Pathophysiology chapter 1-21 FA
DAVIS
*Which of the following choices shows the correct sequence for Hans Selye’s
stress response?
Alarm Resistance Exhaustion
Some individuals appear to suffer from stress to a greater degree than
others. Which of the following may account for a more pronounced stress
response? Select all that apply.
Poorer ability to adapt
A patient is interested in how exercise affects the health of the body. Which
of the following are epigenetic influences of exercise? Select all that apply.
Alters DNA Methylation in a variety of tissues
Epigenetic Changes have been noted in brain, blood, cardiac and skeletal
muscle
Healthier phenotype conferred with exercise training
,A patient with rheumatoid arthritis, an autoimmune condition, is upset
because she has been prescribed corticosteroids to suppress the immune
system. The patient feels this is wrong, as she has learned that cortisol
activates the immune response. Which of the following would be an
appropriate response by the nurse?
Inform the patient of the different effects of cortisol on the immune system
whether the cortisol is present for a short duration or long term
A patient presents with the following characteristics: reduced white blood cell
(WBC) levels, immunosuppression, a sense of being rundown and unable to
cope, and suppressed hormone levels. Which stage of the stress response
may the patient be experiencing?
Exhaustion
A nursing educator overhears some students speaking about how amazing
the adrenal glands are for the stress response. Which of the following
comments indicate the students need help?
The adrenal cortex produces epinephrine and norepinephrine
A patient has developed a tumor of the hypothalamus disrupting
hypothalamic hormone production. As the nurse scans the laboratory report,
which finding most directly supports this conclusion?
Reduce corticotropin-releasing factor
,Which of the following is a manifestation of structural racism? Chronic stress?
Select all that apply.
Increased allostatic load
Increased risk for allostatic overload
A patient arrives at the emergency department having come from the scene
of a motor vehicle accident. Initial blood laboratory values indicate elevated
blood glucose levels. Which of the following are likely explanations? Select all
that apply.
Increase epinephrine
Adrenal glad activation
To make studying easier, some nursing students have decided to group
together items that increase during the stress response. Which of the
following should be included on the students’ list? Select all that apply.
Epinephrine
Blood Glucose
Acute immune response
A nurse is educating a patient about the stress response because the patient
wants to know why the stress response is so strong. The nurse responds that
, several systems are the initial primary responders to stress. Which systems
was the nurse speaking about? Select all that apply.
Nervous
Endocrine
While taking a patient’s history, the nursing student learns that the patient
has been under extreme stress at school and has suffered repeated
infections of the common cold. The nursing student knows that prolonged
stress may produce wear and tear on the body’s systems. What term
describes the nursing student’s understanding?
Allostatic load
A patient is speaking to a nurse about the patient’s stressful life. Which of
the following recommendations may the nurse make?
Eat a balanced nutritious diet
A nurse has received a series of laboratory values and vital signs for a
patient who recently experienced a traumatic accident. The laboratory
values were taken when the patient was in the alarm stage of the stress
response. Which of the following laboratory values and vital signs does the
nurse expect to see? Select all that apply.
Increased Blood Pressure
Increased heart rate
DAVIS
*Which of the following choices shows the correct sequence for Hans Selye’s
stress response?
Alarm Resistance Exhaustion
Some individuals appear to suffer from stress to a greater degree than
others. Which of the following may account for a more pronounced stress
response? Select all that apply.
Poorer ability to adapt
A patient is interested in how exercise affects the health of the body. Which
of the following are epigenetic influences of exercise? Select all that apply.
Alters DNA Methylation in a variety of tissues
Epigenetic Changes have been noted in brain, blood, cardiac and skeletal
muscle
Healthier phenotype conferred with exercise training
,A patient with rheumatoid arthritis, an autoimmune condition, is upset
because she has been prescribed corticosteroids to suppress the immune
system. The patient feels this is wrong, as she has learned that cortisol
activates the immune response. Which of the following would be an
appropriate response by the nurse?
Inform the patient of the different effects of cortisol on the immune system
whether the cortisol is present for a short duration or long term
A patient presents with the following characteristics: reduced white blood cell
(WBC) levels, immunosuppression, a sense of being rundown and unable to
cope, and suppressed hormone levels. Which stage of the stress response
may the patient be experiencing?
Exhaustion
A nursing educator overhears some students speaking about how amazing
the adrenal glands are for the stress response. Which of the following
comments indicate the students need help?
The adrenal cortex produces epinephrine and norepinephrine
A patient has developed a tumor of the hypothalamus disrupting
hypothalamic hormone production. As the nurse scans the laboratory report,
which finding most directly supports this conclusion?
Reduce corticotropin-releasing factor
,Which of the following is a manifestation of structural racism? Chronic stress?
Select all that apply.
Increased allostatic load
Increased risk for allostatic overload
A patient arrives at the emergency department having come from the scene
of a motor vehicle accident. Initial blood laboratory values indicate elevated
blood glucose levels. Which of the following are likely explanations? Select all
that apply.
Increase epinephrine
Adrenal glad activation
To make studying easier, some nursing students have decided to group
together items that increase during the stress response. Which of the
following should be included on the students’ list? Select all that apply.
Epinephrine
Blood Glucose
Acute immune response
A nurse is educating a patient about the stress response because the patient
wants to know why the stress response is so strong. The nurse responds that
, several systems are the initial primary responders to stress. Which systems
was the nurse speaking about? Select all that apply.
Nervous
Endocrine
While taking a patient’s history, the nursing student learns that the patient
has been under extreme stress at school and has suffered repeated
infections of the common cold. The nursing student knows that prolonged
stress may produce wear and tear on the body’s systems. What term
describes the nursing student’s understanding?
Allostatic load
A patient is speaking to a nurse about the patient’s stressful life. Which of
the following recommendations may the nurse make?
Eat a balanced nutritious diet
A nurse has received a series of laboratory values and vital signs for a
patient who recently experienced a traumatic accident. The laboratory
values were taken when the patient was in the alarm stage of the stress
response. Which of the following laboratory values and vital signs does the
nurse expect to see? Select all that apply.
Increased Blood Pressure
Increased heart rate
