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NURS 256 CONCEPTS OF MENTAL HEALTH NURSING PSYCH EXAM 2 STUDY GUIDE GALEN COLLEGE OF NURSING
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NURS 256 CONCEPTS OF MENTAL HEALTH NURSING PSYCH EXAM 2 STUDY GUIDE GALEN COLLEGE OF NURSING
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NURS 256 CONCEPTS OFMENTAL HEALTH NURSING
PSYCH EXAM 2 STUDY
GUIDE GALEN COLLEGE OF
NURSING.
, Unit 3 Mental Health Nursing
Chapter 10
1. Early exposure to stressful events sensitizes the individual to stress later in life. These
stressful events are called stressors.
2. What is the “fight-or-flight response?
The body’s way of preparing for a situation an individual perceives as a threat to survival.
• Increase in BP, HR, respirations, and cardiac output
3. General Adaptation Syndrome
a. Alarm Stage – Initial, brief, and fight or flight response to stress. (Response to fire alarm, car
running a light)
b. Resistance Stage – Sustained and optimal resistance to the stressor occurs
c. Exhaustion Stage – Attempts to resist stress becomes futile. At this point, resources have been
depleted and stress becomes chronic. Long term exposure to stress raises cortisol levels and can
make us susceptible to illness
4. What is good stress? Bad Stress?
• Good Stress (Eustress) – Positive, beneficial energy that motivates and results in feelings
of happiness, hopefulness, and purposeful movement. (Vacation, playing sports, birth of
a baby, challenge of a new job)
• Bad Stress (Distress) – Negative, draining energy that results in anxiety, confusion,
helplessness, and fatigue. (Death in the family, financial overload, school/work
demands)
5. What are physiological stressors? Psychological stressors? What is perception of stressors?
• Physiological Stressors – Trauma, extreme heat/cold
• Psychological Stressors – Divorce, unemployment, death, retirement
• People perceive/handle stress differently. How we perceive stress is influenced by age, culture,
life experience, temperament, social support, and spirituality/religion.
6. What effects does stress have on the body?
, Effective Stress Busters (Box 10.1, page 162)
Sleep
• 7-9 hrs per day
• Try going to sleep 30-60 minutes early each night for a few weeks
• Sleeping in late is not beneficial and can disrupt body rhythms
• Invest in a sleep tracker
Exercise
• 20-30 minutes of aerobic exercise each day (walking, jogging)
• Reduces chronic and acute stress
• Reduces anxiety, depression, and sensitivity to stress
• Reduces muscle tension and increase endorphins
• Exercise at least 3 hours before bedtime to prevent sleep disorders
Reduction of Caffeine Intake
• No more than four cups of coffee or colas per day (recommended for everyone)
• May cause insomnia, nervousness, restlessness, irritability, stomach upset, rapid heartbeat, muscle
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