Care 443 Exam III Questions and Answers Latest Update
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Course
NUR 443
Institution
NUR 443
What is
"The inability to cope with perceived (real or imagined) demands or threats to ones mental, emotional, or spiritual wellbeing
**perceived is very important- it is perceived different by everybody - Answer-stress
T/F
stress can be good or bad - Answer-true
What are some inter...
Care 443 Exam III Questions and
Answers Latest Update
What is
"The inability to cope with perceived (real or imagined) demands or threats to ones
mental, emotional, or spiritual wellbeing
**perceived is very important- it is perceived different by everybody - Answer-stress
T/F
stress can be good or bad - Answer-true
What are some internal and external factors that impact ones ability to deal with stresS?
- Answer-internal-
age, personality, health, resilience, attitude outlook
external-
culture, SES, social support, timing, number of stressors
physiologic responses to stress - Answer-**nervous sytems, endocrine system, immune
system
can be mild to moderate to severe
Give some examples - Answer-breathing
medication
meditation
imagery
music
massage therapy
what is the nurses role in stress and coping? - Answer-we are constantly doing
assessment and facilitation
-we are teaching and helping the pt find ways to cope with stressful situations
What are some common psychological factors we see when dealing with a terminal
dx/acute life threatening illness? - Answer-anxiety-
mild: great for enhancing perception and coping
,moderate/high: decreases ones ability to cope and adapt
*also about the caregiver/family
**think about perception here!
depression -
has a negative impact on a persons motivation and their ability to focus
defense mechanisms-
-can be great for coping BUT often times they are used for not coping
ex- denial, rationalization, humor to avoid situation
-interferes with tx options and accepting the dx
t/f
a pt or family member can experience anxiety and depression at the same time or
separately.
**if they do experience this, what is the role of self-efficacy? - Answer-true
self efficacy and outcomes are important to look at because ones self-efficacy may
determine how positive of an outcome can be achieved
The RN's role in stress and coping is all about __________ and _________ - Answer-
assessment and facilitation
what factors might affect someones ability to cope with a terminal dx? - Answer-
demographics
prior coping skills and strategies
social upport
religious/spiritual beliefs
list some things the nurse can do to help the pt cope and deal with a terminal dx -
Answer-be there
care
listen
provide relief
teaching
honestly
therapeutic touch
SMART goals
lifestyle assistance
maintain HOPE
reassurance
resources (know and provide)
interprofessional collaboration
psychosocial interventions
, What are the five stages of saying goodbye (grief)? (CUURR) - Answer-crisis
unity
upheaval
resolution
renewal
crisis - Answer-equilibrium disruption!! person doesnt know relationship
there is anxiety vs guilt/resentment/anger
pt doesnt know what their roles are anymore!!!
unity - Answer-pulling together/putting aside of differences
everyone is coming together to take on roles and responsibilities to help the pt
upheaval - Answer-reach this stage of prolonged stress "wearing thin"
*reach this phase of guilt, anger, resentment
*here we want to communicate, be honest, and avoid suppressing feelings
resolution - Answer-prolonged grief process allows for the resolutions of lifes unresolved
issues
here we share memories and come together
renewal - Answer-begins with the funeral- a celebration of life, a marking of loss
there are mixed emotions of sadness and relief
*success of this relies on the previous 4 stages
Nursing Process (5 steps) - Answer-assessment
(how is the pt coping, resources they have, responses, teaching)
outcomes/dx
(set SMART goals with pt)
interventions
(work with pt to find what works for coping with stress/anxiety/depression; provide
nursing role; validate experiences/feelings/thoughts/emotions; refer to resources)
teaching
(knowledge reduces anxiety; teaching coping skills/strategies/ community resources)
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