WEEK 10 STRESS AND COPING

Question 1

ACTH ( adrenocorticotropic hormone) stimulates the adrenal glands to secrete

Answer 1

cortisol

Question 2

when an individual is disrupted by stress, the body works to maintain equilibrium by initiating the

Answer 2

GAS, general adaptive syndrome

Question 3

3 stages of GAS (general adaptive syndrome)

Answer 3

alarm, resistance, exhaustion

Question 4

transactional theory of stress and coping

Answer 4

describes stress as a dynamic process and a transaction between a person and their environment.

Question 5

primary appraisal

Answer 5

an individual evaluates a stressor to determine whether it is a threat

Question 6

episodic acute stress

Answer 6

characterized by frequent bouts of acute stress, usually assoc. w/ taking on too much responsibility

Question 7

threatening situation triggered by a precipitating event whereby an individual experiences a strong behavioral, emotional, or psychiatric response

Answer 7

crisis

Question 8

stage 1 of crisis intervention

Answer 8

Conduct a thorough biopsychosocial crisis assessment. Assess for suicidal and homicidal risk, drug and alcohol abuse, need for medical attention, and ineffective coping strategies. Assess resilience, protective factors, and support systems.

Question 9

stage 2 of crisis intervention

Answer 9

Establish rapport and a therapeutic environment by conveying respect and acceptance. Display neutrality and a nonjudgmental attitude.

Question 10

stage 3 of crisis intervention

Answer 10

Assess the dimensions of the problem or crisis. Identify client issues and challenges, including what precipitated the crisis, to glean insight into the presenting problem.

Question 11

stage 4 of crisis intervention

Answer 11

Encourage the client to explore and express feelings and emotions. Use active listening, reflection, and paraphrasing, and respond with encouraging statements.

Question 12

stage 5 of crisis intervention

Answer 12

Explore past positive coping strategies and alternatives. View the client as resourceful and resilient, and as possessing an array of potential resources and alternatives.

Question 13

stage 6 of crisis intervention

Answer 13

Implement the action plan. Identify supportive individuals and contact referral sources.

Question 14

stage 7 of crisis intervention

Answer 14

Establish a follow-up plan after the initial intervention to determine the client’s status and ensure that the crisis has been resolved.

Question 15

common ego defense mechanisms

Answer 15

denial, rationalization, projection, repression, regression, compartmentalization

Question 16

crisis severity scale

Answer 16

1 to 4, 4 being most severe

Question 17

what stress does to the body (short term)

Answer 17

anxiety, heart beats faster and harder, muscles become tense, problems w/ sex, skin becomes sensitive, can become oily, upset stomach, faster breathing

Question 18

what stress does to the body (long term)

Answer 18

tension headache/migraine, mental health problems, serious heart problems, hair loss, acne, fertility problems, increased risk of type 2 diabetes, trouble breathing, panic attacks

Question 19

GAS alarm stage

Answer 19

fight or flight, prepares body for action (sympathetic nervous system)

Question 20

resistance stage of GAS

Answer 20

body compensates for changes caused by alarm stage

Question 21

GAS exhaustion stage

Answer 21

allostatic load, causing long term physiological problems. chronic medical issues

Question 22

secondary traumatic stress

Answer 22

a trauma one experiences from witnessing other peoples suffering. component of compassion fatigue which is common in healthcare workers

Question 23

PTSD

Answer 23

begins when person experiences, witnesses, or is confronted with a traumatic event

Question 24

stages of stress theory

Answer 24

primary appraisal, secondary appraisal, coping, reappraisal

Question 25

primary appraisal

Answer 25

mentally rates an event in terms of its meaning and experiences stress if the event is significant

Question 26

Secondary appraisal

Answer 26

Considers possible coping strategies/resources and experiences stress if the
demands of the event exceed the ability to cope

Question 27

Coping

Answer 27

Cognitive and behavioral efforts to manage a stressor

Question 28

Reappraisal

Answer 28

Coping mechanism is working or it is not….

Question 29

crisis

Answer 29

a major change that pushes the individual well past the previous ways of coping

Question 30

types of crisis

Answer 30

situational, maturational, adventitious, socioeconomic, cultural

Question 31

adventitious crisis

Answer 31

something bizarre, such as a house burning down or being robbed

Question 32

situational crisis

Answer 32

chronic illness to job pressures

Question 33

socioeconomic crisis

Answer 33

poverty, homelessness,

Question 34

cultural crisis

Answer 34

oppression, discrimination

Question 35

ego defense mechanisms

Answer 35

something we do naturally to block out feelings of worthlessness and anxiety

Question 36

defense mechanisms

Answer 36

compensation (compartmentalization), conversion (repression), denial, displacement (projection), identification, dissociation, regression, rationalization

Question 37

second victim syndrome

Answer 37

when a medical error that results in significant harm to a patient occurs

Question 38

eustress

Answer 38

moderate or normal physiological stress, interpreted as being beneficial to

Question 39

stress & coping nursing process

Answer 39

notice risk factors for stress, recognize maladaptive coping, provide appropriate nursing interventions to manage stress and optimize the coping response

Question 40

allostasis

Answer 40

balance between stressors and coping mechanisms

Question 41

True or false? irritable bowel syndrome can be a stress-related condition

Answer 41

true

Question 42

cortisol

Answer 42

stress hormone

Question 43

the cumulative effects that chronic stress has on mental and physical health

Answer 43

allostatic load

Question 44

intellectualization

Answer 44

overthinking

Question 45

projection

Answer 45

blaming, disliking qualities in others that we also possess, being paranoid that others are mistreating us when we are mistreating them

Question 46

regression

Answer 46

returning to old habits or even to a younger developmental stage in extreme stages

Question 47

compartmentalization

Answer 47

compensation. overcompensating in an area to feel better about not being good at something

Question 48

conversion

Answer 48

having fear regarding situations, people, places, animals, objects etc… but not remembering why

Question 49

denial

Answer 49

avoiding stressors, even to the point of not even thinking about it.

Question 50

displacement

Answer 50

taking out our problems on people who are unrelated to them

Question 51

identification

Answer 51

attachment to something or someone, dangerous in situations of abuse

Question 52

dissociation

Answer 52

losing touch w/ reality or staying outside of onesself

Question 52

rationalization

Answer 52

justifying bad coping mechanisms by looking for logic in them. making excuses for

Question 52

Are ego defense mechanisms bad?

Answer 52

they’re not good or bad on their own. we all have them. sometimes they keep us alive. what matters is they do not control our lives, and that we can recognize them, and deal with the ACTUAL STRESSOR or get help if we don’t know how to do that responsibly