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NFDN 2007 FINAL exam with complete solutions

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What is the concept of transaction stress the relationship between the person and the environment that is appraised as exceeding the person's resources and endangering his or her well-being What is the physiologic response to stress fight or flight - begins in CNS - sympathetic respons...

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  • 28 augustus 2024
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NFDN 2007 FINAL exam with complete
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What is the concept of transaction stress - ANSWER-the relationship between the
person and the environment that is appraised as exceeding the person's
resources and endangering his or her well-being

What is the physiologic response to stress - ANSWER-fight or flight

- begins in CNS
- sympathetic response
- immune system function negatively affected

What are some psychological stress-related symptoms - ANSWER-depression,
anxiety, pain, sleep problems, autoimmune diseases, heart disease, weight
problems, reproductive issues etc

What is social support - ANSWER-resources provided to us by others

Which of the following is a physiologic outcome to stress

A. Emotions
B. Intense emotions—disturbance in intellectual functioning
C. Feeling challenged or threatened
D. Sympathetic response - ANSWER-D

What is coping - ANSWER-an individual's constantly changing cognitive and
behavioural efforts to manage specific external or internal demands that are
appraised as taxing or exceeding the individual's resources

What is problem-focused coping? - ANSWER-attempting to alleviate stress
directly by changing the stressor or the way we interact with that stressor

changes the relationship between the environment and person

,What is emotion-focused coping? - ANSWER-attempting to alleviate stress by
avoiding or ignoring a stressor and attending to emotional needs related to our
stress reaction

changing person-environment relationship

What is inner directed coping - ANSWER-reminding or telling self that what they
are presently doing to relieve the stress is beneficial for them

What is outer directed coping - ANSWER-when someone does something about
what is stressing them

ex. dog barking go to neighbor and ask them to please quiet the dog

What is self awareness - ANSWER-the ability to recognize their feelings and
manage their anger

ex. parents divorce, the child must learn that it is not their fault

What is one very important skill necessary for coping - ANSWER-self awareness

What are trauma and stressor-related disorders - ANSWER-diagnosis specify's
exposure to a traumatic or extremely stressful event

What is a traumatic stressor - ANSWER-any event(s) that may case or threaten
death, serious injury, or sexual violence to an individual, a close family member,
or a close friend

If you suspect your client/patient is being abused by someone what would be the
most appropriate approach - ANSWER-Straight forward asking outright i.e. are
you being/ever threatened or abused by your husband?

What is PTSD avoidance - ANSWER-Persistent *avoidance* of stimuli associated
with the traumatic event (one or both):

Goal is to avoid: distressing memories, thoughts, or feelings and external
reminders such as people, places, and conversations

What is acute stress disorder - ANSWER-PTSD symptoms that appear for a
month or less

, What is posttraumatic stress disorder (PTSD) - ANSWER-delayed stress reaction
in which an individual involuntarily re-experiences emotional, cognitive, and
behavioral aspects of past trauma

What are the goals of care for PTSD (3) - ANSWER-- eliminate or moderate the
stressor (if possible)
- reduce untoward effects of the stress response
- facilitate the maintenance or development of positive coping skills

What are the factors of social network and support - ANSWER-size, functions,
reciprocity, interconnectedness

What is a crisis - ANSWER-acute and time limited stressful experience for which
coping mechanisms fail

ex. bereavement, grief or mourning

What is a situational crisis - ANSWER-any event that overwhelms and individual's
coping resources and upsets his or her equilibrium

What is a developmental crisis - ANSWER-assumes that psychosocial
development progresses in an orderly, easily identifiable process

What are some interventions for a crisis - ANSWER-- early intervention!!
- encourage self reliance!!
- stabilization
- facilitate understanding
- focus on problem solving

Which of the following would be considered a crisis, and not a disaster, in terms
of mental health

A. Terrorist attack
B. Tsunami
C. Pregnancy
D. Tornado - ANSWER-C

What is anger - ANSWER-acting in ways that warn, intimidate, or attack those
who are perceived as challenging or threatening

affect state and part of fight/flight response

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