examples of LAS:
Reflex Pain Response – Automatic withdrawal from pain (e.g., pulling hand away from a hot stove).
Inflammatory Response – Body’s natural defense against injury or infection (e.g., swelling, redness, fever).

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4
Q

General Adaptation Syndrome (GAS) – Hans Selye’s Model

A

βœ… A whole-body response to stress, involving biochemical and physiological changes.
πŸ“Œ Three Stages of GAS:
βœ… 1. Alarm Reaction (Fight-or-Flight Response)
Body recognizes the stressor β†’ Activates the sympathetic nervous system.
Release of adrenaline, increased heart rate, and heightened alertness.

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5
Q

Stage of Resistance

A

Body attempts to adapt to the stressor.
If stress continues β†’ Body remains on high alert (can lead to chronic stress).

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6
Q

Stage of Exhaustion

A

Prolonged stress depletes the body’s resources β†’ Fatigue, illness, and burnout.
Example: Chronic work stress leading to high blood pressure, weakened immune system, or depression.

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7
Q

How does the body maintain homeostasis, and what happens when imbalance occurs due to stress?

A

πŸ“Œ 1️⃣ Homeostasis (Balance Achieved)
βœ… The body’s ability to maintain internal stability despite external changes.
βœ… Regulated by the nervous system, endocrine system, and immune system.
βœ… Example: Body temperature stays at 98.6Β°F (37Β°C) regardless of the weather.

πŸ“Œ 2️⃣ Imbalance Occurs During a Stressful Event
❌ Stress disrupts homeostasis, causing physical, emotional, or mental strain.
βœ… Example: Stress from an exam can lead to increased heart rate, sweaty palms, and trouble focusing.

πŸ“Œ 3️⃣ How the Body Restores Balance
βœ… Physiologic Adaptation:
Activation of the General Adaptation Syndrome (GAS) (alarm β†’ resistance β†’ exhaustion).
Reflex pain and inflammatory responses in Local Adaptation System (LAS).
βœ… Psychological Adaptation:
Using coping mechanisms to regulate emotional stress.
Seeking social support, mindfulness, or problem-solving.

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8
Q

Alarm Reaction stage

A

πŸ“Œ 1️⃣ Person Perceives Stressor
βœ… The body recognizes a threat, and the nervous system is activated.
βœ… Example: Seeing an oncoming car while crossing the street triggers an instant stress response.

πŸ“Œ 2️⃣ Defense Mechanisms Are Activated
βœ… Fight-or-Flight Response – The body prepares to fight the stressor or escape.
βœ… The sympathetic nervous system releases adrenaline and cortisol.

πŸ“Œ 3️⃣ Hormone Levels Rise
βœ… Increased heart rate, blood pressure, and breathing rate to supply oxygen to muscles.
βœ… Pupils dilate for better vision, and digestion slows down to conserve energy.

πŸ“Œ 4️⃣ Shock & Counter-Shock Phases
βœ… Shock Phase – The body initially reacts with panic or vulnerability.
βœ… Counter-Shock Phase – The body mobilizes energy reserves to fight the stressor.

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9
Q

Stages of Adaptation

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1️⃣ Stage of Resistance (Adaptive Phase)
βœ… The body attempts to adapt to the stressor.
βœ… Vital signs, hormone levels, and energy production return to normal if stress is managed.
βœ… Body regains homeostasis OR adaptive mechanisms begin to fail if stress persists.
βœ… Example: A student under pressure during exams finds ways to manage stress (exercise, study plans) and adapts.

πŸ“Œ 2️⃣ Stage of Exhaustion (Burnout & Breakdown)
❌ If stress continues without resolution, the body’s resources become depleted.
❌ Physical and mental exhaustion occurs, increasing the risk of illness, anxiety, or depression.
❌ If prolonged, organ failure or chronic health issues may develop.
βœ… Example: A nurse working excessive overtime without rest experiences burnout, high blood pressure, and fatigue.

