Stress Responses and Mangement Flashcards

1
Q

What is stress?

A

the brain’s response to any demand

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2
Q

If a child is exposed to high levels of stress during stress-sensitive developmental period, do they have a greater or lesser incidence of all mental illnesses as adults?

A

greater

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3
Q

What is the nurse role for a pt experiencing stress?

A

intervene to reduce stress by promoting a healing env, facilitating successful coping and developing future coping strategies

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4
Q

Explain the fight-or-flight response to stress

A

the body’s way of preparing for a situation an individual perceives as a threat to survival

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5
Q

What is the body’s response to fight-or-flight?

A

increased

  • BP
  • HR
  • RR
  • CO
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6
Q

What are the 3 stages of the GAS?

A
  1. Alarm
  2. Resistance
  3. Exhaustion
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7
Q

Describe the alarm stage from GAS

A

Initial, brief, and adaptive response to the stressor by the SNS and HPA

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8
Q

Describe the resistance stage from GAS

A

during this time sustained and optimal resistance to the stressor occurs; if stressors continue the body remains in a state of arousal

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9
Q

Describe the exhaustion stage from GAS

A

attempts to resist the stressor prove futile; resources are depleted and stress becomes chronic; more prone to illnesses

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10
Q

What is the difference between distress and eustress?

A

distress is a (-) draining energy resulting in anxiety, depression, confusion, helplessness, hopelessness and fatigue while eustress is a (+) beneficial energy that motivated and results in happiness

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11
Q

Since the GAS is primarily how men respond to stress, how do women respond to stress?

A

tending and befriending; reliance on the social network for support

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12
Q

Which neurotransmitter plays an important role in stress? Explain its effects?

A

SE; plays a role in mood, sleep, appetite, and metabolism

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13
Q

Does SE increase or decrease in the times of stress?

A

increases

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14
Q

What are the 2 types of stressors?

A
  1. physiological

2. psychological

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15
Q

Describe a physiological stressor

A
  • envtl conditions (trauma, excessive cold and heat)

- physical conditions (infxn, hemorrhage, hunger and pain)

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16
Q

Describe a psychological stressor

A
  • divorce
  • loss of a job
  • death of a loved one
17
Q

What role does perception in stress?

A

perception of the stressor that determines the person’s emotional and psychological rxns to it

18
Q

What are some effects of the body during stressful times?

A
  • anxiety
  • increase risk of CVA
  • digestive problems
  • decreased libido
  • decrease immune response
  • depression
  • insomnia
  • rapid breathing
  • increase blood sugar
19
Q

What role does spirituality and religion have in stress?

A

helps people cope with stress and can enhance the immune system and sense of well-being

20
Q

What are 4 methods people cope w/ stress?

A
  1. health-sustaining habits
  2. life satisfactions
  3. Social supports
  4. Effective and healthy responses to stress
21
Q

Does it help to apply only one or multiple stress-management techniques?

A

multiple techniques because there no single technique that feels right for everyone

22
Q

What are some psychiatric disorders that are known to benefit from relaxation techniques?

A
  1. anxiety
  2. depression
  3. insomnia
  4. nightmares
23
Q

Explain biofeedback

A

a sensitive instrument that provides immediate and exact info regarding bodily fxns like HR, BP, and skin temp

24
Q

What is the most common relaxation technique in the US?

A

deep breathing

25
Describe guided imagery
the teaching of focusing on pleasant images to replace (-) or stressful feelings which can be self-directed or by a practitioner or recording
26
When is guided imagery useful?
relieving pain and cancer pts
27
Describe progressive relaxation
to decrease anxiety by deliberately tensing a group of muscles as tightly as possible for 8 seconds then releasing tension
28
What is the purpose of meditation?
training the mind to develop greater calm and then using that clam to bring penetrative insight into one's experience
29
How does meditation elicit relaxation?
by creating hypometabolic state of quieting the sns
30
Describe mindfulness
being mindful includes being in the moment by paying attention to what going on around you; what you are seeing and hearing; taking a break from planning, strategizing, and setting goals
31
Describe cognitive reframing
changing the individual's perceptions of stress by reassessing a situation and replacing irrational beliefs
32
What is the desired result of cognitive reframing?
to reframe a disturbing event or experience as less disturbing and to give the pt a sense of control over the situation
33
How does journaling help manage stress?
eases worry and obsession, identify hopes and fears, increase energy level and confidence and facilitate the grieving process