Question 1

When dealing with repression in patients,which of the following assessment findings are associated with repression? (Select all that apply.)

Accepted Answer

A)   Decreased monocyte counts
B)   Increased eosinophil counts
C)   Decreased serum glucose
D)   Increased pulse rates
E)   Increased medication reactions A,B,E

Question 2

Selye reported several structural changes in rats exposed to repeated stressors.These included:

Accepted Answer

A)   Hypertrophy of the thymus gland
B)   Ulceration in the gastrointestinal system
C)   Atrophy of the cortex in the adrenal gland
D)   Fight or flight response B

Question 3

When teaching about the stress-age syndrome,what information should the nurse include? (Select all that apply.)

Accepted Answer

A)   Decreased cortisol secretion
B)   Increased thyroxine
C)   Immunodepression
D)   Increased catecholamine secretion
E)   Hypercoagulation of the bloodF)  Free radical damage B,C,D,E,F

Question 4

A female student is driving to school when another driver nearly hits her.Her heart begins beating harder and faster as she becomes aroused and scared.Which of the following stages of the general adaptation syndrome is she experiencing?

Accepted Answer

A)   Alarm stage
B)   Stage of resistance
C)   Adaptation
D)   Exhaustion

Question 5

A 35-year-old male is diagnosed with a hormone-secreting tumor of the adrenal medulla.He experiences elevated blood pressure,pupil dilation,"goose bumps," and increased anxiety.Which of the following hormones is the predominant one released by the tumor?

Accepted Answer

A)   Antidiuretic hormone
B)   Acetylcholine
C)   Norepinephrine
D)   Cortisol

Question 6

After teaching about stress,which information indicates a correct understanding of stress?

Accepted Answer

A)   It worsens but does not cause disease.
B)   It can be viewed as transactional.
C)   It is a psychologic, rather than biologic, event.
D)   It is a passive event.

Question 7

A 50-year-old female is diagnosed with a hormone-secreting tumor of the adrenal cortex.Which of the following would be expected?

Accepted Answer

A)   Decreased blood pressure
B)   Increased lipogenesis of face and trunk
C)   Increased lipogenesis of extremities
D)   Decreased gastric secretion

Question 8

Stress-induced catecholamine release from the adrenal medulla may result in:

Accepted Answer

A)   Decreased blood flow to the brain
B)   Elevated blood pressure
C)   Increased glycogen synthesis in the liver
D)   Decreased muscle contraction resulting from energy depletion

Question 9

Stress induces sympathetic stimulation of the adrenal medulla.This causes the secretion of catecholamines,which include:

Accepted Answer

A)   Epinephrine and aldosterone
B)   Norepinephrine and cortisol
C)   Epinephrine and norepinephrine
D)   Cortisol and aldosterone

Question 10

A 30-year-old male develops poison ivy after mowing the lawn near the woods.His primary care provider prescribes a synthetic cortisol.How will the cortisol relieve his symptoms?

Accepted Answer

A)   Suppressing Th1 cell activity
B)   Increasing cytokine secretion
C)   Suppressing natural killer cell activity
D)   Increasing Th2 activity

Question 11

After teaching about coping,which information indicates a correct understanding? Coping is best defined as the process of:

Accepted Answer

A)   Adjusting to disease
B)   Preventing psychological distress
C)   Mediating anger
D)   Managing stressful challenges

Question 12

A 10-year-old female is arriving at a national spelling bee contest.Her heart starts beating faster and harder,and she begins to sweat.Which of the following is she experiencing?

Accepted Answer

A)   Anticipatory response
B)   Homeostasis
C)   Reactive response
D)   Exhaustion stage

Question 13

A male student arrives at school to find that he has an exam for which he is unprepared.Which of the following would be expected?

Accepted Answer

A)   Decreased lipolysis
B)   Bronchoconstriction
C)   Decreased cortisol release
D)   Increased glucagon release

Question 14

Which of the following hormones activates adrenergic receptors?

Accepted Answer

A)   Oxytocin
B)   Prolactin
C)   Epinephrine
D)   Somatotropin

Question 15

A nurse recalls stress-induced stimulation of the adrenal cortex causes it to secrete:

Accepted Answer

A)   Estrogen
B)   Cortisol
C)   Parathyroid hormone
D)   Adrenocorticotropin hormone (ACTH)

Question 16

A 10-year-old male was physically abused for the previous 4 years.He reports feeling stressed all the time and frequently gets ill.Which of the following hormones is most likely suppressed in this child?

Accepted Answer

A)   Endorphins
B)   Growth hormone
C)   Prolactin
D)   Cortisol

Question 17

Exhaustion occurs if stress continues and _____ is not successful.

Accepted Answer

A)   Fight or flight
B)   Alarm
C)   Adaptation
D)   Arousal

Question 18

When assessing the effects of elevated â-endorphins in a patient,which of the following should the nurse monitor?

Accepted Answer

A)   Peripheral vasoconstriction
B)   Hyperglycemia
C)   Pain inhibition
D)   Decreased immune cell activity

Exam 8: Stress and Disease