Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
NP 2 Anxiety
NP2 Unit 2 Anxiety
| Question | Answer |
|---|---|
| The nurse provides and directs nursing care that promotes and supports the ___, ___, and ___ well-being of the client experiencing stressful events. | emotional, mental, social |
| T or F - Only a few conditions and diseases have a stress component. | False. Stress contributes to many diseases. |
| Psychological integrity - assessment | recognize non-verbal cues to physical or psychological stressors Assess stressors, including environmental, that affect client care (e.g. noise, fear, change, lack of knowledge) |
| Psychological integrity - implementation | Implement measures to reduce environmental stressors |
| Psychological integrity - evaluation | Evaluate client use of stress management techniques |
| Anxiety is ____ that continues after the ____ is gone. | Stress, stressor |
| External causes/triggers of stress and anxiety | Major life changes Work Relationship difficulties Financial problems Being too busy Children and family |
| Internal causes/triggers of stress and anxiety | Inability to accept uncertainty Pessimism Negative self-talk Unrealistic expectations/perfectionism |
| Personal characteristics that buffer impact of stress | "My life is self-determined" "My world is manageable and meaningful" "I am flexible and have the resources to solve this problem" "I have a positive attitude" |
| General Adaptation Syndrome stages | Alarm reaction Resistance Exhaustion |
| Alarm reaction | Fight or flight |
| Resistance stage | Psychological reserves mobilized Attitude and coping abilities affect responses Few physical s/s |
| Exhaustion stage | Body runs out of energy &/or immunity "Adrenal exhaustion" ↓ blood sugar level ↓ stress tolerance progressive mental/physical exhaustion, illness & collapse ↑ cortisol levels → suppressed immune system ↑ fat & cholesterol released → heart attack or |
| Interrelated systems affected by stress | CNS, Endocrine, Immune |
| Coping | Cognitive and behavioral efforts to manage a specific stressor that seems to exceed available resources. |
| Examples of positive coping | Exercise, relaxation techniques, art therapy |
| Examples of negative coping | Drugs, alcohol, self-isolation |
| Coping resources | Health status Belief systems Problem-solving skills Social skills Social support (family/friends) Financial resources |
| Stress is how the body ____ for and _____ to change. | prepares, responds |
| Stress is positive when ____ | A person feels stimulated and able to manage the situation. |
| Stress is negative when ____ | Person feels threatened and not in control of the situation |
| Emotion-focused coping | Managing the emotions that one feels when a stressful event occurs. Trying to decrease negative feelings. |
| Problem-focused coping | Attempts to find solutions to solve the problem causing stress |
| Examples of coping strategies | Social support Exercise Journaling Art therapy Humor |
| Relaxation Response | Heart rate slows BP lowers Blood lactate levels reduce Immune system improves Sense of well-being increases Sleep improves Normal libido Brain wave patterns slow Digestion improves |
| Stress response | Heart rate increases BP rises Cholesterol levels go up Immune system less effective Anxiety decreases Depression more likely Sleep disorders increase libido decreases irritability increases digestion less effective |
| Relaxation strategies for relaxation response | Relaxation breathing Meditation Imagery Music for relaxation Massage Yoga |
| Anxiety | Vague, uneasy feeling of discomfort or dread accompanied by an autonomic response. A feeling of apprehension caused by anticipation of danger. Altering signal that warns of impending danger and enables us to take measures to deal with the treatmen |
| T or F - What goes on in our mind influences every part of our body. | True |
| Common stressors produced by/complicated by illness for the client | Physical health Job responsibilities Finances Children |
| Common stressors produced by illness for the family | Role changes Task reassignment and increased demand on time Anxiety over outcome of illness Financial problems Loneliness (separation/impending loss) Change in social customs |
| Anxiety - assessment | Situations that are likely to result in stress and perception/personal meaning of these situations. Perceptions/personal meaning attached to stressful situation. Family responses to demands on the client. Coping resources Coping strategies |
| Spiritual considerations in stressful situations | Spiritual needs are often accentuated by illness/health crisis. Clients with well-defined spiritual beliefs may find their beliefs challenged by their health situation, *OR* may cling to beliefs more firmly. |
| Anxiety as a Nursing diagnosis - Mild | Alert, more aware of environment, attention focused on environment and immediate events, restless, irritable, wakeful, insomnia, motivated to deal with existing problems. |
| Anxiety as a nursing dx - moderate | Perception narrower, concentration increased, able to ignore distractions in dealing with problems, voice quivers or changes in pitch, trembling, increased pulse/respirations. |
| Anxiety as a nursing dx - severe | Reduced range of perception, anxiety interferes with effective functioning, preoccupied feelings of discomfort, sense of impending doom, increase pulse/respirations, dizziness, tingling feelings, headache |
| Anxiety as a nursing dx - panic | Disrupted ability to concentrate, client distorts situation, unrealistic perceptions of what is happening, terror, inability to speak |
| When using anxiety as a nursing dx, what must be specified? | The level of anxiety. |
| What is the first step in helping a client enhance coping process? | Manage awareness of presence of stress. |
| Tips for handling stress | "Let go" of things outside your control Accept yourself Exercise regularly Share your feelings Keep a sense of humor Relaxation breathing Use imagery Meditate/pray Healthy lifestyle Professional counseling if needed |
| Stress management skills/techniques in clinical practice | Learn relaxation breathing Pick coping strategies and learn them Practice using the strategies Anticipate setbacks. Attend stress management seminars |
| Setbacks do what for you? | They tell you what you are doing wrong. Don't give up! |
| ____ communication is the key to helping client reduce stressors. | Facilitative |
| What are the two ways to handle a stressor? | Change the stressor Change your response to the stressor |
Created by:
christyness
Popular Nursing sets