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 individuals may respond
differently to the same stressful event. Which response by the
psychiatric nurse is most accurate?
A. Stress responses are determined only by genetic factors.
B. Stress is experienced identically among all individuals.
C. Individual perception influences the response to stressors.
D. Stress occurs only when environmental events are severe.
,Correct Answer: C
Rationale:
Stress adaptation is influenced by how an individual perceives
and interprets an event. Personal appraisal, coping abilities,
and available supports affect the stress response. Genetic and
environmental factors may contribute, but stress responses are
not identical among individuals. Mild events may also be
perceived as stressful depending on the person’s
interpretation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client preparing for final examinations reports difficulty
sleeping and increased irritability. Which physiologic response
should the nurse recognize as part of the stress response?
A. Decreased heart rate
B. Reduced muscle tension
C. Activation of the sympathetic nervous system
D. Suppression of adrenal hormone release
Correct Answer: C
,Rationale:
Stress activates the sympathetic nervous system, producing
physiologic changes such as increased heart rate, heightened
alertness, and muscle tension. Stress does not typically reduce
adrenal activity or physiologic arousal during the immediate
response phase.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
Which client statement best demonstrates effective adaptation
to stress?
A. “I ignore problems until they go away.”
B. “I talk with supportive friends when I feel overwhelmed.”
C. “I avoid discussing stressful situations.”
D. “I stay awake all night thinking about my problems.”
Correct Answer: B
Rationale:
Seeking social support is an adaptive coping strategy that
promotes stress management and emotional regulation.
Avoidance, rumination, and sleep deprivation are less effective
responses and may worsen stress.
, Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is assessing a client experiencing prolonged
occupational stress. Which finding is most consistent with
chronic stress exposure?
A. Improved concentration
B. Enhanced immune functioning
C. Persistent fatigue and irritability
D. Increased emotional stability
Correct Answer: C
Rationale:
Chronic stress commonly contributes to fatigue, irritability,
impaired concentration, and physical complaints. Long-term
stress may negatively affect emotional and physiologic
functioning rather than improve it.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks why two individuals may respond
differently to the same stressful event. Which response by the
psychiatric nurse is most accurate?
A. Stress responses are determined only by genetic factors.
B. Stress is experienced identically among all individuals.
C. Individual perception influences the response to stressors.
D. Stress occurs only when environmental events are severe.
,Correct Answer: C
Rationale:
Stress adaptation is influenced by how an individual perceives
and interprets an event. Personal appraisal, coping abilities,
and available supports affect the stress response. Genetic and
environmental factors may contribute, but stress responses are
not identical among individuals. Mild events may also be
perceived as stressful depending on the person’s
interpretation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client preparing for final examinations reports difficulty
sleeping and increased irritability. Which physiologic response
should the nurse recognize as part of the stress response?
A. Decreased heart rate
B. Reduced muscle tension
C. Activation of the sympathetic nervous system
D. Suppression of adrenal hormone release
Correct Answer: C
,Rationale:
Stress activates the sympathetic nervous system, producing
physiologic changes such as increased heart rate, heightened
alertness, and muscle tension. Stress does not typically reduce
adrenal activity or physiologic arousal during the immediate
response phase.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
Which client statement best demonstrates effective adaptation
to stress?
A. “I ignore problems until they go away.”
B. “I talk with supportive friends when I feel overwhelmed.”
C. “I avoid discussing stressful situations.”
D. “I stay awake all night thinking about my problems.”
Correct Answer: B
Rationale:
Seeking social support is an adaptive coping strategy that
promotes stress management and emotional regulation.
Avoidance, rumination, and sleep deprivation are less effective
responses and may worsen stress.
, Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is assessing a client experiencing prolonged
occupational stress. Which finding is most consistent with
chronic stress exposure?
A. Improved concentration
B. Enhanced immune functioning
C. Persistent fatigue and irritability
D. Increased emotional stability
Correct Answer: C
Rationale:
Chronic stress commonly contributes to fatigue, irritability,
impaired concentration, and physical complaints. Long-term
stress may negatively affect emotional and physiologic
functioning rather than improve it.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