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10
Q

What are the three stages of the General Adaptation Syndrome (GAS), and how does the body respond to stress?

A

πŸ“Œ 1️⃣ Alarm Reaction Stage (Fight-or-Flight Response)
βœ… The body detects stress and activates defense mechanisms.
βœ… Adrenaline and cortisol are released, increasing heart rate, blood pressure, and alertness.
βœ… Shock & Counter-Shock Phases:
Shock Phase – Initial reaction (body feels weakened).
Counter-Shock Phase – The body prepares to fight or escape.
βœ… Example: Feeling panicked before a big exam, followed by a burst of energy to study.

πŸ“Œ 2️⃣ Stage of Resistance (Adaptive Phase)
βœ… The body tries to maintain homeostasis by resisting the stressor.
βœ… Vital signs return to normal, but if stress continues, the body remains on high alert.
βœ… Example: A nurse working long shifts adapts by drinking coffee, managing sleep, and staying focused.

πŸ“Œ 3️⃣ Stage of Exhaustion (Burnout & Breakdown)
❌ Prolonged stress depletes the body’s energy reserves.
❌ Immune system weakens, increasing risk of illness, mental fatigue, and organ failure.
βœ… Example: A person under constant work stress develops high blood pressure, anxiety, or depression.

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11
Q

Four levels of anxiety

A

Anxiety=most common response to stress.
πŸ“Œ 1️⃣ Mild Anxiety (Normal & Adaptive)
βœ… Heightened awareness and increased focus.
βœ… Helps with problem-solving and motivation.
βœ… Example: Feeling slightly nervous before a test, leading to better concentration and preparation.

πŸ“Œ 2️⃣ Moderate Anxiety (Reduced Focus)
βœ… Decreased attention span, difficulty concentrating.
βœ… Physical symptoms: Tension, restlessness, increased heart rate.
βœ… Example: Struggling to listen during a meeting due to worry about an upcoming deadline.

πŸ“Œ 3️⃣ Severe Anxiety (Impaired Functioning)
❌ Difficulty focusing, poor decision-making, sense of dread.
❌ Physical symptoms: Sweating, rapid heartbeat, trembling.
βœ… Example: Freezing up during an important exam or struggling to recall information due to overwhelming stress.

πŸ“Œ 4️⃣ Panic (Extreme Anxiety Attack)
❌ Loss of control, disorientation, inability to communicate effectively.
❌ Physical symptoms: Chest pain, dizziness, shortness of breath, sense of impending doom.
βœ… Example: Experiencing a full-blown panic attack, feeling detached from reality, and unable to function normally.

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12
Q

three types of task-oriented reactions when stress exceeds a person’s ability to cope

A

πŸ“Œ 1️⃣ Attack Behavior
βœ… Person confronts the stressor directly, possibly with aggression or problem-solving.
βœ… May involve anger, frustration, or assertiveness.
βœ… Example: A student who fails an exam blames the professor instead of reflecting on study habits.

πŸ“Œ 2️⃣ Withdrawal Behavior
❌ Avoidance of the stressor, refusing to face reality.
❌ May lead to social isolation, procrastination, or denial.
βœ… Example: A person who loses their job avoids applying for new ones due to fear of failure.

πŸ“Œ 3️⃣ Compromise Behavior
βœ… Finding a middle ground to cope with stress in a healthier way.
βœ… Often involves problem-solving, adapting expectations, or seeking support.
βœ… Example: A person struggling with work stress adjusts their schedule and seeks therapy instead of quitting.

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13
Q

psychological needs required to maintain homeostasis

A

πŸ“Œ 1️⃣ Love & Belonging Needs
βœ… Feeling connected, valued, and supported in relationships.
βœ… Includes family, friendships, romantic relationships, and community belonging.
βœ… Example: A person experiencing loneliness or rejection may struggle with emotional well-being.

