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Nursing Theory
Stress and Coping Models and Mechanisms
Question | Answer |
---|---|
Name and define 4 sources of stress | 1)internal - infection, depression 2)External - a move, death, peer pressure 3)situational - marriage, divorce,job loss 4)developmental - stages of life |
What happens to the nervous system in times of stress | The central cortex relays the stressful stimuli via the limbic system to the hypothalmus where the fight or flight response is initiated |
What happens to the endocrine/autonomic nervous system in times of stress | Epinephrine is released which cause the pupils to dilate, HR and RR to increase, skin to become pale, and mental alertness to increase |
What are some psychological indicators of stress | 1)anxiety, 2)fear, 3)anger, 4)depression, 5)Defense mechanisms |
What are some cognitive indicators of stress | 1)structuring, 2)self-control, 3)self-discipline,4)suppression, 5)fantasy |
What are some physical indicators of stress | 1)nausea,2)fatigue, 3)muscle tremors, 4)difficulty breathing, 5)sweating, 6)chills |
Name and describe the two types of coping strategies | 1)problem-focused = refers to efforts to improve situation by making changes or taking action, 2)emotion-focused = includes thoughts and actions that relieve emotional stress |
Is long-term or short-term coping strategies better | Most short-term strategies have destructive or detrimental outcomes such as drug/alcohol abuse whereas long-term strategies require a change in lifestyle patterns |
What are the NANDA labels associated with stress (9) | 1)anxiety, 2)Caregiver role strain 3)compromised family coping 4)defensive coping 5)disabled family coping 6)ineffective coping 7)ineffective denial 8)Post-trauma syndrome 9)relocation stress syndrome |
What are some medications given for stress/anxiety | 1)zoloft, 2)prozac, lexapro, celexa |
what is the most common form of psychiatric disorder in the U.S. and what percent of the population is it | anxiety is the most common psychiatric disorder and this encompasses 13% of the population |