Chap. 42 1534-1542 Nursing process for stress and anxiety – Flashcards

-Heart palpitations -Difficulty breathing -Problems with appetite or sleep -Feeling of sadness, apprehension, anger, mistrust, helplessness, hopelessness -Changes in sexual desire

-Increases perspiration -Dry mouth -Tremors -Tachycardia -Increases blood pressure -Dilated pupils -Crying -Restlessness -Rapid speech -Pacing around the room -Lack of facial expression

Open ended questions individualized to patient and patient's situation.

-Cardiac dysrhythmias -chest pain -headache -hyperventilation -diarrhea -tense muscles -skin lesions ie:eczema

-Stress may be the cause of the problem -Stress and anxiety may affect other areas (etiology)

Should decrease anxiety and facilitate adaptation to stress.

-Patients anxiety is too high referral should be made. -teach healthy ADL's (exercise, rest and sleep, nutrition) -Encourage use of support systems/groups. -practice stress management techniques (relaxation, meditation, anticipatory guidance, guided imagery, biofeedback)

Cannot be resolved using normal coping skills.

-Identify the problem -List alternative solutions -Choose from alternatives (what would happen it?) -Implement the plan Evaluate the outcome