HCC Stress Physiology & Coping 2 — Questions and Answers
Question 1: Which brain structure is primarily responsible for detecting threats and triggering the fear response?
- Hippocampus
- Amygdala (Correct answer)
- Prefrontal cortex
- Cerebellum
Correct answer: Amygdala
The amygdala acts as the brain's alarm system, rapidly detecting threats and initiating the stress response before conscious awareness occurs.
Question 2: When a client reports feeling 'emotionally numb' after a prolonged stressful period, this is most likely a sign of:
- Eustress adaptation
- Hypostress
- Allostatic overload (Correct answer)
- Parasympathetic dominance
Correct answer: Allostatic overload
Allostatic overload occurs when cumulative stress exceeds the body's capacity to adapt, often presenting as emotional numbing, exhaustion, or burnout.
Question 3: The term 'allostasis' refers to:
- A state of physiological balance at rest
- The body's ability to achieve stability through change (Correct answer)
- The suppression of the HPA axis during calm periods
- Chronic activation of the sympathetic nervous system
Correct answer: The body's ability to achieve stability through change
Allostasis describes the body's dynamic process of maintaining stability by actively changing physiological parameters in response to demands.
Question 4: During the resistance stage of the General Adaptation Syndrome (GAS), the body:
- Enters an initial state of shock and reduced resistance
- Maintains heightened physiological arousal to cope with ongoing stress (Correct answer)
- Depletes resources and enters a state of collapse
- Returns fully to baseline as the stressor resolves
Correct answer: Maintains heightened physiological arousal to cope with ongoing stress
In the resistance stage, the body sustains elevated physiological efforts to cope with a persistent stressor, consuming significant energy reserves.
Question 5: Which neurotransmitter is most associated with the 'tend-and-befriend' stress response pattern?
- Dopamine
- Serotonin
- Oxytocin (Correct answer)
- Norepinephrine
Correct answer: Oxytocin
Oxytocin promotes social bonding and affiliative behaviors and is central to the tend-and-befriend response, an alternative to fight-or-flight especially observed in females.
Question 6: A holistic coach notices a client consistently uses humor to deflect from discussing a painful topic. In coping theory, this is best classified as:
- Emotion-focused coping
- Problem-focused coping
- Avoidant coping (Correct answer)
- Meaning-focused coping
Correct answer: Avoidant coping
Using humor or distraction to avoid engaging with a stressor or its emotional impact is categorized as avoidant (or escape-avoidance) coping.
Question 7: Elevated chronic cortisol is most directly linked to which physical health consequence?
- Decreased blood pressure
- Increased bone density
- Impaired immune function (Correct answer)
- Enhanced digestive efficiency
Correct answer: Impaired immune function
Prolonged high cortisol suppresses immune system activity by reducing lymphocyte production and inflammatory response, increasing vulnerability to illness.
Which brain structure is primarily responsible for detecting threats and triggering the fear response?