a nurse is teaching a class about physical manifestations associated with the fight-or-flight response to stress.
Which of the following manifestations should the nurse include?

Hypoglycemia

Dilated pupils

Bronchial airway constriction

D. Decreased blood pressure

Answer and Explanation

The Correct Answer is B

Choice A rationale
Hypoglycemia, or low blood sugar, is not typically a manifestation of the fight-or-flight response. In fact, the opposite is true. During the fight-or-flight response, the body’s glucose levels often increase to provide extra energy for the perceived threat.
Choice B rationale
Dilated pupils are a common physical manifestation of the fight-or-flight response. This physiological change allows more light to enter the eyes, enhancing vision and awareness of the environment during a stressful event.
Choice C rationale
Bronchial airway constriction is not typically associated with the fight-or-flight response. In fact, the bronchial airways often dilate during this response to allow for increased oxygen flow, which is necessary for physical exertion.
Choice D rationale
Decreased blood pressure is not a typical response to stress. During the fight-or-flight response, blood pressure usually increases to enhance blood flow to the muscles and brain.

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Correct Answer is C

Explanation

Choice A rationale
Restlessness is an observable behavior, making it an objective finding.
Choice B rationale
Pacing is also an observable behavior, so it is considered an objective finding.
Choice C rationale
Anxiety is a subjective finding because it is based on the patient’s personal experience and cannot be directly observed.
Choice D rationale
Alertness is an objective finding because it can be directly observed and measured.

A. Regression B. Projection C. Rationalization D. Repression

Correct Answer is C

Explanation

Choice A rationale
Regression is a defense mechanism where an individual reverts to an earlier stage of development or a less mature behavior when faced with stress or anxiety. This does not fit the scenario provided. Choice B rationale
Projection involves attributing one’s own unacceptable feelings or thoughts to others. This is not the case in the scenario provided.
Choice C rationale
Rationalization involves creating logical but untrue explanations to justify unacceptable behavior or feelings. In this scenario, the patient is rationalizing their failure to take their medication by blaming their partner’s forgetfulness.
Choice D rationale
Repression involves unconsciously blocking out painful or uncomfortable thoughts or feelings. This does not fit the scenario provided.

Question 14.

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a nurse is teaching a class about physical manifestations associated with the fight-or-flight response to stress. Which of the following manifestations should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient who reports feeling stress and anxiety. The patient appears restless and is pacing in the room. The patient is alert and oriented to person, place, and time. Which of the following findings is subjective?

Correct Answer is C

Explanation

a nurse is caring for a patient who states, “I did not take my medication because my partner forgot to remind me.”. The nurse should identify that the patient is demonstrating which of the following defense mechanisms?

Correct Answer is C

Explanation

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a nurse is teaching a class about physical manifestations associated with the fight-or-flight response to stress.
Which of the following manifestations should the nurse include?