Chapter 32: Stress & Coping

Which physiological response is primarily associated with the immediate activation of the sympathetic nervous system during stress?

How does the hypothalamic-pituitary-adrenal (HPA) axis respond to a stressor to maintain homeostasis?

In the context of the immune system's response to stress, what is the typical immediate reaction?

How might chronic stress affect the cardiovascular system, potentially leading to hypertension?

Which nursing intervention is most effective in helping a patient manage stress by improving coping strategies?

Which of the following is an example of an external strategy for managing stress?

A nurse is teaching a patient about general resistance resources for stress management. Which of the following should be included?

When evaluating the effectiveness of stress reduction techniques, what is the most important factor to consider?

During the 'resistance' stage of the General Adaptation Syndrome (GAS), which physiological change would be most expected?

How does 'stress appraisal' influence an individual's response to a potentially stressful event?

What is the likely physiological outcome when the parasympathetic nervous system becomes dominant in a typically sympathetic-driven stress response?

What is the primary rationale for a nurse to assess a patient's nonverbal cues when evaluating stress levels?

Which nursing diagnosis is most appropriate for a patient who consistently feels overwhelmed and unable to meet the demands of daily life due to chronic work stress and caregiving responsibilities?

When setting goals for a patient undergoing stress reduction therapy, what key characteristic should the established outcomes possess to be considered effective?

A patient is developing a care plan to address stress. Which approach would be the most effective in ensuring patient adherence and positive outcomes?

What is a potential consequence of chronic workplace stress on a nurse's psychological well-being?

Which hormone primarily leads to elevated blood sugar levels during a stress response?

A patient diagnosed with anxiety is scheduled for diagnostic tests, expresses concerns, and paces the room. Which short-term goal is most suitable?

A patient experiencing constipation alongside increased heart and respiratory rates would benefit most from which intervention?

A patient is experiencing both increased heart rate and constipation. What intervention would be most appropriate to address both issues?

A patient expresses anxiety related to upcoming diagnostic tests and exhibits restlessness. Which nursing intervention is most likely to effectively address the immediate anxiety and promote patient participation in care?

A nurse, consistently feeling overwhelmed by their workload, decides to implement time-management strategies and delegate tasks appropriately. Which type of coping strategy is the nurse employing?

Which scenario exemplifies the use of an emotion-focused coping strategy in response to a stressful situation?

A person who lost their job starts volunteering at a local charity to keep busy and feel useful. Which coping mechanism is this person primarily using?

Which action best demonstrates a nurse's effective use of self-care to mitigate the effects of workplace stress and prevent burnout?

To promote resilience in a patient dealing with chronic illness, which nursing intervention is most appropriate?

A patient is diagnosed with a chronic illness and responds by stating, 'This must be a mistake; I feel perfectly fine.' Which defense mechanism is the patient most likely exhibiting?

A nurse is teaching a patient about progressive muscle relaxation. Which statement best describes the expected physiological outcome of this technique?

A nurse observes that a colleague consistently blames others for mistakes and shortcomings. Which defense mechanism is the colleague most likely using?

When a patient is informed of a serious diagnosis and immediately begins researching potential treatment centers and specialists, which type of appraisal does this behavior likely indicate?

A normally independent 45-year-old patient, after experiencing a traumatic event, starts relying heavily on their parents for all decisions. Which defense mechanism is the patient most likely employing?

Following a major surgical procedure, a patient who does not have diabetes exhibits hyperglycemia. Which hormonal response is most directly responsible for this physiological change?

A patient awaiting a biopsy report is exhibiting increased irritability and difficulty concentrating. Which initial nursing intervention is most appropriate to address these symptoms?

Which scenario exemplifies the defense mechanism of sublimation?

What is a key difference between the 'alarm' stage and the 'resistance' stage of the General Adaptation Syndrome (GAS)?

A patient consistently attributes their own feelings of inadequacy to their colleagues. Which defense mechanism is this patient demonstrating?

Which of the following is an example of a patient using an emotion-focused coping strategy when dealing with chronic pain?

Which activities exemplify effective strategies for enhancing coping skills?

When using stress assessment tools with diverse patient populations, what is crucial for nurses to consider?

Two siblings are caring for their ill mother. One exercises regularly; the other provides constant care without breaks. What factors influence their differing reactions to the same stressor?

What is the most significant consideration when teaching a patient about effective stress management techniques?

A community health nurse is planning a stress management program for local caregivers. Which initial step is most crucial for program success?

A patient reports feeling overwhelmed by increased demands at work and home. What nursing intervention is most appropriate to initiate?

In the context of long-term stress management, which approach is likely to yield the most sustainable positive outcomes for a patient?

What is an important consideration when evaluating the effectiveness of a stress management program implemented in a workplace setting?

What is Stress?

Sympathoadrenal Response

Hypothalamic-Pituitary-Adrenal (HPA) Complex

Corticosteroids and Stress

What is Resilience?

What is Anxiety?

What are Coping Strategies?

Stress Management

Fight-or-Flight Response

General Adaptation Syndrome (GAS)

Allostasis

Stress Appraisal

Physiologic Stress Responses

Stress Assessment Techniques

Impact of Stress on Nurses

Burnout

Problem-Focused Coping

Emotion-Focused Coping

Avoidance Coping

Denial

Support Groups

Effective Nurse Coping

Prioritizing Patient Needs

Spiritual Guidance

Coping Enhancers

Family Time Coping

Unhealthy Coping Habits

Stress Assessment Tools

Stress Tool Adaptations

Personal Coping Skills

Type of Stressor

Personal Appraisal

Corticosteroids Role in Stress

Appropriate Anxiety Goal

Discussing Aspects of Concern

Relaxation Therapy Benefits

Body's Response to Stress

Primary Appraisal

Challenge Response

Regression (defense mechanism)

Sublimation (defense mechanism)

Repression (defense mechanism)

Projection (defense mechanism)

Corticosteroids effect on glucose

Corticosteroids