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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Neurotransmitters are chemical components that allow neurons to store energy for future use. Neurotransmitters do not store energy; they facilitate communication between neurons by transmitting signals across synapses. Their primary function is to modulate brain activity, not energy storage.
B. Neurotransmitters are activated by the enzyme transferase. Neurotransmitters are not activated by transferase. They are synthesized, stored in vesicles, and released into the synaptic cleft in response to an action potential, where they bind to receptors to elicit a response.
C. Neurotransmitters function by inhibiting the production of glucose. Neurotransmitters do not inhibit glucose production. They play a role in neuronal signaling, affecting mood, cognition, and physiological processes, but do not directly regulate glucose metabolism.
D. Neurotransmitters are found throughout the body. Neurotransmitters exist in both the central and peripheral nervous systems, regulating various functions such as mood, movement, and autonomic responses. They are essential for communication between neurons in the brain and throughout the body.
Correct Answer is C
Explanation
A. Severe restlessness. Severe restlessness, known as akathisia, is a potential side effect of antipsychotic medications but is not indicative of agranulocytosis. Akathisia is associated with excessive movement and an inability to stay still, often requiring dose adjustment or medication to alleviate symptoms.
B. Respiratory depression and a comatose state. Respiratory depression and coma are not linked to agranulocytosis but may occur with overdose or central nervous system depression. Agranulocytosis affects white blood cell levels, leading to increased infection risk rather than sedation or respiratory suppression.
C. Sore throat and muscle aches. Sore throat and muscle aches are early signs of agranulocytosis, a potentially life-threatening condition characterized by a dangerously low neutrophil count. Clients taking clozapine must undergo regular white blood cell monitoring to detect agranulocytosis early and prevent severe infections.
D. Increased anxiety and suicidal ideations. Increased anxiety and suicidal ideations may be related to psychiatric conditions or medication effects but are not specific to agranulocytosis. Clozapine is primarily used for treatment-resistant schizophrenia and may help reduce suicidal behavior rather than induce it.
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