In a state of chronic arousal, what can happen within the body?
- A. Blood pressure decreases.
- B. Serum glucose levels drop.
- C. Arteriosclerosis may develop.
- D. Tissue necrosis may occur.
Correct Answer: C
Rationale: If the sympathetic-adrenal-medullary response is prolonged or excessive, a state of chronic arousal develops that may lead to high (not low) blood pressure, arteriosclerotic changes, and cardiovascular disease. If the production of ACTH is prolonged or excessive, behavior patterns of withdrawal and depression are seen. In addition, the immune response is decreased, and infections and tumors may develop.
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What would occur during adulthood in the GAS?
- A. Stressful events occur and resistance or adaption occurs.
- B. Successful avoidance of stressful life events leaves the body vulnerable.
- C. The accumulation of lifes stressors causes resistance to fall.
- D. Vulnerability leads to eventual death.
Correct Answer: A
Rationale: Selye compared the general adaptation syndrome with the life process. During childhood, too few encounters with stress occur to promote the development of adaptive functioning, and children are vulnerable. During adulthood, a number of stressful events occur, and people develop resistance or adaptation. During the later years, the accumulation of lifes stressors and wear and tear on the organism again decrease peoples ability to adapt, so resistance falls, and, eventually, death occurs.
How should you best understand the concept of coping when attempting to meet this patients needs?
- A. Coping is a physiologic measure used to deal with change, and he will physically adapt.
- B. Coping is composed of the physiologic and psychological processes that people use to adapt to change.
- C. Coping is the human need for faith and hope, both of which create change.
- D. Coping is a social strategy that is used to deal with change and loss.
Correct Answer: B
Rationale: Indicators of stress and the stress response include both subjective and objective measures. They are psychological, physiologic, or behavioral and reflect social behaviors and thought processes. The physiologic and psychological processes that people use to adapt to stress are the essence of the coping process. Coping is both a physiologic and psychological process used to adapt to change.
When do compensatory mechanisms occur in the human body?
- A. According to a diurnal cycle
- B. When needed
- C. Continuously
- D. Sporadically
Correct Answer: C
Rationale: The concept of the cell as existing on a continuum of function and structure includes the relationship of the cell to compensatory mechanisms, which occur continuously in the body to maintain the steady state.
What would the nurse tell the patient about dysplastic cells in the bronchi?
- A. This is a benign process that occurs as lung tissue regenerates.
- B. Dysplastic cells have a high potential to become malignant.
- C. This process involves a rapid increase in number of cells.
- D. Dysplasia may cause uncontrolled growth of scar tissue.
Correct Answer: B
Rationale: Dysplasia is bizarre cell growth resulting in cells that differ in size, shape, or arrangement from other cells of the same tissue type. Dysplastic cells have a tendency to become malignant; dysplasia is seen commonly in epithelial cells in the bronchi of people who smoke. This may not be a harmless condition and dysplasia does not cause scar tissue. Hyperplasia is an increase in the number of new cells.
What should you encourage the patient to consider?
- A. Improve his nutritional intake.
- B. Make an appointment at a wellness clinic.
- C. Walk on a daily basis.
- D. Increase his interaction with his social network.
Correct Answer: D
Rationale: Social networks can reduce stress by providing the individual with a positive social identity, emotional support, material aide, information, and new social contacts. Changes to diet and activity may be beneficial, but social interaction is known to be of particular benefit. Attendance at a wellness clinic may or may not be beneficial, and does not involve social interaction.
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