although stress exposure initiates integrated responses by multiple systems the most important changes are first activated by which system although stress exposure initiates integrated responses by multiple systems the most important changes are first activated by which system
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ATI Pathophysiology Exam 2

1. Although stress exposure initiates integrated responses by multiple systems, which system first activates the most important changes?

Correct answer: C

Rationale: The correct answer is C, the Neuroendocrine system. When the body is exposed to stress, the neuroendocrine system plays a crucial role in initiating the body's response. This system, particularly through the hypothalamic-pituitary-adrenal axis, triggers a cascade of physiological responses to stress. Choices A, B, and D are incorrect because while other systems like the cardiovascular and gastrointestinal systems also respond to stress, the neuroendocrine system is primarily responsible for the initial and significant changes in the body's stress response.

2. Cindy tells her daughter, “I know you can do a good job on that homework” because she believes that if she encourages persistence, her daughter will start to view herself as hardworking and high-achieving. Cindy is applying the __________ approach.

Correct answer: D

Rationale: Cindy is applying the social-cognitive approach by encouraging her daughter to believe in her own abilities and persist in her efforts. This approach emphasizes the importance of social influences and cognitive processes in shaping behavior. By providing positive reinforcement and fostering a belief in her daughter's capabilities, Cindy is helping to shape her daughter's self-perception and motivation to achieve success.

3. After change-of-shift report, which patient should the nurse assess first?

Correct answer: C

Rationale: The patient with hyperosmolar hyperglycemic syndrome who presents with poor skin turgor and dry oral mucosa requires immediate attention. These signs indicate severe dehydration and potential electrolyte imbalances, which can lead to serious complications. Assessing this patient first allows for prompt intervention and monitoring to stabilize their condition. Choice A is less urgent as the patient has possible dawn phenomenon, which is a common early-morning rise in blood glucose levels. Choice B, with a blood glucose reading of 230 mg/dL, indicates hyperglycemia but does not present with signs of severe dehydration like the patient in choice C. Choice D, with peripheral neuropathy and foot pain, is important but not as urgent as addressing severe dehydration and electrolyte imbalances in the patient with hyperosmolar hyperglycemic syndrome.

4. A nurse is developing a program about strategies to prevent foodborne illnesses for a community group. The nurse should plan to include which of the following recommendations? (Select one that does not apply).

Correct answer: Keep cooked foods at 48.9°C (120°F).

Rationale: The correct answer is to keep cooked foods at 48.9°C (120°F). This temperature is too low to keep cooked foods safe from bacterial growth. The ideal temperature to keep cooked foods safe is above 60°C (140°F). Choices A, B, and C are all important strategies to prevent foodborne illnesses. Keeping cold food temperatures below 4.4°C (40°F) helps prevent bacterial growth, reheating leftovers before eating kills any bacteria that may have grown during storage, and washing raw vegetables thoroughly in clean water helps remove dirt and bacteria.

5. Development is best understood as __________.

Correct answer: D

Rationale: The correct answer is D. Development is best understood as a series of complex exchanges between nature (genetic factors) and nurture (environmental influences). This perspective emphasizes the interaction and interplay between genetic predispositions and environmental experiences in shaping an individual's development. Choices A and B are too extreme as they suggest that development is solely determined by genetics or solely influenced by the environment, which is not the case. Choice C is incorrect as development is not viewed as an unsolvable puzzle but rather as a dynamic process influenced by multiple factors.

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