What is a condition in which the person experiences changes in the normal balanced state?
What is an event or stimulus that causes an individual to experience stress?
What are some sources of stress?
Death of Family Member
Marriage or divorce
Birth of a child
What are some young adult stressors?
Managing a home
Getting started in occupation
Continuing ones occupation
What are some middle adult stressors?
Physical changes of aging Maintaining social status and standard of living Helping teenage children become independent Aging parents
What are some stressors for older adults?
Decreasing physical abilities & health Changes in residence Retirement and reduced income Death of spouse or friends
What kinds of stress are there?
What is General adaptation syndrome?
It is a chain or pattern of physiological events
What does your body release to deal with stress?
3 things - Pg. 1081 Box 42-2
(Leading to fight or flight response)
What are the 3 stages of stress?
Stressor is perceived. Homeostasis slightly drops as the mind and body temporarily lose balance
Adaptation resources are mobilized to combat stressor. Endocrine system comes into play
Adaptation and energy stores are depleted. When replensished, body returns to homeostasis
During the assesment of stress what are some of the physical indicators?
Pg. 1082 Box on top right of page
Heart rate increases
Skin color is pallid (Pale)
BC constriction of peripheral bloodvessels
Increase of sodium and water
Increase of rate and depth of respirations
During the assessment of stress what are some of the emotional indicators?
(Feeling of apprehension)
(Feeling of sadness)
(Feeling of strong displeasure)
Use of ego defense mechanisms
What are some assessments of "MILD" Anxiety?
Pg. 1083 Box 42-2
(Cant sit still)
Productive for most part
Increase in BP, HR due to sympathetic response
Affect is Positive
(Gotta do something about this)
Logical & Critical thinking pops in
Able to problem solve
What are some assessments of "MODERATE" Anxiety?
Pg. 157 in Workguide (Chart)
Pounding pulse, BP and Breathing Rate
Sweating of Palms
Attention focused on issue of concern
(Able to shut of irrelevant data)
You need a little help to problem solve
Learning can occur but takes more time
Sense of Helplessness
Vigilance and irritability
(A little edge: Ex. I cant do it, I just cant do it)
What are some assesments of "SEVERE" stress?
FIGHT OR FLIGHT
Numbness of extremities
Sensory perception greatly reduced
Can only focus on small details
Learning CANNOT occur nor can problem solve
Illogical noncritical thinking
Fear of going crazy
Motor tension with hyperactivity
What are some assesments of "PANIC"?
Out of touch with Reality
May regress to primitive coping behaviors
Responds only to internal distress
Cannot focus even with help
Perception limited to one detail that is blown out of proportion or rapid observation of scattered details
Learning is IMPOSSIBLE
Feelings of impending doom or death
DO NOT LEAVE THEM ALONE
At this stage they are likely to hurt themselves
What is the definition of ego defense mechanisms?
It is an unconscious mechanisms to protect the person from anxiety
It is what our body naturally does
Denial is usually what comes 1st
What is a crisis?
It is immediate, sudden events
Short term (6-10 Weeks)
It is the inability to make coping mechanisms work and give relief
What is your primary responsibility to help a patient in crisis?
You have to know what flipped the switch and figure out a way to eliminate the stressors
Abusive woman leaving husband
(Help with shelter, food cost, etc)
What are some Interventions a Nurse can do/teach to minimize stress, anxiety and crisis?
(Valum, Adavan, Xanax)
STAY WITH CLIENT
What is a good outcome for stress/anxiety?
Client's anxiety level will be at a level (2, 3, 4) by end of shift today.
(Vital signs are a good way to check this)
What is Buspar?
It is an anxietylitic
For long term management of anxiety
It takes a while to take effect
2-3 weeks to begin to take effect
What are some examples of Benzodiazepines?
What would you teach about Benzodiazepines?
Do not take with Alcohol
Don't just stop taking it
It is an Anticholergenic
A client expresses to the nurse that she constantly feels irritated and loses her temper. During the course of the interview, the nurse finds that the client takes care of her mother who was confined to bed following a stroke. The client struggles to balance caring for her family and her mother. Which nrusing diagnosis would the nurse most likely identify for this client?
a) Compromised family adjustment
b) Caregiver role strain
c) Ineffective coping
b) Caregiver role strain
Explanation: The most appropriate nursing diagnosis is caregiver role strain because the client feels tired and fatigued by struggling to care for her mother and fulfilling family needs. Ineffective coping, compromised family adjustment, and anxiety would be inappropriate nursing diagnoses based on the information provided.
A middle-aged woman's father has passed away, and her mother requires physical and emotional help due to disabilities. The woman is married and raising two children, along with working full time. All of the factors described are
Explanation: Stress is defined as any event or set of events, a stressor, that causes a response. Everyday triggers associated with work or social relationships, and uncommon events such as natural disasters, physical trauma, injuries, illnesses, divorce, death of a loved one, or loss of a job are commonly recognized stressors.
An adolescent entering high school voices anxiety over changing schools. Stating anxiety is an act of
Explanation: Adaptation is generally considered a person's capacity to flourish and survive, even with diversity.
What would you do for S.A.F.E.T.Y for Stress/Anxiety?
S - Vital Signs - Physical Components
A - Get Data About Events
F - Keep them Safe
E - Meds
T - Coping Mechanisms/Stress Reduction
Y - Document