A patient is in the admission department prior to outpatient surgery, and she states that she is exceptionally nervous. Which of the following actions increases this patient's stress-related release of cortisol?
A) Negative feedback mechanism
B) Stimulation of the hypothalamus
C) Release of epinephrine and norepinephrine
D) Atrophy of the adrenal cortex
C
Feedback:
The stress response activates the sympathetic nervous system to produce more epinephrine and norepinephrine and the adrenal cortex to produce as much as 10 times the normal amount of cortisol. The negative feedback mechanism does not accelerate the stress response. Cortisol production is not based on the stimulation of the hypothalamus. The stress response will not cause atrophy of the adrenal cortex.
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An accomplishment for which the Frontier Nursing Service was noted is
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