NR 326 - Exam 1 with Accurate
Solutions
Stress - ANSWER-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 - ANSWER-a demand from within an individual's internal or external
environment that elicits a physiological and/ or psychological response
Adaptation - ANSWER-restoration of the body to homeostasis following a physiological
and/or psychological response to stress (good)
Ex: time management, hiking, meditation
Maladaptation - ANSWER-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 - ANSWER-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 - ANSWER-adrenaline, hr increases, pupils dilate, GI slows so blood can
go to the muscles
Resistance - ANSWER-do you have the skills to resist the stress?
Exhaustion - ANSWER-caused when you cannot resist that stress, can cause stress
related diseases
Primary Assessment of Stress - ANSWER-Irrelevant
Benign-Positive
Stressful - Harm/Loss or Challenge
Relevant? - ANSWER-determine if it means something or not
Ex: Irrelevant- there's a tornado in other state
Benign-Positive - ANSWER-causes stress but in a good way
Ex: Nursing School
, Mental Health - ANSWER-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 - ANSWER-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 - ANSWER-- includes every mental diagnosis that can occur in the US
- standardized mental disorders
Anxiety - ANSWER-diffuse apprehension that is vague in nature and is associated with
feelings of uncertainty and helplessness
Mild Anxiety - ANSWER-- Heightened Perception, increased awareness, increased
alertness
- learning is enhanced
- restless, irritable
- motivation increased
Anger - ANSWER-- not a primary emotion, typically caused by fear or frustration
- a physiological arousal that instills feelings of power
- learned
- capable of being under personal control
Aggression - ANSWER-- one way to express anger
- designed to inflict punishment or pain
- intended to threaten security/self-esteem
Predisposing Factors - ANSWER-- modeling
- operant conditioning (behavioral modification)
- neurophysiological factors/biochemical factors
- environmental factors
- socioeconomic factors
Risk Assessment for Agression - ANSWER-- past history of violence
- current diagnosis
- current behaviors
- prodromal syndrome
Prodromal Syndrome - ANSWER-a group of symptoms that help you recognize that a
patient is about to act out
Outcome Criteria: Anger - ANSWER-- recognition of anger
- taking responsibility for anger
- exert internal control
- learn problem-solving steps
Solutions
Stress - ANSWER-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 - ANSWER-a demand from within an individual's internal or external
environment that elicits a physiological and/ or psychological response
Adaptation - ANSWER-restoration of the body to homeostasis following a physiological
and/or psychological response to stress (good)
Ex: time management, hiking, meditation
Maladaptation - ANSWER-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 - ANSWER-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 - ANSWER-adrenaline, hr increases, pupils dilate, GI slows so blood can
go to the muscles
Resistance - ANSWER-do you have the skills to resist the stress?
Exhaustion - ANSWER-caused when you cannot resist that stress, can cause stress
related diseases
Primary Assessment of Stress - ANSWER-Irrelevant
Benign-Positive
Stressful - Harm/Loss or Challenge
Relevant? - ANSWER-determine if it means something or not
Ex: Irrelevant- there's a tornado in other state
Benign-Positive - ANSWER-causes stress but in a good way
Ex: Nursing School
, Mental Health - ANSWER-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 - ANSWER-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 - ANSWER-- includes every mental diagnosis that can occur in the US
- standardized mental disorders
Anxiety - ANSWER-diffuse apprehension that is vague in nature and is associated with
feelings of uncertainty and helplessness
Mild Anxiety - ANSWER-- Heightened Perception, increased awareness, increased
alertness
- learning is enhanced
- restless, irritable
- motivation increased
Anger - ANSWER-- not a primary emotion, typically caused by fear or frustration
- a physiological arousal that instills feelings of power
- learned
- capable of being under personal control
Aggression - ANSWER-- one way to express anger
- designed to inflict punishment or pain
- intended to threaten security/self-esteem
Predisposing Factors - ANSWER-- modeling
- operant conditioning (behavioral modification)
- neurophysiological factors/biochemical factors
- environmental factors
- socioeconomic factors
Risk Assessment for Agression - ANSWER-- past history of violence
- current diagnosis
- current behaviors
- prodromal syndrome
Prodromal Syndrome - ANSWER-a group of symptoms that help you recognize that a
patient is about to act out
Outcome Criteria: Anger - ANSWER-- recognition of anger
- taking responsibility for anger
- exert internal control
- learn problem-solving steps
