Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the psychiatric nurse to explain the
body's initial physiologic response to stress. Which response by
the nurse is most accurate?
A. “Stress immediately suppresses all endocrine activity.”
B. “The body activates neuroendocrine pathways to maintain
adaptation.”
,C. “Stress responses occur only when an illness develops.”
D. “Psychological stress has no physiologic effect on the body.”
Correct Answer: B
Rationale:
The stress response activates neuroendocrine pathways,
including autonomic and hormonal responses, to help the
individual adapt to perceived threats or challenges. Stress
affects both the mind and body.
Option A is incorrect because stress increases, not suppresses,
physiologic activity initially.
Option C is incorrect because stress responses may occur
without illness.
Option D is incorrect because psychological stress can produce
physiologic changes.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse is caring for a patient who recently lost employment
and reports difficulty sleeping and persistent worry. Which
interpretation of stress is best illustrated in this scenario?
,A. Stress as a purely biologic reflex
B. Stress as an environmental event
C. Stress as a genetic disorder
D. Stress as a psychotic reaction
Correct Answer: B
Rationale:
Stress as an environmental event focuses on external life
changes or situations that require adaptation. Job loss
represents an environmental stressor capable of affecting
emotional and physiologic functioning.
Option A is incorrect because the scenario emphasizes the
external event rather than biologic reflexes.
Option C is unsupported by the scenario.
Option D is incorrect because worry and insomnia do not
indicate psychosis.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A patient states, “My sister and I experienced the same
traumatic event, but she handled it much better than I did.”
Which nursing concept does this statement best support?
, A. Stress responses are identical among individuals.
B. Perception influences stress adaptation.
C. Environmental stressors affect only vulnerable individuals.
D. Coping abilities are unrelated to stress outcomes.
Correct Answer: B
Rationale:
Stress is influenced by an individual's perception and appraisal
of the event. Different people may respond differently to the
same stressor based on coping abilities, past experiences, and
interpretation of the event.
Option A is incorrect because stress responses vary widely.
Option C is inaccurate because stress can affect anyone.
Option D is incorrect because coping strongly influences
adaptation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse identifies tachycardia, dilated pupils, and increased
respirations in a patient experiencing acute anxiety. Which
physiologic process is most likely occurring?
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the psychiatric nurse to explain the
body's initial physiologic response to stress. Which response by
the nurse is most accurate?
A. “Stress immediately suppresses all endocrine activity.”
B. “The body activates neuroendocrine pathways to maintain
adaptation.”
,C. “Stress responses occur only when an illness develops.”
D. “Psychological stress has no physiologic effect on the body.”
Correct Answer: B
Rationale:
The stress response activates neuroendocrine pathways,
including autonomic and hormonal responses, to help the
individual adapt to perceived threats or challenges. Stress
affects both the mind and body.
Option A is incorrect because stress increases, not suppresses,
physiologic activity initially.
Option C is incorrect because stress responses may occur
without illness.
Option D is incorrect because psychological stress can produce
physiologic changes.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse is caring for a patient who recently lost employment
and reports difficulty sleeping and persistent worry. Which
interpretation of stress is best illustrated in this scenario?
,A. Stress as a purely biologic reflex
B. Stress as an environmental event
C. Stress as a genetic disorder
D. Stress as a psychotic reaction
Correct Answer: B
Rationale:
Stress as an environmental event focuses on external life
changes or situations that require adaptation. Job loss
represents an environmental stressor capable of affecting
emotional and physiologic functioning.
Option A is incorrect because the scenario emphasizes the
external event rather than biologic reflexes.
Option C is unsupported by the scenario.
Option D is incorrect because worry and insomnia do not
indicate psychosis.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A patient states, “My sister and I experienced the same
traumatic event, but she handled it much better than I did.”
Which nursing concept does this statement best support?
, A. Stress responses are identical among individuals.
B. Perception influences stress adaptation.
C. Environmental stressors affect only vulnerable individuals.
D. Coping abilities are unrelated to stress outcomes.
Correct Answer: B
Rationale:
Stress is influenced by an individual's perception and appraisal
of the event. Different people may respond differently to the
same stressor based on coping abilities, past experiences, and
interpretation of the event.
Option A is incorrect because stress responses vary widely.
Option C is inaccurate because stress can affect anyone.
Option D is incorrect because coping strongly influences
adaptation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse identifies tachycardia, dilated pupils, and increased
respirations in a patient experiencing acute anxiety. Which
physiologic process is most likely occurring?
