A nurse is teaching a class about the stages of the general adaptive syndrome (GAS). The nurse should include that which of the following is the first physiological response that occurs during GAS?

Choice A rationale
Chronic stress is a prolonged, often overwhelming feeling of stress that can negatively impact a person’s daily life. It can be caused by various factors, including high-pressure jobs, challenging relationships, and living in poverty. Living in poverty is a long-term situation that can cause chronic stress due to the constant worry about meeting basic needs such as food, shelter, and healthcare. This continuous worry and fear can lead to chronic stress.
Choice B rationale
A motor vehicle accident is typically an acute stress event. While it can cause significant stress at the moment, it is usually not a long-term stressor unless it results in severe injury or trauma that significantly impacts a person’s daily life.
Choice C rationale
Being a victim of a crime can indeed cause stress, but it is typically considered an acute stress event. However, if the crime results in long-term effects such as physical harm or psychological trauma, it could potentially lead to chronic stress.
Choice D rationale
The loss of a loved one can cause both acute and chronic stress. The initial loss can cause acute stress, and the subsequent grieving process can lead to chronic stress, especially if the individual has difficulty moving through the stages of grief. However, not everyone who loses a loved one will experience chronic stress.

Choice A rationale
For a client with Parkinson’s disease who has difficulty swallowing or chewing due to muscle rigidity, semi-solid food with thick liquids can be easier to swallow and reduce the risk of choking.
Choice B rationale
Minced foods and fluid restriction may not provide the necessary nutrients and hydration for a client with Parkinson’s disease.
Choice C rationale
A low-residue diet, which is low in fiber, may not be appropriate for a client with Parkinson’s disease, as constipation is a common symptom of the disease and fiber can help alleviate this.
Choice D rationale
Total parenteral nutrition (TPN) is a method of feeding that bypasses the gastrointestinal tract. It is typically reserved for clients who cannot or should not get their nutrition through eating.