NURS 223 Exam #1 Stress & Adaptation
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The psychologist is counseling a client who is overwhelmed by losing
his job and the recent death of a parent. Which strategy would be
effective for stress reduction?
a) Encouraging the client to eat and drink whatever he wants
b) Encouraging the client to decrease interaction with others
c) Encouraging the client to listen to music on the radio
d) Teaching the client to systematically contract and relax major
muscle groups
Ans: Teaching the client to systematically contract and relax
major muscle groups
Progressive muscle relaxation is one method of relieving
musculoskeletal tension and decreasing sympathetic system
activity (part of the stress response). It consists of systematic
contraction and relaxation of the major muscle groups. Radio
and television music is inappropriate for music therapy because
of the inability to control selection of pieces that are played.
Deficiencies or excesses of any nutrients can alter a person's
health status and impair his ability to adapt. Social isolation
also increases stress.
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Chronic and excessive activation of the stress response has been
shown to play a part in the development of long-term health problems.
The stress response can also result from chronic illness. Which health
problems have been linked to a stress response that is chronic and
excessive?
a) Immune disorders and brain tumors
b) Suicide and thrombosis in the extremities
c) Suicide and immune disorders
d) Depression and renal disease
Ans: Suicide and immune disorders
Diseases of the cardiovascular, gastrointestinal, immune, and
neurologic systems, as well as depression, chronic alcoholism
and drug abuse, eating disorders, accidents, and suicide, have
all been linked to the chronic and excessive activation of the
stress response.
Most physiologic control systems function under positive feedback
mechanisms.
a) False
b) True
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Ans: False
The reason most physiologic control systems function under
negative rather than positive feedback mechanisms is that a
postive feedback mechanism interjects instability rather than
stability into a system.
The elderly client, with a history of congestive heart failure, is upset
following the death of her husband yesterday. The practitioner
observes the client for which of the following?
a) Arrhythmias
b) Anemia
c) Renal failure
d) Cerebrovascular accident
Ans: Arrhythmias
For people with limited coping abilities, either because of
physical or mental health, the acute stress response may be
detrimental. For people with preexisting heart disease the
overwhelming sympathetic behaviors associated with stress can
lead to arrhythmias. The other options are not stimulated by
the sympathetic response.
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