πŸ“Œ 2️⃣ Safety & Security Needs
βœ… A sense of stability, predictability, and protection.
βœ… Can be physical (having shelter, healthcare, financial security) or emotional (feeling safe in relationships and environments).
βœ… Example: A person in an abusive relationship or financial crisis may experience chronic stress and anxiety.

πŸ“Œ 3️⃣ Self-Esteem Needs
βœ… Having confidence, self-worth, and a sense of accomplishment.
βœ… Comes from personal achievements, recognition, and feeling respected.
βœ… Example: A person who loses their job may struggle with self-esteem, affecting psychological homeostasis.

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14
Q

healthy daily activities that promote physical and mental well-being

A

1️⃣ Exercise πŸƒβ€β™‚οΈπŸ‹οΈβ€β™€οΈ
βœ… 30 to 45 minutes of physical activity 3 to 4 times per week.
βœ… Improves cardiovascular health, mood, and stress levels.
βœ… Check with a physician before starting a new fitness routine.

πŸ“Œ 2️⃣ Rest & Sleep 😴
βœ… 7 to 9 hours of sleep per night is recommended.
βœ… Restores energy, improves focus, and boosts immune function.

πŸ“Œ 3️⃣ Nutrition πŸ₯—
βœ… Eat nutrient-dense foods, practice portion control, and limit unhealthy fats.
βœ… Reduce sugar, saturated fat, and alcohol to less than 15% of daily intake.

πŸ“Œ 4️⃣ Support Systems πŸ‘¨β€πŸ‘©β€πŸ‘§β€πŸ‘¦
βœ… Stay connected with family, friends, therapy, or community resources.
βœ… Social support reduces stress and enhances emotional resilience.

πŸ“Œ 5️⃣ Stress Management Techniques πŸ§˜β€β™‚οΈ
βœ… Relaxation techniques – Deep breathing, meditation, yoga.
βœ… Mindfulness – Staying present and reducing overthinking.
βœ… Guided imagery & anticipatory guidance – Using visualization to manage anxiety.

πŸ“Œ 6️⃣ Personal De-Stressing Activities 🎨🎢
βœ… Examples: Listening to music, journaling, art, hobbies, spending time in nature.

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15
Q

Coping Mechanisms – Positive & Negative Responses to Stress

A

πŸ“Œ 1️⃣ Emotional Coping
βœ… Crying, laughing, sleeping, or cursing – Natural emotional responses that help release stress.

πŸ“Œ 2️⃣ Physical Coping
βœ… Exercise & physical activity – Helps reduce anxiety, tension, and boosts mood.

πŸ“Œ 3️⃣ Unhealthy Coping Mechanisms 🚫
❌ Smoking & drinking – Used to escape stress but can lead to long-term health problems.
❌ Lack of eye contact & withdrawal – Avoiding social interactions may indicate emotional distress.

πŸ“Œ 4️⃣ Social Coping
βœ… Limiting relationships to those with similar values & interests – Can provide comfort but may restrict personal growth and problem-solving.

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16
Q

Compensation

A

βœ… Emphasizing strengths to cover up weaknesses.
βœ… Example: A student bad at sports focuses on excelling academically.

17
Q

Denial

A

❌ Refusing to accept reality to avoid distress.
βœ… Example: A patient diagnosed with cancer refuses to acknowledge the condition.

18
Q

Displacement

A

βœ… Redirecting emotions from the real source to a safer outlet.
βœ… Example: A worker angry at their boss yells at their family instead.

19
Q

Introjection

A

βœ… Adopting beliefs or behaviors of others without questioning them.
βœ… Example: A child adopts parents’ political beliefs without critical thinking.

20
Q

Projection

A

βœ… Attributing one’s own thoughts or feelings onto someone else.
βœ… Example: A person who dislikes their coworker insists that the coworker hates them instead.

