Week 1: Ch. 6: Individual and Family Homeostasis, Stress, and Adaption

Hyperplasia

What is the term for an adaptation to environmental stress that occurs when tissue mass enlarges due to cell multiplication and increased stimulation?

Include physical, emotional, and social elements

When approaching health care holistically, which of the following would the nurse do?

The response experienced by anyone who has suffered a loss

When describing the term "grief" to a group of students, which of the following would the instructor include?

Exploring appropriate coping strategies

When providing care to a patient with anxiety, which intervention would be the highest priority?

1. Acceptance 2. Acknowledgement 3. Adaptation 4. Cultivation

When working with a family, the nurse integrates knowledge of the four major tasks that the family must accomplish during the grieving process. The actions below reflect these tasks. Place them in the appropriate sequence from first to last.

Frequent activation of the sympathetic nervous system

Which of the following factors are implicated in the development of heart disease?

Loss of a network for support

Which of the following factors increase an older adult's vulnerability and reaction to stressors?

A response by the sympathetic nervous system

Which of the following responses is most helpful to the client when in an emergency situation?

Establishing a trusting nurse-client relationship

Which of the following would be the priority when providing care to a client with posttraumatic stress disorder (PTSD)?

2 weeks

For a person to be clinically depressed, signs of a depressed mood or depressed interest in pleasurable activities must occur for at least

excessive glutamate

Which neurotransmitter has been implicated in the development of ALS?

Bruxism and excessive sweating

A client admitted for a voluntary breast reduction is displaying many signs and symptoms of stress. Which of the following findings would be consistent with this analysis by the nurse?

High blood pressure, palpitations

A client who directly experienced the terror attacks of September 11, 2001 states that he has no lasting effects from this experience. His wife disagrees. Which of the following will the nurse assess if the wife is correct about the lasting stress?

"With decreased use of your legs, the cell size reduces."

A client who has been confined to bed for more than 1 year is concerned about the shrinking size of his legs. How will the nurse respond to the client's concern?

are helpful because stress stimulates the release of vasoconstricting catecholamines.

A nurse correctly instructs a client with peripheral vascular disease that stress-reduction techniques:

-Hyperemia due to increased blood flow. -Pain due to pressure on the nerve endings. -Swelling due to increased vascular permeability.

A nurse is caring for a patient with a localized response to bee stings. What symptoms does the nurse know to look for?

Increased concentration

After educating a class about depression, the instructor determines that additional class time is needed for teaching when the class identifies which of the following as an indicator of depression?

"Individuals frequently engage in substance use and abuse to enhance their decision-making ability."

After teaching nursing students about substance abuse and its effects on individuals and families, the instructor determines that additional teaching is necessary when the students state which of the following?

Spiritual distress

During an interview, a patient states, "I don't know why God is punishing me like this." The nurse would most likely identify which nursing diagnosis as a priority?

stress awareness stage

The general adaptation syndrome (GAS) is a nonspecific physiologic response to a stressor. Which stage is not a part of the process?

Dopamine

The nurse is caring for a client diagnosed with Parkinson's disease. The nurse is most correct to correlate the client's uncontrolled tremors as a physical characteristic of a lack of which neurotransmitter?

Tense and relax specific muscles

The nurse is using progressive muscle relaxation with a client to reduce stress. The nurse instructs the client to do which of the following?

"When one family member becomes ill, other members are affected."

While interviewing the wife of a patient with multiple health problems, the spouse states, "I'm not the one who is ill, but I feel like I'm getting sick all the time." Which response by the nurse would be most appropriate?

Cardiovascular

Years ago a client was informed that he had pre-hypertension. He admits that he has not had his blood pressure monitored for more than 3 years. Currently, the nurse assesses his blood pressure to be 178/104. Which body system may display a cellular adaptation to this condition?