Topic; Physiological Adaptation in Professional Nursing Practice  
NOTE; please look back on the last job you did (RUA part 1) before doing this one because its a continuation of last job. the outline you gave me is uploaded below corrected by my teacher
the guideline and articles of the main work is also uploaded below1

Physiological Adaptation in Professional Nursing Practice

Princess Iweanya

Chamberlain University


6th November 2022

Melanie Eld

Melanie Eld
You could have only used the template for this assignment.


Physiological Adaptation in Professional Nursing Practice

Q1. The priority concept of opportunity based on the performance analysis is

the physiological adaptation in professional nursing practice.

Q2. The identified concept aligns with the NCLEX-RN Test Plan definition

of physiological adaptation in the following ways: Physiological adaptation is a

process by which the body responds to changes in the environment to maintain

homeostasis. The body responds to changes in the environment by making

adjustments in the way it functions. These adjustments allow the body to maintain

a state of equilibrium or balance (Hall & Hall, 2020, p. 13). Secondly,

physiological adaptation is a dynamic process that occurs over time and is

influenced by internal and external factors. The internal factors influencing

physiological adaptation include the body’s response to stress, the individual’s

genetic makeup, and the individual’s current state of health. The external factors

influencing physiological adaptation include the climate, the availability of

resources, and the individual’s lifestyle choices.

Physiological adaptation is a complex process involving multiple systems

working together to maintain homeostasis. The systems involved in physiological

adaptation include the nervous system, the endocrine system, the cardiovascular

system, the respiratory system, the digestive system, the urinary system, and the

Melanie Eld

Melanie Eld

Melanie Eld
Need a reference here

Melanie Eld

Melanie Eld
Need a reference here


reproductive system. In addition, physiological adaptation occurs at different rates

and degrees in different individuals. The rate at which physiological adaptation

occurs is influenced by the individual’s age, gender, and fitness level. The degree

to which physiological adaptation occurs is influenced by the individual’s genetic

makeup, the severity of the stressor, and the individual’s current state of health

(Chen et al., 2020, p.4163). Lastly, physiological adaptation is a lifelong process

that begins at birth and continues throughout the lifespan. The ability to adapt to

environmental changes declines with age, which is why older adults are more

susceptible to disease and death.

Q3. The two learning strategies that will support the development of the

concept of physiological adaptation are a lecture/textbook on the concept of

physiological adaptation and how it applies to professional nursing practice and a

case study/ATI on a specific example of how physiological adaptation has

occurred in a professionaSelection of our books indexed in the Book Citation Index

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Chapter 3

Stress in Nursing University Students and Mental

Frank Pulido-Criollo, Jonathan Cueto-Escobedo and
Gabriel Guillén-Ruiz

Additional information is available at the end of the chapter

© 2016 The Author(s). Licensee InTech. This chapter is distributed under the terms of the Creative Commons
Attribution License (, which permits unrestricted use, distribution,
and reproduction in any medium, provided the original work is properly cited.

Frank Pulido-Criollo, Jonathan Cueto-Escobedo and
Gabriel Guillén-Ruiz

Additional information is available at the end of the chapter


Stress is a physiological response that impacts the cognitive, emotional, behavioral, and
social components. It also involves the adaptation of the organism, the coping resources,
and the environment. In young people, stress can be triggered by social interactions or
school requirements. This chapter is a narrative review analyzing scientific bibliography
from the main databases (NIH, Scielo, Redalyc) that explored the main stressors and their
effects on nursing students. These stressors include the care of patients, assignments and
workloads, academic evaluations, and negative or hostile social interactions. Data include
the deleterious effects of stress in nursing students as anxiety, depression, inhibiting
learning, and burnout, which negatively impact their academic development and health.
Finally, some interventions to reduce the impact of stress are discussed. Conclusion:
Stress responses in nursing students vary in duration and intensity during their academic
training; final effects depend on the coping mechanisms, individual resources, and hos-
pital environment. The effects of stress on nursing students impact on academic perfor-
mance but could also trigger several psychiatric disorders as depression or anxiety, as
well as other associated problems such as sleep disorders, alcohol, and psychoactive drug
consumption, which in the short and long term may affect the patient care.

Keywords: nursing students, stress, psychiatric disorder, scholar stress

1. Introduction

The term stress comprises the physiological and psychological responses that prepare the

organism to cope with stimulus called stressors that are interpreted as challenging to J Clin Nurs. 2020;29:4161–4170.  |  4161© 2020 John Wiley & Sons Ltd

Received: 20 May 2020  |  Revised: 9 July 2020  |  Accepted: 28 July 2020

DOI: 10.1111/jocn.15444


A cross-sectional study of mental health status and self-
psychological adjustment in nurses who supported Wuhan for
fighting against the COVID-19

Huijuan Chen MSN, Supervisor Nurse1  | Libing Sun BSN, Senior Nurse, Head Nurse1 |
Zhe Du PhD, Attending Doctor1 | Liting Zhao BSN, Supervisor Nurse, Head Nurse1 |
Ling Wang MSN, Chief Superintendent Nurse2

Ms. Chen and Ms. Sun contributed equally to this work and should be considered as equal first authors.

1Trauma Center, Peking University People’s
Hospital, Beijing, China
2Nursing department, Peking University
People’s Hospital, Beijing, China

Ling Wang, Nursing Department, Peking
University People’s Hospital, No.11
Xizhimen South St. Xicheng District, Beijing,
100044, China.
Email: [email protected]

Aims and objectives: To evaluate the mental health status, stressors and self-adjust-
ment of nurses in isolation wards at different periods in Wuhan, China.
Background: Mental health issues easily occurred among the frontline medical work-
ers of a major epidemic. However, the stressors and psychological adjustments expe-
rienced by nurses have not been well described. This is crucial to improving clinical
quality and nursing safety and ensuring nurses’ physical and psychological health.
Methods: We performed a cross-sectional prospective study using the Self Reporting
Questionnaire-20, stressor and self-adjustment questionnaire administered to front-
line nurses in Wuhan at two time points: after they had worked in isolation wards for
7–10 days (T1) and 2 months (T2). This paper complies with the STROBE reporting
guideline for cross-sectional studies.
Results: T1 has 92 respondents, and T2 has 86. The positive rates of mental health
problems were 26.09% and 9.30%, respectively, showing significantly different in the
two periods. The main factors influenced mental health were self-perceived stress
and only child status. The most common stressors were as follows: a large infected
population, high infectivity; concerned about family’s health status; high mortality if
not treated in time (T1); and long duration of the epidemic, separate from family for a
long time (T2). In terms of self-adjustment, 97.83%(T1)/88.04%(T2) of nurses thought
it was necessary, but 9(T1) /5(T2) chose to avoid addressing it, and 8(T1) /5(T2) utilised
a professional psychological counselling hotline.
Conclusions: Mental health problems among frontline nurses fighting COVID-19 need
special attention, so administrators should offer timely counselling and strengthen
effective psychosocial support to improve their mental resilience.
Relevance to clinical practice: This study surveyed the mental problems and self-
adjustment status amon

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