Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Fundamentals (Nurs 113) > Mental Health, stress, coping, loss, dying, death and grief > Flashcards

Mental Health, stress, coping, loss, dying, death and grief Flashcards

1
Q

What is resilience?

A

the strength to cope with change, stress, problems, challenges, hardship and loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What will nurses assess for?

A

Self concept
coping skills
stressor
history of past and present loss
compassionate care of dying patient
dignified post morterm care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the comparison between stress and self concept?

A

self esteem determines how a person may react to stressors and cope with it
individuals with low self esteem react to stressors in a more intense manner

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

which lab result will be high when we are stressed?

A

Cortisol levels will be extremely high. There will be high levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is stress?

A

the body response to change in its normal perceived balanced state perceived threat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the 2 types of stressors

A

Physiological and psychosocial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Physiologic stress

A

an altercation in the normal body structure and function. affects the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Psychosocial stress

A

Affects the mind

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Give some example of psychosocial stress

A

-traumatic experiences
-horrors of history
-fear of aggression or mutilation: muggings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Physical s/s short term stress

A

-Muscle tension
-Headache
-Increased bp
-Sweating
-Dry mouth
-Heart palpitation or irregular heartbeat
-Increased incidents of infection
-Skin rashes
-Stomachache, constipation, or diarrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Emotional/Cognitive
s/s short term stress

A

-nervousness or anxiety
-anger or irritability
-inability to concentrate or forgetfulness
-depression, fatigue, withdrawl
-being overwhelmed
-sleep pattern disturbance
-eating habits change
-alcohol or drug use increase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Cognitive s/s of long term stress

A

-Problems with concentrating, learning, thinking and memory
-Decrease self-confidence and increased negativity
-Inhibited decision making and constant worrying

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Emotional s/s long term stress

A

-Low morale, guilt and unhappiness
-feeling hopeless/helpless and depressed
-feeling apprehensive, anxious, or nervous
-irritability, agitation, moodiness, inability to relax, unhappiness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Physical s/s long term stress

A

-head, muscle, and stomach pain
-GI: nausea, diarrhea, vomiting
-change in vitals signs and weigh, stiff neck or jaw
-fatigue and loss of sex drive
-sexual problems
-forgetfulness and lack of energy/focus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Behavioral s/s long term stress

A

-insomnia or sleeping too much
-stress eating or bingeing
-loss of sex drive
-social withdrawal and increase in nervous habits
-abnormal use of caffeine, cigs, alcohol etc
-decline in work performance
-family responsibilities are neglected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How might chronic stress affect mental health

A

-anxiety, depression, obesity
-substance abuse and sleep problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How might chronic stress affect physical diseases or conditions

A

-Respiratory problems asthma
-neuro problems
-CVA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what’s important to remember with chronic stress

A
  • Certain illnesses are exacerbated
    -asthma, peptic ulcer, arthritis, CHD, diabetes, HTN, CAD, migraines
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are examples of maladaptive coping mechanisms

A

-Bullying or aggressive behavior
-compartmentalization
-denial, dependency and displacement
-emotional outburst: crying
-lack of eye contact, cursing, smoking
-limit relations with those similar in values and interest
-overreacting
-regression or rationalism
-self-harm and substance abuse
-sensationalizing
-sleeping too much or too little
-violence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Positive coping mechanism

A

-self care
-problem solving: to-do list
-expressing distress and distancing self from stress or the stressor
-ignoring self harm impulses
-limiting caffeine and alcohol
-music, art and, massage therapy
-praying and counseling
-education and medication
-recreational technique and activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

As a nurse self care exercises can you recommend for your patient?

A

-exercise
-healthy diet: avoid caffeine
-sleeping 6-8 hours a night
-deep breathing exercise
-managing triggers
-asking for help
engaging in support systems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is anxiety

A

a vague, uneasy feeling of discomfort or dread, the source of which is often unknown or nonspecific

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are the 4 categories of stress?

