Podcast
Questions and Answers
Which physiological change is primarily associated with increased levels of norepinephrine in the respiratory system?
Which physiological change is primarily associated with increased levels of norepinephrine in the respiratory system?
- Increased appetite
- Bronchodilation (correct)
- Bronchoconstriction
- Decreased breathing rate
What symptom is commonly related to the gastrointestinal system's response to stress?
What symptom is commonly related to the gastrointestinal system's response to stress?
- Decreased peristalsis
- Loss of appetite (correct)
- Increased energy levels
- Muscle spasms
Which of the following cardiovascular changes is NOT typically associated with stress responses?
Which of the following cardiovascular changes is NOT typically associated with stress responses?
- Increased blood pressure
- Irregular heartbeat
- Decreased heart rate (correct)
- Increased heart rate
Which symptom is indicative of musculoskeletal tension due to stress?
Which symptom is indicative of musculoskeletal tension due to stress?
When observing a patient for nonverbal signs of ineffective coping, which behavior should be prioritized?
When observing a patient for nonverbal signs of ineffective coping, which behavior should be prioritized?
What factor influences a person's ability to access support and resources for coping with loss?
What factor influences a person's ability to access support and resources for coping with loss?
Which aspect does NOT typically influence the grief response when losing another person?
Which aspect does NOT typically influence the grief response when losing another person?
What is considered an important component of acceptance in the grief process?
What is considered an important component of acceptance in the grief process?
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?
Why is it important for nurses to understand a patient's cultural background concerning loss and grief?
Why is it important for nurses to understand a patient's cultural background concerning loss and grief?
Which nursing diagnosis is associated with an individual's response to stress that includes experiencing nervousness and apprehension?
Which nursing diagnosis is associated with an individual's response to stress that includes experiencing nervousness and apprehension?
What is one of the benefits of a regular exercise program related to stress management?
What is one of the benefits of a regular exercise program related to stress management?
Which of the following is a component of effective time management to reduce stress?
Which of the following is a component of effective time management to reduce stress?
What technique involves using imagination to reduce stress?
What technique involves using imagination to reduce stress?
Which diagnosis indicates a risk of experiencing psychological issues after a traumatic event?
Which diagnosis indicates a risk of experiencing psychological issues after a traumatic event?
In crisis intervention, what is the primary method used for resolving the situation?
In crisis intervention, what is the primary method used for resolving the situation?
What type of nursing diagnosis refers to the inability to handle stress effectively?
What type of nursing diagnosis refers to the inability to handle stress effectively?
Which of the following best describes a support system's role in stress management?
Which of the following best describes a support system's role in stress management?
What is the primary role of adaptation in a person's life?
What is the primary role of adaptation in a person's life?
Which of the following factors is NOT mentioned as affecting coping patterns?
Which of the following factors is NOT mentioned as affecting coping patterns?
How does sleep impact a person's ability to cope with stress?
How does sleep impact a person's ability to cope with stress?
Mr. Smith's symptoms suggest he is experiencing which type of stress?
Mr. Smith's symptoms suggest he is experiencing which type of stress?
What is a probable outcome of having positive previous experiences in relation to stress?
What is a probable outcome of having positive previous experiences in relation to stress?
Which of the following is a physiological benefit of activity and exercise mentioned in coping?
Which of the following is a physiological benefit of activity and exercise mentioned in coping?
What can be inferred about safety and security in relation to coping mechanisms?
What can be inferred about safety and security in relation to coping mechanisms?
Which of the following statements about coping responses is true?
Which of the following statements about coping responses is true?
What outcome is likely when a person successfully copes with a crisis?
What outcome is likely when a person successfully copes with a crisis?
Which type of loss is characterized by the death of a loved one?
Which type of loss is characterized by the death of a loved one?
What defines perceived loss?
What defines perceived loss?
Which patient situation is most closely associated with the nursing diagnosis of 'Ineffective Coping'?
Which patient situation is most closely associated with the nursing diagnosis of 'Ineffective Coping'?
What is a primary duty of nurses regarding patient care?
What is a primary duty of nurses regarding patient care?
