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Liberty University Nurs 115 -Final Exam Questions with All Actual Answers.

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Homeostasis definition - Answer the ability of the body to respond and maintain stability Negative feedback system - Answer regulates life processes and behaviors; ex: blood glucose system Stress - Answer the process by which we perceive and respond to certain events, called stressors, that we appraise as threatening or challenging Genera Adaptation Syndrome (GAS) - Answer how the body reacts to stress; involves consciousness (psychology), brain and CNS (neurology), immunology (and inflammation) Adaptation - Answer the ability to respond to challenges of physical or psychological homeostasis and the return to a balanced state GAS system: Alarm - Answer initial stage as hypothalamus perceives stressor' release of epi/norepi, pupils dilate, bronchodilation, increased HR and BP GAS system: Resistance - Answer patients ability to fight stressor GAS system: Recovery or Exhaustion - Answer patient either overcomes stressor, or succumbs to it Endogenous stressor - Answer something initiating the stress response from INSIDE the body Exogenous stressor - Answer something initiating the stress response from OUTSIDE the body; ex: temp Eustress - Answer mild, brief, controlled stress (exercise, labor) Distress - Answer severe, uncontrolled stress (no light at the end of the tunnel) Stress Response (Sympathetic Nervous System) - Answer fight or flight; in the acute stress response everything is elevated EXCEPT: GI/GU, inflammation, and immunity

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Liberty University Nurs 115 -Final
Exam Questions with All Actual
Answers.
Homeostasis definition - Answer the ability of the body to respond and maintain stability



Negative feedback system - Answer regulates life processes and behaviors; ex: blood glucose
system



Stress - Answer the process by which we perceive and respond to certain events, called
stressors, that we appraise as threatening or challenging



Genera Adaptation Syndrome (GAS) - Answer how the body reacts to stress; involves
consciousness (psychology), brain and CNS (neurology), immunology (and inflammation)



Adaptation - Answer the ability to respond to challenges of physical or psychological
homeostasis and the return to a balanced state



GAS system: Alarm - Answer initial stage as hypothalamus perceives stressor' release of
epi/norepi, pupils dilate, bronchodilation, increased HR and BP



GAS system: Resistance - Answer patients ability to fight stressor



GAS system: Recovery or Exhaustion - Answer patient either overcomes stressor, or
succumbs to it



Endogenous stressor - Answer something initiating the stress response from INSIDE the body



Exogenous stressor - Answer something initiating the stress response from OUTSIDE the
body; ex: temp



Eustress - Answer mild, brief, controlled stress (exercise, labor)



Distress - Answer severe, uncontrolled stress (no light at the end of the tunnel)



Stress Response (Sympathetic Nervous System) - Answer fight or flight; in the acute stress
response everything is elevated EXCEPT: GI/GU, inflammation, and immunity

,Glycogen - Answer stored glucose



Glucagon - Answer what is released to break down glycogen



glycogenolysis - Answer broken down glucose



gluconeogenesis - Answer the body breaks down fats/acid in order to create glucagon



Alpha 1 receptors - Answer vasoconstriction, smooth muscle contraction



Alpha 2 receptors - Answer renin release --> changes pressure



Beta 1 receptors - Answer stimulation of lypolysis, increased HR



Beta 2 receptors - Answer bronchodilation, lots of breakdown for energy



fluid = volume = - Answer = pressure



Cortisol - Answer -from adrenal cortex

-promotes glyconeogenesis in liver, breakdown to produce energy

-puts 3 things on pause (GI/GU, inflammation, immunity)



Factors that impact response to stress - Answer age, time/adaption, health status, nutrition,
sleep/wake cycle, genetics



Hardiness - Answer someone with a sense of control over the environment and purpose in
life; views stressors as challenges rather than threats



Acute stress - Answer <6 months



Chronic stress - Answer >6 months



post-traumatic stress disorder (PTSD) - Answer chronic activation of the stress response due
to experiencing a potentially life-threatening event

, S&S of PTSD - Answer -intrusion: nightmares, daymares, flashbacks

-avoidance: relational, standoffish

-hyper-arousal: extreme levels of anger, frustration, irritability, depression

--> patient has these three symptoms for 1 month to the degree that it effects their normal lives



Thermoregulation - Answer job of the hypothalamus; it is the balance of heat created by by
organs and what the body is able to lose as heat



methods of heat loss: radiation - Answer loss of heat due to temperature of atmosphere



methods of heat loss: conduction - Answer loosing (or gaining) heat through touch



methods of heat loss: convection - Answer heat loss from movement of air (wind chill)



methods of heat loss: evaporation - Answer the evaporation of water off the skin cools body
temp



methods of obtaining a core temperature - Answer -rectal (ex: 100)

-oral (ex: 99 - always 1 less than rectal)

-auxiliary (ex: 98)



Pyrogen "fire-makers" - Answer exogenous or endogenous substances that produce fever //
exogenous pyrogens induce host cells to produce fever-producing mediators



Patterns of Fever: Intermittent - Answer temp returns to normal at least once every 24 hours



Patterns of Fever: Remittent - Answer temperature does not return to normal and varies in
either direction



Patterns of Fever: Sustained or Continuous - Answer temperature remains above normal
with minimal variations



Patterns of Fever: Recurring or Relapsing - Answer there is one or more episodes of fever as
long as several days with one or more days of normal temperature between episodes (seen in
malaria)



Stages of Fever/Illness - Answer 1) prodrome - mild headache, fatigue, malaria, fleeting pains

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