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Chapter Thirteen Health, Stress, and Coping Question Imagine that you were almost hit by a car on your way to class today. The initial physiological “jolt” that you likely experienced is similar to which of the following stages in Selye’s general adaptation syndrome (GAS)? a) b) c) d) Alarm Resistance Exhaustion Extinction Copyright © Houghton Mifflin Company. All rights reserved. 13 | 2 Answer Choice a is correct. The alarm reaction of the GAS involves some version of the fight-or-flight response. It may include increased heart rate, rapid breathing, sweaty palms, and dry mouth, among other reactions. The effect of this alarm reaction is to mobilize emergency energy in the face of the stressor. (Chapter 13, Physical Responses section) Copyright © Houghton Mifflin Company. All rights reserved. 13 | 3 Question The common experience of becoming sick during final exams period is likely due to mechanisms related to which of the following stages in the general adaptation syndrome (GAS)? a) b) c) d) Alarm Resistance Exhaustion Extinction Copyright © Houghton Mifflin Company. All rights reserved. 13 | 4 Answer Choice c is correct. During the exhaustion stage of the GAS, suppression of the body’s disease-fighting immune system is quite common, due to the prolonged activation of stress hormones. In the face of this immune system weakening, it is common for the individual to be more susceptible to becoming ill. (Chapter 13, Physical Responses section) Copyright © Houghton Mifflin Company. All rights reserved. 13 | 5 Question Survivors of the September 11th terrorist attacks on New York City might have experienced the following symptoms in the ensuing weeks and months: anxiety, irritability, jumpiness, and inability to concentrate, among other symptoms. If they did experience such symptoms, they might have been suffering from ____________. a) b) c) d) burnout an adjustment disorder the general adaptation syndrome posttraumatic stress disorder Copyright © Houghton Mifflin Company. All rights reserved. 13 | 6 Answer Choice d is correct. Posttraumatic stress disorder (PTSD) involves the symptoms listed in the question, as well as problems associated with re-experiencing the traumatic event through nightmares and/or vivid memories. PTSD is most often associated with traumatic events such as war, terrorism, assault, or rape. (Chapter 13, Linkages: Stress and Psychological Disorders section) Copyright © Houghton Mifflin Company. All rights reserved. 13 | 7 Question Which of the following is a good example of an emotion-focused coping technique? a) Getting out your jumper cables when your car won’t start b) Studying for your anthropology test tomorrow c) Taking a bath to help yourself relax before a big presentation at work d) Taking an Advil to get rid of your headache Copyright © Houghton Mifflin Company. All rights reserved. 13 | 8 Answer Choice c is correct. Emotion-focused coping strategies involve efforts to regulate the negative emotional consequences of stressors. They are contrasted with problem-focused coping strategies, which involve efforts to alter or eliminate the source of stress. (Chapter 13, Coping Resources and Coping Methods section) Copyright © Houghton Mifflin Company. All rights reserved. 13 | 9 Question ____________ are white blood cells formed in the bone marrow. They serve as the body’s mobile defense system against foreign substances a) b) c) d) Leukocytes Macrophages Antibodies Pseudopods Copyright © Houghton Mifflin Company. All rights reserved. 13 | 10 Answer Choice a is correct. Leukocytes are white blood cells that are an important part of the immune system. B-cells, T-cells, and natural killer cells are among the varied types of leukocytes. (Chapter 13, Stress, Illness, and the Immune System section) Copyright © Houghton Mifflin Company. All rights reserved. 13 | 11 Question The most significant preventable risk factor for fatal illnesses in the United States is ____________. a) b) c) d) drug use drinking alcohol smoking watching too much television Copyright © Houghton Mifflin Company. All rights reserved. 13 | 12 Answer Choice c is correct. Smoking accounts for approximately 20% of all U.S. deaths, more than all other drugs, car accidents, suicides, homicides, and fires combined. (Chapter 13, Risking Your Life: Health-Endangering Behaviors section) Copyright © Houghton Mifflin Company. All rights reserved. 13 | 13 Question A patient comes into your mental health clinic and says the following: “I think I drink too much and my drinking is starting to cause me some big problems. What should I do?” This patient is in which of the five stages of behavior change? a) b) c) d) e) Precontemplation Contemplation Preparation Action Maintenance Copyright © Houghton Mifflin Company. All rights reserved. 13 | 14 Answer Choice b is correct. The patient appears to be in the contemplation stage of Prochaska’s model. In the contemplation stage, the individual is aware of a problem behavior and is in the process of thinking about changing the problem behavior. This is in contrast to the precontemplation stage, where the person does not perceive a problem, and the preparation stage, where the person has a strong intention to change and has made specific plans to do so. (Chapter 13, Changing Health Behaviors: Stages of Readiness section) Copyright © Houghton Mifflin Company. All rights reserved. 13 | 15