NURS 2003 Final Exam TRENT UNIVERSITY Questions With Correct Answers

NURS 2003 Final Exam TRENT UNIVERSITY
Questions With Correct Answers

Describe some of the language or symptoms that may be associated with stress. -
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CORRECT ANSWER✔✔-- anxiety: the person may appear / be expressing nervous
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or overwhelmed
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-irritated: short with people who may be posing as a distraction
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-fast speech: potentially related to anxiety
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Define stress - CORRECT ANSWER✔✔-A non-specific response of the body to any
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demand made on it (SEYLE) | | | |




When does stress occur? - CORRECT ANSWER✔✔-occurs with difficulties in
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dealing with life situations; each person handles stress differently
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When one perceives they cannot adequately cope with the demands that are
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being used paced on them OR when their well-being is affected
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How is stress defined as a phenomena? - CORRECT ANSWER✔✔-It is UNIVERSAL;
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there is no concrete way to measure it & we may all experience it in different
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ways — SUBJECTIVE
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,Nursing Tip: check in with patient or their family to find out how they feel when
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under stress & how it manifests for them
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Outline the theory of stress known as:
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STRESS AS A STIMULUS - CORRECT ANSWER✔✔--social readjustment rating scale
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-stress is a STIMULUS that causes a RESPONSE
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-theory assumes that frequent changes in life make people more at risk of
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developing stress and illness | | | |




(HOLMES, RAHE, MASUDA & MILLER) | | | |




What is the pathophysiology behind the STRESS AS A STIMULUS theory? -
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CORRECT ANSWER✔✔-1. CEREBRAL CORTEX: processes the stress stimuli
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2.LIMBIC SYSTEM: relays information to the hypothalamus
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3. HYPOTHALAMUS: regulates the SNS and PNS; this is the central connection
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Explain stress in regard to the theory of STRESS AS A TRANSACTION - CORRECT
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ANSWER✔✔--there is a primary appraisal of this stressor | | | | | | |




-if individual perceives the primary appraisal as a stressful and a threat;
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|harm/loss; challenge, there will be a secondary appraisal
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-this is where the coping resources come into play (+ OR -)
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,Outline the pathophysiology behind the theory of STRESS AS A TRANSAXTJON -
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CORRECT ANSWER✔✔-1. Stressful stimulus
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2. Primary appraisal to stress
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3. Primary appraisal is determined to be: irrelevant, stressful or benign
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4. Individual perceives stimulus as stressful, threat, harm/loss or challenge
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5. Secondary appraisal to stress
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6. Coping resources
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What factors affect one's perception of stress? - CORRECT ANSWER✔✔-
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Hardiness: the way a person deals with stress (people with this characteristic
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tend to cope better with stress)
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Sense of coherence: how a person sees the world and one's life. (They have the
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ability to separate themselves from the environment; don't allow events
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happening in the world to have an affect on them)
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Resilience: being resourceful, flexible and using problem solving strategies (able
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to access resources to mitigate stress)
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Attitude: impacts the way we look at/ approach things
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, What is general adaptation syndrome? G.A.S - CORRECT ANSWER✔✔-Three
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predictable stages the body uses to respond to stressors:
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1. Stage of alarm reaction
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2. Stage of resistance
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3. Stage of exhaustion
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**to remember: "ARRE" ☠️
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Outline the sympathoadrenal response - CORRECT ANSWER✔✔-***refer to the
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pathophysiology map provided*** | |




INCREASED SNS ACTIVITY leads to: | | | | |




Heart ❤️
- ⬆️
HR; ⬆️
| stroke volume 🔗 ⬆️
cardiac output
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Blood vessels - peripheral vasoconstriction 🔗 ⬆️
| | SYSTOLIC BP & redistribution of
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blood to vital organs
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Lungs - ⬆️
resp. rate; shallow breathing
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Adrenal Medulla - ⬆️
epi and nor epi 🔗 prolonged SNS response
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