A client presents to the emergency department following a major traffic accident
Though outwardly there are no apparent physical injuries found, the client is experiencing chest pain and heightened alertness, which the health care worker attributes to the first stage of general adaptation syndrome (GAS). The health care worker concludes the client is experiencing manifestations related to the release of:
A) Aldosterone, which interferes with sodium absorption
B) Epinephrine
C) Too little cortisol
D) Thyroid-stimulating hormone
Ans: B
Feedback:
The general adaptation syndromes has three stages—the first is alarm (fight or flight); second is resistance (fight); and the third is exhaustion. The alarm stage is characterized by a generalized stimulation of the sympathetic nervous system (SNS) and the HPA, resulting in release of catecholamines and cortisol. Increased insulin release or TSH release is not part of the GAS.
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