Author Question: The patient has severe injuries. The nurse knows that the general adaptation syndrome (GAS) was ... (Read 80 times)

sheilaspns · **on:** Jul 22, 2018

The patient has severe injuries. The nurse knows that the general adaptation syndrome (GAS) was viewed as a reaction to stress consisting of: (Select all that apply.)

a. a pattern of alarm.
b. deleterious consequences.
c. a stage of resistance.
d. developmental impairment.
e. a state of exhaustion.

Question 2

Upon a patient's admission to the nursing unit, the registered nurse delegated to the nursing assistive personnel to take her vital signs. What is the registered nurse's responsibility regarding delegating this task?

a. This is inappropriate delegation; the nurse should always take the vital signs.
b. Have the NAP repeat the measurement if vital signs appear abnormal.
c. The nurse should review and interpret the vital sign measurements.
d. This task has been delegated so the nurse is not responsible.

Shshxj · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A, C, E
The GAS was viewed as a reaction to stress consisting of three distinct stages; a pattern of alarm, followed by a stage of resistance as a person attempts to compensate for changes induced by the alarm stage. A state of exhaustion follows if the person cannot successfully adapt during the stage of resistance or if stress remains unrelieved. When stress reaches chronic, harmful levels, deleterious consequences follow, from compromised immune function to weight gain to developmental impairment. Deleterious consequences and developmental consequences, then, are a product of unsuccessful GAS, not a part of the syndrome.

Answer to Question 2

C
A nurse may delegate the measurement of selected vital signs (e.g., stable patients) to nursing assistive personnel. However, it is the nurse's responsibility to review vital sign data, interpret their significance, and critically think through decisions about interventions. When vital signs appear abnormal, repeat the measurement. When caring for a patient, the nurse is responsible for vital sign monitoring.