Study Guide – Modules 4,5,6
Module 4 – Stress, Coping and Crisis
Chapter 10 – Stress Responses and Stress Management
Theories:
Richard Lazarus – stress is what is perceived - thoughts
Hans Selye – GAS – physiological response
What is stress?
What is anxiety?
What are five factors that are part of the holistic response to
Stress? Give an example –
Stress event – stimulus – person perceives as stressful?
Physiological response? – body’s holistic response – fight/flight
Emotional response? What are stress emotions?
Anxiety, guilt, depression, anger, grief
Intellectual response? (disorganized thinking)
Social response?
Spiritual response? - despair
What does the above say about assessing stress?
(need to assess all aspects of how affects individual)
Nursing diagnosis – Ineffective coping.
Assessment – suicidal and homicidal thoughts, support systems
Perception of event? How coping? Past coping?
, Strategies for helping someone cope? What would help you
with this? (Refrain from advice giving) What have you done in
the past?
Long term effects of stresses – diseases
Demands/resources model
Many ways to deal with stress effectively.
Mediators of stress & stress management (text)
Effective Coping strategies!!! What are they?
What are ineffective coping methods?
Do a Self-care plan.
Subjective and objective data of stress responses
Nursing diagnosis – Ineffective coping
Outcome (related to problem) (measurable)
Nursing interventions –
Evaluation (measure outcome)
Terms meaning: guided imagery, progressive relaxation,
meditation, cognitive reframing, biofeedback
Chapter 15 – Anxiety and OCD disorders
(Anxiety disorders not on this test)
Important – only parts of chapter are tested – see below
Pages 271 – 272 = Anxiety and levels of Anxiety
Charts – Table 16-1 Levels of Anxiety
Table 15-9 – Interventions with Mild and Moderate
Table 15-10 – Interventions with Severe and Panic