21
Q

Rationalization

A

Justifying behaviors with logical but false excuses.
βœ… Example: A student who fails a test blames the teacher instead of their lack of studying.

22
Q

Reaction Formation

A

Behaving the opposite of one’s true feelings.
βœ… Example: A person angry with a coworker is excessively kind to them instead.

23
Q

Regression

A

βœ… Reverting to childlike behaviors when stressed.
βœ… Example: An adult throws a tantrum when they don’t get their way.

24
Q

Repression

A

βœ… Unconsciously blocking painful memories.
βœ… Example: A person with a childhood trauma from swimming develops an unexplained fear of

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Sublimation
βœ… Channeling unacceptable impulses into socially acceptable activities. βœ… Example: A person with aggressive tendencies becomes a professional boxer.
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Undoing
βœ… Trying to cancel out an unacceptable thought or action with a positive one. βœ… Example: A person who cheats on a test excessively praises honesty afterward.
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Stress & Its Effects on the Human Mind & Body
1️⃣ How Stress Promotes Health (Positive Stress – Eustress) βœ… Encourages healthy habits (e.g., exercise, balanced diet, disease prevention). βœ… Motivates productivity (e.g., time management, goal-setting). βœ… Enhances learning & problem-solving skills. βœ… Example: A student feels stressed about an exam β†’ Creates a study schedule & improves knowledge. πŸ“Œ 2️⃣ How Stress Causes Illness (Negative Stress – Distress) βœ… Overwhelming stress requires new coping skills. βœ… Can lead to mental health struggles (anxiety, depression, burnout). βœ… Weakens the immune system, increasing the risk of illness. πŸ“Œ 3️⃣ Coping with Stress-Related Challenges βœ… General Tasks – Maintaining self-esteem & personal relationships. βœ… Illness-Related Tasks – Managing chronic pain, disability, or major life changes. βœ… Example: A person diagnosed with diabetes must adjust lifestyle habits & develop adaptive coping skills.
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Long-Term Stress Affects Health
❌ Physical Deterioration – Weakens the immune system, leading to fatigue, headaches, and high blood pressure. ❌ Increases Risk for Disease & Injury – Chronic stress contributes to heart disease, diabetes, and anxiety disorders. ❌ Slows Recovery – Prolonged stress delays healing and impairs the body’s ability to return to normal function. ❌ Associated with Specific Diseases – Linked to hypertension, gastrointestinal issues, depression, and sleep disorders.
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Family Stressors & Their Impact
βœ… Changes in Family Structure & Roles – Divorce, illness, or death may shift responsibilities. βœ… Anger, Helplessness & Guilt – Caregivers may feel overwhelmed and emotionally drained. βœ… Loss of Control Over Routines – Major stressors disrupt daily life, leading to instability. βœ… Concern for Future Financial Stability – Stress related to medical bills, job loss, or caregiving costs.
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three types of crises
πŸ“Œ 1️⃣ Maturational Crisis (Developmental Changes) βœ… Occurs during major life transitions that require role adaptation. βœ… Example: Moving from grade school to high school, becoming a parent, or retiring. πŸ“Œ 2️⃣ Situational Crisis (Sudden Life Disruptions) βœ… Triggered by unexpected personal life events that disrupt psychological balance. βœ… Examples: Losing a job, experiencing divorce, death of a loved one, or amputation. πŸ“Œ 3️⃣ Adventitious Crisis (Accidental or Catastrophic Events) βœ… Unplanned events affecting individuals and communities. βœ… Can result from natural disasters, mass trauma, or violent incidents. βœ… Examples: Floods, fires, terrorist attacks, or mass shootings.
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personal factors influence stress and adaptation
