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Stress and Mental HealthPsychiatric Nursing: Contemporary Practice

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How are people with Type D (distressed) personalities impacted psychologically and physically?
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They are more likely to experience Myocardial Infarctions and are prone to negative emotions, pessimism, depression and don't share feelings.
Linkages among a defined set of people with whom there are personal contacts are referred to as __________.
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Social Networks
What is a Level I social network?
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One that consists of 6-12 people with whom a person has close contact.
What is a Level II social network?
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30-40 people a person sees regularly
What is a Level III social network?
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A large number of people a person has regular contact with like a grocer, mail carrier, etc.
What is the connection between large social networks and support a person has?
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The larger the network, the more support.
What is an ideal network structure?
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Fairly dense (lots of people) and interconnected.
What is intensity with respect to social networks?
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The degree of closeness of a relationship.
What are the potential drawbacks to intense relationships?
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They can restrict a person's opportunity to interact with other network members.
What is reciprocity with respect to social networks?
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The extent to which there is give and take.
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_________ is the positive and harmonious interpersonal interactions that occur within social relationships.
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Social support
What are the three components of social support?
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Emotional support, tangible support and informational support.
_______ support is the attachment, reassurance, and ability to rely on and confide in a person. It contributes to a person's feelings of being cared for or loved.
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Emotional support
________ support includes direct aid such as loans or gifts, services such as taking care of someone who is ill, or doing a job or chore. It provides a person with resources.
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Tangible support
________ support provides advice, feedback and allows a person to view situations in a new light.
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Informational support
How do social supports benefit an individual? (3)
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Enhances health outcomes, reduces mortality and helps a person make needed behavioral changes.
What are demands in the biopsychosocial stress model?
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Physiologic or psychologic needs
What are constraints in the biopsychosocial stress model?
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Limitations including internalized cultural values and beliefs, psychological deficits and finite resources (money, time).
What are sociocultural factors that serve as both demands and constraints in the biopsychosocial stress model?
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Cultural expectations, role strain, cultural group values, employment, and gender expectations.
What researchers presented a psychological view of illness that posited that life changes and the development of illness were intertwined?
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Holmes and Rahe
What is the biggest factor during an appraisal that impacts the stress response?
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The personal meaning of the situation
  
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