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NR 326 - Exam 1|153 Questions and Answers
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NR 326 - Exam 1|153 Questions andAnswers
Stress - -a state of disequilibrium that occurs when there is disharmony
between demands occuring within an individual's internal or external
environment and their ability to cope with those demands
-Stressor - -a demand from within an individual's internal or external
environment that elicits a physiological and/ or psychological response
-Adaptation - -restoration of the body to homeostasis following a
physiological and/or psychological response to stress (good)
Ex: time management, hiking, meditation
-Maladaptation - -a failure of the body to return to homeostasis following a
physiological and/or psychological response to stress, disrupting the
individual's integrity. Negative Response
Ex: drinking, anger, avoidance
-General Adaptation Syndrome - -Stage 1 - Fight or Flight
Stage 2 - Stage of Resistance (when fight or flight works)
Stage 3 - Stage of Exhaustion (adaptive energy is depleted)
-Fight or Flight - -adrenaline, hr increases, pupils dilate, GI slows so blood
can go to the muscles
-Resistance - -do you have the skills to resist the stress?
-Exhaustion - -caused when you cannot resist that stress, can cause stress
related diseases
-Primary Assessment of Stress - -Irrelevant
Benign-Positive
Stressful - Harm/Loss or Challenge
-Relevant? - -determine if it means something or not
Ex: Irrelevant- there's a tornado in other state
-Benign-Positive - -causes stress but in a good way
Ex: Nursing School
-Mental Health - -the successful adaptation to stressors from the internal or
external environment evidenced by thoughts feelings and behaviors that are
age appropriate and congruent with cultural norms
, -Mental Illness - -maladaptive responses to stressors from internal or
external environment, evidenced by thoughts, feelings and behaviors that
are incongruent with cultural norms which interferes with social,
occupational, and physical functioning
-DS5M - -- includes every mental diagnosis that can occur in the US
- standardized mental disorders
-Anxiety - -diffuse apprehension that is vague in nature and is associated
with feelings of uncertainty and helplessness
-Mild Anxiety - -- Heightened Perception, increased awareness, increased
alertness
- learning is enhanced
- restless, irritable
- motivation increased
-Moderate Anxiety - -- reduction in perceptual field
- reduced alertness to emotional environment
- learning can occur
- decreased attention span
- decreased ability to concentrate
- restless, HR and RR increased
- gastric discomfort
- focuses on self and not others
- feeling of discontent
-Severe Anxiety - -- perceptual field greatly diminished, may not notice an
event occurring to them
- extremely limited attention span, unable to concentrate or problem solve,
learning cannot occur
- headaches, dizzy, nausea, trembling, insomnia
- feelings of dread, total focus on self
-Panic Anxiety - -- unable to focus on any detail, misperceptions occur
- learning cannot occur
- unable to concentrate or comprehend simple directions
- dilated pupils
- labored breathing
- sense of impending doom
- bizarre behavior
- hallucinations
-Denial - -- pretending something doesn't exist
ex: degree of severity of a diagnosis, denies something tragic happened
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