Which of the following emergency department clients is most likely demonstrating clinical manifestations of acute stress? A client with:
A) An acute heightened sense of alertness to surroundings and personnel
B) Inattention to details of the accident with memory issues
C) Negative feedback overactivity resulting in mental instability
D) Muscle impairment and fatigue
Ans: A
Feedback:
Acute stress is time limited, and reactions are those of the autonomic nervous system—the fight-or-flight response. Acute stress is short term and does not recur. Centrally, there is facilitation of neural pathways mediating arousal, alertness, vigilance, cognition, and focused attention, as well as appropriate aggression. Acute stress situations are controlled by a negative feedback system. When chronic stress continues, components of the system become abnormally active or fatigued and fail. The other distractors may relate to a physical problem and not "acute stress."
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