A

-mild
-moderate
-severe
-panic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Mild anxiety

A

Facilitates with problem solving
Presented in day to day activities
manifested by restlessness and increased questioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Moderate anxiety

A

Perceptual fields narrowed so that focus on immediate concerns, with inattention to other communication and details.
Voice tremors, butterflies in stomach etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Severe anxiety

A

Perceived fear of danger with emotional stress.
Manifested with fear of danger that is not real.
Difficulty communicating verbally, increased motor activity, a fearful facial expression, headache. nausea, vomiting etc
Anxiety is no longer functioning as a signal for danger but a need for change

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Panic

A

-Disorganized state
-Increased physical activity, loss of rational thought

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

what are the 5 step techniques used to promote adaptive outcomes, reestablish equilibrium, and improve the patients ability to cope with future crisis?

A
  1. identify the problem
  2. list alternatives
  3. choose one of the alternatives
  4. implement the plan
  5. evaluate the outcome
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What is the nurse priority intervention ?

A

To maintain physical and psychological safety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What are the other considerations for a crisis intervention plan

A
  • Must be individualized
    -Source of stress must be identified
    -Must assist with managing higher levels of stress
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

When does stress become a crisis?

A

when there is no positive mechanisms or stress management strategies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

If stress is not managed what can occur?

A

anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What is loss?

A

a negatively perceived event that has long term effects on the person way of life, social situation, relationships and of seeing the world and themselves
basically losing something that is of great value to you

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Actual loss

A

Can be recognized by the person and others
Others can ACTUALLY see it
losing a limb, a child, a valued object etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Perceived loss

A

Felt by the individual but incapable for others
loss of joy, youth, independence etc

36
Q

Anticipatory loss

A

Loss that has not occurred as yet
Often seen in families with patients who have serious and life threatening illnesses
Patients on hospice

37
Q

Situational loss

A

occurs from an unpredictable event
Family losing home from tornado

38
Q

Maturational loss

A

occurs with natural developmental process
A only child may experience this feeling when another child is born

39
Q

What is important to know with terminal illness?

A

Death is expected

40
Q

What are some rights that a patient have?

A

-Right to be treated as a living human bein until they die
-Right to maintain a sense of hopelessness
-Right to express their feelings
-Right to participate in decisions

41
Q

Palliative vs Hospice care

A

-Palliative care is for patients with a life threatening diagnosis. It focuses on symptom of a life-limiting illness.
-Hospice care for end of life care

42
Q

Hospice care

A

-This is care given 6 months or less to live
-The goal is to have a pain free and “good” death

43
Q

What is bereavement support

A

-available for 13 months following the loss of a loved one

44
Q

what is the provider responsible for with a patient who has a terminal illness?

A

They are responsible for what, when and how the patient should be told

45
Q

What are the physiologic needs of a dying patient?

A

Hygiene
Pain control
Nutritional needs

46
Q

What are the psychological needs of a dying patient?

A

Pain
Separation
Patient control over fear of the unknown
Leaving loved ones
Loss of dignity
Loss of control
Unfinished business
Isolation

47
Q

Dying patient needs for intimacy

A

The patients needs ways to be physically intimate that meets needs of both partners

48
Q

Dying patient spiritual needs

A

Patient needs for meaning and purpose, love and relatedness, forgiveness, and hope

49
Q

When might a psychology consulted be needed?

A

-after diagnosis of terminal illness
-beginning of treatment
-during advancement of illness
-end of life and during the dying process

50
Q

Signs and symptoms of a patient that is actively dying

A

Loss of appetite
Decreasing blood pressure
Weak, slow or irregular pulse
Difficulty swallowing or talking
Nausea, and abdominal distention
Restlessness, confusion or agitation
Increased sleep or periods of drowsiness
Loss of movement, sensation and reflexes
Gurgling or crackling sounds with breaths
Cheyne-strokes respirations
Urinary and bowel incontinence
Decreasing temperature
Cold and clammy skin
Cyanosis of the extremities
Cooling
Mottling

51
Q

Can nurses pronounce death?

