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Anna35 [415]
3 years ago
14

A nurse is assessing a client who is depressed but unwilling to discuss the client's feelings. after speaking with the client's

caregiver, the nurse learns that the client's pet died recently. which is the most likely reason the client has hesitated to express the client's feelings?
Biology
1 answer:
Vlad1618 [11]3 years ago
3 0
<span>The client feels that the nurse would not consider the grief as significant.</span>
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Imagine you are investigating the case of a young man who seems not to respond to stressful situations the same way most people
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In essence, we have a pathway from our brains, to our adrenal glands, known as the hypothalamic-pituitary-adrenal (HPA) axis. In this axis, several genes that are geared towards stress responses activate (CRHR1 and CRHR2, among others) and produce CRH (Corticotropic releasing hormone), which in turn is directly related with stimulating the production of cortisol when there is stress. However, because our bodies are not meant to be in a constant state of alertness and preparation, because the different organs of the body are negatively affected, there are also pathways that will turn off this response and lower the stressful production of cortisol.

In this particular person, although he has been exposed to the same stressor as the others, he does not have precisely the same reactions to it as the others. It is important to note one thing here, and that is, that the stressor offered to these people were videos of stressful situations, and what is known about the stress response is that one vital part of it is visual exposure to different factors, including light, and images. These exposures cause the HPA axis to initiate a response through CRH production. However, it seems that in this young man, although most of the responses are present, not all of them are. So one solution could be that he has a mutation in his genes in his HPA axis, and therefore CRH is not being produced in enought levels to stimulate sufficient levels of cortisol production. However, there are also other genetical reasons why, and these could be many.

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