Which of the following are physiologic manifestations which occur in the alarm stage of the General Adaptation Syndrome? (SELECT ALL THAT APPLY)
decreased blood glucose
Increased mental acuity
Increased urine retention
increased bronchial dilation
decreased pupil size
Correct Answer : B,C,D
B. Increased mental acuity, or heightened alertness and cognitive function, is a characteristic response during the alarm stage of GAS. The body's stress response enhances mental focus and perception to help the individual recognize and respond to the stressor effectively.
C. During the alarm stage of GAS, the sympathetic nervous system is activated, leading to the release of adrenaline (epinephrine) and norepinephrine. These hormones stimulate the kidneys to conserve water and sodium, leading to decreased urine output and increased urine retention. Therefore, increased urine retention is an expected physiologic manifestation in the alarm stage.
D. During the alarm stage, the sympathetic nervous system activation leads to bronchodilation, allowing for increased airflow to the lungs. This facilitates improved oxygenation of the blood and enhances the individual's ability to respond to the stressor by increasing oxygen delivery to tissues.
A. During the alarm stage of GAS, the body initiates the fight-or-flight response, which leads to the release of stress hormones such as cortisol and adrenaline. These hormones increase blood glucose levels through processes like glycogenolysis and gluconeogenesis to provide energy for the body to respond to the stressor. Therefore, decreased blood glucose is not an expected manifestation in the alarm stage.
E. Decreased pupil size: During the alarm stage of GAS, the sympathetic nervous system is activated, leading to the dilation of pupils (mydriasis). This allows for improved visual acuity and peripheral vision, enhancing the individual's ability to detect potential threats or stimuli in the environment.

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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Physical therapy, also known as physiotherapy, is a discipline focused on the preservation, enhancement, or restoration of movement and physical function. Physical therapists assess and treat individuals with musculoskeletal, neuromuscular, cardiovascular, and other conditions to improve mobility, strength, flexibility, balance, and coordination through therapeutic exercises, manual therapy techniques, and functional training.
A. Respiratory therapy focuses on the assessment, treatment, and management of patients with respiratory and cardiopulmonary disorders. Respiratory therapists specialize in providing interventions such as oxygen therapy, mechanical ventilation, and pulmonary rehabilitation to optimize respiratory function and improve breathing.
C. Speech therapy and language pathology, also known as speech-language pathology (SLP), is a discipline that focuses on the assessment and treatment of communication disorders, swallowing difficulties (dysphagia), and cognitive-communication impairments. Speech-language pathologists assess and treat individuals with speech sound disorders, language delays, voice disorders, fluency disorders (stuttering), and communication difficulties associated with neurological conditions or injuries.
D. Occupational therapy is a discipline focused on promoting health and well-being through meaningful engagement in daily activities (occupations). Occupational therapists assess and treat individuals of all ages who are experiencing physical, cognitive, psychosocial, or sensory impairments that affect their ability to participate in activities of daily living (ADLs), work, leisure, education, and social participation. Occupational therapy interventions aim to enhance independence, functional performance, and quality of life.
Correct Answer is D
Explanation
D. Consuming alcoholic beverages, especially close to bedtime, can disrupt sleep patterns and exacerbate insomnia. While alcohol may initially have a sedative effect and induce drowsiness, it can lead to fragmented and poor-quality sleep later in the night, resulting in worsened insomnia symptoms. Therefore, this statement indicates a need for further education by the nurse regarding the negative impact of alcohol consumption on sleep and the importance of avoiding alcohol before bedtime to improve sleep quality.
A. Keeping the bedroom cool (around 65 degrees Fahrenheit) is generally recommended for promoting sleep because a cooler temperature can help facilitate the body's natural temperature drop, which occurs during sleep onset.
B. Engaging in regular physical activity, such as taking a long walk during the day, can be beneficial for promoting better sleep. Physical activity during the day can help regulate the sleep-wake cycle, reduce stress, and improve overall sleep quality. Therefore, this statement reflects a positive sleep hygiene practice and does not indicate a need for further education.
C. This statement suggests an understanding of the importance of associating the bed with sleep and avoiding activities that may interfere with sleep, such as paying bills or working in bed. Maintaining the bed as a place primarily for sleep and intimacy can help condition the mind and body to associate the bed with relaxation and sleep.
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