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Ch 43, 44, 45, 47 Quiz 4 (1)

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Ch 43, 44, 45, 47 Quiz 4 (1)

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  • July 22, 2024
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  • 2023/2024
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Ch 43, 44, 45, 47 Quiz 4
condition in which the human system responds to changes in its normal balanced state - CORRECT
ANSWER-stress

Change in a person's internal or external environment that is perceived as a challenge, a threat, or a danger
causes - CORRECT ANSWER-stress

Stress affects which aspects of the human dimension (individual perception) SATA
A) Physical
B) Emotional
C) Intellectual
D) Social
E) Spiritual - CORRECT ANSWER-ABCDE

anything that is perceived as challenging, threatening, or demanding that triggers a stress reaction - CORRECT
ANSWER-stressor

chemical agents (drugs/poisons), physical agents (heat/cold/trauma), infectious agents (virus/bacteria), nutritional
imbalance, hypoxia and genetic/immune disorder are what kind of stressors - CORRECT ANSWER-physiologic

Which kind of stressors include real and perceived threats, accidents (victim or person who causes),
stressful/traumatic experiences, history horrors, rapid changes of the world - CORRECT ANSWER-psychologic

ongoing process as a person strives to maintain balance in the internal and external environments - CORRECT
ANSWER-adapatation

Localized response of the body to stress. Involves only one specific body part instead of the whole body -
CORRECT ANSWER-local adaptation syndrome (LA)

Examples of LAS - CORRECT ANSWER-reflex pain response
inflammatory response

response of the central nervous system to pain - CORRECT ANSWER-reflex pain response

local response to injury or infection (pain, swelling, heat, redness) - CORRECT ANSWER-inflammatory response

biochemical model of stress (Hans Selye, 1976)
o Describes the body's general response to stress, a concept essential in all areas of nursing care - CORRECT
ANSWER-general adaptation syndrome (GAS)

3 stages of GAS - CORRECT ANSWER-Alarm Reaction, Stage of Resistance, Stage of Exhaustion

initiated when a person perceives a specific stressor and various defense mechanisms are activated
Sympathetic nervous system initiates the fight-or-flight response
Increased heart rate, Blood pressure, Peripheral vasoconstriction, Metabolism, water retention, and glucose -
CORRECT ANSWER-alarm reaction

first phase of alarm reaction - CORRECT ANSWER-initiates fight-or-flight response, shock phase, and increase in
energy levels, oxygen intake, cardiac output, blood pressure and mental alertness

second phase of alarm reaction - CORRECT ANSWER-countershock: there is a reversal of body changes

Which stage of GAS?
- Body attempts to adapt to stressor
- Vital signs, hormone levels, and energy production return to normal

, - Body regains homeostasis or adaptive mechanisms fail - CORRECT ANSWER-stage of resistance

Which stage of GAS
- Results when adaptive mechanisms can no longer provide defense
- Body either rests and mobilizes its defenses to return to normal or dies
- Vasodilation
o Blood pressure decreases
o Pulse and respirations increase - CORRECT ANSWER-stage of exhaustion

Which level of anxiety: present in day-to-day living, increases alertness (vision, hearing). May interfere with sleep
and manifested by restlessness and increased questioning - CORRECT ANSWER-mild

What kind of stress response? test scheduled, can't eat breakfast, fast heartbeat, diarrhea - CORRECT
ANSWER-mind-body

Which level of anxiety? Manifested by quavering voice, tremors, increased muscle tension, butterflies in stomach
and slight increases in respirations and pulse - CORRECT ANSWER-moderate

Which level of anxiety? very narrow focus on specific details. Impaired learning ability and easily distracted.
Manifested by difficulty communicating verbally, increased motor activity, fearful facial expression, headache,
nausea, dizziness, tachycardia, hyperventilation - CORRECT ANSWER-severe

Which level of anxiety?
person loses control and experiences dread and terror. Manifested by difficulty communicating verbally, agitation,
trembling, poor motor control, sensory changes, sweating, tachycardia, hyperventilation, dyspnea, palpitations,
choking sensation, chest pain or pressure. - CORRECT ANSWER-panic

behaviors used to decrease stress and anxiety - CORRECT ANSWER-coping mechanism
(Crying, laughing, sleeping, cursing, physical activity, exercise, smoking, drinking, lack of eye contact, withdrawal,
limiting relationships to those with similar values and interests)

Effects of long-term stress
- Affects ________________ status
- ____________________ risk for disease or injury
- Compromises _________________ and return to normal function
Is associated with specific _________________ - CORRECT ANSWER-physical, increased, recovery, diseases

What kind of stressors?
- Changes in family structure and roles
- Anger and feelings of helplessness and guilt
- Loss of control over normal routines
- Concern for future financial stability - CORRECT ANSWER-Family

Occurs when a person progresses through stages of growth and development
Infant learning to trust others, middle-aged adult accepting physical signs of aging - CORRECT
ANSWER-Developmental stress

Does not occur in predictable patterns
Illness or traumatic injury, marriage or divorce, loss, new job, role change - CORRECT ANSWER-situational stress

Stressful activities of ______________ profession
- Assuming responsibilities for which one is not prepared
- Working with unqualified personnel
- Working in an environment in which supervisors are not supportive
- Caring for a patient in cardiac arrest or a dying person
- Experiencing conflict with peers - CORRECT ANSWER-nursing

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