Which of the following phases of Selye's General Adaptation Syndrome (GAS) reflects a nurse's ability to successfully perform duties during a prolonged period of stress lasting weeks to months without any indication of observable impairment?

Exhaustion phase

Alarm phase

Resistance phase

Adaptive phase

Answer and Explanation

The Correct Answer is C

A. Exhaustion phase. The exhaustion phase occurs when the body's ability to cope with stress is depleted, leading to physical and psychological impairments such as fatigue, burnout, and increased susceptibility to illness. This phase does not align with maintaining performance over an extended period.
B. Alarm phase. The alarm phase is the initial reaction to stress, activating the sympathetic nervous system and triggering the "fight-or-flight" response. While it provides a short-term boost in alertness and energy, it is not sustainable for weeks to months without impairment.
C. Resistance phase. The resistance phase allows the body to adapt to prolonged stress, maintaining homeostasis and function without significant observable impairment. During this phase, the individual continues to perform duties effectively despite ongoing stress.
D. Adaptive phase. The General Adaptation Syndrome does not include an "adaptive phase." Adaptation occurs within the resistance phase, making this answer incorrect.

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Correct Answer is A

Explanation

A. Suspiciousness of others: Paranoid personality disorder is characterized by pervasive distrust and suspicion of others, leading to difficulty forming relationships. Clients may misinterpret benign actions as malicious and hold long-standing grudges.
B. Requiring frequent reassurance from others: This is more characteristic of dependent personality disorder, where individuals struggle with self-confidence and rely on others for decision-making and emotional support.
C. Inflated sense of self: This is commonly seen in narcissistic personality disorder, where individuals display grandiosity, a need for admiration, and a lack of empathy for others.
D. Lack of feelings of remorse: This trait is associated with antisocial personality disorder, where individuals exhibit disregard for the rights of others, manipulative behavior, and a lack of guilt or remorse for their actions.

A. Paranoia B. Distorted beliefs C. Confusion D. Lack of emotions

Correct Answer is D

Explanation

A. Paranoia is a positive symptom of schizophrenia, characterized by excessive distrust and suspicion. Positive symptoms involve an excess or distortion of normal functions, such as hallucinations or delusions. Paranoia reflects an altered perception of reality rather than a diminished emotional or cognitive function.
B. Distorted beliefs, including delusions, are considered positive symptoms of schizophrenia. These beliefs are false, fixed, and not based on reality, often involving grandiosity, persecution, or somatic concerns. Positive symptoms represent an exaggeration of normal thought processes rather than a reduction in function.
C. Confusion is often associated with cognitive impairment in schizophrenia but is not classified as a negative symptom. Cognitive symptoms include deficits in memory, attention, and executive function, whereas negative symptoms involve the absence of normal emotional or behavioral responses. Confusion is more related to disorganized thinking rather than a loss of function.
D. Lack of emotions, or affective flattening, is a negative symptom of schizophrenia. Negative symptoms involve a reduction in normal functions, such as diminished emotional expression, social withdrawal, and decreased motivation. These symptoms contribute significantly to functional impairment and are often more resistant to treatment than positive symptoms.

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Which of the following phases of Selye's General Adaptation Syndrome (GAS) reflects a nurse's ability to successfully perform duties during a prolonged period of stress lasting weeks to months without any indication of observable impairment?

Nursing Test Bank

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