click below
click below
Normal Size Small Size show me how
NURS 319: Stress
Chapter 4 Stress
Question | Answer |
---|---|
eustress | good stress ex: stress before a wedding |
distress | bad stress ex: divorce, illness |
acute stress | stress that occurs but doesn't last long |
chronic stress | long lasting stress |
stages of stress | alarm, resistance, exhaustion |
the _____ stage is also known as "fight or flight" | alarm |
In this stage, the body perceives a stressful stimulus. Initially, the _______ nervous system which releases the neurotransmitters (that are also known as catecholamines) | sympathetic epinephrine and norepinephrine |
The catecholamines are released when the ______ gland is stimulated by the sympathetic nervous system. They are found in the ______ of the ______ gland. | adrenal; medulla, adrenal |
What are the actions of epinephrine? | increase smooth muscle contraction, dilate pupils, contract intestinal sphincter muscles |
What are the actions of norepinephrine? | increase alertness, arousal, and attention vasoconstriction of blood vessels |
In the initial ______ stage of stress, the sympathetic nervous system stimulates the adrenal medulla to release the catecholamines. | alarm |
Epinephrine and norepinephrine ______ the BP, elevate ______ sugar, ______ the GI tract, ______ heart rate,. and ______ respirations, ______ urine production, ______ pupils, ______ blood flow to muscles, and _____ sweating. | increase; blood; increase; increase; increase; dilate; increase; induce |
Alarm stage reactions occur in an initial response to a stressor but cannot be sustained for a long period due to the short half-life of the neurotransmitters (_____ & _____). | epinephrine and norepinephrine |
As the SNS is responding the _______ gland is stimulated to release _______ ____ factor (CRF). | pituitary; corticotropin releasing |
CRF stimulates the ______ _______ to release ______ (ACTH). | anterior pituitary; adrenal corticolopen hormone |
ACTH stimulates the ____ ___ to release _____, which helps to sustain the body's response to the stress. This is the beginning of the _______ phase of the stress response. | adrenal cortex; cortisol; resistance |
The resistance stage of stress is called the _____ Axis. | HPA |
What are the functions of cortisol? | increase blood pressure, increase glucose, decrease immune response (long term) |
What common medication is used for various inflammatory issues or infections can you think of that has the same action as cortisol? | Hydrocortisone |
What is the main purpose of the resistance stage in your own words? | body is coping with stress and making it the new normal |
What are some symptoms someone will develop in the resistance stage? | weight gain, chronic illness- getting sicker, hypertension |
What other hormones play a role in the stress response? | catecholamines |
When the stress overwhelms the body- or the body reaches _______ load, illness occurs. This is the ______ stage. | allostatic; exhaustion |
Cumulative stress in addition to poor adaptability causes _______ ________. This maladaptation to stress causes ____ illness. | decreased immunosuppression; chronic |
When the stress is relieved the ________ nervous system induces relaxation. Another term is "rest and digest" | parasympathetic |
What are some actions of the PNS? | Opposite of SNS- undos its actions |
Define allostasis | the body's processes in order to get back to homeostasis |
Define allostatic overload and give an example | Too much stress, body cannot adapt to it ex: getting sick while studying and stressing over a test |
What can be done to help relieve stress? | Exercise, talk it out, go outside, take a break |