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Chapter 42
Stress and Adaptation
52
Nursing
Undergraduate 1
11/25/2013

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Term
Stressors
Definition
anything that is perceived as challenging. May be internal (illness, a hormonal change, or fear) or external (loud noise or cold temperature). perceptions and effects are individualized. Neither positive or negative but can have positive or negative effects on as the person responds to change.
Term
Adaptation
Definition
an ongoing process as a person strives to maintain balance in his or her internal and external environments. Is necessary for normal growth and development. The ability to tolerate changing situations, and the ability to respond to physical and emotional stressors.
Term
Physiologic homeostasis
Definition
(Maslow)The body's physical response to stress (illness, respiratory, cardiovascular. fight or flight responses. The regulatory mechanisms of the body are reacting constantly to internal changes to maintain homeostasis and health.
Term
adaptive responses include
Definition
mind-body interaction, anxiety, and coping/defense mechanisms.
Term
Local adaptation syndrome (LAS)
Definition
a localized response of the body to stress. It involves only a specific body part such as a tissue or organ. short term. May be traumatic or pathologic. Reflex pain response (pull away when get burned). Inflammatory response= redness, swelling, heat, pain. Or an emotional response+ cry ect..
Term
general adaptation syndrome (GAS)

(3 stages)
Definition
the body's general response to stress, a concept essential in all areas of nursing care.
-alarm reaction...chemical hormones are released
-stage of resistance...stabilization
-exhaustion.... (REST OR DIE) If damage is too great adaptation will fail.
Term
What are the physiologic symptoms of stress?
Definition
backache, change in BM, dilated pupils, dry mouth, HA, increased urination, increased VS, Nausea, sleep disturbance, stiff neck, increased perspiration, chest pain, change in weight, decreased sex drive
Term
What is the most common response to stress?
Definition
anxiety
Term
Anxiety
Definition
the uneasy feeling of discomfort or dread from an often UNknown source. a feeling of apprehension caused by anticipating a danger.
Term
Fear
Definition
a feeling of dread is a cognitive response to a KNOWN threat
Term
coping mechanisms
Definition
the management of anxiety without conscious thought. Behaviors used to decrease stress and anxiety. many are learned based on one's family, past experiences, and sociocultural influences and expectations. may include:
-crying, laughing, sleeping, cursing
-physical activity, exercise
-smoking, drinking
-lack of eye contact, withdrawal
-limiting relationships to those with similar values and interest.
Term
defense mechanisms
Definition
These mechanisms protect one's self-esteem and are useful in mild to moderate anxiety.
Term
compensation
Definition
-emphasizes personal attribute to make up for perception of inadequacy.
-result of guilt or inferiority
Term
denial
Definition
-person acts as if event or feeling does not exist
-refusal to admit or recognize that something has occurred
Term
displacement
Definition
-Feelings toward one person are directed to a safer object
-Taking out frustrations on a less threatening subject
Term
projection
Definition
transfer own unacceptable feelings/thoughts onto another person
Term
Rationalization
Definition
-attempting to make one's behavior acceptable
-sense of guilt about thoughts or behaviors
-Explaining an unacceptable behavior in a logical manner
-saving face
Term
Repression
Definition
-Painful experiences are forgotten/kept unconscious
-operates as part of all other defenses
Term
A woman is unable to remember being sexually abused as a child
Definition
repression
Term
A man gets reprimanded by his boss. Later, he yells at his wife when dinner is not ready
Definition
displacement
Term
A student who feels like a failure after getting an F on an exam says, "It's the teacher's fault. She doesnt know how to write a test"
Definition
projection
Term
A teenager who perceives herself as ugly focuses her energy on becoming an honor roll student
Definition
compensation
Term
A man drinks several beers every night and says, "I work hard and I need to relax when I get home."
Definition
Rationalization
Term
A young mother with a new baby with a cleft palate tells her friends everything is ok with her baby.
Definition
denile
Term
A client on strict bed rest refuses to acknowledge the need to stay in bed due to illness
Definition
denile
Term
I don't know why I have to wash my hands all of the time, I just have to
Definition
Repression
Term
A student nurse has had an arguement with her boyfriend but needs to study for the NCLEX. She decides not to think about the problem until she finishes studying.
Definition
repression
Term
A young man who cannot make the varsity basketball team becomes the chess champion at school
Definition
compensation
Term
a student who wants to cheat on an examination states that other students are trying to cheat
Definition
projection
Term
the head nurse reprimands you for being late to work. Later, you are hostile toward your roommate.
Definition
displacement
Term
This stress is nurse focused on disease
Definition
Physiologic
Term
This stress is patient focused (fear and stress)
Definition
psychosocial.
Term
distress
Definition
negative and harmful to health
Term
Eustress
Definition
normal daily living stresses
Term
Crisis
Definition
overwhelming and completely threatens a persons well being. (car accident, national disaster).
Term
Biofeedback
Definition
a method of gaining mental control of the autonomic nervouse system and thus refulating body responses such as blood pressure, heart rate, and headaches. Patient trys to control by relaxation and thought. over time a person learns to control physiologic function that normally are considered involuntary responses.
Term
Crisis intervention
Definition
-identify the problem
-list alternative
-chose among alternatives
-implement the plan
-evaluate the outcome
Term
A college student's roommate says she is so stressed. What happens within the human body as a result of stress?
Definition
Responds to changes in its normal balanced state.
Term
External stressor
Definition
High environmental temperature
Term
How does the body maintain the internal environment at a constant state?
Definition
Homeostasis
Term
This person is experiencing stress...
Definition
an adolescent who is a loner
Term
The body responds in a variety of ways to stressors. The reflex pain response and the inflammatory response illustrate ...
Definition
Localized Stress
Term
A nurse is caring for a patient in the shock phase of the GAS. What response by the patient would be expected?
Definition
Increased energy levels
Term
What term is used to describe a vague feeling of discomfort or dread with an unknown source?
Definition
Anxiety
Term
Toward the end of the semester, as a final examinations near, a student finds himself sleeping more than usual. What best describes his behavior
Definition
coping mechanism
Term
A patient has just been diagnosed with cancer but responds as though this is impossible. Which of the defense mechanisms is being demonstrated?
Definition
Denial
Term
Home care of patients by family memebers for long periods of time can cause long-term stress and increased risk for illness. What is used to describe this stress response?
Definition
Caregiver burden
Term
A nurse is teaching a patient a relaxation technique. What statement demonstrates the need for further teaching?
Definition
"I should take my pulse and expect it to be faster."
Term
A nurse is teaching a patient about a painful diagnostic procedure. Which type of stress reduction activity would be the most effective?
Definition
Anticipatory guidance
Term
A nurse teaches problem solving to a college student who is in a chrisis situation. What statement best illustrates the students understanding of the process?
Definition
I need to identify the problem first
Term
A patient with hypertension is learning to use biofeedback. The nurse understands that which body system is being used with this technique?
Definition
Autonomic nervous system
Term
A new nursing graduate is considering employment. What setting is considered most stressful for nurses?
Definition
Intensive care unit
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