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CARE 443 EXAM III QUESTIONS WITH CORRECT ANSWERS
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CARE 443 EXAM III QUESTIONS WITH CORRECT ANSWERS
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CARE 443 EXAM III QUESTIONS WITHCORRECT ANSWERS
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
Pupils dilate, diaphoresis, increased heart rate, increased rate & depth of respirations,
dry mucous membranes, muscles tense, blood glucose increases
Relaxation strategies for stress.
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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