πŸ“Œ 1️⃣ Developmental Stress βœ… Occurs as a person progresses through life stages. βœ… Each stage presents new challenges and adjustments. βœ… Examples: Infants learning trust vs. mistrust. Teens struggling with independence and identity. Older adults coping with retirement or physical decline. πŸ“Œ 2️⃣ Situational Stress βœ… Unpredictable life events that do not follow a pattern. βœ… Can be positive or negative but still requires adaptation. βœ… Examples: Job loss, divorce, financial struggles. Sudden illness or injury. Unexpected promotion or relocation.
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Types of Stressors & Their Impact
πŸ“Œ 1️⃣ Physiologic Stressors πŸ₯ βœ… Physical factors that disrupt homeostasis. βœ… Examples include: Chemical Agents – Toxins, drugs, pollutants. Physical Agents – Trauma, heat, cold, radiation. Infectious Agents – Bacteria, viruses, illnesses. Nutritional Imbalances – Malnutrition, dehydration, vitamin deficiencies. Hypoxia – Lack of oxygen supply. Genetic or Immune Disorders – Autoimmune diseases, hereditary conditions. πŸ“Œ 2️⃣ Psychosocial Stressors 🧠 βœ… Emotional, social, and mental factors affecting well-being. βœ… Includes real and perceived threats that cause anxiety or fear. βœ… Examples include: Work-related stress (deadlines, job loss). Financial burdens (debt, economic hardship). Family conflicts (divorce, caregiving stress). Social pressures (bullying, discrimination, peer expectations). Trauma or grief (loss of a loved one, violence, abuse).
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Common Stressors in Nursing & Adaptation Strategies
πŸ“Œ 1️⃣ Common Nursing Stressors βœ… Taking on responsibilities without preparation – Leads to anxiety and self-doubt. βœ… Ethical Issues & Moral Distress – Struggles with difficult decisions (e.g., end-of-life care, patient autonomy conflicts). βœ… Unsupportive Work Environment – Lack of leadership support causes burnout & job dissatisfaction. βœ… Caring for Suffering or Dying Patients – Emotional exhaustion from compassion fatigue. βœ… Peer Conflict – Miscommunication, bullying, or lack of teamwork increases workplace stress. βœ… Noncompliant Patients – Patients refusing treatment or ignoring medical advice cause frustration. πŸ“Œ 2️⃣ Adaptation Strategies for Nurses βœ… Seek training & mentorship to build confidence in new responsibilities. βœ… Use ethical reflection & counseling to cope with moral distress. βœ… Advocate for a supportive work culture by communicating needs to leadership. βœ… Practice self-care & emotional resilience to handle patient suffering. βœ… Improve communication & teamwork to resolve peer conflicts. βœ… Develop patience & education techniques to engage noncompliant patients.
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Teaching Healthy Activities
πŸ“Œ 1️⃣ Exercise πŸƒβ€β™€οΈ βœ… Engage in 30 to 45 minutes of physical activity 3 to 4 times a week to improve cardiovascular health, boost mood, and maintain physical fitness. πŸ“Œ 2️⃣ Rest & Sleep πŸ’€ βœ… Aim for 7 to 9 hours of sleep per night to restore energy, enhance cognitive function, and support immune health. πŸ“Œ 3️⃣ Nutrition 🍎 βœ… Eat a balanced diet with nutrient-dense foods. βœ… Focus on portion control, limiting sugar, saturated fats, and alcohol to maintain a healthy weight and reduce disease risk. πŸ“Œ 4️⃣ Use of Support Systems πŸ‘¨β€πŸ‘©β€πŸ‘§β€πŸ‘¦ βœ… Stay connected with family, friends, therapy groups, or community resources to build emotional resilience and reduce stress. πŸ“Œ 5️⃣ Use of Stress Management Techniques πŸ§˜β€β™‚οΈ βœ… Practice relaxation techniques, such as deep breathing, mindfulness, and meditation, to manage daily stress. βœ… Use guided imagery or anticipatory guidance to handle stressful situations.
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Stress Management Techniques
