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NURS 250 EXAM 3 – Questions With Fully Solved Solutions

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NURS 250 EXAM 3 – Questions With Fully Solved Solutions

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NURS 250
Course
NURS 250

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NURS 250 EXAM 3 – Questions With Fully Solved
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Terms in this set (150)



Stressor definition Physical, psychological, or social stimuli that can
produce stress and endanger homeostasis


Stress defnition An actual or alleged hazard to the balance of
homeostasis


Appraisal How a person interprets the impact of the stressor


Crisis definition A situation where a person's usual coping
mechanisms are insufficient, leading to distress and
impaired functioning


Allostatic Load definition The cumulative wear and tear on the body from
chronic exposure to stress and the body's repeated
efforts to adapt


What are the long-term physiological Hypertension
problems related to a high allostatic Cardiovascular disease
load? Obesity
Diabetes
Weakened immune function


What are the three stages of general Alarm stage: adrenaline; fight/flight
adaptation syndrome? Resistance stage: dealing w/ stressor
Exhaustion stage: tapped out
(Not on the study guide)

,What are the reactions to Primary appraisal: "Is it good or bad?"
psychological stress? Secondary appraisal: solve if you have resources
Coping: mechanism
(Not on the study guide) Ego-defense mechanisms: avoiding or passing off or
denial


What are the types of stress? Chronic
Acute
(Not on the study guide) PTSD
Secondary traumatic stress
Crisis


What effects do glucocorticoids Increase blood glucose, suppress immune function,
(cortisol) secreted from the adrenal and help the body manage stress.
gland have on the body?


What effects do mineralocorticoids Regulate sodium and water balance, affecting blood
(Aldosterone) secreted from the pressure.
adrenal gland have on the body?


What effects do catecholamines Released by the sympathetic nervous system to
(epinephrine and norepinephrine) prepare the body for "fight or flight," increasing heart
have on the body? rate, blood pressure, and energy availability.


What is the difference between PTSD Post-traumatic stress disorder (PTSD) is a mental
and STS? health condition triggered by experiencing or
witnessing a traumatic event, leading to flashbacks,
avoidance, and hyperarousal


Secondary traumatic stress disorder (STS) is
emotional distress experienced by individuals who
hear about the firsthand trauma experiences of
another


Developmental (maturational crisis) Predictable stress related to normal growth and
development (puberty, retirement)


Situational crisis Unpredictable and arises from external
circumstances (flat tire, test)

, Disasters or adventitious crisis Rare, accidental, and unexpected events (natural
disasters, crimes)


What are the different nursing theories Neuman systems model: patient is part of the system
and role of stress?
Roy's adaptation model: produce inputs and outputs
(Not on study guide) classifying stimuli


Pender's health promotion model: interactions of a
person's personality characteristics, how they're
perceiving, health behaviors, environment


What are non-verbal things that will Observing body language, facial expressions,
help you understand a patient's posture, hygiene, and physical signs (like shaking or
condition? sweating) can help assess a patient's stress level and
emotional state


What developmental/maturational Loss of independence
stressors are particular to older adults Chronic illnesses
(65+)? Bereavement and loneliness
Financial concerns
Cognitive decline


What are positive coping strategies Regular exercise and rest
and behaviors that can be used when Support systems
implementing a plan of care with Time management
patients? Guided imagery and visualization
Progressive muscle relation therapies
Assertiveness training
Journal writing
Mindfulness-based stress reduction
Stress management in the workplace
Social isolation and loneliness prevention


What are the symptoms of sleep/wake Fatigue
disruptions and sleep deprivation? Irritability
Poor concentration
Slowed reaction times
Mood disturbances
Decreased immune function.

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