Understanding Stress and Immunity
by Expert Reviewer: Susan B. Collins, MSN, Med, RN, FNP-BC, AHN-BC; Instructor: Nick R. S. Hall, PhD; Instructor: Sara Wagner MS, RDN
Credentialed for: Nursing CEU Courses | Nursing CE | ContinuingEducation.com


i 5.00 CEH

Course Overview

Stress can indirectly contribute to a wide array of maladies associated with either a hyper- or hypoactive state of immunity. Susceptibility to the common cold is increased, autoimmune symptoms are heightened, and allergies can be worsened by exams, divorce, or losing one’s job. Circumstances that contribute to stress for adults are not likely to improve any time soon. The field of psychoneuroimmunology is changing and expanding rapidly. This course provides a discussion of the current evidence regarding the direct and indirect ways the emotions of stress can impact the immune system and a person’s physical and mental health and well-being.

About the Course Author

Sara Wagner, MS, RDN is the Director of Undergraduate Dietetics Programs at the University of Wisconsin Green Bay, where she teaches courses in medical nutrition therapy and cutting-edge nutrition topics. Recognized for her effective and passionate teaching, Wagner is skilled in teaching learners to locate, interpret, and analyze current evidence-based research to successfully influence their healthcare practice decisions. Sara Wagner MS, RDN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
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Detailed Transcripts

License Tracking/Reminders

Accreditation Information

Certificates provided by accrediting body (11 Match)

  • American Nurses Credentialing Center


    Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses will receive 5.0 contact hours for participating in this course.
  • California Board of Registered Nursing


    Provider approved by the California Board of Registered Nursing, CEP# 13791 Nurses will receive 5.0 contact hours for participating in this course.
  • District of Columbia Board of Nursing


    District of Columbia Board of Nursing Approved Continuing Education program (CE Provider #50-290). Nurses will receive 5.0 contact hours for participating in this course.
  • Florida Board of Nursing


    Florida Board of Nursing CE Provider #: 50-290 Nurses will receive 5.0 contact hours for participating in this course.
  • Commission on Dietetic Registration


    Relias LLC is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials. CDR Credentialed Practitioners will receive 5.0 Continuing Professional Education units (CPEUs) for completion of this activity/material.

    Activity Number: 154781 Learning Need Code(s): 2050, 2060, 5120, 5170 CPE Level: Level II

    Dietitians/nutritionists may submit activity evaluations directly to CDR; QualityCPE@eatright.org, or mail to: Commission on Dietetic Registration, Attn: Accredited Provider Unit, 120 South Riverside Plaza, Suite 2190, Chicago, IL 60606-6995.

    Critical Thinking Evaluation Tool
  • Florida Council of Dietetics and Nutrition


    Florida Council of Dietetics and Nutrition accepts medical errors courses approved by any Board within the Division of Medical Quality Assurance of the Florida Department of Health. Relias Learning, LLC is an approved provider of continuing education in nursing by the Florida Department of Health, Board of Nursing, provider # 50-290. This course is approved for 5.0 contact hours.
  • Georgia Board of Nursing


    Georgia Board of Nursing CE Provider #: 50-290 Nurses will receive 5.0 contact hours for participating in this course.
  • South Carolina Board of Nursing


    This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CE provider #50-290) CE Broker Course # 20-714276
  • West Virginia Board of Registered Nursing


    West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
    Nurses will receive 5.0 contact hours for participating in this course.
  • New Mexico Board of Nursing


    New Mexico Board of Nursing (CEBroker Provider # 50-290) This course awards 5.0 contact hours upon successful completion.
  • Arkansas State Board of Nursing


    Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290). Nurses will receive 5.0 contact hours for participating in this course.

Course Details

  • Course Code:

  • Hours:

  • Type:

    Online Course
  • Release Date:

  • Expiration Date:

  • Learning Objectives:

    Describe at least three brain regions involved in mediating emotions and the behaviors associated with stress.; Describe the manner by which stress-induced changes in the brain can exacerbate immune system diseases.; Describe two forms of stress and how they affect the body.; Discuss the manner by which chronic inflammation can result in both mood and immune disorders.; Discuss the normal function of the immune system and the ways that stress affects it.; Identify at least three neurotransmitters and hormones that are activated during times of duress.; List at least four immune components produced during acute inflammation.; Outline steps healthcare workers can take to promote good immunity.
  • Outline:

    Section 1: Introduction
    About This Course
    Learning Objectives
    Section 2: Foundation
    Section 3: Concept of Stress
    Definition of Stress
    Acute Versus Chronic Stress
    Anabolic Stress Response
    Somatic Versus Psychogenic Stress
    Section 4: The Response to Stress
    Fight/Flight Response
    Prefrontal Cortex (PFC)
    The Amygdala
    Ventral Striatum
    Sequence of Events
    Emotional Shortcut
    Implications for Care
    Section 5: Stress Physiology
    Autonomic Nervous System
    Hypothalamic--Pituitary-Adrenal (HPA) Axis
    Section 6: The Immune System
    Innate Immunity
    Adaptive Immunity
    Practical Implications
    Section 7: Stress-Induced Immunological Imbalance
    Infectious Disease
    Cardiovascular Disease
    Stress Resilience
    Section 7: Conclusion
    Course Contributors
  • Target Audience:

    The target audience for this course is: Dietitians; Nurses; in the following settings: Acute Care Facility.
  • Course Delivery Method and Format:

    Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
    Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
    If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
    All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
    Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
    All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
    To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
  • Accommodations:

    If you require special accommodations to complete this module, please contact Relias Customer Support here.
  • Disclosures:

    Expert Reviewers, Instructors, and Staff Writers disclosures will be listed above after the individuals' biographical paragraph. All other members involved within the planning of this educational activity have declared no conflict of interest exists when planning and developing this course.
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