Podcast
Questions and Answers
What effect does norepinephrine have on the respiratory system?
What effect does norepinephrine have on the respiratory system?
- It induces hyperventilation. (correct)
- It leads to increased production of mucus.
- It decreases breathing rate.
- It causes respiratory depression.
Which of the following symptoms is NOT associated with the gastrointestinal system's response to stress?
Which of the following symptoms is NOT associated with the gastrointestinal system's response to stress?
- Loss of appetite
- Nausea/vomiting
- Muscle spasms in the back (correct)
- Increased peristalsis
Which physical finding is NOT typically caused directly by epinephrine?
Which physical finding is NOT typically caused directly by epinephrine?
- Increased blood pressure
- Irregular heartbeat
- Increased heart rate
- Tingling of hands and feet (correct)
What can prolonged tension in larger muscles result in?
What can prolonged tension in larger muscles result in?
What are common nonverbal signs that indicate a patient may be experiencing ineffective coping?
What are common nonverbal signs that indicate a patient may be experiencing ineffective coping?
What is one potential emotional response to acceptance of loss?
What is one potential emotional response to acceptance of loss?
Which factor most significantly influences an individual's grief response related to personal relationships?
Which factor most significantly influences an individual's grief response related to personal relationships?
What role does socioeconomic status play in the experience of grief?
What role does socioeconomic status play in the experience of grief?
Which of the following is NOT part of the medical criteria used to certify death?
Which of the following is NOT part of the medical criteria used to certify death?
What is a nursing responsibility when caring for a deceased body?
What is a nursing responsibility when caring for a deceased body?
What is essential for normal growth and development during stressful situations?
What is essential for normal growth and development during stressful situations?
Which lifestyle factor is crucial for handling stress more effectively?
Which lifestyle factor is crucial for handling stress more effectively?
How do previous experiences influence a person's reaction to stress?
How do previous experiences influence a person's reaction to stress?
What is likely to happen when a person's coping patterns are altered due to chronic stress?
What is likely to happen when a person's coping patterns are altered due to chronic stress?
Which of the following best describes a factor that can affect coping ability?
Which of the following best describes a factor that can affect coping ability?
What can be a consequence of long-term exposure to stress on health?
What can be a consequence of long-term exposure to stress on health?
What perception is closely linked with an individual’s feelings of safety and security?
What perception is closely linked with an individual’s feelings of safety and security?
During which process does a person respond immediately to a threatening situation?
During which process does a person respond immediately to a threatening situation?
What is a potential consequence of prolonged stress on the immune system?
What is a potential consequence of prolonged stress on the immune system?
What type of anxiety is characterized by an increased alertness and facilitates problem solving?
What type of anxiety is characterized by an increased alertness and facilitates problem solving?
Which of the following is a source of clinical stress for nurses?
Which of the following is a source of clinical stress for nurses?
Which symptom is associated with severe anxiety?
Which symptom is associated with severe anxiety?
What is a physical effect of stress that can negatively impact overall health?
What is a physical effect of stress that can negatively impact overall health?
How does moderate anxiety usually manifest physically?
How does moderate anxiety usually manifest physically?
What is the primary difference between stress and anxiety?
What is the primary difference between stress and anxiety?
Which of the following can be a source of clinical stress for patients?
Which of the following can be a source of clinical stress for patients?
Which nursing diagnosis is associated with patients struggling with stress management?
Which nursing diagnosis is associated with patients struggling with stress management?
What is one benefit of maintaining a regular exercise program?
What is one benefit of maintaining a regular exercise program?
Which technique involves using imagination to reduce stress?
Which technique involves using imagination to reduce stress?
What role do support systems play in stress management?
What role do support systems play in stress management?
How can good time management alleviate stress?
How can good time management alleviate stress?
In acute care, what is the primary focus of crisis intervention?
In acute care, what is the primary focus of crisis intervention?
What outcome is typically expected after a crisis intervention within a specific timeframe?
What outcome is typically expected after a crisis intervention within a specific timeframe?
Which of the following is NOT considered a nursing diagnosis related to stress?
