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Lesson 16 and 8
Unit 3 Test
46
Nursing
Undergraduate 2
09/21/2012

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Term
Stress:
Definition
the body’s reaction to any environmental demand. It is and experience a person is exposed to, through a stimulus or stressor.
Term
Stressor:
Definition
any situation, demands, or event that threatens a person’s security. They are disruptive forces operating within or on any system. Can be neutral-neither good nor bad. How does someone perceive stress? Some are eustressful- positive and stimulating. Appraisal: how people interpret the impact of the stressor on themselves. Quality of the stressor-intensity, scope, duration, number and nature of other stressors, predictability are all determined by the person experiencing these stressors. Characteristics of individual that influence stress response: level of personal control, availability of social supports, feelings of competence, cognitive appraisal
Term
→organs that maintain homeostasis:
Definition
Medulla oblongata – controls HR, BP, RR; Reticular formation – sleep/wake cycles; levels of consciousness – causes alertness during stress; Pituitary gland – makes hormones that modulate vital functions
Term
→The Sympathetic Nervous System [Fight-or-Flight]
Definition
↑ HR ; ↑ BP (vasoconstriction); ↑ RR (shallow breathing) ; ↓ GI tract movement, ↑ blood flow to skeletal muscles, ↑ epinephrine/norepinephrine release (adrenaline hormones);↑ production of glucose in the liver for energy!
Term
[parasympathetic ns =
Definition
the relaxation response/ opposite of the sns]
Term
General Adaptation Syndrome –
Definition
describes how the body responds to stressors through the alarm reaction, resistance stage and exhaustion stage – did most of his research on animals.
Term
GAS Stage 1 –
Definition
ALARM!!! The body actives fight or flight when stressors are threatening
Term
GAS Stage 2 –
Definition
RESISTANCE – adaptation occurs – long term stressors deplete adaptive energy resulting in:
Term
GAS Stage 3 –
Definition
EXHAUSTION – body’s adaptive energy is depleted resulting in disease, collapse, or death.
Term
*resilience/hardiness
Definition
helps the body deal with stress. Individuals are resourceful, flexible and have good problem solving skills.
Term
Quality of stressor:
Definition
intensity, scope, duration, number and nature of other stressors, predictability
Term
Coping:
Definition
A person’s cognitive and behavioral efforts to manage specific external and internal stressors that seem to exceed available resources
Term
-methods of coping→
Definition
Problem focused: dealing with problem and its obstacles. Ex. Learning how to manage your diabetes.; Emotion focused: regulating emotional response to event. Ex. Venting feelings, attending support group; Successful coping = the ability to change and adapt coping strategies.
Term
Defense mechanisms:
Definition
not done consciously – protection from anxiety and stress;
Term
compensation
Definition
making up for deficiency in one area of self-image by strongly emphasizing an asset.
Term
conversion –
Definition
turn anxiety into a physical complaint ex: can’t go to school because my stomach hurts.
Term
denial –
Definition
refusing to acknowledge anything that causes intolerable emotional pain.
Term
displacement –
Definition
transferring emotions to something else.
Term
identification –
Definition
patterning behavior after another person’s – qualities, characteristics, actions.
Term
dissociation –
Definition
experienced a sense of numbing and a reduced awareness of one’ surroundings.
Term
regression –
Definition
reverting back to an earlier life phase.
Term
→Relaxation Techniques:
Definition
belly breathing, meditation, music, masssage, positive imagery, tensing and relaxing muscles
Term
*Nurses are at high risk for:
Definition
maladaptive coping: substance abuse and dependence
Term
Loss –
Definition
any situation, actual, potential or perceived, wherein a valued object or person is changed or is no longer accessible to the individual and that requires adaptation through the grieving process. Loss involves Grief.
Term
Types of losses:
Definition
necessary, actual, perceived, maturational, situational
Term
·         Necessary-
Definition
normal part of living, results from change. Ex- switching schools, changes in life
Term
·         Actual-
Definition
person can no longer feel, hear, or know a person or object. Ex-loss of limb, loss of job
Term
·         Perceived-
Definition
loss of self-esteem due to being fired from job. Ex- loss of beauty, youth, status, money
Term
·         Maturational-
Definition
developmental changes, loss of freedom of lack of responsibility as one enters adolesnece. Ex- child going to school, retirement
Term
·         Situational-
Definition
sudden, unpredictable external event. External loss due to circumstances usually beyond ability to control. Ex- loss of loved one, giving up child for adoption
Term
Grief –
Definition
the emotional and behavioral response to a loss. A normal, natural and adaptive response to loss.
Term
Types of grief:
Definition
uncomplicated, complicated, disenfranchised, anticipatory
Term
·         Uncomplicated
Definition
(normal)
Term
·         Complicated –
Definition
people don’t go through the entire grieving process. Numbness, bitterness, not willing to move forward, can develop psychiatric problems.
Term
·         Disenfranchised –
Definition
marginal/unsupported. Ex: mistress loses her lover – lost someone to murder/suicide.
Term
·         Anticipatory –
Definition
beginning to “let go” before the actual death – especially with someone who has long term illness.
Term
Tasks of Grief work:
Definition
TEAR
Term
T
Definition
to accept the reality of the loss
Term
E
Definition
experiencing the pain of the loss
Term
A
Definition
adjustment to life that no longer includes the loss
Term
R
Definition
reinvesting emotional energy into new relationships
Term
Theories of loss, grief, and Mourning:
Definition
Kubler-Ross, Bowlby, Worden
Term
Five stages of Dying (Kubler-Ross)
Definition
Denial, Anger, Bargaining, Depression, Acceptance
Term
Attachment Theory (Bowlby)
Definition
Numbing, Yearning and searching, Disorganization and dispair, reorganization
Term
Tasks of Mourning (Worden)
Definition
Accepting the reality of the loss, working thru the pain of grief, adjusting the enviornment withour deceased, emotionally relocating the deceased and moving on with life
Term
◊The Grieving Nurse◊
Definition
The nurse will grieve and this should be permitted. Attending funerals, Develop a support system; know when to ask co-workers for help, Take time to cry with and for patients, Incorporate stress management techniques into life: exercise, listen to music, laugh, pray.
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