NUR 253 EXAM 2 STUDY GUIDE
ACTUAL QUESTIONS & ANSWERS 100% VERIFIED
● Physiologicalhjresponseshjtohjstresshjandhjstresshjmanagement
○ Everyonehjexperienceshjstresshjathjsomehjpoint,hjIThjIShjIMPORTANThj
TOhjUNDERSTANDhjTHEhjPATIENTShjSUPPORThjSYSTEM
○ Severehjstresshjishjunhealthy,hjithjweakenshjbiologicalhjresistancehjtohjpsychiat
richjdisorders.
○ Thehjnurseshjrolehjishjtohjrecognizehjhowhjthehjstresshjaffectshjyourhjpatient
■ Identifyhjandhjintervenehjtohjreducehjstresshjby:
● Promotinghjahjhealthyhjenvironment
● Facilitatinghjsuccessfulhjcoping
● Developinghjfuturehjcopinghjmechanisms
● Earlyhjstresshjresponse
○ Stressorshjarehjthehjphysiologicalhjorhjpsychologicalhjstimulihjthathjcauseshjahjstr
esshjresponse
○ Generalhjadaptationhjsyndrome:
■ Alarmhjstage:hjinitial,hjbrief,hjadaptivehjresponsehj(flighthjorhjfight)hjtohjthehjstress
or.
● Thishjstagehjishjveryhjintensehjandhjcannothjbehjtoleratedhjforhjlonghjperi
odshjofhjtime
■ Resistancehjstage:hjoccurshjifhjthehjthreathjcontinues,hjsometimeshjcalledhjt
hehjadaptationhjstage.hjSustainedhjandhjoptimalhjresistancehjtohjthehjstres
sorhjoccurs.
■ exhaustionhjstage:hjoccurshjwhenhjattemptshjtohjresisthjthehjstressorhjprovehjfuti
le.hjAthjthishjpointhjresourceshjarehjdepletedhjandhjthehjstresshjbecomeshjchron
ic.
● Canhjleadhjtohjillnesseshjincludinghjanxiety,hjdepression,hjslee
phjdisorders,hjhearthjdisease,hjandhjweighthjgain
■ Badhjstresshjvs.hjgoodhjstress
● eustress(hjGOOD):hjpositivehjenergyhjthathjmotivateshjanhjindividualhja
ndhjresultshjinhjfeelingshjofhjhappiness,hjhopefulness,hjandhjpurposefu
lhjmovement.
○ Examples:hjvacation,hjbirthhjofhjahjbaby,hjmarriage,hjfavorit
ehjsport
● Distresshj(BAD):hjdraininghjenergyhjthathjresultshjinhjanxiety,hjdepressio
n,hjconfusion,hjhelplessness,hjhopelessness
○ Examples:hjdeath,hjdivorce,hjfinancialhjoverload
○ Mediatorshjofhjthehjstresshjresponse
■ Physiologicalhjstressors:hjenvironmentalhjconditions
● Example:hjtrauma,hjheat/cold,hjinfection,hjhemorrhage,hjpain,hjhunger
■ Psychologicalhjstressors:hjcanhjbehjpositivehjorhjnegative
● Example:hjmarriage,hjdivorce,hjunemployment,hjretirement,hjterrori
sthjattack
■ Perception:hjthehjwayhjwehjseehjthings,hjorhjfeelhjthings.hjThehjperceptionhjofhj
thehjstresshjdetermineshjthehjemotionalhjandhjpsychologicalhjbehaviors.
DownloadedhjbyhjJosephinehjKimanihj(
, ● Thingshjthathjcanhjaffecthjahjpersonshjperception:hjage,hjgender,hjhistor
y,hjculture
■ Temperament
■ Socialhjsupport
■ Culture
■ spirituality/religion
● Relaxationhjtechniques
○ Biofeedback:hjinvolveshjusinghjvisualhjorhjauditoryhjfeedbackhjtohjgainhjcontrolhjo
verhjinvoluntaryhjbodilyhjfunctions.