What type of grief is characterized by emotions that persist for a year or longer after a loss?
What type of grief is characterized by emotions that persist for a year or longer after a loss?
Which of the following represents a psychological loss?
Which of the following represents a psychological loss?
What kind of loss might result from a serious accident causing permanent injury?
What kind of loss might result from a serious accident causing permanent injury?
Which symptom is commonly associated with dysfunctional grief?
Which symptom is commonly associated with dysfunctional grief?
When do patients and families need the most expert nursing care?
When do patients and families need the most expert nursing care?
What stage of grief may involve feelings of guilt or attempts to bargain?
What stage of grief may involve feelings of guilt or attempts to bargain?
Anticipatory grief is best described as which of the following?
Anticipatory grief is best described as which of the following?
What is a physical symptom commonly associated with grief?
What is a physical symptom commonly associated with grief?
Which type of grief involves complex reactions that are universally recognized as normal?
Which type of grief involves complex reactions that are universally recognized as normal?
In the denial stage of grief, an individual may exhibit which behavior?
In the denial stage of grief, an individual may exhibit which behavior?
How does dysfunctional grief primarily affect an individual?
How does dysfunctional grief primarily affect an individual?
Flashcards
Respiratory System Stress
Respiratory System Stress
Norepinephrine increases breathing rate and bronchodilates, leading to faster and deeper breaths.
Musculoskeletal System Stress
Musculoskeletal System Stress
Increased tension in larger muscles can be observed as a sign of stress. It also includes tremors in smaller muscles.
Cardiovascular System Stress
Cardiovascular System Stress
Epinephrine and norepinephrine directly impact the cardiovascular system, leading to an increased heart rate and blood pressure.
Gastrointestinal System Stress
Gastrointestinal System Stress
Signup and view all the flashcards
Nonverbal Signs of Stress
Nonverbal Signs of Stress
Signup and view all the flashcards
Acceptance (stage of grief)
Acceptance (stage of grief)
Signup and view all the flashcards
Impact of Personal Relationships on Grief
Impact of Personal Relationships on Grief
Signup and view all the flashcards
Nature of Loss and Grief
Nature of Loss and Grief
Signup and view all the flashcards
Coping Strategies in Grief
Coping Strategies in Grief
Signup and view all the flashcards
Medical Criteria for Death
Medical Criteria for Death
Signup and view all the flashcards
Stress
Stress
Signup and view all the flashcards
Anxiety
Anxiety
Signup and view all the flashcards
Caregiver Role Strain
Caregiver Role Strain
Signup and view all the flashcards
Ineffective Coping
Ineffective Coping
Signup and view all the flashcards
Fear
Fear
Signup and view all the flashcards
Risk for Post-Trauma Syndrome
Risk for Post-Trauma Syndrome
Signup and view all the flashcards
Insomnia
Insomnia
Signup and view all the flashcards
Situational Low Self-Esteem
Situational Low Self-Esteem
Signup and view all the flashcards
Coping Responses
Coping Responses
Signup and view all the flashcards
Adaptation
Adaptation
Signup and view all the flashcards
Lifestyle Considerations
Lifestyle Considerations
Signup and view all the flashcards
Previous Experiences
Previous Experiences
Signup and view all the flashcards
Chronic Stress
Chronic Stress
Signup and view all the flashcards
Risk Identification
Risk Identification
Signup and view all the flashcards
Dysfunction Identification
Dysfunction Identification
Signup and view all the flashcards
Normal Grief
Normal Grief
Signup and view all the flashcards
Anticipatory Grief
Anticipatory Grief
Signup and view all the flashcards
Dysfunctional Grief
Dysfunctional Grief
Signup and view all the flashcards
Complicated Grief
Complicated Grief
Signup and view all the flashcards
Denial
Denial
Signup and view all the flashcards
Anger
Anger
Signup and view all the flashcards
Bargaining
Bargaining
Signup and view all the flashcards
Depression
Depression
Signup and view all the flashcards
Loss
Loss
Signup and view all the flashcards
Actual loss
Actual loss
Signup and view all the flashcards
Perceived loss
Perceived loss
Signup and view all the flashcards
Physical loss
Physical loss
Signup and view all the flashcards
Psychological loss
Psychological loss
Signup and view all the flashcards
Grief
Grief
Signup and view all the flashcards
Facilitating a peaceful death
Facilitating a peaceful death
Signup and view all the flashcards
Nursing care through loss, grief, and death
Nursing care through loss, grief, and death
Signup and view all the flashcards
Study Notes
Stress, Anxiety, Adaptation, Loss, and Grief
- Stress/distress is a part of life, everyone experiences it at some point.
