When a client asks about the effects of long-term, sustained ...

[K@]

When a client asks about the effects of long-term, sustained distress the nurse, basing a response on
  current research, should reply
 
  a. Little is known about the long-term effects of stress on the body..
  b. Hypertension, autoimmune disease, and obesity are proven to be stress related..
  c. Research indicates depression and cognitive problems are related to effects of
  stress on the immune system..
  d. Studies indicate stress acting on hypothalamic-pituitary-adrenal and
  sympathetic-adrenal-medullary axes affects the immune system..

Question 2

An indicator that the suicidal client is exercising suicide self-restraint is
 
  a. compliance with antidepressant therapy.
  b. agreeing to sign a no-suicide contract.
  c. disclosing a plan for suicide to staff.
  d. expressing feelings of hopelessness to nurse.

[JCABRERA33]

Answer to Question 1

ANS: D
Stress causes the immune system to send chemical messages (proinflammatory cytokines) to the
brain and that the brain then releases its own cytokines that signal the central nervous system to
initiate responses to help the body adapt to stress. Research suggests that any process that alters
neural activity in the brain can alter behavior, thought, and mood. Option A understates what is
known. Options B and C overstate causation of these disorders.

Answer to Question 2

C
Admitting a plan for suicide to staff is an indicator of suicide self-restraint. By admitting that a plan
exists, the client enables staff to take appropriate measures to prevent the client from carrying out
the plan. Option A: Clients may comply with antidepressant therapy and still make suicide attempts.
Option B: Clients may sign no-suicide contracts, knowing they will make a later suicide attempt.
Option D: Expressing hopelessness does not indicate suicide self-restraint.

[K@]

Excellent

[Perkypinki]

TYSM