■ Thehjgoalhjishjtohjmakehjsubtlehjchangeshjtohjthehjbodyhjtohjresulthjinhjthehjdes
iredhjeffect
○ Deephjbreathinghjexercises
■ Relax,hjinhalehjthroughhjnose,hjholdhjforhj2hjseconds,hjslowlyhjexhalehjthrou
ghhjmouth.hjRepeathj2-3hjtimes
○ Guidedhjimagery
■ Peoplehjarehjtaughthjtohjfocushjonhjpleasanthjimageshjtohjreplacehjnegative
hjorhjstressfulhjfeelings.
○ Meditation
○ Physicalhjexercise
■ Walking,hjrunning,hjswimming,hjyoga
○ Cognitivehjreframing
■ Changeshjanhjindividual'shjperceptionhjofhjstresshjbyhjreassessinghjahjsituati
onhjandhjreplacinghjirrationalhjbeliefs.hjFromhj“hjI’llhjnever”hjtohj“hjIhjshouldhjh
ave”.
○ Journaling
○ Humour
● Effectshjofhjstresshjonhjthehjbody:
○ headache,h j anxiety,hjdepression,hjbackaches,hjinsomnia,hjED,hjdecreasedhjlibd
o,hjincreased/decreasedhjappetite,hjincreasedhjBPhjHRhjandhjBloodhjglucose
● Crisishjandhjdisaster
○ Whathjishjahjcrisis?
■ crisishj:hjanhjeventhjthathjwillhjorhjmayhjleadhjtohjanhjunstablehjandhjdanger
oushjsituationhjaffectinghjanhjindividual,hjgroup,hjorhjsociety
■ Crisishjintervention:hjahjdirective,hjtimehjlimited,hjandhjgoalhjdirectedhjstrate
gyhjdesignedhjtohjassisthjthosehjexperiencinghjahjcrisis
■ Perceptionhjofhjthreat:hjahjperson’shjcopinghjabilities.hjPerspective,hjculturehja
ndhjpasthjexperienceshjcanhjaffecthjthis
■ Supporthjsystems
■ Copinghjmechanisms:hjcanhjbehjadaptivehj(healthy)hjorhjmaladapti
vehj(unhealthy)
● Adaptive:hjexercise,hjreading,hjjournaling
DownloadedhjbyhjJosephinehjKimanihj(
ACTUAL QUESTIONS & ANSWERS 100% VERIFIED
● Physiologicalhjresponseshjtohjstresshjandhjstresshjmanagement
○ Everyonehjexperienceshjstresshjathjsomehjpoint,hjIThjIShjIMPORTANThj
TOhjUNDERSTANDhjTHEhjPATIENTShjSUPPORThjSYSTEM
○ Severehjstresshjishjunhealthy,hjithjweakenshjbiologicalhjresistancehjtohjpsychiat
richjdisorders.
○ Thehjnurseshjrolehjishjtohjrecognizehjhowhjthehjstresshjaffectshjyourhjpatient
■ Identifyhjandhjintervenehjtohjreducehjstresshjby:
● Promotinghjahjhealthyhjenvironment
● Facilitatinghjsuccessfulhjcoping
● Developinghjfuturehjcopinghjmechanisms
● Earlyhjstresshjresponse
○ Stressorshjarehjthehjphysiologicalhjorhjpsychologicalhjstimulihjthathjcauseshjahjstr
esshjresponse
○ Generalhjadaptationhjsyndrome:
■ Alarmhjstage:hjinitial,hjbrief,hjadaptivehjresponsehj(flighthjorhjfight)hjtohjthehjstress
or.
● Thishjstagehjishjveryhjintensehjandhjcannothjbehjtoleratedhjforhjlonghjperi
odshjofhjtime
■ Resistancehjstage:hjoccurshjifhjthehjthreathjcontinues,hjsometimeshjcalledhjt
hehjadaptationhjstage.hjSustainedhjandhjoptimalhjresistancehjtohjthehjstres
sorhjoccurs.
■ exhaustionhjstage:hjoccurshjwhenhjattemptshjtohjresisthjthehjstressorhjprovehjfuti
le.hjAthjthishjpointhjresourceshjarehjdepletedhjandhjthehjstresshjbecomeshjchron
ic.
