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 patients experiencing the same
stressful event respond differently. Which response by the
psychiatric nurse is most accurate?
A. “Stress responses are determined entirely by genetic
inheritance.”
B. “The meaning attached to the event influences the stress
response.”
C. “All individuals respond similarly to identical stressors.”
,D. “Stress occurs only when a person has a psychiatric
disorder.”
Correct Answer: B
Rationale:
• Stress is influenced by an individual’s perception and
appraisal of the event. Personal interpretation determines
whether an event is experienced as stressful.
• Option A is incorrect because stress responses are
influenced by multiple biological, psychological, and
environmental factors.
• Option C is incorrect because responses vary among
individuals.
• Option D is incorrect because stress occurs in all
individuals, not only those with psychiatric disorders.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A patient preparing for final examinations reports insomnia,
irritability, and difficulty concentrating. Which stage of the
general adaptation syndrome is most consistent with these
findings?
,A. Exhaustion stage
B. Resistance stage
C. Alarm reaction stage
D. Recovery stage
Correct Answer: C
Rationale:
• The alarm reaction stage is the initial response to stress
and activates physiologic defense mechanisms such as
increased alertness and autonomic nervous system
stimulation.
• Option A is incorrect because exhaustion occurs after
prolonged ineffective coping.
• Option B is incorrect because resistance involves
adaptation to ongoing stressors.
• 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 assesses a patient who states, “I cannot handle another
problem right now.” Which finding would the nurse identify as
an example of a physiologic response to stress?
A. Withdrawal from family interactions
B. Elevated blood pressure and pulse
C. Feelings of hopelessness
D. Impaired problem-solving ability
Correct Answer: B
Rationale:
• Stress activates physiologic responses including increased
heart rate, blood pressure, and sympathetic nervous
system activity.
• Option A reflects a behavioral response.
• Option C reflects an emotional response.
• Option D reflects a cognitive response.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A patient says, “Losing my job ruined my life.” Which nursing
response best reflects the transactional model of stress?
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks why two patients experiencing the same
stressful event respond differently. Which response by the
psychiatric nurse is most accurate?
A. “Stress responses are determined entirely by genetic
inheritance.”
B. “The meaning attached to the event influences the stress
response.”
C. “All individuals respond similarly to identical stressors.”
,D. “Stress occurs only when a person has a psychiatric
disorder.”
Correct Answer: B
Rationale:
• Stress is influenced by an individual’s perception and
appraisal of the event. Personal interpretation determines
whether an event is experienced as stressful.
• Option A is incorrect because stress responses are
influenced by multiple biological, psychological, and
environmental factors.
• Option C is incorrect because responses vary among
individuals.
• Option D is incorrect because stress occurs in all
individuals, not only those with psychiatric disorders.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A patient preparing for final examinations reports insomnia,
irritability, and difficulty concentrating. Which stage of the
general adaptation syndrome is most consistent with these
findings?
,A. Exhaustion stage
B. Resistance stage
C. Alarm reaction stage
D. Recovery stage
Correct Answer: C
Rationale:
• The alarm reaction stage is the initial response to stress
and activates physiologic defense mechanisms such as
increased alertness and autonomic nervous system
stimulation.
• Option A is incorrect because exhaustion occurs after
prolonged ineffective coping.
• Option B is incorrect because resistance involves
adaptation to ongoing stressors.
• 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 assesses a patient who states, “I cannot handle another
problem right now.” Which finding would the nurse identify as
an example of a physiologic response to stress?
A. Withdrawal from family interactions
B. Elevated blood pressure and pulse
C. Feelings of hopelessness
D. Impaired problem-solving ability
Correct Answer: B
Rationale:
• Stress activates physiologic responses including increased
heart rate, blood pressure, and sympathetic nervous
system activity.
• Option A reflects a behavioral response.
• Option C reflects an emotional response.
• Option D reflects a cognitive response.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A patient says, “Losing my job ruined my life.” Which nursing
response best reflects the transactional model of stress?
