Chaper 10: Stress and Disease Flashcards
A female student is driving to school when another driver nearly hits her. Her heart begins beating harder and faster as she becomes aroused and scared. Which of the following stages of the general adaption syndrome is she expecting?
A.) Alarm stage
B.) Stage of resistance
C.) Adaptation
D.) Exhaustion
A.) Alarm stage
Exhaustion occurs if stress continues and __ is not successful.
A.) Flight or fight response
B.) Alarm
C.) Adaptation
D.) Arousal
C.) Adaptation
A student arrives at school to find that he/ she has an exam for which he/ she is unprepared. Which physiological response would be expected?
A.) Decreased lipolysis
B.) Bronchoconstriction
C.) Decreased cortisol release
D.) Increased glucagon release
D.) Increased glucagon release
A 10-year-old female is arriving at a national spelling bee contest. Her heart starts beating faster and harder, and she begins to sweat. Which of the following is she experiencing?
A.) Anticipatory response
B.) Homeostasis
C.) Reactive stage
D.) Exhaustion stage
A.) Anticipatory stage
Which of the following hormones enhances myocardial contractility?
A.) Oxytocin
B.) Prolactin
C.) Epinephrine
D.) Somatotropin
C.) Epinephrine
A 35-year-old male is diagnosed with a hormone-secreting tumor of the adrenal medulla. He experiences elevated blood pressure and increased anxiety. Which of the hormones is the predominant one released by the tumor?
A.) Antidiuretic
B.) Acetylcholine
C.) Norepinephrin
D.) Cortisol
Stress induces sympathetic stimulation of the adrenal medulla. This causes the secretion of catecholamines, which include:
A.) Epinephrine and aldosterone
B.) Norepinephrine and cortisol
C.) Epinephrine and norepinephrine
D.) Cortisol and aldosterone
C.) Epinephrine and norepinephrine
A nurse recalls that stress-induced stimulation of the adrenal cortex causes it to secrete:
A.) Estrogen
B.) Cortisol
C.) Parathyroid hormone
D.) Adrenocorticotropin hormone (ACTH)
B.) Cortisol
Stress-induced catecholamine release from the adrenal medulla may result in:
A.) Decreased blood flow to the brain
B.) Elevated blood pressure
C.) Decreased glycogen synthesis
D.) Decreased muscle contraction
B.) Elevated blood pressue
When a patient is diagnosed with a hormone-secreting tumor of the adrenal cortex, which physiological response would be expected?
A.) Decreased blood pressure
B.) Increased incidence of gastric ulcers
C.) Increased lipogenesis of extremities
D.) Decreased gastric secretion
B.) Increased incidence of gastric ulcers
When assessing the effects of elevated B-endorphins in a patient, which of the following should the nurse monitor?
A.) Peripheral vasoconstriction
B.) Hyperglycemia
C.) Pain inhibition
D.) Decreased immune cell activity
C.) Pain inhibition
After teaching about coping, which information indicates a correct understanding? Coping is best defined as the process of:
A.) Adjusting to disease
B.) Preventing psychological distress
C.) Meditating anger
D.) Managing stressful challenges
D.) Managing stressful challenges
When teaching about the stress-age syndrome, what information should the nurse include?
A.) Decreased cortisol secretion
B.) Decreased thyroxine
C.) Immunodepression
D.) Increased catecholamine secretion
E.) Hypercoagulation of the blood
F.) Free-radical damage
B.) Decreased thyroxine
C.) Immunodepression
D.) Increased catecholamine secretion
E.) Hypercoagulation of the blood
F.) Free-radical damage
When a patient uses repression to deal with psychological stress, which of the following assessment findings should the nurse monitor for?
A.) Decreased monocyte counts
B.) Increased eosinophil counts
C.) Decreased serum glucose
D.) Increased pulse rates
E.) Increased medication reactions
A.) Decreased monocyte counts
B.) Increased eosinophil counts
E.) Increased medication reactions
