A 23-year-old man who recently had a head injury from a motor ...

[joesmith1212]

A 23-year-old man who recently had a head injury from a motor vehicle accident (MVA) is in a state of unconsciousness. Which of the following physiological adaptations is primarily responsi-ble for his level of consciousness?
 
  1. Pituitary gland
  2. Medulla oblongata
  3. Reticular formation
  4. External stress response

Question 2

An adolescent child, who is having behavioral problems has had added responsibilities put upon her because the father has just loss his job and is experiencing periods of depression and the mother has a chronic debilitating illness.
 
  The nurse is involved in crisis intervention and intervenes to specifically focus the family on their feelings by:
  1. Pointing out the connection between the situation and their responses
  2. Encouraging the use of the family's usual coping skills
  3. Working on time management skills
  4. Discussing past experiences

[srodz]

Answer to Question 1

ANS: 3
The reticular formation is primarily responsible for an individual's level of consciousness. The pi-tuitary gland supplies hormones that control vital functions. The pituitary gland produces hor-mones necessary for adaptation to stress (e.g., adrenocorticotropic hormone). The medulla ob-longata controls vital functions such as heart rate, blood pressure, and respiration. The external stress response is not primarily responsible for a person's level of consciousness.

Answer to Question 2

ANS: 1
When using a crisis intervention approach, pointing out the connections between situation and responses, the nurse helps the client make the mental connection between the stressful event and the client's reaction to it. Because an individual's or family's usual coping strategies are ineffec-tive in managing the stress of the precipitating event in a crisis situation, the use of new coping mechanisms is required. Time management skills will not help reduce the stress of the precipitat-ing event in a crisis situation. What may have worked in past experiences is ineffective in man-aging the stress of the precipitating event in a crisis situation.