A nurse is teaching a class about the stages of the general adaptive syndrome (GAS). The nurse should include that which of the following is the first physiological response that occurs during GAS?

A perceived stressor stimulates the central nervous system.

The body remains alert, while blood pressure and heart rate return to pre-stress levels.

Prolonged exposure to stress can result in illness.

An increase in hormones causes an increase in blood pressure and heart rate.

Answer and Explanation

The Correct Answer is A

Choice A rationale
The first physiological response that occurs during the General Adaptation Syndrome (GAS) is
the alarm reaction stage. This stage is the body’s initial response to stress, where the sympathetic nervous system is activated by the sudden release of hormones.
Choice B rationale
The body remaining alert while blood pressure and heart rate return to pre-stress levels is part of the resistance stage of GAS, not the first physiological response.
Choice C rationale
Prolonged exposure to stress resulting in illness is associated with the exhaustion stage of GAS, which is the final stage, not the first physiological response.
Choice D rationale
An increase in hormones causing an increase in blood pressure and heart rate is part of the alarm reaction stage, but it is not the first physiological response. The first response is the perception of a stressor that stimulates the central nervous system.

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Correct Answer is ["A","C","D"]

Explanation

Choice A rationale
Slow capillary refill is a sign that the body is not circulating blood as effectively as it should be. This can be a sign that a person is actively dying.
Choice B rationale
Ringing in the ears, also known as tinnitus, is not typically a sign that a person is actively dying. It can be caused by a variety of factors, including exposure to loud noise, certain medications, and some health conditions.
Choice C rationale
Cold hands and feet can be a sign that a person is actively dying. As the body’s systems start to shut down, blood flow to the extremities can decrease, causing them to feel cold.
Choice D rationale
Mottled and blotchy skin, especially on the hands, feet, and knees, can be a sign that a person is actively dying. This is caused by reduced blood flow to the skin.

A. “How about we make a compromise and I can get you some strawberries instead.”. B. “I’m sorry, but you must stick to your dietary restrictions so that you can get better faster.”. C. “I love strawberry ice cream too, how about I get the both of us some?” D. “Why don’t we talk about treatment first?” E. Skeletal muscles do not enable the bronchioles to dilate in the lungs. The dilation and constriction of the bronchioles are controlled by the autonomic nervous system and the smooth muscles in the walls of the bronchioles.

Correct Answer is A

Explanation

Choice A rationale
This response shows empathy and understanding towards the patient’s situation. It acknowledges the patient’s craving for strawberry ice cream and offers a compromise that aligns with the patient’s dietary restrictions.
Choice B rationale
This response may come across as insensitive and dismissive of the patient’s feelings. It’s important to show empathy and understanding when dealing with patients, especially those in hospice care.
Choice C rationale
This response may not be appropriate as it does not consider the patient’s dietary restrictions. While it shows empathy, it’s important to respect and adhere to the patient’s dietary needs.
Choice D rationale
This response may not be appropriate as it does not address the patient’s statement. It’s important to acknowledge and respond to the patient’s feelings and concerns.

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A nurse is teaching a class about the stages of the general adaptive syndrome (GAS). The nurse should include that which of the following is the first physiological response that occurs during GAS?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Select physical signs you may see in a patient who is actively dying.

Correct Answer is ["A","C","D"]

Explanation

During a home visit to a hospice patient, the patient states, “I used to love eating strawberry ice cream, but with the dietary restrictions of my condition, I have not been able to have ice cream in years.”. How should the nurse respond?

Correct Answer is A

Explanation

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