NR 326 - Exam 1
Stress - answera 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 - answera demand from within an individual's internal or external environment
that elicits a physiological and/ or psychological response
Adaptation - answerrestoration of the body to homeostasis following a physiological
and/or psychological response to stress (good)
Ex: time management, hiking, meditation
Maladaptation - answera 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 - answerStage 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 - answeradrenaline, hr increases, pupils dilate, GI slows so blood can go
to the muscles
Resistance - answerdo you have the skills to resist the stress?
Exhaustion - answercaused when you cannot resist that stress, can cause stress
related diseases
Primary Assessment of Stress - answerIrrelevant
Benign-Positive
Stressful - Harm/Loss or Challenge
Relevant? - answerdetermine if it means something or not
Ex: Irrelevant- there's a tornado in other state
Benign-Positive - answercauses stress but in a good way
Ex: Nursing School
Mental Health - answerthe 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 - answermaladaptive 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 - answerdiffuse 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
Moderate Anxiety - answer- 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 - answer- 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 - answer- 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 - answer- pretending something doesn't exist
ex: degree of severity of a diagnosis, denies something tragic happened
Stress - answera 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 - answera demand from within an individual's internal or external environment
that elicits a physiological and/ or psychological response
Adaptation - answerrestoration of the body to homeostasis following a physiological
and/or psychological response to stress (good)
Ex: time management, hiking, meditation
Maladaptation - answera 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 - answerStage 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 - answeradrenaline, hr increases, pupils dilate, GI slows so blood can go
to the muscles
Resistance - answerdo you have the skills to resist the stress?
Exhaustion - answercaused when you cannot resist that stress, can cause stress
related diseases
Primary Assessment of Stress - answerIrrelevant
Benign-Positive
Stressful - Harm/Loss or Challenge
Relevant? - answerdetermine if it means something or not
Ex: Irrelevant- there's a tornado in other state
Benign-Positive - answercauses stress but in a good way
Ex: Nursing School
Mental Health - answerthe 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 - answermaladaptive 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 - answerdiffuse 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
Moderate Anxiety - answer- 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 - answer- 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 - answer- 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 - answer- pretending something doesn't exist
ex: degree of severity of a diagnosis, denies something tragic happened