πŸ“Œ 1️⃣ Relaxation βœ… Deep breathing exercises, progressive muscle relaxation, or mindfulness help reduce tension and promote a calm state. πŸ“Œ 2️⃣ Meditation βœ… Guided meditation or mindfulness meditation can calm the mind, improve focus, and enhance emotional resilience. πŸ“Œ 3️⃣ Anticipatory Guidance βœ… Preparing for stressful events by mentally rehearsing potential outcomes and developing coping strategies. βœ… Example: A patient preparing for surgery may visualize the procedure and recovery process, reducing anxiety. πŸ“Œ 4️⃣ Guided Imagery βœ… Visualization techniques that involve imagining relaxing or positive scenes to help reduce stress and promote mental clarity. βœ… Example: Imagining yourself in a peaceful beach setting can help manage tension during a stressful moment. πŸ“Œ 5️⃣ Crisis Intervention βœ… Immediate support to help manage acute stress or crises. It can include emotional support, active listening, and connecting to resources. βœ… Example: Offering support to a family member during an unexpected emergency to provide guidance and coping mechanisms.
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recognize and manage stress
πŸ“Œ 1️⃣ Personal Warning Signs of Stress βœ… Physical symptoms (e.g., increased heart rate, shallow breathing). βœ… Emotional symptoms (e.g., irritability, anxiety). βœ… Behavioral symptoms (e.g., withdrawing from others, difficulty concentrating). πŸ“Œ 2️⃣ Coping Strategies for Stress Reduction βœ… Exercise, relaxation techniques, mindfulness, and talking to a support person. βœ… Time management and setting boundaries can also help reduce stress. πŸ“Œ 3️⃣ Nursing Diagnosis/Problem for Stress & Adaptation βœ… Nursing Diagnosis: Anxiety related to fear of the unknown. Ineffective coping related to overwhelming stress. Risk for imbalanced nutrition due to stress-induced changes in eating habits. πŸ“Œ 4️⃣ Nursing Interventions to Reduce Anxiety βœ… Provide information to reduce uncertainty (anticipatory guidance). βœ… Use relaxation techniques (e.g., deep breathing, guided imagery). βœ… Offer reassurance and emotional support to normalize fears. πŸ“Œ 5️⃣ Physiologic Symptoms During Stress βœ… Increased heart rate, elevated blood pressure, shallow breathing. βœ… Tremors, sweating, muscle tension, and headaches. βœ… Gastrointestinal disturbances (e.g., nausea, diarrhea).
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Data Collection for Stress, Self-Concept, and Adaptation
1️⃣ Describe βœ… Self-Concept – A person’s overall perception of themselves, including their identity, body image, and self-esteem. βœ… Identity – How a person defines themselves based on roles, relationships, and values. βœ… Type of Crises – Categories of stress events: maturational, situational, and adventitious. βœ… Self-Esteem – The value and confidence a person has in themselves, influenced by success and failure. βœ… Role Performance – How well a person performs their social and personal roles (e.g., parent, worker, caregiver). πŸ“Œ 2️⃣ Identify βœ… Subjective Data – Information provided by the patient (e.g., feelings, self-reported pain, emotional state). βœ… Objective Data – Measurable facts, observable behaviors, or physical assessments (e.g., vital signs, lab results). βœ… Stressors – Physical, emotional, or social factors that cause stress (e.g., illness, work pressure, relationship conflicts). βœ… Balanced or Imbalanced Homeostasis? – Determining if the body is in physiological and psychological balance or if stressors are disrupting it. βœ… Local Adaptation or General Adaptation? – Local Adaptation: Response to a specific body part (e.g., inflammation). General Adaptation: The body’s whole response to stress (e.g., alarm, resistance, exhaustion stages). πŸ“Œ 3️⃣ Coping & Support Education βœ… Nursing Interventions: Teach relaxation techniques (deep breathing, meditation, guided imagery). Encourage physical activity and stress management. Provide information to reduce uncertainty (anticipatory guidance). Offer support resources (therapy, support groups, family involvement).