Which of the following is NOT considered a nursing diagnosis related to stress?
What is the primary legal responsibility of nurses concerning unusual deaths?
What is the primary legal responsibility of nurses concerning unusual deaths?
Which of the following is NOT a factor important for achieving a good death?
Which of the following is NOT a factor important for achieving a good death?
What is the role of nurses at the time of a patient's death?
What is the role of nurses at the time of a patient's death?
What should healthcare institutions have policies regarding in relation to organ donation?
What should healthcare institutions have policies regarding in relation to organ donation?
Which of the following describes a critical aspect of the nursing process implementation for dying patients?
Which of the following describes a critical aspect of the nursing process implementation for dying patients?
What is one of the legal aspects nurses must be aware of when dealing with care after death?
What is one of the legal aspects nurses must be aware of when dealing with care after death?
Which action should nurses take regarding the preparation for death?
Which action should nurses take regarding the preparation for death?
How can nurses support families during a patient's final moments?
How can nurses support families during a patient's final moments?
Flashcards
Stress Response on Cardiovascular System
Stress Response on Cardiovascular System
The body's natural response to stress, involving the release of hormones like epinephrine and norepinephrine, which increase heart rate and blood pressure.
Stress Response on Respiratory System
Stress Response on Respiratory System
Increased breathing rate and dilation of the airways caused by the stress hormone norepinephrine, leading to hyperventilation.
Stress Response on Gastrointestinal System
Stress Response on Gastrointestinal System
Stress-related changes in the digestive system, often causing a loss of appetite, nausea, vomiting, and increased bowel activity.
Stress Response on Musculoskeletal System
Stress Response on Musculoskeletal System
Increased tension in large muscle groups and tremors in smaller muscles, potentially resulting in muscle spasms in the back, shoulders, and neck.
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Observing Nonverbal Cues of Stress
Observing Nonverbal Cues of Stress
Recognizing nonverbal cues like fidgeting, restlessness, and facial expressions to identify underlying anxiety, fear, anger, irritability, and tension in patients.
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What is the difference between stress and anxiety?
What is the difference between stress and anxiety?
Stress is the body's physiological response to a stimulus, while anxiety is the psychological response to a perceived threat.
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What is mild anxiety?
What is mild anxiety?
Mild anxiety is a typical part of daily life. It can enhance alertness and even motivate learning.
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What are the physical signs of moderate anxiety?
What are the physical signs of moderate anxiety?
Moderate anxiety is marked by physical signs like trembling, a shaky voice, muscle tension, and an increased heart rate.
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What are the symptoms of severe anxiety?
What are the symptoms of severe anxiety?
Severe anxiety makes it difficult to focus and learn, and often involves physical symptoms like rapid breathing and nausea.
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What are the sources of stress for patients?
What are the sources of stress for patients?
Patients may experience stress due to uncertainty about their illness, fear of the unknown, pain, cost of treatment, lack of knowledge, and potential harm.
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What are the sources of stress for nurses?
What are the sources of stress for nurses?
Nurses may experience stress due to poor patient outcomes, risk of errors, unfamiliar situations, excessive workload, inadequate resources, and potential harm to themselves.
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What are the physical effects of stress?
What are the physical effects of stress?
Stress can lead to various physical problems like cardiovascular diseases, impaired immune function, weight gain, and diabetes.
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What are the mental effects of stress?
What are the mental effects of stress?
Stress can also lead to mental health issues like depression, anxiety, and post-traumatic stress disorder (PTSD).
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Stress
Stress
A state of mental distress or emotional strain often caused by challenging situations.
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Anxiety
Anxiety
A nursing diagnosis that describes when a patient is experiencing excessive worry and tension.
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Caregiver Role Strain
Caregiver Role Strain
A nursing diagnosis that refers to a patient's difficulty in managing their responsibilities as a caregiver.
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Ineffective Coping
Ineffective Coping
A nursing diagnosis indicating a patient's inability to adapt effectively to stressors.
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Situational Low Self-Esteem
Situational Low Self-Esteem
A nursing diagnosis that signifies a patient's lack of confidence or self-worth due to stressful situations.
