Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student states, “Stress is only harmful when it causes
illness.” Which response by the psychiatric nurse educator is
most accurate?
A. Stress is always harmful and should be avoided
B. Stress may be adaptive or maladaptive depending on the
response
C. Stress occurs only when physiological symptoms develop
,D. Stress is identical for all individuals exposed to the same
event
Correct Answer: B
Rationale:
Stress may have adaptive or maladaptive effects depending on
individual appraisal and coping ability. Stress can motivate
adaptation or contribute to dysfunction. A is incorrect because
stress is not inherently harmful. C is incorrect because stress
can occur without obvious physical symptoms. D is incorrect
because stress responses vary among individuals.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse explains the biological stress response to a client.
Which physiological change reflects activation of the stress
response?
A. Decreased heart rate
B. Increased blood glucose availability
C. Reduced alertness
D. Decreased blood pressure
Correct Answer: B
,Rationale:
Biological stress responses mobilize energy, including increased
glucose availability for action. A, C, and D are inconsistent with
physiologic arousal associated with stress adaptation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A client preparing for final examinations reports feeling nervous
but motivated to study. Which interpretation by the nurse is
most appropriate?
A. The client is experiencing maladaptive coping
B. The response reflects a potentially adaptive stress response
C. The client is experiencing a psychiatric emergency
D. Stress should be eliminated immediately
Correct Answer: B
Rationale:
Stress may function adaptively by motivating preparation and
performance. A and C exaggerate the situation without
evidence. D is incorrect because some stress can promote
adaptation.
, Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A client states, “My job loss completely ruined my life.” Which
concept of stress is best illustrated?
A. Stress as a biological response only
B. Stress as an environmental event
C. Stress as unrelated to personal interpretation
D. Stress as genetically predetermined
Correct Answer: B
Rationale:
Stress as an environmental event emphasizes life circumstances
or external stressors that influence adaptation. A is incomplete.
C ignores appraisal. D is unsupported.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 5