NUR 253 EXAM 2 STUDY GUIDE EXAM-
QUESTIONS AND ANSWERS
Mental Health (Galen College of Nursing)
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, NUR 253 EXAM 2 STUDY GUIDE jv jv jv jv jv
● Physiological responses to stress and stress management
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○ Everyone experiences stress at some point, IT IS IMPORTANT TO
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UNDERSTAND THE PATIENTS SUPPORT SYSTEM jv jv jv jv
○ Severe stress is unhealthy, it weakens biological resistance to psychiatric
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disorders.
○ The nurses role is to recognize how the stress affects your patient
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■ Identify and intervene to reduce stress by:
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● Promoting a healthy environment jv jv jv
● Facilitating successful coping jv jv
● Developing future coping mechanisms jv jv jv
● Early stress response
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○ Stressors are the physiological or psychological stimuli that causes a stress r
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esponse
○ General adaptation syndrome:
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■ Alarm stage: initial, brief, adaptive response (flight or fight) to the stressor.
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● This stage is very intense and cannot be tolerated for long periods
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of time jv
■ Resistance stage: occurs if the threat continues, sometimes called the
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adaptation stage. Sustained and optimal resistance to the stressor oc
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curs.
■ exhaustion stage: occurs when attempts to resist the stressor prove futile.
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At this point resources are depleted and the stress becomes chronic.
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● Can lead to illnesses including anxiety, depression, sleep jv jv jv jv jv jv jv jv
disorders, heart disease, and weight gain jv jv jv jv jv
■ Bad stress vs. good stressjv jv jv jv
● eustress( GOOD): positive energy that motivates an individual and jv jv jv jv jv jv jv jv jv
results in feelings of happiness, hopefulness, and purposeful mov jv jv jv jv jv jv jv jv
ement.
○ Examples: vacation, birth of a baby, marriage, favorite jv jv jv jv jv jv jv jv
sport
● Distress (BAD): draining energy that results in anxiety, depression, jv jv jv jv jv jv jv jv jv
confusion, helplessness, hopelessness jv jv
○ Examples: death, divorce, financial overload jv jv jv jv
○ Mediators of the stress response
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■ Physiological stressors: environmental conditions jv jv jv
● Example: trauma, heat/cold, infection, hemorrhage, pain, hunger jv jv jv jv jv jv
■ Psychological stressors: can be positive or negative jv jv jv jv jv jv
● Example: marriage, divorce, unemployment, retirement, terrorist jv jv jv jv jv jv
attack
■ Perception: the way we see things, or feel things. The perception of the
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stress determines the emotional and psychological behaviors.
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QUESTIONS AND ANSWERS
Mental Health (Galen College of Nursing)
jv jv jv jv jv
, NUR 253 EXAM 2 STUDY GUIDE jv jv jv jv jv
● Physiological responses to stress and stress management
jv jv jv jv jv jv
○ Everyone experiences stress at some point, IT IS IMPORTANT TO
jv jv jv jv jv jv jv jv jv jv
UNDERSTAND THE PATIENTS SUPPORT SYSTEM jv jv jv jv
○ Severe stress is unhealthy, it weakens biological resistance to psychiatric
jv jv jv jv jv jv jv jv jv jv
disorders.
○ The nurses role is to recognize how the stress affects your patient
jv jv jv jv jv jv jv jv jv jv jv
■ Identify and intervene to reduce stress by:
jv jv jv jv jv jv
● Promoting a healthy environment jv jv jv
● Facilitating successful coping jv jv
● Developing future coping mechanisms jv jv jv
● Early stress response
jv jv
○ Stressors are the physiological or psychological stimuli that causes a stress r
jv jv jv jv jv jv jv jv jv jv jv
esponse
○ General adaptation syndrome:
jv jv
■ Alarm stage: initial, brief, adaptive response (flight or fight) to the stressor.
jv jv jv jv jv jv jv jv jv jv jv
● This stage is very intense and cannot be tolerated for long periods
jv jv jv jv jv jv jv jv jv jv jv jv
of time jv
■ Resistance stage: occurs if the threat continues, sometimes called the
jv jv jv jv jv jv jv jv jv jv
adaptation stage. Sustained and optimal resistance to the stressor oc
jv jv jv jv jv jv jv jv jv
curs.
■ exhaustion stage: occurs when attempts to resist the stressor prove futile.
jv jv jv jv jv jv jv jv jv jv jv
At this point resources are depleted and the stress becomes chronic.
jv jv jv jv jv jv jv jv jv jv
● Can lead to illnesses including anxiety, depression, sleep jv jv jv jv jv jv jv jv
disorders, heart disease, and weight gain jv jv jv jv jv
■ Bad stress vs. good stressjv jv jv jv
● eustress( GOOD): positive energy that motivates an individual and jv jv jv jv jv jv jv jv jv
results in feelings of happiness, hopefulness, and purposeful mov jv jv jv jv jv jv jv jv
ement.
○ Examples: vacation, birth of a baby, marriage, favorite jv jv jv jv jv jv jv jv
sport
● Distress (BAD): draining energy that results in anxiety, depression, jv jv jv jv jv jv jv jv jv
confusion, helplessness, hopelessness jv jv
○ Examples: death, divorce, financial overload jv jv jv jv
○ Mediators of the stress response
jv jv jv jv
■ Physiological stressors: environmental conditions jv jv jv
● Example: trauma, heat/cold, infection, hemorrhage, pain, hunger jv jv jv jv jv jv
■ Psychological stressors: can be positive or negative jv jv jv jv jv jv
● Example: marriage, divorce, unemployment, retirement, terrorist jv jv jv jv jv jv
attack
■ Perception: the way we see things, or feel things. The perception of the
jv jv jv jv jv jv jv jv jv jv jv jv jv
stress determines the emotional and psychological behaviors.
jv jv jv jv jv jv