Help - I'm Stressed
This branch of the autonomic nervous system is activated during the fight-or-flight response.
sympathetic nervous system
During stress, blood flow is redirected away from this body system toward skeletal muscles and vital organs.
digestive (gastrointestinal) system
Persistent feelings of sadness, hopelessness, & loss of interest in activities for at least 2 weeks are typical of this disorder.
Major Depressive Disorder
A patient's right to make decisions about their own care.
Autonomy
Hallucinations, delusions, & disorganized thinking are hallmark symptoms of this disorder.
Schizophrenia
These hormones are released during the alarm stage and helps prepare the body for action.
epinephrine & norepinephrine (catecholamines)
A client reports difficulty falling asleep for the past 4 months despite having adequate opportunity to sleep. Which disorder is most likely?
Insomnia Disorder
Episodes of mania and depression are hallmarks for this disorder.
Bipolar Disorder
What is a mandated reporting & who does the reporting protect?
legal requirement to report suspected abuse or neglect for children and vulnerable adults.
A client with schizophrenia suddenly becomes quiet after several days of reporting command hallucinations. What is the nurse's priority action?
Assess for suicidal ideation and current hallucinations
The Alarm Stage response causes several physical symptoms such as...
increased BP, pupil dilation, tachycardia, diaphoresis
What are the 4 stages of sleep?
stage 1 (light), stage 2 (deeper light), stage 3 (deep or slow-wave), stage 4 (REM)
Name 2 symptoms consistent with a manic episode.
excessive spending, decreased need for sleep, grandiose ideas
The use of restraints or seclusion is legally justified only when this condition exists.
Immediate Danger to Self or Others
A client states, "The television is sending me secret messages." This statement is an example of:
delusion
Name at least 4 populations more at risk factor for stress.
older adults, pregnancy, post-menopause, obesity, poverty, caregivers, interpersonal problems, chronic health conditions, life changes, financial strain
Which stage of sleep do we tend to spend the most time in?
stage 2 (deeper light) - 45-50%
Excessive worry occurring more days than not for at least 6 months.
Generalized Anxiety Disorder
Asking a patient directly if they have thoughts of self-harm may increase suicide risk: True or False?
false
What symptoms would the nurse expect in a client experiencing alcohol withdrawal?
The cumulative "wear and tear" on the body from repeated or chronic stress.
allostatic load
A client with chronic insomnia asks for sleep hygiene recommendations. Which teachings should the nurse include?
maintain a consistent sleep schedule, keep room dark/quiet/cool, avoid caffeine & heavy exercise prior to bedtime, use the bed only for sleep and intimacy
OCD includes recurrent intrusive thoughts & repetitive behaviors. A client spends several hours daily washing their hands to reduce anxiety. Handwashing is considered a:
compulsion
Why should nurses closely monitor suicidal clients after antidepressant therapy is initiated?
energy may improve before mood improves
Name at least 2 negative symptoms of schizophrenia.
flat affect, anergia (lack of energy), ahendonia (lack of pleasure)