Module C-NUR 201
The successful adaptation to stressors
Ability to still function - answer mental health
maladaptive responses to stressors- unable to function - answer mental illness
physical response to stress/anxiety - answer fight or flight
how does sympathetic nervous system respond? - answer increased epinephrine and
norepinephrine
increased HR
vasoconstriction
bronchodilator
pupils dilate
increase in cardiac output
immediate response to stress/anxiety - answer sustained response
stimulate adrenal glands which are on top of the kidneys - answer sustained response
Psychological response to stress/anxiety - answer feels nervous
depressed angry
tension of day to day living, prepares people for action - answer mild anxiety
less alert to events in environment
miss something that happened, dulling of other things - answermoderate anxiety
concentration centers on one particular detail only or on many extraneous details-go
home, get house cleaned- get side tracked and everything is disaster but you are
aiming for perfection - answersevere anxiety
unable to focus on anything, loss of contact with reality
nervous breakdown
lose contact with reality - answerpanic anxiety
are coping mechanisms, positive or negative? - answerboth
who typically goes through regression? - answerchild with trauma
new sibling
big life event
,what is displacement? - answermad at diagnoses or someone- go home lash out at
someone who did nothing wrong
separate emotions from expierence - answerisolation
Look at chart on page 7- coping mechanisms - answer
When coping becomes dysfunctional enough to require the client to be admitted to the
hospital, the nurse expects that the client would be exhibiting what behaviors?
a) tension reduction activities and then problem solving
b) anger management strategies with no problem solving
c) objective and rational problem solving
d) minimal functioning with new problems developing - answerD.
As a client's level of anxiety increases to a debilitating degree, the nurse would expect
which of the following as a psychomotor behavior indicating a panic level of anxiety?
A. Suicide attempts or violence
B. Desperation and rage
C. Disorganized reasoning
D. Loss of contact with reality - answerA.
subjective state of emotional, physical, and social responses to the loss of a valued
entity- the loss may be real or perceived - answerGrief
5 stages of grief - answerDenial- not accepting
Anger- why me
Bargaining- I promise...
Depression- full impact experienced, can't deal with yet
acceptance- realized loss, trying to move forward
before dx pt with mental illness, you should.. - answercheck blood levels, could be
underlying physical problem
part of brain involved in behavior and emotional responses - answerlimbic system
are chemicals that convey information across synapse- what are some examples? -
answerNeurotransmitters
Acetylcholine, dopamine, epinephrine, serotonin, histamine
how does the endocrine system play a role in behavior? - answerhormones-
male/female, estrogen, testosterone, thyroid and adrenal hormone- corticoids
evidence exists to support a link between - answerpsychosocial stressors and
suppression of the immune response
, testing that can detect alteration in psychobiological functioning - answerCT
MRI
PET
EEG
checking for brain tumor, brain waves
integrate into society with mental illness; come for treatment -
answerdeinstitutionalization
how to report an incident - answerdescribe what you see
do not put in chart
document exactly what happened
Assess patient
notify MD
Identify what you think caused the problem and the solution to the problem
patients 3 rights - answerconfidentiality
right to refuse treatment
right to least restrictive environment
restraints - answerleast restrictive first, have to have order, document behavior patient
show to warrant restraints, call family
speaking up for patient - answeradvocacy
allow patient to make own decisions - answerautonomy
to do good - answerbeneficience
to do no harm - answerNonmaleficence
fairness - answerjustice
to tell the truth - answerveracity
what is confidentiality? - answerno sharing info without permission
what is duty to warn? - answerif patient threaten 3rd party, we have a right to warn them
what should we do if a patient refuses treatment? - answerexplain benefits/risk but
respect their decision
can still refuse treatment - answerinvoluntary admits
signs themselves in and out - answervoluntary
The successful adaptation to stressors
Ability to still function - answer mental health
maladaptive responses to stressors- unable to function - answer mental illness
physical response to stress/anxiety - answer fight or flight
how does sympathetic nervous system respond? - answer increased epinephrine and
norepinephrine
increased HR
vasoconstriction
bronchodilator
pupils dilate
increase in cardiac output
immediate response to stress/anxiety - answer sustained response
stimulate adrenal glands which are on top of the kidneys - answer sustained response
Psychological response to stress/anxiety - answer feels nervous
depressed angry
tension of day to day living, prepares people for action - answer mild anxiety
less alert to events in environment
miss something that happened, dulling of other things - answermoderate anxiety
concentration centers on one particular detail only or on many extraneous details-go
home, get house cleaned- get side tracked and everything is disaster but you are
aiming for perfection - answersevere anxiety
unable to focus on anything, loss of contact with reality
nervous breakdown
lose contact with reality - answerpanic anxiety
are coping mechanisms, positive or negative? - answerboth
who typically goes through regression? - answerchild with trauma
new sibling
big life event
,what is displacement? - answermad at diagnoses or someone- go home lash out at
someone who did nothing wrong
separate emotions from expierence - answerisolation
Look at chart on page 7- coping mechanisms - answer
When coping becomes dysfunctional enough to require the client to be admitted to the
hospital, the nurse expects that the client would be exhibiting what behaviors?
a) tension reduction activities and then problem solving
b) anger management strategies with no problem solving
c) objective and rational problem solving
d) minimal functioning with new problems developing - answerD.
As a client's level of anxiety increases to a debilitating degree, the nurse would expect
which of the following as a psychomotor behavior indicating a panic level of anxiety?
A. Suicide attempts or violence
B. Desperation and rage
C. Disorganized reasoning
D. Loss of contact with reality - answerA.
subjective state of emotional, physical, and social responses to the loss of a valued
entity- the loss may be real or perceived - answerGrief
5 stages of grief - answerDenial- not accepting
Anger- why me
Bargaining- I promise...
Depression- full impact experienced, can't deal with yet
acceptance- realized loss, trying to move forward
before dx pt with mental illness, you should.. - answercheck blood levels, could be
underlying physical problem
part of brain involved in behavior and emotional responses - answerlimbic system
are chemicals that convey information across synapse- what are some examples? -
answerNeurotransmitters
Acetylcholine, dopamine, epinephrine, serotonin, histamine
how does the endocrine system play a role in behavior? - answerhormones-
male/female, estrogen, testosterone, thyroid and adrenal hormone- corticoids
evidence exists to support a link between - answerpsychosocial stressors and
suppression of the immune response
, testing that can detect alteration in psychobiological functioning - answerCT
MRI
PET
EEG
checking for brain tumor, brain waves
integrate into society with mental illness; come for treatment -
answerdeinstitutionalization
how to report an incident - answerdescribe what you see
do not put in chart
document exactly what happened
Assess patient
notify MD
Identify what you think caused the problem and the solution to the problem
patients 3 rights - answerconfidentiality
right to refuse treatment
right to least restrictive environment
restraints - answerleast restrictive first, have to have order, document behavior patient
show to warrant restraints, call family
speaking up for patient - answeradvocacy
allow patient to make own decisions - answerautonomy
to do good - answerbeneficience
to do no harm - answerNonmaleficence
fairness - answerjustice
to tell the truth - answerveracity
what is confidentiality? - answerno sharing info without permission
what is duty to warn? - answerif patient threaten 3rd party, we have a right to warn them
what should we do if a patient refuses treatment? - answerexplain benefits/risk but
respect their decision
can still refuse treatment - answerinvoluntary admits
signs themselves in and out - answervoluntary
