The gas pedal on a person's car stuck on a busy interstate highway, causing the car to accelerate rapidly. For 20 minutes, the car was very difficult to control. Afterward, this person's cortisol regulation was compromised
Which assessment finding would the nurse expect associated with the dysregulation of cortisol?
a. Weight gain
b. Flashbacks
c. Headache
d. Diuresis
ANS: B
Cortisol is a hormone released in response to stress. Severe dissociation or "mindflight" occurs for those who have suffered significant trauma. The episodic failure of dissociation causes intrusive symptoms such as flashbacks, thus dysregulating cortisol. The cortisol level may go up or down, so diuresis and/or weight gain may or may not occur. Answering this question correctly requires that the student apply prior learning regarding the effects of cortisol.
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