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Stress Overload
Stress Overload
A nursing diagnosis that describes a state of being overloaded with stressors.
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Insomnia
Insomnia
A nursing diagnosis that describes a patient's inability to fall or stay asleep consistently.
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Crisis Intervention
Crisis Intervention
A nursing diagnosis that describes a planned and structured intervention to address a patient's immediate crisis.
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Coping Response
Coping Response
The body's immediate response to a perceived threat. It involves physiological changes, often involuntary, aimed at survival.
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Adaptation
Adaptation
A continuing process that helps maintain balance between internal and external environments, crucial for growth and well-being.
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Lifestyle Considerations
Lifestyle Considerations
Lifestyle habits that can impact how we handle stress. These include things like diet, exercise, sleep, and safety.
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Previous Experience
Previous Experience
Past events that shape our reaction to stressful situations. Positive experiences build resilience, while negative ones can make stress harder to manage.
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Chronic Stress
Chronic Stress
A prolonged state of stress where the body's resources are depleted, leading to negative consequences like decreased immunity and poor wound healing.
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Resilience
Resilience
The ability to cope with and overcome stressful situations.
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Risk Identification
Risk Identification
Identifying potential factors that might increase the risk of stress for individuals, including life transitions, personal challenges, and physical limitations.
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Dysfunction Identification
Dysfunction Identification
Understanding how stress impacts an individual's functioning, considering how their typical coping methods might be affected.
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Acceptance in Grief
Acceptance in Grief
When someone comes to terms with a loss, they may experience a decreased interest in their surroundings and support people. They also might start making future plans.
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Personal Relationships and Grief
Personal Relationships and Grief
The quality and significance of the lost relationship greatly influence the grief response.
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Nature of Loss and Grief
Nature of Loss and Grief
Understanding the meaning a loss has for a patient helps explain their behavior, health, and well-being after the loss.
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Coping Strategies and Grief
Coping Strategies and Grief
Life experiences shape the ways people cope with the stress of loss.
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Medical Criteria for Death
Medical Criteria for Death
The medical criteria for declaring death include the cessation of breathing, no response to painful stimuli, lack of reflexes, and no spontaneous movement.
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What is an autopsy?
What is an autopsy?
The practice of performing a postmortem examination to determine the cause of death. It is often mandated in unusual death situations.
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Organ donation process?
Organ donation process?
Health care institutions are required to have policies in place to refer potential organ donors to specialized agencies. It is crucial for families of the deceased to understand the process and importance of organ donation.
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Nurse's role in care of the family.
Nurse's role in care of the family.
The nurse plays a key role in offering vital support and guidance to the family members of the deceased during a difficult time.
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What is considered a good death?
What is considered a good death?
A death where the individual experiences a sense of peace, dignity, and minimal suffering. It allows the person to die on their own terms, and it prioritizes control of symptoms, preparation for death, a sense of life completion, and a good relationship with healthcare professionals.
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What is the nursing process for dying patients?
What is the nursing process for dying patients?
The process of providing care to a dying patient. It focuses on meeting both the physical and emotional needs of the patient and their family.
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What is the key to patient and family relationship?
What is the key to patient and family relationship?
Developing a strong bond of trust with the patient and their family is essential. It involves open communication, empathy, and active listening.
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What are the main tasks during implementation?
What are the main tasks during implementation?
Educating the patient about their condition and treatment plan, promoting self-care and self-esteem, and teaching family members how to assist in care are essential components of the nursing process.
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What does meeting the needs of dying patients involve?
What does meeting the needs of dying patients involve?
Meeting the physical, emotional, and spiritual needs of dying patients is a critical part of the nursing process. It involves providing comfort, managing pain, and supporting their autonomy.
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Stress, Anxiety, Adaptation, Loss, and Grief
- Stress/distress is a part of life, everyone experiences it
- Stress is a disturbance in a person's physical or emotional state that disrupts their normal physiological balance and requires adaptation.
