Which scenario best demonstrates an example of eustress?
After many years of marital conflict, a couple have filed for divorce.
A man receives notification that his employer is experiencing financial problems and he may be terminated.
A couple receives a bank notice there were insufficient funds in their account for a recent rent payment.
An older man is learning new skills to prepare for his promotion to a supervisory role.
The Correct Answer is D
Choice A reason: Divorce represents distress, not eustress, as it triggers negative emotional responses via heightened cortisol and amygdala activity, disrupting serotonin and dopamine balance. This chronic stress impairs prefrontal cortex function, leading to emotional dysregulation, unlike eustress, which promotes positive motivation and growth.
Choice B reason: Job loss threat is distress, activating the HPA axis to release cortisol, increasing amygdala-driven anxiety. This disrupts serotonin signaling, impairing mood regulation, and does not foster positive motivation or growth, unlike eustress, which involves beneficial stress enhancing performance without overwhelming neural systems.
Choice C reason: Financial strain is distress, elevating cortisol via HPA axis activation, increasing amygdala activity, and reducing prefrontal control, leading to anxiety. Unlike eustress, which promotes motivation through manageable challenges, this scenario causes negative emotional responses, disrupting serotonin and dopamine balance, impairing coping mechanisms.
Choice D reason: Learning new skills for a promotion is eustress, activating moderate HPA axis responses and dopamine release in the reward system, enhancing motivation and prefrontal cortex function. This positive stress promotes neuroplasticity, improving cognitive adaptability and emotional resilience, unlike distress, which overwhelms neural regulatory systems.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Hospice requires a prognosis of 6 months or less. COPD with a 2-year life expectancy does not meet this, as the chronic disease allows longer-term management, not immediate palliative care for end-stage illness.
Choice B reason: Type 1 diabetes and substance abuse are not terminal conditions meeting hospice criteria (6 months or less prognosis). These require chronic management, not end-of-life care, as they lack imminent mortality despite complications.
Choice C reason: Multiple sclerosis with depression and pain is chronic, not terminal within 6 months, excluding hospice eligibility. Symptom management, not end-of-life care, is appropriate, as the prognosis does not indicate imminent death.
Choice D reason: Glioblastoma with an 8-10 week prognosis meets hospice criteria (6 months or less). Rapid tumor progression causes neurological decline, requiring palliative care to manage symptoms and support end-of-life needs, aligning with hospice goals.
Correct Answer is B
Explanation
Choice A reason: Persistent depressive disorder responds better to SSRIs or psychotherapy, as MAOIs’ risk of hypertensive crises due to monoamine buildup limits their use. MAOIs increase serotonin, dopamine, and norepinephrine, but are reserved for severe cases due to complex neural interactions.
Choice B reason: MAOIs like phenelzine are used for treatment-resistant depression, where SSRIs fail, by increasing serotonin, dopamine, and norepinephrine via enzyme inhibition. This broad monoamine enhancement alters prefrontal-amygdala circuits, addressing severe depressive symptoms unresponsive to other treatments, making it the primary indication.
Choice C reason: Moderate depression is typically treated with SSRIs or SNRIs, which have safer profiles. MAOIs’ risk of serotonin and norepinephrine overload, causing hypertensive crises, makes them unsuitable for moderate cases, where less aggressive neural modulation is effective.
Choice D reason: Mild depression is managed with psychotherapy or SSRIs, not MAOIs, which risk serious side effects like tyramine-induced hypertensive crises due to excessive monoamine levels. MAOIs are reserved for severe, resistant cases, not mild neural dysregulation.
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