Stress & Coping
The body's ability to maintain a stable, balanced internal environment
What is Homeostasis?
Select all that apply: What are physiological signs of the stress response?
a) Increased heart rate
b) Bronchodilation
c) Decreased blood pressure
d) Increased muscle blood flow
a) Increased heart rate, b) Bronchodilation, d) Increased muscle blood flow
What tool is used to assess a patient’s spiritual needs and includes categories such as Faith and Community?
FICA tool
Select all that apply: What might a nurse observe when assessing spiritual distress?
a) Expressing anger or hopelessness
b) Increased appetite
c) Withdrawal from social interactions
d) Questioning religious beliefs
a) Expressing anger or hopelessness, c) Withdrawal from social interactions, d) Questioning religious beliefs
What is the term for a specific area within a larger geographic region in public health?
Community health
What stage of the General Adaptation Syndrome involves the body trying to return to homeostasis while still addressing the stressor?
Stage of resistance
In the transactional model of stress and coping, what process involves evaluating the effectiveness of one’s coping mechanisms?
Reappraisal
What is the term for a challenge to a person’s spiritual well-being, often leading to feelings of hopelessness or disconnection?
Spiritual distress
What does the term "spiritual health" describe?
A feeling of being alive, purposeful, and fulfilled in one’s spiritual journey
What type of prevention focuses on avoiding disease before it occurs, such as through vaccination?
Primary prevention
Name two hormones released by the adrenal glands during the stress response.
Cortisol and Epinephrine
Which neurotransmitter is most affected by selective serotonin reuptake inhibitors (SSRIs) used for long-term stress management?
Serotonin
What religious group prohibits blood transfusions, including autologous blood?
Jehovah’s Witness
What organized framework of beliefs often intersects with spirituality to influence healthcare decisions?
Religion
What assessment tool evaluates walkability, bikeability, and access to fresh food in a community?
Built Environment Assessment Tool
What type of coping focuses on changing one’s emotional response to a stressor?
Emotion-focused coping
Name the three stages of the General Adaptation Syndrome (GAS).
Alarm, Resistance, Exhaustion
What is the name of the Buddhist practice involving chanting last rites at the bedside of the dying?
Chanting last rites
Which nursing intervention is most appropriate for a patient expressing spiritual distress after a terminal diagnosis?
Offer emotional support and facilitate access to a chaplain or spiritual advisor
What is the difference between upstream and downstream thinking in community health?
Upstream focuses on prevention; downstream addresses existing problems.
What is the term for the physical cost of adapting to stressors?
Allostatic load
What are the first 2 steps in the transactional model of stress and coping and describe what they are?
Primary appraisal- "first impression" of the stressor where we categorize the stressor (such as irrelevant,
benign-positive, or stressful)
Secondary appraisal- when we determine the impact and the duration of the stressor (coping behavoir is chosen here)
Which religion emphasizes the importance of modest dress and ritual washing before prayers?
Islam
What is the difference between spirituality and religion in the context of nursing care?
Spirituality is a broader concept focusing on meaning and purpose in life, while religion is an organized system of beliefs and practices.
What is a food desert?
An area lacking access to fresh, healthy food within a reasonable distance.