During which phase of the general adaptation syndrome does the body experience adrenal exhaustion quizlet?

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Terms in this set (14)

The first stage of the general adaptation syndrome (GAS) can be characterized by which response?

Eustress
Fight or flight
Resistance
Exhaustion

Fight or flight

The initial adaptive response of the general adaptation syndrome prepares the individual to fight or flee in the face of acute stress. None of the other options are associated with the initial stage of GAS.REF: 159

Which assessment monitors the effect of stress attributed to the stimulation of the hypothalamus-pituitary-adrenal cortex?

Heart rate
Triglycerides
Blood glucose levels
Brain norepinephrine

Blood glucose levels

An increase in gluconeogenesis, stimulated by the release of cortisol, ensures that increased amounts of glucose are available to the individual. Increased glucose levels heighten and maintain energy levels to meet the demands of a crisis or stressor. None of the other options are as directly associated with the hypothalamus-pituitary-adrenal cortex.REF: 158; Fig 10-2

Stress can be attributed to stimulation of the hypothalamus-pituitary-adrenal cortex. Which assessment finding would confirm the long-term effects of such stress?
Select all that apply.

Insulin resistance
A high resting heart rate
Digestive problems
Chronic muscle tension
Obesity

Insulin resistance
Obesity

Insulin resistance and obesity are considered long-term sequelae of the high blood glucose levels incurred when the body responds to stress. None of the other options are related to the hypothalamus-pituitary-adrenal cortex.REF: 159

The relaxation response calls upon the initiation of what process?

Sympathetic activation
Parasympathetic activation
Brainstem deactivation
Increased cortisol production by the adrenals

Parasympathetic activation

Sympathetic activation prepares the individual for the fight-or-flight response. Parasympathetic activation has the opposite effect. None of the other options would bring about relaxation.REF: 159

Meditation is successful in promoting stress reduction because it brings about which outcome?

Prevents endorphin release
changes the client's energy field
quiets the sympathetic nervous system
activates the parasympathetic nervous system

quiets the sympathetic nervous system

Sympathetic nervous system stimulation prepares the body for fight or flight in response to stress. Meditation reduces this state of alert by eliciting a relaxation response by creating a hypometabolic state of quieting the sympathetic nervous system. None of the other options accurately describe the process.REF: 166

A nurse teaches a client a technique for examining negative thoughts and restating them in positive ways. What term is used to identify this technique?

Guided imagery
cognitive reframing
wishful thinking
confrontational assertion

cognitive reframing

Cognitive reframing calls for changing the viewpoint of a situation and replacing it with another viewpoint that fits the facts but is less negative. That description does not apply to any of the other options.REF: 167

What is the physiologic basis for the success of guided imagery?

β-Endorphin release raises the pain threshold.
Imagery raises the body level of cortisol and epinephrine.
The sympathetic nervous system is stimulated to produce a quiet state.
Brain catecholamines are less available to transmit pain impulses.

β-Endorphin release raises the pain threshold.

Guided imagery stimulates release of β-endorphins, a brain chemical that raises the individual's pain threshold. In so doing, the guided imagery is responsible for making the client more comfortable. None of the other options are accurate explanations of this process. REF: 166

A client with hypertension uses an automatic cycling blood pressure cuff with audible changing tones. The client uses relaxation techniques to lower her blood pressure and is informed of her ongoing success by the tone. This process describes

biofeedback.
guided imagery.
therapeutic touch.
assertiveness training.

biofeedback.

Biofeedback is a technique for gaining conscious control over unconscious processes. The scenario describes one method that might accomplish this.REF: 165

An effective stress-reduction technique a nurse might teach an individual with performance anxiety is

assertiveness.
journal keeping.
deep breathing.
restructuring and setting priorities.

deep breathing.

Changing the breathing pattern can be highly effective in aborting or mitigating the high anxiety level associated with performance anxiety. None of the other options are typically associated with anxiety management.REF: 165-166

Self-help groups are useful for reducing stress because they provide the individual with the stress mediator that take what form?

Social support
Cultural support
Life satisfaction
Cognitive reframing

Social support

Self-help groups often provide a high level of social support. Members meet and are encouraged and sustained by others who share the same problem. None of the other options are expected to be provided by the self-help group format.REF: 160-161

What factor exerts the greatest influence on the degree to which various life events upset a specific individual?

The individual's perception of the event
The individual's degree of spirituality
The effect of the individual's health-sustaining behaviors
The amount of social support available to the individual

The individual's perception of the event

Researchers have looked at the degree to which various life events upset specific individuals. They have found that the perception of a recent life event determines the person's emotional and psychological reactions to it. While the other options may be factors none contribute to the degree of stress than one's perception of the stressor.REF: 160-161

What would a client experience during a progressive relaxation session?

Instruction in sequential tensing and relaxing of various muscle groups until the entire body is relaxed
Being attached to a machine that monitors a physical parameter and receiving audible feedback about the state of that parameter
Having a nurse enter the client's energy field to rebalance it and bring harmony
Being led into a positive imaginary sensory experience

Instruction in sequential tensing and relaxing of various muscle groups until the entire body is relaxed

Instruction on sequential tensing and relaxing muscles provides a description of Benson's method of progressive relaxation. Being attached to a machine that uses sound describes biofeedback. Rebalancing an energy field describes therapeutic touch. Positive imaging describes a component of guided imagery.REF: 166

What tool should the nurse use in assessing the amount of stress a client has experienced in the past year?

NANDA Handbook
DSM-IV-TR
Quick Mental Status Assessment
Life-Changing Event Questionnaire

Life-Changing Event Questionnaire

This questionnaire calls for the client to review events of the past year and score each. This is the only tool listed that assesses stress.REF: 163; Table 10-3

Which approach to reducing client stress is most effective in people with low to moderate hypnotic ability?

Meditation
Breathing exercises
Journal keeping
Biofeedback

Biofeedback

Biofeedback is usually thought to be most effective in people with low to moderate hypnotic ability. For people with hypnotic ability, meditation, progressive muscle relaxation, and other cognitive-behavioral therapy techniques produce the most rapid reduction in clinical symptoms.REF: 165

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During which phase of the general adaptation syndrome does the body experience adrenal exhaustion '?

Exhaustion Stage Prolonged or chronic stress leads to the last stage of general adaptation syndrome—exhaustion. Enduring stressors without relief drains your physical, emotional, and mental resources to the point where your body is no longer able to cope with stress.

What happens in Phase 2 of general adaptation syndrome?

2. Resistance stage. After the initial shock of a stressful event and having a fight-or-flight response, the body begins to repair itself. It releases a lower amount of cortisol, and your heart rate and blood pressure begin to normalize.

What happens in phase 3 of general adaptation syndrome?

Stage III: Exhaustion Researchers refer to this as a disease of adaptation because it causes life-sustaining mechanisms to slow down, organ systems to fail, and our stress-fighting reserves to deplete. The shock phase of alarm reaction is essentially repeated during the exhaustion stage, resulting in: Fatigue.

What happens in Phase 1 of general adaptation syndrome?

Alarm Reaction Stage This is the first stage of general adaptation syndrome. During this stage, your body sends a distress signal to your brain. Your brain responds by sending a message to the body releasing hormones called glucocorticoids and adrenaline; these are also known as your “fight or flight” hormones.