● Canhjleadhjtohjillnesseshjincludinghjanxiety,hjdepression,hjslee
phjdisorders,hjhearthjdisease,hjandhjweighthjgain
■ Badhjstresshjvs.hjgoodhjstress
● eustress(hjGOOD):hjpositivehjenergyhjthathjmotivateshjanhjindividualhja
ndhjresultshjinhjfeelingshjofhjhappiness,hjhopefulness,hjandhjpurposefu
lhjmovement.
○ Examples:hjvacation,hjbirthhjofhjahjbaby,hjmarriage,hjfavorit
ehjsport
● Distresshj(BAD):hjdraininghjenergyhjthathjresultshjinhjanxiety,hjdepressio
n,hjconfusion,hjhelplessness,hjhopelessness
○ Examples:hjdeath,hjdivorce,hjfinancialhjoverload
○ Mediatorshjofhjthehjstresshjresponse
■ Physiologicalhjstressors:hjenvironmentalhjconditions
● Example:hjtrauma,hjheat/cold,hjinfection,hjhemorrhage,hjpain,hjhunger
■ Psychologicalhjstressors:hjcanhjbehjpositivehjorhjnegative
● Example:hjmarriage,hjdivorce,hjunemployment,hjretirement,hjterrori
sthjattack
■ Perception:hjthehjwayhjwehjseehjthings,hjorhjfeelhjthings.hjThehjperceptionhjofhj
thehjstresshjdetermineshjthehjemotionalhjandhjpsychologicalhjbehaviors.
DownloadedhjbyhjJosephinehjKimanihj(
, ● Thingshjthathjcanhjaffecthjahjpersonshjperception:hjage,hjgender,hjhistor
y,hjculture
■ Temperament
■ Socialhjsupport
■ Culture
■ spirituality/religion
● Relaxationhjtechniques
○ Biofeedback:hjinvolveshjusinghjvisualhjorhjauditoryhjfeedbackhjtohjgainhjcontrolhjo
verhjinvoluntaryhjbodilyhjfunctions.
■ Thehjgoalhjishjtohjmakehjsubtlehjchangeshjtohjthehjbodyhjtohjresulthjinhjthehjdes
iredhjeffect
○ Deephjbreathinghjexercises
■ Relax,hjinhalehjthroughhjnose,hjholdhjforhj2hjseconds,hjslowlyhjexhalehjthrou
ghhjmouth.hjRepeathj2-3hjtimes
○ Guidedhjimagery
■ Peoplehjarehjtaughthjtohjfocushjonhjpleasanthjimageshjtohjreplacehjnegative
hjorhjstressfulhjfeelings.
○ Meditation
○ Physicalhjexercise
■ Walking,hjrunning,hjswimming,hjyoga
○ Cognitivehjreframing
■ Changeshjanhjindividual'shjperceptionhjofhjstresshjbyhjreassessinghjahjsituati
onhjandhjreplacinghjirrationalhjbeliefs.hjFromhj“hjI’llhjnever”hjtohj“hjIhjshouldhjh
ave”.
○ Journaling
○ Humour
● Effectshjofhjstresshjonhjthehjbody:
○ headache,h j anxiety,hjdepression,hjbackaches,hjinsomnia,hjED,hjdecreasedhjlibd
o,hjincreased/decreasedhjappetite,hjincreasedhjBPhjHRhjandhjBloodhjglucose
● Crisishjandhjdisaster
○ Whathjishjahjcrisis?
■ crisishj:hjanhjeventhjthathjwillhjorhjmayhjleadhjtohjanhjunstablehjandhjdanger
oushjsituationhjaffectinghjanhjindividual,hjgroup,hjorhjsociety
■ Crisishjintervention:hjahjdirective,hjtimehjlimited,hjandhjgoalhjdirectedhjstrate
gyhjdesignedhjtohjassisthjthosehjexperiencinghjahjcrisis
■ Perceptionhjofhjthreat:hjahjperson’shjcopinghjabilities.hjPerspective,hjculturehja
ndhjpasthjexperienceshjcanhjaffecthjthis
■ Supporthjsystems
■ Copinghjmechanisms:hjcanhjbehjadaptivehj(healthy)hjorhjmaladapti
vehj(unhealthy)
● Adaptive:hjexercise,hjreading,hjjournaling
DownloadedhjbyhjJosephinehjKimanihj(
