NUR 253 Exam 2 Question And Answers Fully Solved Graded A+
GAS Three stages answerAlarm or acute stress stage (flight or fight)( interaction between nervous and
immune system)
Resistance or adaptation stage (usually stressors are successfully overcome)
Exhaustion stage (resources are depleted, stress may become chronic)
NI for managing Stress answerMeasuring stress:
- Social Readjustment Rating Scale (Holmes and Rahe)
•Measures level of positive and negative stressful life events over a 1-year period
Recent Life Changes Questionnaire
Four personal attributes people use to manage stress:
- Health-sustaining habits (medical compliance, proper diet, relaxation, etc.)
- Life satisfactions (work, family, hobbies, etc.)
- Social supports
- Effective and healthy responses to stress
Biofeedback:
- Use of sensitive instrumentation gives exact information regarding muscle activity, brain waves, skin
temperature, HR, BP, and other bodily functions
Deep breathing exercises:
- Should be slow, deep, and even
Guided imagery:
- Focusing on pleasant images to replace negative or stressful feelings
Relaxation Techniques answerProgressive relaxation:
- Focusing on eliminating muscle contraction causes by anxious feelings which produce tense muscles
,Meditation/mindfulness:
- Training of the mind to develop greater calm and use that calm to bring penetrative insight into one's
experience
Physical exercise:
- Walking, yoga, cycling, aerobics, water exercise, dancing etc.
Cognitive reframing:
- Changing ones perception of stress by reassessing the situation and replacing irrational beliefs
Journaling
Humor
Levels of Anxiety answerMild anxiety
- Everyday problem-solving leverage
- Grasps more information effectively
Moderate anxiety
- Selective inattention
- Clear thinking hampered
- Problem solving not optimal
- Sympathetic nervous system symptoms begin
Severe anxiety
- Perceptual field greatly reduced
- Difficulty concentrating on environment
- Confused and automatic behavior
- Somatic symptoms increase
, Panic
- Most extreme level of anxiety
- Markedly disturbed behavior—running, shouting, screaming, pacing
- Unable to process reality; impulsivity
generalized anxiety disorder answer- Excessive worry that lasts for months
- Common worries are inadequacy in interpersonal relationships, job responsibilities, finances, and
health of family members
obsessive-compulsive disorder answerObsessions
- Thoughts, impulses, or images that persist and recur, so that they cannot be dismissed from the mind
Compulsions
- Ritualistic behaviors an individual feels driven to perform in an attempt to reduce anxiety
Obsessive-compulsive disorder
- Behaviors exist along a continuum
- Symptoms occurring on a daily basis
- Pathological obsessions or compulsions cause distress
- Rituals are time-consuming and interfere in normal routines, social activities, and relationships
Pharmacological Interventions for Anxiety answerAntidepressants
•SSRI's considered first line which block reuptake of serotonin levels in the brain
•Examples Paxil, Prozac, Lexapro, Luvox, and Zoloft
Anti-anxiety drugs
•Benozodiazepines are most common b/c of quick onset
•Use for short periods b/c of dependence
•Monitor for SE such as sedation, ataxia, and decreased cognitive function
Maturational Crisis answer- When new developmental stage is reached (Erickson)
- Old coping skills no longer effective
GAS Three stages answerAlarm or acute stress stage (flight or fight)( interaction between nervous and
immune system)
Resistance or adaptation stage (usually stressors are successfully overcome)
Exhaustion stage (resources are depleted, stress may become chronic)
NI for managing Stress answerMeasuring stress:
- Social Readjustment Rating Scale (Holmes and Rahe)
•Measures level of positive and negative stressful life events over a 1-year period
Recent Life Changes Questionnaire
Four personal attributes people use to manage stress:
- Health-sustaining habits (medical compliance, proper diet, relaxation, etc.)
- Life satisfactions (work, family, hobbies, etc.)
- Social supports
- Effective and healthy responses to stress
Biofeedback:
- Use of sensitive instrumentation gives exact information regarding muscle activity, brain waves, skin
temperature, HR, BP, and other bodily functions
Deep breathing exercises:
- Should be slow, deep, and even
Guided imagery:
- Focusing on pleasant images to replace negative or stressful feelings
Relaxation Techniques answerProgressive relaxation:
- Focusing on eliminating muscle contraction causes by anxious feelings which produce tense muscles
,Meditation/mindfulness:
- Training of the mind to develop greater calm and use that calm to bring penetrative insight into one's
experience
Physical exercise:
- Walking, yoga, cycling, aerobics, water exercise, dancing etc.
Cognitive reframing:
- Changing ones perception of stress by reassessing the situation and replacing irrational beliefs
Journaling
Humor
Levels of Anxiety answerMild anxiety
- Everyday problem-solving leverage
- Grasps more information effectively
Moderate anxiety
- Selective inattention
- Clear thinking hampered
- Problem solving not optimal
- Sympathetic nervous system symptoms begin
Severe anxiety
- Perceptual field greatly reduced
- Difficulty concentrating on environment
- Confused and automatic behavior
- Somatic symptoms increase
, Panic
- Most extreme level of anxiety
- Markedly disturbed behavior—running, shouting, screaming, pacing
- Unable to process reality; impulsivity
generalized anxiety disorder answer- Excessive worry that lasts for months
- Common worries are inadequacy in interpersonal relationships, job responsibilities, finances, and
health of family members
obsessive-compulsive disorder answerObsessions
- Thoughts, impulses, or images that persist and recur, so that they cannot be dismissed from the mind
Compulsions
- Ritualistic behaviors an individual feels driven to perform in an attempt to reduce anxiety
Obsessive-compulsive disorder
- Behaviors exist along a continuum
- Symptoms occurring on a daily basis
- Pathological obsessions or compulsions cause distress
- Rituals are time-consuming and interfere in normal routines, social activities, and relationships
Pharmacological Interventions for Anxiety answerAntidepressants
•SSRI's considered first line which block reuptake of serotonin levels in the brain
•Examples Paxil, Prozac, Lexapro, Luvox, and Zoloft
Anti-anxiety drugs
•Benozodiazepines are most common b/c of quick onset
•Use for short periods b/c of dependence
•Monitor for SE such as sedation, ataxia, and decreased cognitive function
Maturational Crisis answer- When new developmental stage is reached (Erickson)
- Old coping skills no longer effective
