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Stress and Mental HealthPsychiatric Nursing: Contemporary Practice

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What is the biggest factor during an appraisal that impacts the stress response?
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The personal meaning of the situation
_________ refers to the process of examining the demands, constraints, and resources of the environment and negotiating them with personal goals and beliefs.
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Cognitive appraisal
What are the the three components of the primary appraisal of a goal?
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Is the goal relevant, is the goal consistent with my values, and do I have a personal commitment?
The more committed a person is to a specific goal, the (greater or lesser?) their vulnerability is to stress.
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Greater
Which part of the brain initiates the stress response?
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The locus ceruleus initiates the stress response by releasing norepinephrine with stimulates theSNS centers in the hypothalamus
What happens when the SNS is stimulated by stress?
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The HPA is activated causing the hypothalamus to secrete corticotropin releasing hormone (CRH). The pituitary gland then secretes adrenocorticotropin hormone (corticotropin) which stimulates adrencortical secretion of cortisol.
In the stress response, the locus ceruleus releases _________, the hypothalamus secretes __________, the pituitary secretes __________ and the adrenal glands secrete _________.
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In the stress response, the locus ceruleus releases norepinephrine, the hypothalamus secretes CRH, the pituitary secretes corticotropin and the adrenal glands secrete cortisol.
_________ is primarily immunosuppressive and contributes to a reduction in lymphocyte function and numbers, primarily T-lymphocytes and monocytes. This increases the risk of becoming ill during stressful periods.
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Cortisol
Why is memory retrieval and emotional analysis impacted by stress?
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CRH is released by the hypothalamus which acts on the amygdala and hippocampus, areas important to memory retrieval and emotional analysis.
Why is motivation, reward and reinforcement impacted by stress?
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The locus ceruleus has connections with cerebrum which has dopaminergic tracts that extend into the mesolimbic and mesocortical tracts?areas important to motivation, reward and reinforcement.
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_______ are organized psychophysiological reactions that generates an impulse for action during stress. They summarize the personal harms and benefits of each person-environment relationship.
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Emotions
If emotion is _______, a disturbance in intellectual function occurs.
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Intense
When a person views a situation as a challenge, ______ emotions occur.
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Positive
_________ emotions occur when there is a threat to, delay in or thwarting of a goal or a conflict between goals.
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Negative
_______ emotions occur when there is movement towards or attainment of a goal.
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Positive
_______ emotions are ambiguous and include hope, compassion, empathy, sympathy and contentment.
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Borderline
_______ emotions connote reactions like awe, confusion, confidence, and excitement.
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Nonemotions
________ is a deliberate, planned and psychological effort to manage stressful demands.
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Coping
A balance between health and illness, a sense of well-being and maximum social functioning is the outcome of _________.
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Positive coping
_______ focused coping changes the person-environment relationship, like when a woman leaves an abusive relationship.
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Problem focused
________ focused coping occurs when a person changes the meaning of a stressful situation, like realizing you're husband said he was working late tonight when he's not home at the normal time during a storm and you'd been fearing he was in an accident.
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Emotion
  
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