A

No

52
Q

The 5 types of death

A

-Suicide
-Homicide
-Unknown
-Accident
-Natural

53
Q

Postmortem care

A

-reviewing organ donation arrangements
-caring for the body
-care for the family
-preparing the body for discharge
-follow the local law if the patient died at of a communicative disease
-ensure the death certificate issued and signed

54
Q

Caring for the body after death

A

-Elevate the clients head to prevent facial discoloration by raising the head of the bed and placing a pillow behind their head and shoulders
-Provide care with respect and compassion while attending to the desires of the clients and family wit their culture and make attempts to comply

55
Q

Preparing the body for viewing

A

-Make sure to ask the family member what they would like to be on the patients body
-Maintain privacy
-Remove all tubes
-Remove all personal belongings to be given to family
-Dim the lights and minimize noise
-Remove excess supplies, equipment, soiled linens
-Brush and comb the clients hair
-Replace any hairpieces
-Apply fresh linens wit absorbent pads on beds and gown
-Cleanse and align the body supine with a pillow under the head, arms with palm of hand down outside the sheet and blanket, denture in place, and eyes closed

56
Q

Do nurses sign the death certificate

A

No
We make sure that it is signed by the provider

57
Q

Where do we put the the tags on the body

A

the shroud and the body

58
Q

What is the nurses legal responsibilities for discharge?

A

-Document who was at the bedside
-Who the personal effects was given to
-The condition of the body
-To whom the body was discharged
-Making sure the physician signs the death certificate

59
Q

How do we care for the family after their family member have died?

A

-Listen to family expression of grief, loss and helplessness
-Offer solace and support
-Be an active listener
-Arrange and make time for the family member to view the body
-If there is a sudden death provide a place for the family to grieve

60
Q

Is it appropriate for the nurse to attend the funeral of a patient who died?

A

-yes and make follow up visits for the family

61
Q

What are the categories of grief?

A

Physical
Emotional
Social
Spiritual

62
Q

Mourning

A

The actions and expressions of grief
An example is a funeral ceremony

63
Q

Bereavement

A

This is a state of grief that is felt due to the loss of loved ones

64
Q

Dysfunctional grief

A

Abnormal and distorted
This may be unresolved or inhibited

65
Q

Anticipatory Grief

A

This grief is “letting” go of a loved one or something before it is gone
The grieving process is started before the loss

66
Q

Delayed Grief

A

Associated with normal grief and occurs after future unrelated loss occurs.
Delay in emotional response

67
Q

Complicated/Dysfunctional grief

A

Abnormal because of how long it takes
Person is unable to function normally

68
Q

Chronic Grief

A

Can lead to mental health illness

69
Q

What are the stages of grief

A
  1. Denial and isolation
  2. Anger
  3. Bargaining
  4. Depression
  5. Acceptance
70
Q

Denial

A

There is denial of the reality that the person has died
Might say “there is a wrong diagnosis, there is a mistake”

71
Q

Anger

A

Directs anger towards, self, others, a deity, objects etc

72
Q

Bargaining

A

The client negotiates for more time

73
Q

Depression

A

Overwhelmingly saddened
Crying
Not speaking much

74
Q

Acceptance

A

The client acknowledges what is going on

75
Q

Factors that affect loss and death

A

Culture
Sex
Ritual practices
Spirituality, Faith, and religion

76
Q

Advanced directive

A

Living will
Durable power of attorney

77
Q

Living will

A

Provide specific instructions about the kinds of health care that should be provided in particular situations

78
Q

Durable power of attorney

A

Appoints an agent the person trust to make decision in the vent of subsequent incapacity

79
Q

Remember that patients have the legal and ethical right to refuse treatment

A

Remember that patients have the legal and ethical right to refuse treatment

80
Q

MOLST/POLST form

A

Order that indicate the patient wishes about treatment used in medical crisis
-Must be completed and signed by a healthcare profession not by the patinet

81
Q

DNR

A

-Allows a natural death
-Do not attempt to resuscitate whose heart is being stopped
-Slow code is not allowed and can lead to legal action against the license nurse

82
Q

CPR

A

-This is mandatory for respiratory or cardiac arrest unless the patient has DNR OR PCP order

83
Q

Advanced directive

A

-For patients over 18
-Instructions for future treatment
-appoints a health care representative
-does not guide emergency medical; personnel

84
Q

MOLST/POLST FORM

A

-For persons with serious illness at any age
-Provides medial order for current treatment
-Guides action by emergency medical personnel when made available
-Guides inpatient treatment decision when made available

85
Q

End of Life Treatment

A

-Do not resuscitate: no code
-Only comfort measures
-Active or passive euthanasia: lethal injection death
-Terminal weaning

86
Q

Terminal illness

A

-palliative sedation
-lowering consciousness
-Organ donation

Fundamentals (Nurs 113) (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions