18. Stress and Mental Health Flashcards

(47 cards)

1
Q

describes the dynamic regulatory process that maintains homeostasis through a process of adaptation

A

allostasis

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2
Q

When is physiologic stability achieved

A

when the autonomic nervous system, the HPA, CV, metabolic, and immune systems respond to internal and external stimuli

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3
Q

characteristics of acute stress

A
  • reaction to a threatening event
  • time limited but can occur repeatedly
  • associated w/ the “fight or flight” response
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4
Q

ongoing physiologic reaction to events that results in “wear and tear” on the body and negatively impacts health and well-being; “fight and flight” becomes maladaptive

A

chronic stress

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5
Q

3 stages of Seyle’s general adaptation syndrome (GAS)

A
  • alarm: threat is perceived and body response physiologicically
  • resistance: coping mechanisms are used to try and reestablish homeostasis
  • exhaustion: occurs if homeostasis is not achieved
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6
Q

What hormone in excess contributes to dysregulation of the ANS

A

cortisol

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7
Q

increase in the number of abnormal biological parameters as a consequence of wear and tear on the body and brain

A

allostatic load

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8
Q

What is allostatic load associated with?

A

Poor health (greater state of chronic stress)

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9
Q

Allostatic load indicators

A
  • BP
  • waist to hip ratios
  • Glucose (HgbA1C)
  • immune system values (CBC)
  • Cortisol and NE levels
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10
Q

What type of people are known to have increased allostatic load

A
  • lower socioeconomic status
  • racial & ethnic groups
  • older adults
  • PTSD
  • depression
  • suicide
  • chronic pain
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11
Q

examples of acute stress

A
  • new challenge
  • presentation at work
  • intermittent fasting
  • running sprints
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12
Q

examples of chronic stress

A
  • annoying boss
  • bad work schedule
  • difficult spouse
  • poor sleep habits
  • negative friends
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13
Q

a genetic predisposition increases susceptibility to developing a disorder

A

diathesis

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14
Q

2 factors that determine if a person experiences a stress response

A
  • person-environment relationship

- appraisal of events

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15
Q

personality: competitive, aggressive, ambitious, impatient, alert, tense, and restless; think, speak, and act at an accelerated pace and reflect time-urgent style of living (increased arousal)

A

Type A

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16
Q

personality: relaxed, easygoing, and easily satisfied; use problem solving skills for major problems and usually don’t try to accomplish too much at any one time

A

Type B

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17
Q

personality: introverted, respectful, conforming, compliant, and eager to please; avoid conflict and respond to stress w/ depression and hopelessness

A

Type C

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18
Q

personality: increased negative emotions (depressed), pessimism, and non sharing of emotions

A

Type D

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19
Q

consists of linkages among defined set of people with whom an individual has personal contacts

A

social networks

20
Q

consists of 6-12 people with whom a person has close contact

A

Level I social network

21
Q

consists of a larger number of contacts, generally 30-40 people whom the person sees regularly

A

Level II social network

22
Q

consists of a large number of people with whom the person has direct contact such as a cashier or mail man; can represent several hundred people

A

Level III social network

23
Q

ideal characteristics for a social network

A
  • fairly dense and interconnected (people connected to each other)
  • balance between intense and less intense relationships
  • opportunities to give and take from network members
24
Q

positive interpersonal interactions provided by a social network that varies with new life events and health status

A

social support

25
3 functions of social support
- emotional support contributes to person's feelings of being cared for and loved - tangible support provides person w/ resources - Informational support helps person view situation in new way
26
complex process that includes demands, constraints, resources, and personal goals and beliefs; critical factor is risk of event
appraisal
27
evaluation of events as a threat, harm, or challenge
primary appraisal
28
What is determined during primary appraisal
- the goal is relevant - the goal is consistent w/ his or her values and beliefs - if a personal commitment is present
29
explanation of outcome of events; may be blame or credit given for outcome
secondary appraisal
30
2 parts of a stress response
- physiologic response | - emotional response
31
emotions that occur when there is a threat to, delay in, or thwarting of a goal or a conflict between goals
negative emotions
32
examples of negative emotions
- anger - fright - anxiety - guilt - shame - sadness - envy - jealousy - disgust
33
emotions that occur when there is a movement toward or attainment of a goal
positive emotions
34
examples of positive emotions
- happiness - pride - relief - love
35
emotional that are somewhat ambiguous
- hope - compassion - empathy - sympathy - contentment
36
group of emotional reactions but are too ambiguous to fit into an emotional category
nonemotions
37
examples of nonemotions
- confidence - awe - confusion - excitement
38
deliberate planned and psychological activity to manage stressful demands
coping
39
coping where the person attacks the source of stress and solves the problem; changes the person-environment relationship
problem focused coping
40
coping where the person reduces the stress by reinterpreting the situation to change its meaning
emotion focused coping
41
same thing as appraisal but occurs after coping -> provides feedback about the outcomes and allows for continual adjustment to new info
reappraisal
42
person's capacity to survive and flourish
adaptation
43
3 areas affected by adaptation
- healthy coping (or ineffective coping) - psychological well-being (or unsatisfactory outcomes) - social functioning (or impaired)
44
overall goals for nursing management of stress
- resolve stressful person-environment situations - reduce stress response - develop positive coping skills
45
goals for those at high risk for stress
- recognize potential for stressful situations | - strengthen positive coping skills
46
nursing assessment for stress
- physical: ROS, physical functioning, pharmacology - psychosocial: emotions with severity, and coping strategies - social network assessment
47
nursing interventions for stress
- nutrition - exercise - relaxation techniques - referral for hypnosis or biofeedback alternate coping strategies - facilitation of family functioning - expand social network - parent education - family therapy