Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks why two clients exposed to the same
stressful event respond differently. Which response by the
psychiatric nurse is most accurate?
A. “Stress responses are identical when the stressor is severe.”
B. “Stress is determined only by the physical environment.”
C. “Stress results from the interaction between the individual
and the environment.”
,D. “Stress occurs only when coping mechanisms fail
completely.”
Correct Answer: C
Rationale:
• Stress adaptation theory describes stress as a transaction
between the individual and the environment. Individual
perception, coping ability, and appraisal influence the
stress response.
• Option A is incorrect because stress responses vary among
individuals.
• Option B is incorrect because psychological interpretation
also affects stress.
• Option D is incorrect because stress can occur even when
coping mechanisms are functioning.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client states, “Ever since losing my job, I cannot sleep and I
feel constantly tense.” Which stage of the general adaptation
syndrome is the client most likely experiencing?
,A. Exhaustion stage
B. Alarm reaction stage
C. Resistance stage
D. Recovery stage
Correct Answer: B
Rationale:
• The alarm reaction stage is the initial response to a
stressor and includes activation of physiologic stress
responses such as anxiety, tension, and sleep disturbance.
• Option A is incorrect because exhaustion occurs after
prolonged exposure to stress.
• Option C is incorrect because resistance involves
adaptation to ongoing stress.
• Option D is incorrect because recovery is not identified as
a stage of the general adaptation syndrome.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse is assessing a client experiencing chronic stress. Which
finding would the nurse identify as a physiologic response to
prolonged stress?
, A. Improved immune function
B. Increased energy reserves indefinitely
C. Elevated blood pressure
D. Decreased cortisol release
Correct Answer: C
Rationale:
• Chronic stress can produce physiologic effects such as
elevated blood pressure due to persistent sympathetic
nervous system activation.
• Option A is incorrect because prolonged stress suppresses
immune function.
• Option B is incorrect because energy reserves become
depleted over time.
• Option D is incorrect because stress increases cortisol
secretion.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A client tells the nurse, “I view taking care of my ill parent as
meaningful, even though it is difficult.” Which concept of stress
adaptation does this statement best illustrate?
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks why two clients exposed to the same
stressful event respond differently. Which response by the
psychiatric nurse is most accurate?
A. “Stress responses are identical when the stressor is severe.”
B. “Stress is determined only by the physical environment.”
C. “Stress results from the interaction between the individual
and the environment.”
,D. “Stress occurs only when coping mechanisms fail
completely.”
Correct Answer: C
Rationale:
• Stress adaptation theory describes stress as a transaction
between the individual and the environment. Individual
perception, coping ability, and appraisal influence the
stress response.
• Option A is incorrect because stress responses vary among
individuals.
• Option B is incorrect because psychological interpretation
also affects stress.
• Option D is incorrect because stress can occur even when
coping mechanisms are functioning.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client states, “Ever since losing my job, I cannot sleep and I
feel constantly tense.” Which stage of the general adaptation
syndrome is the client most likely experiencing?
,A. Exhaustion stage
B. Alarm reaction stage
C. Resistance stage
D. Recovery stage
Correct Answer: B
Rationale:
• The alarm reaction stage is the initial response to a
stressor and includes activation of physiologic stress
responses such as anxiety, tension, and sleep disturbance.
• Option A is incorrect because exhaustion occurs after
prolonged exposure to stress.
• Option C is incorrect because resistance involves
adaptation to ongoing stress.
• Option D is incorrect because recovery is not identified as
a stage of the general adaptation syndrome.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse is assessing a client experiencing chronic stress. Which
finding would the nurse identify as a physiologic response to
prolonged stress?
, A. Improved immune function
B. Increased energy reserves indefinitely
C. Elevated blood pressure
D. Decreased cortisol release
Correct Answer: C
Rationale:
• Chronic stress can produce physiologic effects such as
elevated blood pressure due to persistent sympathetic
nervous system activation.
• Option A is incorrect because prolonged stress suppresses
immune function.
• Option B is incorrect because energy reserves become
depleted over time.
• Option D is incorrect because stress increases cortisol
secretion.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A client tells the nurse, “I view taking care of my ill parent as
meaningful, even though it is difficult.” Which concept of stress
adaptation does this statement best illustrate?