- Stress is a disturbance in an individual's physical and/or emotional state, affecting the body's normal physiological state. The body adapts to this disturbance.
- A stressor is any event or stimulus that triggers stress.
- Internal stressors originate within the person (e.g., illness, fear, depression).
- External stressors originate outside the person (e.g., work issues, death in family, moving).
- Developmental stressors occur at predictable times throughout life (e.g., starting school, leaving home, aging).
- Situational stressors are unpredictable and occur at any time in life (e.g., illness, marriage or divorce, job loss).
- Stress can have physical, emotional, intellectual, social, and spiritual effects.
Sources of Clinical Stress
- For patients, uncertainty, fear, pain, cost, lack of knowledge, risk of harm, and unknown resources are significant stressors.
- For nurses, poor patient outcomes, risk of error, unfamiliar situations, excessive workload, and inadequate resources are notable stressors.
What Kinds of Harm Can Stress Cause?
- Stress can increase the risk of cardiovascular diseases (e.g., heart attack, stroke).
- Prolonged stress can negatively affect the immune system.
- Stress can lead to various physical symptoms such as weight fluctuations, hair and skin problems, diabetes, digestive issues, and libido problems.
- Mental health challenges, including depression, anxiety, and PTSD, can result from prolonged stress.
Anxiety
- Anxiety is a constant feeling of worry or fear.
- Stress is the physiological response to a stimulus; anxiety is how a person feels psychologically in response to a threat.
- Mild anxiety heightens awareness and motivates learning but can disturb sleep.
- Moderate anxiety includes vocal tremors, increased muscle tension, and "butterflies."
- Severe anxiety leads to difficulty with communication, increased motor activity, fear, and other physical symptoms.
Adaptation and Coping
- Adaptation: In a threatening situation, immediate, involuntary responses are called coping mechanisms.
- Adaptation is critical for normal growth, tolerating changes, and responding to physical/emotional stressors.
- Coping effectiveness depends on the person's perception of the stressor and available support systems.
- A balance between stress perception, coping mechanisms, and support helps maintain equilibrium.
Factors Affecting Coping
- Lifestyle factors (diet, activity, sleep, safety/security).
- Previous experiences (positive = resilience; negative = harder to manage stress).
Dying and Death
- Medical criteria for death include cessation of breathing, no response to stimuli, absence of reflexes, and lack of spontaneous movement.
- Traditional medical criteria for death also include cessation of respirations and blood pressure.
- Nurses care for the body and support the grieving family after a death.
- Care after death involves legal aspects, such as organ donation (families might need support with understanding procedures and decisions).
- Nurses provide support to the family and the dying person to help facilitate a meaningful end-of-life process.
Good Death
- A "good death" is when the dying person is as comfortable as possible with dignity, pain management, and choices about their final days.
- Good care includes managing symptoms, providing a sense of closure, and fostering relationships with healthcare professionals.
Stages of Grief
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
Types of Grief
- Normal grief (uncomplicated)
- Anticipatory grief
- Dysfunctional grief
- Complicated grief
Nursing Diagnoses (related to stress & coping)
- Ineffective coping
- Caregiver role strain
- Anxiety
- Risk for post-trauma syndrome
- Insomnia
- Situational low self-esteem
Physical Assessment (related to stress)
- Cardiovascular system effects (heart rate, blood pressure, irregular rhythms).
- Respiratory system effects (hyperventilation, "air hunger").
- Gastrointestinal system (changes in appetite, nausea/vomiting, hyperactive bowel sounds).
- Musculoskeletal system (muscle tension, tremors, spasms).
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.