Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor about Hans Selye’s
description of stress. Which statement by the instructor is most
accurate?
A. Stress is always harmful to physical and mental health.
B. Stress refers only to external environmental pressures.
C. Stress is the body’s nonspecific response to any demand
,placed on it.
D. Stress occurs only when an individual perceives a threat.
Correct Answer: C
Rationale:
Hans Selye described stress as the body’s nonspecific response
to any demand. This concept emphasizes the physiologic
response that occurs regardless of the stressor type. Option A is
incorrect because stress can be adaptive or maladaptive.
Option B is incorrect because stress involves physiologic and
psychological responses, not merely external events. Option D
reflects the transactional model but does not fully define
Selye’s biologic concept of stress.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse is assessing a client experiencing prolonged workplace
stress. Which physiologic finding is most consistent with
activation of the sympathetic nervous system during the stress
response?
A. Decreased heart rate
B. Bronchoconstriction
,C. Increased blood glucose levels
D. Reduced blood pressure
Correct Answer: C
Rationale:
Activation of the sympathetic nervous system during stress
increases blood glucose to provide energy for the fight-or-flight
response. Option A is incorrect because heart rate typically
increases. Option B is incorrect because bronchodilation occurs.
Option D is incorrect because blood pressure generally rises
during sympathetic activation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A client states, “Ever since I lost my job, I cannot sleep and feel
constantly anxious.” Which concept of stress is the nurse
identifying?
A. Stress as a biological response
B. Stress as an environmental event
C. Stress as a psychotic disorder
D. Stress as a neurocognitive deficit
Correct Answer: B
, Rationale:
Stress as an environmental event focuses on life experiences or
external circumstances that challenge adaptation. Job loss is an
environmental stressor. Option A focuses on physiologic
responses. Options C and D are unrelated to the client’s
statement.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is teaching a client about the alarm reaction stage of
the general adaptation syndrome. Which client statement
indicates understanding?
A. “My body stops responding to stress during this stage.”
B. “This stage prepares my body for fight or flight.”
C. “This stage occurs only after years of chronic stress.”
D. “The parasympathetic nervous system becomes dominant.”
Correct Answer: B
Rationale:
The alarm reaction stage activates the fight-or-flight response,
preparing the body to respond to stress. Option A is incorrect
because the body is highly activated. Option C describes
prolonged stress more consistent with exhaustion. Option D is
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor about Hans Selye’s
description of stress. Which statement by the instructor is most
accurate?
A. Stress is always harmful to physical and mental health.
B. Stress refers only to external environmental pressures.
C. Stress is the body’s nonspecific response to any demand
,placed on it.
D. Stress occurs only when an individual perceives a threat.
Correct Answer: C
Rationale:
Hans Selye described stress as the body’s nonspecific response
to any demand. This concept emphasizes the physiologic
response that occurs regardless of the stressor type. Option A is
incorrect because stress can be adaptive or maladaptive.
Option B is incorrect because stress involves physiologic and
psychological responses, not merely external events. Option D
reflects the transactional model but does not fully define
Selye’s biologic concept of stress.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse is assessing a client experiencing prolonged workplace
stress. Which physiologic finding is most consistent with
activation of the sympathetic nervous system during the stress
response?
A. Decreased heart rate
B. Bronchoconstriction
,C. Increased blood glucose levels
D. Reduced blood pressure
Correct Answer: C
Rationale:
Activation of the sympathetic nervous system during stress
increases blood glucose to provide energy for the fight-or-flight
response. Option A is incorrect because heart rate typically
increases. Option B is incorrect because bronchodilation occurs.
Option D is incorrect because blood pressure generally rises
during sympathetic activation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A client states, “Ever since I lost my job, I cannot sleep and feel
constantly anxious.” Which concept of stress is the nurse
identifying?
A. Stress as a biological response
B. Stress as an environmental event
C. Stress as a psychotic disorder
D. Stress as a neurocognitive deficit
Correct Answer: B
, Rationale:
Stress as an environmental event focuses on life experiences or
external circumstances that challenge adaptation. Job loss is an
environmental stressor. Option A focuses on physiologic
responses. Options C and D are unrelated to the client’s
statement.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is teaching a client about the alarm reaction stage of
the general adaptation syndrome. Which client statement
indicates understanding?
A. “My body stops responding to stress during this stage.”
B. “This stage prepares my body for fight or flight.”
C. “This stage occurs only after years of chronic stress.”
D. “The parasympathetic nervous system becomes dominant.”
Correct Answer: B
Rationale:
The alarm reaction stage activates the fight-or-flight response,
preparing the body to respond to stress. Option A is incorrect
because the body is highly activated. Option C describes
prolonged stress more consistent with exhaustion. Option D is
