Stress And Coping Flashcards

(54 cards)

1
Q

What is stress?

A

Any disturbance in a person’s normal balanced state.

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2
Q

Define a stressor.

A

A stimulus that the person perceives as a challenge or physical or emotional threat.

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3
Q

What are coping responses?

A

Voluntary and involuntary responses aimed at reducing tension, pressure, or emotional strain.

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4
Q

What are adaptations?

A

Changes that take place as a result of coping.

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5
Q

What is eustress?

A

Protective (good stress).

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6
Q

What is distress?

A

Stress that threatens health.

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7
Q

What is adaptive coping?

A

Making healthy choices that reduce the negative effects of stress.

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8
Q

Provide examples of maladaptive coping.

A
  • Overeating
  • Working too much
  • Oversleeping
  • Substance abuse
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9
Q

What personal factors relate to coping?

A
  • Perception
  • Overall Health Status
  • Support System
  • Hardiness
  • Other Personal Factors (age, development, life experience)
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10
Q

What is the Generalized Adaptation Syndrome (GAS)?

A

A group of nonspecific responses that all people share in the face of stressors.

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11
Q

What is anxiety?

A

Feelings of tension, worried thoughts, and physical changes like increased blood pressure.

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12
Q

What is the difference between anxiety and fear?

A

Anxiety is a general feeling of unease, while fear is a feeling of apprehension from an identified danger.

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13
Q

Define body image.

A

A person’s perceptions, feelings, and thoughts about their body.

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14
Q

What impacts role performance?

A

Specific behaviors displayed within roles and perceptions of ability to fulfill roles.

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15
Q

What is personal identity?

A

Your view of yourself as a unique individual, different from all others.

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16
Q

What does self-esteem refer to?

A

The assessment of a person’s overall level of self-worth.

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17
Q

What is the PLISSIT assessment tool for sexuality?

A
  • P = Permission to discuss
  • LI = Limited information related to sexual health
  • SS = Specific suggestions based on assessment
  • IT = Intensive therapy may be needed
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18
Q

What is a stimulus?

A

Anything that stimulates a nerve receptor.

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19
Q

Define reception in sensory experience.

A

The process of receiving stimuli from nerve endings.

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20
Q

What is perception?

A

The ability to interpret impulses transmitted from receptors.

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21
Q

What factors affect sensory function?

A
  • Sensory Deprivation
  • Sensory Overload
  • Sleep Deprivation
  • Age/Developmental factors
  • Illness
  • Stress
  • Lifestyle
  • Personality
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22
Q

What is myopia?

A

Inability to see faraway objects clearly.

23
Q

What is presbyopia?

A

Age-related farsightedness.

24
Q

What is tinnitus?

A

Hearing sound when no external sound is present.

