Question

The nurse is asked by the nurse aide, "Are peptic ulcers really caused by stress?" The nurse would be correct in replying with which of the following: A. "Peptic ulcers result from overeating fatty foods." B. "Peptic ulcers are always caused from exposure to continual stress." C. "Peptic ulcers are like all other ulcers, which all result from stress." D. "Peptic ulcers are associated with H. pylori, although there are other ulcers that are associated with stress."

Short answer

Answer: The primary cause of peptic ulcers is an infection with the bacterium H. pylori. Stress can contribute to the development of other types of ulcers, but it is not the primary cause of peptic ulcers.

Step-by-step solution

Analyze options A, B, and C

In this step, we will check if the statements in options A, B, and C are correct. Option A states that peptic ulcers result from overeating fatty foods. This is not entirely accurate as peptic ulcers are more complex and can be caused by various factors including H. pylori infection and excessive use of nonsteroidal anti-inflammatory drugs (NSAIDs). Option B claims that peptic ulcers are always caused by continuous stress. This too is incorrect, as stress can contribute to the development of peptic ulcers, but they are not the primary cause. Option C suggests that all peptic ulcers, like other ulcers, are caused by stress. As we have already discussed, stress is not the primary cause of peptic ulcers. So far, none of the options A, B, and C are correct. Let's analyze option D in the next step.

Analyze option D

Option D states that peptic ulcers are associated with H. pylori, although there are other ulcers that are associated with stress. This statement is accurate because H. pylori is a major cause of peptic ulcers and is a bacterium that infects the stomach lining, leading to inflammation and ulcers. Although stress can contribute to the development of ulcers, it is not the primary cause. There are indeed other types of ulcers that are associated with stress, but peptic ulcers are mostly caused by the H. pylori infection.

Choose the correct answer

After analyzing all the options, the correct answer is option D: "Peptic ulcers are associated with H. pylori, although there are other ulcers that are associated with stress." The nurse should reply to the nurse aide with this answer because it accurately states the relationship between peptic ulcers and H. pylori infection, and acknowledges that stress can be a contributing factor in developing other types of ulcers.

Key concepts

H. pylori Infection

Helicobacter pylori (H. pylori) is a type of bacteria that can infect the stomach's inner lining and is a leading cause of peptic ulcers. Understanding H. pylori is crucial for nursing students and professionals, as it directly affects patient care and treatment plans.

H. pylori infection typically occurs during childhood and can persist throughout life if untreated. It is possible to have the bacteria and not have any symptoms, but for some, it can lead to inflammation known as gastritis, ulcers in the stomach, and even increase the risk of gastric cancer.

Diagnosis is usually confirmed through various tests such as a urea breath test, stool antigen test or endoscopy. Treatment involves a combination of medications, typically two types of antibiotics to kill the bacteria, and a proton pump inhibitor (PPI) or bismuth subsalicylate to reduce stomach acid and protect the stomach lining.

Education on this topic is vital for nurses, primarily because it is essential to debunk myths such as those suggesting ulcers are solely caused by stress or diet. Patients should be educated about the importance of completing the full course of treatment to eradicate the infection and potentially prevent the recurrence of ulcers.

Stress and Ulcers

The notion that stress alone causes ulcers is a misconception still prevalent today. While stress is not the primary cause of peptic ulcers, it can exacerbate existing gastric issues or contribute to the development of stress-related ulcers.

Stress-induced ulcers, commonly known as stress ulcers, are typically associated with severe illness or injury. These ulcers occur due to the body's response to stress, leading to a compromised blood supply to the stomach lining or excessive stomach acid production.

For nursing education, it’s important to convey that stress management is a complementary approach to treating ulcers, in addition to medical intervention. Coping strategies such as relaxation techniques, balanced nutrition, and regular exercise can improve the overall well-being of patients and may aid in ulcer healing and prevention.

Informed nursing practice involves assessing not just the physical symptoms but also the psychological state of a patient, recognizing the interconnectedness of stress and physical health, and providing holistic care.

NCLEX-PN Exam Preparation

For those preparing to become licensed practical nurses (LPNs), the NCLEX-PN is a significant hurdle. This exam tests the knowledge and competencies needed to perform safely and effectively as a newly licensed, entry-level nurse.

A strong understanding of gastrointestinal disorders, including peptic ulcers and their causes, is essential for passing the NCLEX-PN. Students should be familiar with the role of H. pylori, the impact of stress on the gastrointestinal system, and the comprehensive care approach required for patients with ulcers.

Effective NCLEX-PN preparation involves studying from a variety of sources, including textbooks, practice questions, and evidence-based articles. Moreover, simulated practice tests can greatly assist in getting familiar with the exam format and time constraints. Students should focus on mastering concepts rather than memorization alone, ensuring a deep understanding and the ability to apply knowledge in practical scenarios.

Quality exam preparation not only helps students pass the NCLEX-PN but also sets the foundation for a competent and confident nursing practice.