Self concept
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| components of self concept | Body image, identity, role performance, self esteem
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| Stressors that affect self concept and self esteem | School, work, kids, family, finance, chronic illness, bodily injury
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| Describe data required and methods of assessing self concept | First focus on each component. Assess for behavior suggestive of altered self concept (avoidance of eye contact, unkempt appearance, overly apologetic etc) observe nonverbal behavior and pay attention to conversation, how pt. talks about ppl in their life
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| What are nursing measures to promote, maintain, restore a patients self concept | Help patient identify and use personal strengths, Maintain sense of self, modify self concept ( express feelings, provide info, identify strengths, positive self talk, avoided criticism)
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| Define homeostasis | State of relative constancy in the internal environment of the body; balance; equilibrium; maintained naturally by physiological adaptive mechanisms
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| Describe stressors | An event or stimulus that causes a person to experience stress
Ex: burns, chronic pain, hypothermia, disease, execssive noise, starvation- physical; marital problems, diagnosis of cancer, care of disabled child/parent w/ dementia,failing exam-emotional
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| Describe three stages of general adaptation syndrome | Alarm, resistance, exhaustion
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| Describe what happens in brain activity during alarm stage | Hypothalamus stimulates sympathetic nervous system, pupils dilate, bronchioles dilate, respiratory rate increases, cardiac contractility, HR, BP, cardiac output increase, sweat glan secretions increase
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| Describe what happens in adrenal medulla during alarm stage | Releases norepinephrine, releases epinephrine (adrenaline)
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| What happens in adrenal cortex during alarm stage | Produces corticosteroids, gylcogenolysis amd gluconeogemisis increase , glycogen synthesis decreases, endorphins are released
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| Resistance stage is also known as what | Adaptation stage
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| Describe what happens during resistance stage | Bodily restoratiotion, repairs injury, return to normal, body reestablishes homeostasis (HR,BP,GLUCOSE&hormone levels) state of alarm can persist and alarm stage can be prolonged depending on situation & external factors contributing to stress/alarm ;
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| What happens if stressors are unresolved in resistance stage | Leads to stage of exhaustion
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| What happens in the exhaustion stage | Stressors continue beyond individuals resources, resources are depleted, susceptible to physical and emotional diseases and death
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| What is the body's psycholosocial reCtion to stress | The general adaptation syndrome is activated ; use of coping mechanisms and defense mechanisms
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| What is the body's physical reaction to stress | Delay healing, affects physical stays, increases risk for disease and injury, compromises recovery and return to normal function
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| Describe stress management techniques beneficial for coping with stress | Deep breathing, exercise, meditation (yoga), use Imagery, healthy lifestyle, sense of humor, share feelings/ be open
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| Discuss how stress in the workplace affects the nurse | Room for error, less attentive, teamwork and collaboration not up to par, tension in workspace, can affect patient/nurse relationship, altered deamenor which could deter your patient
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