Chapter 1. The Concept of Stress Adaptation
1. When an individual’s stress response is sustained over a long period, the nurse
anticipates which physiological effect?
1. Decreased resistance to disease
2. Increased libido
3. Decreased blood pressure
4. Increased feelings of well-being
ANS: 1
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Identify physiological responses to stress.
Heading: Stress as a Biological Response
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity
Cognitive Level: Comprehension [Understanding]
Concept: Stress
Difficulty: Moderate
Feedback
1. This is correct. Selye’s general adaptation syndrome identified that prolonged
exposure to stress leads to a decreased immune response and resistance to disease.
During the stage of exhaustion, the body’s compensatory mechanisms no longer
function effectively and diseases of adaptation occur.
2. This is incorrect. Selye’s general adaptation syndrome identified that prolonged
exposure to stress leads to a decreased immune response and resistance to disease.
The client is likely to experience decreases in libido rather than increases.
, 3. This is incorrect. Selye’s general adaptation syndrome identified that prolonged
exposure to stress leads to a decreased immune response and resistance to disease.
The client is likely to experience increases in blood pressure rather than decreases.
4. This is incorrect. Selye’s general adaptation syndrome identified that prolonged
exposure to stress leads to a decreased immune response and resistance to disease.
The client is not likely to have feelings of increased well-being due to the prolonged
stress response.
CON: Stress
13. Which is a typical part of the fight-or-flight syndrome?
1. Decreased heart rate
2. Decreased peristalsis
3. Increased salivation
4. Pupil constriction
ANS: 2
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Identify physiological responses to stress.
Heading: Stress as a Biological Response
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity
Cognitive Level: Comprehension [Understanding]
Concept: Stress
Difficulty: Easy
Feedback
1. This is incorrect. During the fight-or-flight syndrome, the heart rate increases in
response to the release of epinephrine.
2. This is correct. During the fight-or-flight syndrome, peristalsis decreases as the body