ch. 9: Stress management

Stress/stressors
can provide interest and purpose to life; however too much can cause distress
General adaption syndrome
body’s response to an increased demand. The first stage is the initial adaptive response, known as fight or flight
managing stress in a healthy manner
is flexible and uses a variety of coping techniques or mechanisms
Standardized Screening Tools for Stress
Holmes and Rahe scale to measure Life Changes Units, and Lazarus’s Cognitive Appraisal
cognitive restructuring
The client is helped to look at irrational thoughts in a more realistic light and to restructure those thoughts in a more positive way
physical exercise
causes release of endorphins that lower anxiety, promote relaxation, and have antidepressant effects
journal writing
can help the client identify stressors and make specific plans to decrease stressors
biofeedback
a nurse or other health professional trained in this method uses a sensitive mechanical device to assist the client to gain voluntary control of such autonomic functions as heart rate and blood pressure
a. excessive stressors cause the client to experience distress
A nurse is preparing to provide an educational seminar on stress to other nursing staff. Which of the following is appropriate to include in the discussion?

a. excessive stressors cause the client to experience distress
b. the body’s initial adaptive response to stress is denial
c. the absence of stressors results in homeostasis
d. negative, rather than positive, stressors produce a biological response

a. decreased appetite
b. depressed immune system
c. increased blood pressure
e. unhappiness
A nurse is discussing acute vs. prolonged stress with a client. Which should the nurse see as acute stress?
a. decreased appetite
b. depressed immune system
c. increased blood pressure
d. panic attacks
e. unhappiness
a. “cognitive reframing will help me change my irrational thoughts to something positive”
Which of the following client statements indicates understanding about stress reduction techniques

a. “cognitive reframing will help me change my irrational thoughts to something positive”
b. progressive muscle relaxation uses a mechanical device to help reduce stress
c. biofeedback causes my body to release endorphins so that I feel less stress and anxiety
d. minfulness allows me to prioritize the stressors that I have in my lfie so that I have less anxiety