Unit 2-A
   Unit 2-B
   Unit 2-C

Appendix A

Lab

Clinical

1. Read Chapter 39 Stress & Coping in Kozier. Complete the questions in the study guide for Kozier- pages 225-230. (Show them to Kim Lubesnick or photocopy them and turn them in with these pages.)
2. Read pages 446-449 "Group Communication" in Kozier. 
3. Complete the following study questions.
4. Attend a support group or community education program and fill out the observation guide.
5. Submit the above to Kim Lubesnick by Monday December 16. 
6. This will be worth 5% of your theory grade. Material from the readings in Kozier will be included on the final exam in NUR 104.

Tisha Brent, age 52, comes to the local clinic because of feelings of nervousness, inability to sleep, and various physical complaints including headaches, indigestion, burning abdominal pain, and frequent colds. She states that "this past year has been almost more than I could stand. My grandmother and father both died, my husband was diagnosed with cancer, my daughter got a divorce, and my son lost his job and came back to live with me." She believes herself to "the strong person in the family, the one who always takes care of everyone else." She works full time as a social worker, but finds it hard to help others because she is becoming more preoccupied with her own worries. She rarely sees her friends anymore because she must take care of her husband. 

Physical findings: weight loss of 10 lb in the last 2 months, BP 150/92, p=110, r=30. Diaphoretic, slight tremors of hands noted. Lab work reveals elevated cholesterol and blood glucose. Her stool tests positive for occult blood.

1. Discuss Mrs. Brent’s stress in relation to Selye’s General Adaptation Syndrome. 

How does Selye define stress?
In what stage of GAS is she in and what findings support this?
 
 
 
 
 
 
 
 
 
 
 
2. Discuss Mrs. Brent’s stress in relation to the Stimulus Based Model of Stress (Holmes and Rahe). 

How is stress defined in this model?
What has caused her stress? It may be helpful to look at the Holmes and Rahe Social Readjustment Rating Scale on page 93 in Lewis.
 
 
 
 
 
 
 
 
 
3. Why is Mrs. Brent prone to illness?

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

4. What type of groups (teaching, self help, growth, therapy, work related) would be helpful for Mrs. Brent?

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

5. Develop a nursing care plan for Mrs. Brent using the following diagnosis:

Name of Group ____________________________________________________________

Date/Time Location___________________________________________
 

1. Types of groups include task groups, teaching groups, self help groups, self awareness/growth groups, therapy groups, and work related social support groups. What type of group is the one that you attended? Explain your answer.
 
 
 
 

2. What are the goals of this group? Explain how this group assists people in coping with stress, preventing illness, and/or maintaining health?
 
 
 
 
 

3. What were the goals of this particular meeting?
 
 
 
 
 
 
 

4. How did the group leader help the group accomplish the goals? 
 
 
 
 
 
 
 

5. Were the goals of the meeting met? Why or why not?
 
 
 
 
 

6. How did the group leader facilitate discussion? For example, how did she/he make everyone feel comfortable, include everyone in the discussion, prevent one person from monopolizing the discussion, summarize major points, encourage problem solving?
 
 
 
 
 
 

7. How did the group members interact with one another? What was their relationship like?
 
 
 
 
 
 
 

8. Would you say that this group was effective? Base your answers on the Features of Effective Groups on page 448 in Kozier. 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

9. What was the main thing you learned from this experience?