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Fundamentals Chapter 25
Stress and Adaptation
46
Nursing
Undergraduate 1
01/31/2010

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Term
stress
Definition
any distrubance in a person normal balanced state
Term
distress
Definition
type of stress that can threaten health
Term
developmental
Definition
stress associated with life stages
Term
eustress
Definition
good stress
Term
situational
Definition
random unpredicatble stress
Term
psyhological
Definition
stress that arises from life events
Term
physiological
Definition
stress that affects body: structure and function
Term
alter the stressor
adapt to the stressor
avoid the stressor
Definition
three general approaches for coping:
Term
healthy choices, direcly reduce negative affects of stress
Definition
adaptive styles of coping include
Term
maladaptive
Definition
this is an unhealthy style of coping and is a temporary fix
Term
adaptation
Definition
a possible desired outcome of stress, involves adjusting to the stressor
Term
normal growth and development, effective responses to life's challenge
Definition
adaptation allows for:
Term
intensity of the stressor, effectiveness of coping skills, personal factors
Definition
ability to adapt depends on three things:
Term
is understanding of stressor realistic? how successful have previous adaptation attempts been?
Definition
what are personal factors that influence adaptation?
Term
number of illnesses and the chronicity of illnesses may affects the ability to adapt to new stressors
Definition
what about health status can affect a persons ability to adapt?
Term
stronger support = better adaptation
Definition
how does a support system influence adaptation?
Term
age, developmental level, life experiences
Definition
what are three personal factors that affect adaptation?
Term
Alarm stage
Definition
flight or fight stage
Term
CRH, ACTH, ADH
Definition
what does the endocrine system put out in response to stress?
Term
E and NE
Definition
the sympathetic system puts out what hormones in response to stress?
Term
vasoconstriction, elevated BP
Definition
whe happens to the cardiovascular sys. during stress?
Term
dilated bronchioles
Definition
how does the respiratory sys respond to stress?
Term
inc. availability of glucose
Definition
waht is the metabolic response to stress?
Term
sodium water retention
Definition
what is the urinary response to stress?
Term
dec. peristalsis
Definition
what is the GI response to stress?
Term
inc. blood flow to muscles
Definition
what is the musculoskeletal response to stress?
Term
maintenance and homeostasis
Definition
what is the goal of the resistance stage of GAS?
Term
Resistance stage
Definition
in this stage, vital signs will return to normal
Term
exhaustion
Definition
in this stage, adaptive mechanisms have become ineffective and nonexistent
Term
dec. BP, elevated pulse and respiration
Definition
what are the physiological signs of the exhaustion stage?
Term
local adaptation syndrome
Definition
response to stress involving specific body parts, tissue, or organ
Term
local adaptation syndrome
Definition
short term attempt to restore homeostasis
Term
reflex pain response, inflammatory response
Definition
examples of local adaptation syndrome?
Term
anxiety and fear, ego defense mechanism, anger, depression
Definition
psychological responses to stress include:
Term
continual stress, repeated CNS stimulation, elevation of certain hormones, results in long-term changes in body systems
Definition
what are some stress induced organic responses as a result of failed adaptation?
Term
hypochondriasis, somatization (tired), somatoform pain disorder (ppl develop pain from chronic stress), malingering (everything hangs on)
Definition
what are some somatoform disorders as a result of failed adaptation to stress?
Term
crisis, burnout, PTSD
Definition
what are some stress induced psychological responses?
Term
adequate nutrition, help client est. a routine that includes reg. ecercise, teach client imp of getting 7-8 hrs of sleep per day
Definition
what are some health promotion activities?
Term
somatization
Definition
in this disorder, anxiety and emotional turmoil are expressed in physical symtioms, unable to locate pain, changes location
Term
somatoform pain disorder
Definition
emtional pain that manifests physically, pain is the patients main conern, able to locate pain and location does not change
Term
malingering
Definition
conscious effort to escape unpleasant situations, patient pretends to have syptioms
Term
percrises
Definition
in response to the event and the anxiety, person uses her usual coping strategies
Term
impact
Definition
if the usual strategies are not effective, anxiety and confusion increase, person may have trouble organizing her personal life
Term
crisis
Definition
person tries new ways of coping, rescognized problem but denies that it is out of control, usually uses withdrawal, rationalization, and projection
Term
adative
Definition
person redfines the threat and perceives crisis in a realistic way, begins to think rationally, regains more self esteem and is able to socialize again
Term
postcrisis
Definition
person may have developed better ways of coping with stress, or may be critical, hostile and depressed, may use maladaptive ways to deal with what happened
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