25
Define aphasia.
A disorder affecting the ability to articulate and understand speech and written language.
26
What is peripheral neuropathy?
Conditions resulting from damaged nerves in the central nervous system.
27
What is the purpose of a bedside swallow evaluation?
To determine the client’s risk of dysphagia.
28
What is a barium swallow?
A test using barium sulfate to visualize abnormalities in the esophagus and stomach.
29
What are some nursing care considerations for sensory deficits?
* Dim lights * Minimize background noise * Consult dietary for food preferences * Educate staff about strong odors
30
What are SMART goals?
Specific, Measurable, Achievable, Relevant, Time-bound objectives for patient care.
31
Types of stressors
external internal developmental situational time anticipatory physiological psycosocial
32
Coping strategies
adaptive or maladaptive
33
Approaches to stress
- altering -adapting - avoiding
34
Exam Generalized Adaptation Syndrome (GAS)
The general adaptation syndrome (GAS) is Selye’s name for the group of nonspecific responses that all people share in the face of stressors.
35
GAS
alarm reaction comes from the anterior pituitary adrenal cortex fight or fight
36
GAS
37
GAS what happens in body systems?
What is happening in the following body systems: Cardiovascular? increase Respiratory? increase co2 waste Metabolism? increase more energy and glucose Gastrointestinal? increase Urinary? decrease Musculoskeletal? increase
38
Localized adaptation syndrome (LAS)
Localized body response; that involves only a specific body part, tissue, or organ. It is a short-term attempt to restore homeostasis. The two most common LAS responses you will deal with as a nurse are the reflex pain response and the inflammatory response. Others include blood clotting and pupil constriction in response to light.
39
LAS psychological
anxiety fear anger depression
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Nursing care with stress
41
Self concept
Self-concept is the way individuals feel about and view themselves. This involves conscious and unconscious thoughts, attitudes, beliefs, and perceptions.
42
Self concept
- body image role performance personal identity self esteem sexuality- educate patients on safe practices for their diease process Encourage clients to identify past and current accomplishments Verbalize feelings and perceptions that indicate a healthy identity, body image, self-esteem, and role performance Assist clients to identify coping strategies and support systems that have been useful in the past. Collaborate with the client, family, and other members of the health care team helps to ensure successful implementation of the plan of care. Interventions that support adaptation to stress such as healthy eating, adequate rest, and physical exercise
43
Sensory Perception
Stimulus – anything that stimulates a nerve receptor. The brain must receive and process it to make it meaningful. Sound, sight, touch, pain, smell, taste. Reception - process of receiving stimuli from nerve endings in the skin and inside the body. A receptor converts a stimulus to a nerve impulse and transmits the impulse along sensory neurons to the central nervous system (CNS). Perception - ability to interpret the impulses transmitted from the receptors and give meaning to the stimuli. Brain ignores meaningless stimuli and does not attempt to process those. Arousal – The level of stimuli needed to maintain arousal varies. Some people feel optimally alert in bright, noisy, active environments, whereas others prefer much lower levels of stimulation. The brain adapts to constant stimuli, such as a ticking clock or monitor alarms Response – Brain responds to perceived stimuli by discarding it, storing it to memory, or nerve action. Can be altered by intensity, contrast, adaptation and prior experience.
44
Factors affecting sensory fuction
Medications Aspirin, ibuprofen, gentamicin, metronidazole (Flagyl), and furosemide (Lasix) become ototoxic if taken for a long period of time. Opioid analgesics and sedatives, reduce the reception and perception of stimuli. Antihistamines may affect hearing, sight, smell, and taste. other factors Sensory Deprivation Sensory Overload Sleep Deprivation Age/Developmental factors Illness Stress Lifestyle Personality
45
Visual problems
Myopia - Inability to see faraway objects clearly, also referred to as nearsightedness. Hyperopia - Inability to see nearby objects clearly, also referred to as farsightedness. Astigmatism - A defect in the eye making objects nearby and faraway look blurry or distorted. Presbyopia - Age-related farsightedness, or a gradual decrease in the ability to clearly see nearby caused by the loss of flexibility of the lens of the eye.
46
sensory visual problems
Cataract - A clouding of the lens of the eye that causes vision to be blurry, hazy, or less colorful. Glaucoma - An increase in intraocular pressure due to the buildup of fluid, or aqueous humor, that causes compression of the optic nerve. Macular Degeneration - An irreversible degeneration of the macula that leads to a loss of central vision as clients age. Diabetic Retinopathy - Affects blood vessels in the retina causing blindness.
47
Hearing sensory problems
Tinnitus -Hearing sound when no external sound is present, such as ringing, buzzing, roaring, clicking, hissing, or humming noises. Sensorineural Hearing Loss (SNHL) - Hearing loss that occurs from problems either in the inner ear or on the vestibulocochlear (auditory) nerve (cranial nerve VIII). There is also noise-induced hearing loss. Ototoxicity -Causing damage to or dysfunction of the cochlea or vestibule. It can cause the above. What causes it? Presbycusis - Age-related hearing loss.
48
What is aphasia?
A disorder that affects a client’s ability to articulate and understand speech and written language​​​​​​​. need nero exam, speech test
49
swallow study
swallow evaluation is performed by an SLP to determine the client’s risk of dysphasia. They will assess mouth, neck, and tongue muscles; reflexes; and various consistencies, including solids. Flexible endoscopic evaluation of swallowing (FEES), sometimes also called fiber-optic endoscopic evaluation of swallowing, is a portable procedure that may be completed in outpatient clinic space or at bedside by passing an endoscope transnasally. May be conducted by a speech-language pathologist (SLP), a physician, or collaboratively together. Barium sulfate (barium swallow) is a metallic compound that shows up on X-rays and is used to help see abnormalities in the esophagus and stomach. When taking the test, you drink a preparation containing this solution. The X-rays track its path through your digestive system.
50
tactile alterations
Peripheral neuropathy - Conditions that occur when nerves in the central nervous system become damaged resulting in numbness, pain, and weakness to the extremities. Idiopathic neuropathy – unknown cause. Diabetic neuropathy - Nerve damage that occurs in clients who have diabetes mellitus due to high blood glucose levels and high levels of triglycerides, which cause damage to the nerves and to the small blood vessels supplying blood to the nerves. Spinal injury – damage to the nerves at point of injury and below. Can cause loss of sensation, temperature, and pressure.
51
sensory deficits and sensory overload
light, volume, touch assisted devices check foo d temp skin assessments large print commuicate frequently sensory overload
52
Nursing care visual and auditory
Avoid startling client Identify yourself Stay within visual field Give specific location of client’s items Notify client when you will approach and touch them Describe arrangement of room and food tray Inform client before leaving the room Make audio entertainment available auditory Avoid startling client Face the client Avoid covering mouth while speaking Encourage hearing devices Speak slowly and clearly Brief, simple instructions Minimize background noise Provide written instructions Do not shout
53
olfactory and gustatory
- smoke and carbon monoxide dectors - avoid pollutants and allergy gustatory Be aware of medications that can cause a bitter or metallic taste: antibiotics, anti-inflammatories, immunosuppressants and neurologic medications. Check food temperatures Encourage oral hygiene Smoking cessation
54
Nursing care kinesthetic and tactile
Sense of movement and body position. Balance exercises PT/OT Yoga Tai chi Vibration therapy Treat underlying illness (ex: hypotension) other Sense of touch Provide verbal cues before touching client. Skin assessment and education pt to assess skin Temperature assessment Administer medications