Stress and Coping

Question 1

mental, emotional, or physical response and adaptation to real (or perceived) changes and challenges.

Answer 1

Stress

Question 2

Divorce/Marriage, Job related, Family issues, Physical disability are all considered ______ type of stressors

Answer 2

Emotional/Psychological

Question 3

Infection, Heat/Cold, Trauma, Fatigue , Pain are all considered _____ type of stressors

Answer 3

Physical

Question 4

Tachycardia, tachypnea, hypertension, hyperglycemia, hypernatremia, tremors are all considered ______ type of stressors

Answer 4

Physiological

Question 5

Why is stress considered a normal physiological process?

Answer 5

Body’s defense mechanism to maintain homeostasis

Question 6

Hypothalamus—CRH (corticotrophin-releasing hormone)—-anterior/posterior pituitary gland—-ACTH (adrenocorticotropic hormone)—cortisol

Answer 6

Stress Response system

Question 7

CRF—-Sympathic Nervous System—-release neurotransmitters norepinephrine, epinephrine, and dopamine is known as the

Answer 7

“Flight or Fight” response

Question 8

Describes stress as a “dynamic process” that includes a transaction between a person and their environment.

Answer 8

Transactional Theory of Stress and Coping

Question 9

The most common and frequent type of stress; short term and can be positive or negative; Causes an immediate reaction and triggers the fight-or-flight response.

Answer 9

Acute Stress

Question 10

a traffic jam, an argument with your spouse, criticism from your boss are all example of ______ stress

Answer 10

Acute

Question 11

Occurs when someone experiences frequent bouts of acute stress. “Constant worriers”; Over time, can negatively impact relationships, work, and overall health

Answer 11

Episodic-Acute Stress

Question 12

A disabling condition that occurs when stress levels are heightened, constant, and prolonged; Associated with hopelessness. Leads to physical health issues

Answer 12

Chronic Stress

Question 13

Health history, assessing cognition, personal appearance, grooming, facial expressions, behavior are all ways a Nurse can

Answer 13

Assess for stress

Question 14

A threatening situation in which a person experiences an intensive behavioral, emotional, or psychiatric response triggered by a precipitating event.

Answer 14

Crisis

Question 15

What is so debilitating about Crisis?

Answer 15

People who are in crisis feel helpless; don’t believe they have the resources to deal with the constant stressor

Question 16

Refusal to accept reality or facts

Answer 16

Denial

Question 17

Unsavory thoughts, painful memories, or irrational beliefs that are unconsicouly hidden in your mind but has the ability to influence behaviors and impacts future relationships

Answer 17

Repression

Question 18

Some thoughts or feelings you have about another person may make you uncomfortable; convicing yourself that a coworker doesn’t like you because you don’t like that coworker

Answer 18

Projection

Question 19

Directing strong emotions and frustrations toward a person or object that doesn’t feel threatening; yelling at your child or spouse because you had a bad day at work

Answer 19

Displacement

Question 20

People who feel threatened or anxious may unconsciously “escape” to an earlier stage of development; chain smoking, sleeping with a stuffed animal, biting fingernails, etc.

Answer 20

Regression

Question 21

Some people may attempt to explain undesirable behaviors with their own set of “facts.” This allows you to feel comfortable with the choice you made, even if you know on another level it’s not right

Answer 21

Rationalization

Question 22

People who rely on it choose to redirect strong emotions or feelings into an object or activity that is appropriate and safe; instead of yelling at family members, you channel it into running a mile

Answer 22

Sublimination

Question 23

People who use this defense mechanism recognize how they feel, but they choose to behave in the opposite manner of their instincts.

Answer 23

Reaction Formation

Question 24

Separating your life into independent sectors may feel like a way to protect many elements of it; choosing not to talk about your personal life at work

Answer 24

Compartmentilization

Question 25

When you’re hit with a trying situation, you may choose to remove all emotion from your responses and instead focus on quantitative facts

Answer 25

Intellectualization

Question 26

An Individual’s response to stress; can be positive or negative; actions taken to minimize or reduce the stressor to get back to a state of homeostasis, well-being, and health.

Answer 26

Coping

Question 27

Education, Social Support, Relaxation Techniques, Counseling are all considered _____ coping

Answer 27

Positive

Question 28

Substance abuse, Promiscuity, Self Harm, Excessive eating or sleeping are all considered _____ coping

Answer 28

Negative/Maladaptive

Question 29

What should do you when a patient has ineffective impulse control?

Answer 29

Convey a nonjudgmental attitude.

Practice stress management techniques.

Offer support and encouragement.

Encourage participation in activities, such as exercise that can temporarily relieve feelings of inner tension.

Question 30

What side effects for alprazolam should the nurse monitor?

Answer 30

Tolerance
Anxiety
Sedation
Respiratory Depression