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UTMB Health Assessment Exam 3 Questions With Answers..docx
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ADULT 1 Exam 2 UTMB Questions WithAnswers.
Scientific knowledge base - ANSWER- -Fight or Flight response
-Neurophysiological response
What are the neurophysiological responses? - ANSWER- -Medulla oblongata
-Reticular formation
-Pituitary glad
What is the General Adaptation Syndrome (GAS)? - ANSWER- It is an immediate
physiological response of the whole body to stress; involves several body systems,
especially the autonomic nervous and endocrine systems, and includes immunological
changes
What are the 3 stage reactions to stress - ANSWER- -Alarm reaction
-Resistance stage
-Exhaustion stage
What is the alarm reaction? - ANSWER- The initial stage
What is the resistance stage? - ANSWER- Trying to normalize
What is the exhaustion stage - ANSWER- Stay at high level of anxiety
What are the parts to psychological stress? - ANSWER- -Primary appraisal
-Secondary appraisal
-Coping
-Ego defense mechanisms
What is the primary appraisal? - ANSWER- Evaluating an event for its personal
meaning
What is the secondary appraisal? - ANSWER- Focuses on possible coping strategies
What is coping? - ANSWER- The persons effort to manage psychological stress
What is ego defense mechanisms? - ANSWER- They regulate emotional distress and
give a person protection from anxiety and stress
What are some personal characteristics that influence response to a stressor? -
ANSWER- -Level of personal control
-Presence of a social support system
,-Feelings of competence
What are the 3 types of stress? - ANSWER- -Chronic
-Acute
-PTSD
What is chronic stress? - ANSWER- Chronic stress occurs in stable conditions and
results from stressful roles
What is acute stress? - ANSWER- Time limited events that threaten a person for a
relatively brief period provoke acute stress- right now, someone almost hit you
What is PTSD? - ANSWER- -An acute stress disorder that begins when a person
experiences, witnesses, or is confronted with a traumatic event.
-May include flashbacks = recurrent and intrusive recollections of the event
What are the 3 types of crises? - ANSWER- -Developmental
-Situational
-Adventitious
what is a developmental crisis? - ANSWER- Developmental crises occur as a person
moves through the stages of life- anorexic young person trying to move on- marriage,
birth, divorce, retirement, laid off
What is a situational crisis? - ANSWER- External sources such as a job change, motor
vehicle crash, death or severe illness provoke situational crises.
What is adventitious crises? - ANSWER- A major natural or manmade disaster or a
crime of violence can create an adventitious crisis-IKE, shootings
What is Neuman systems model? - ANSWER- -Based on the concepts of stress and
reaction to stress
-Nurses develop interventions to prevent or reduce stress on patients or to help them
cope- Slowing addition of information to the pile so you don't overload them.
What are the three parts to Neuman systems model? - ANSWER- -Primary prevention
-Secondary Prevention
-Tertiary Prevention
What is Primary prevention? - ANSWER- Promotes patient wellness by stress
prevention and reduction of risk factors - prevent illness, prevent situations that cause
stress.
What is secondary prevention? - ANSWER- Occurs after symptoms appear- how to
handle once the disease is diagnosed
, What is tertiary prevention? - ANSWER- Beings when the patient's system becomes
more stable and recovers- looking for place in rehab
What factors influence stress and coping? - ANSWER- -Situational factors
-Maturational factors
-Sociocultural factors
What are situational factors? - ANSWER- Arise from job changes, illness, caregiver
stress
What are maturational factors? - ANSWER- Cary with life stages
Sociocultural factors? - ANSWER- Environmental, social, cultural stressors perceived
by children, adolescents, and adults
Critical thinking for stress? - ANSWER- -Keep in mind the neurophysiological changes
the patient may be experiencing
-Use clear communication principles
-Be confident
-Utilize the standards of care for psychiatric mental health nursing practice ANA
Assessment for stress? - ANSWER- -See through the patients eyes
-Subjective findings
-Objective findings
What can you do to see through the patients eyes? - ANSWER- -Gather information
including patients perception
-Synthesize the information
-Apply critical thinking
What are subjective findings? - ANSWER- What the patient says
What are objective findings? - ANSWER- What you find in the medical record, lab
values
What is the nursing diagnosis for stress? - ANSWER- -Coping
-Ineffective coping
-Multiple diagnoses
Planning for stress? - ANSWER- -Goals and outcomes
-Setting priorities
-Teamwork and collaboration
What are goals and outcomes? - ANSWER- Desirable outcomes frequently include
-Effective coping
-family coping
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