- A stressor is an event or stimulus causing stress, which can be internal (illness, fear) or external (noise, temperature)
- Sources of stress include Internal (infection, depression, worry, fear)
- External (moving, death in family, peer pressure)
- Developmental (child beginning school, young adults leaving home, older adults decreasing physical abilities)
- Situational (marriage/divorce, birth of a child, illness, loss, new job, role change)
- Stress affects physical health (cardiovascular disease, immune system impairment, varied physical effects, mental disability).
- Stress affects emotional health (negative feelings, non-constructive feelings about the self).
- Stress affects intellectual function (perceptual and problem-solving abilities).
- Stress affects social relationships (alters relationships).
- Stress affects spiritual beliefs and values.
- Clinical stress for patients includes Uncertainty, Fear, Pain, Cost, Lack of knowledge, Risk of harm, Unknown resources.
- Clinical stress for nurses includes poor patient outcomes, risk of error, unfamiliar situations, excessive workload, inadequate resources.
- Anxiety is a constant feeling of worry or fear.
- Stress is a physiological response to a stimulus, anxiety is a psychological response to a threat.
- Mild anxiety increases alertness and perceptual fields, and motivates learning and growth.
- Moderate anxiety has symptoms like a quavering voice, tremors, muscle tension, and slight increases in respiration and pulse.
- Severe anxiety has impaired learning ability, difficulty communicating, increased motor activity, and fear-related symptoms.
- Coping is a response to threatening situations, frequently involuntary.
- Coping is necessary for normal growth and development and for tolerating life changes and responding to stressors.
- Lifestyle factors such as diet, exercise, sleep, and safety/security affect coping patterns.
- Previous positive experiences build resilience, while negative experiences hinder stress management.
- A good death is a death on one's own terms, relatively free of pain, with dignity.
- Factors for a good death include symptom control, preparation, and sense of completion.
Types and Sources of Loss
- Loss is the experience of losing something or someone significant, such as a loved one or relationship.
- Actual loss is tangible (e.g., death of a loved one).
- Perceived loss is felt but not tangible (e.g., loss of body image).
- Physical loss (loss of limb, injury)
- Psychological loss
Grief
- Grief is an emotional response to loss.
- Grief can be associated with loss but is not always related to death.
- Types of grief include normal, anticipatory, dysfunctional, and complicated.
- Normal grief is a universal reaction characterized by complex emotional and cognitive responses to loss.
- Anticipatory grief occurs when people absorb loss over time and prepare for its inevitability.
- Dysfunctional grief is characterized by extreme sadness and overwhelming feelings of loss and may include inability to re-establish relationships, crying and sadness, inability to lessen intensity of grief, inability to function, emotional instability, unresolved denial and anger, and changes to eating and sleeping habits.
- Complicated grief is when grief symptoms continue for a year after a loss and includes intense emotions or difficulty accepting loss and affects physical health and daily responsibilities.
Stages of Grief
- Denial: Refusal to accept the loss.
- Anger: Directed at others or self.
- Bargaining: Making deals or agreements for the recovery of the loss.
- Depression: Experiencing sadness and despair over the loss.
- Acceptance: Coming to terms with the loss.
Factors Influencing Grief
- Human Development (patient age and stage).
- Personal Relationships (nature and quality)
- Nature of the loss (effect on health, well-being, and behaviors)
- Coping strategies (life experiences)
- Socioeconomic status
- Culture
- Spiritual/religious beliefs
Dying and Death
- Cessation of breathing, no response to stimuli, absence of reflexes, and cessation of respirations and blood pressure are used to certify death.
Care After Death
- Caring for the deceased body and meeting the needs of the family are nursing responsibilities.
- Legal aspects include organ donation and autopsies.
- Nursing care includes maintaining privacy and preventing damage to the body.
Good Death
- A good death is when a person dies on their own terms, free of pain, with dignity, and with a sense of completion, which includes control of symptoms, preparation for death, opportunity for completion, and positive relationships with healthcare providers.
Nursing Process: Implementation
- Nurses develop a trusting relationship between staff, patient, and family.
- Explain the patient's condition and treatment.
- Teach self-care and promote self-esteem in the patient.
- Engage and teach family members to provide care.
- Provide resources for family support.
- Provide post-mortem care.
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