A client newly diagnosed with colon cancer finishes dinner and ...

[Mollykgkg]

A client newly diagnosed with colon cancer finishes dinner and turns on the nightly news. The nurse suspects the client is experiencing which cognitive indicator of stress?
 
  1. Problem solving.
  2. Self-control.
  3. Structuring.
  4. Daydreaming.

Question 2

A client is experiencing the shock phase within the general adaption syndrome. The nurse realizes that this phase affects which hormones?
 
  1. Epinephrine.
  2. Estrogen.
  3. Norepinephrine.
  4. Cortisol.
  5. Progesterone.

[amanda_14]

Answer to Question 1

Correct Answer: 2
Rationale 1: Problem solving involves thinking through the threatening situation, using specific steps to arrive at a solution. The person assesses the situation or problem, analyzes or defines it, chooses alternatives, carries out the selected alternative, and evaluates whether the solution was successful.
Rationale 2: Self-control is assuming a manner and facial expression that convey a sense of being in control or in charge. When self-control prevents panic and harmful or nonproductive actions in a threatening situation, it is a helpful response that conveys strength. Self-control carried to an extreme, however, can delay problem solving and prevent a person from receiving the support of others, who might perceive the person as handling the situation well, as cold, or as unconcerned.
Rationale 3: Structuring is the arrangement or manipulation of a situation so that the threatening events do not occur.
Rationale 4: Daydreaming is likened to make-believe. Unfulfilled wishes and desires are imagined as fulfilled, or a threatening experience is reworked or replayed so that it ends differently from reality.

Answer to Question 2

Correct Answer: 1,3,4
Rationale 1: In the alarm phase of the general adaption syndrome, epinephrine secretion is increased, which affects heart rate, breathing, and blood-clotting mechanisms.
Rationale 2: Estrogen is not affected in the alarm phase of the general adaption syndrome.
Rationale 3: In the alarm phase of the general adaption syndrome, norepinephrine secretion is increased, which decreases blood flow to the kidney and increases renin release.
Rationale 4: In the alarm phase of the general adaption syndrome, cortisol is released, which causes protein catabolism and gluconeogenesis.
Rationale 5: Progesterone is not affected in the alarm phase of the general adaption syndrome.