Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
A nursing student states, “Stress only occurs when something
bad happens.” Which response by the psychiatric nurse
educator is most accurate?
A. “Stress responses occur only with traumatic events.”
B. “Stress can result from positive or negative life changes.”
C. “Stress is always related to environmental factors.”
D. “Stress only occurs when coping mechanisms fail.”
Correct Answer: B
,Rationale:
Stress may occur in response to both positive and negative
events that require adaptation. Life changes such as marriage,
graduation, or job promotion can produce stress responses.
Option A is incorrect because stress is not limited to traumatic
events. Option C is incorrect because stress may arise from
internal or external factors. Option D is incorrect because stress
can occur even when coping is effective.
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 reports palpitations, rapid
breathing, and increased alertness immediately after narrowly
avoiding a motor vehicle collision. Which stage of the stress
response is the patient most likely experiencing?
A. Resistance stage
B. Exhaustion stage
C. Alarm reaction stage
D. Recovery stage
Correct Answer: C
Rationale:
The alarm reaction stage involves activation of the sympathetic
,nervous system and the fight-or-flight response, producing
physiologic changes such as tachycardia, rapid respirations, and
heightened alertness. Option A occurs when adaptation
attempts continue over time. Option B occurs after prolonged
stress depletes adaptive resources. Option D is not a stage of
the general adaptation syndrome described in the chapter.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A patient states, “I lost my job last week, but I see it as an
opportunity to pursue a different career.” Which concept
related to stress adaptation does this statement best illustrate?
A. Maladaptive coping
B. Cognitive appraisal
C. Physiologic exhaustion
D. Homeostatic imbalance
Correct Answer: B
Rationale:
Cognitive appraisal refers to the individual’s interpretation or
evaluation of an event and its significance. The patient’s
perception of the event influences the stress response. Option
A is incorrect because the response demonstrates adaptive
, thinking. Option C refers to depletion from prolonged stress.
Option D involves physiologic disequilibrium rather than
perception of stressors.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse identifies that a patient experiencing prolonged
occupational stress is developing chronic headaches and
insomnia. Which nursing interpretation is most appropriate?
A. The patient is exhibiting ineffective role performance.
B. The patient is demonstrating physiologic manifestations of
stress.
C. The patient is experiencing psychotic symptoms.
D. The patient has entered a state of emotional detachment.
Correct Answer: B
Rationale:
Stress commonly produces physiologic symptoms such as
headaches, sleep disturbances, and fatigue. Option A may occur
but is not directly supported by the assessment findings. Option
C is unsupported because no psychotic symptoms are present.
Option D is not indicated by the scenario.
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
A nursing student states, “Stress only occurs when something
bad happens.” Which response by the psychiatric nurse
educator is most accurate?
A. “Stress responses occur only with traumatic events.”
B. “Stress can result from positive or negative life changes.”
C. “Stress is always related to environmental factors.”
D. “Stress only occurs when coping mechanisms fail.”
Correct Answer: B
,Rationale:
Stress may occur in response to both positive and negative
events that require adaptation. Life changes such as marriage,
graduation, or job promotion can produce stress responses.
Option A is incorrect because stress is not limited to traumatic
events. Option C is incorrect because stress may arise from
internal or external factors. Option D is incorrect because stress
can occur even when coping is effective.
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 reports palpitations, rapid
breathing, and increased alertness immediately after narrowly
avoiding a motor vehicle collision. Which stage of the stress
response is the patient most likely experiencing?
A. Resistance stage
B. Exhaustion stage
C. Alarm reaction stage
D. Recovery stage
Correct Answer: C
Rationale:
The alarm reaction stage involves activation of the sympathetic
,nervous system and the fight-or-flight response, producing
physiologic changes such as tachycardia, rapid respirations, and
heightened alertness. Option A occurs when adaptation
attempts continue over time. Option B occurs after prolonged
stress depletes adaptive resources. Option D is not a stage of
the general adaptation syndrome described in the chapter.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A patient states, “I lost my job last week, but I see it as an
opportunity to pursue a different career.” Which concept
related to stress adaptation does this statement best illustrate?
A. Maladaptive coping
B. Cognitive appraisal
C. Physiologic exhaustion
D. Homeostatic imbalance
Correct Answer: B
Rationale:
Cognitive appraisal refers to the individual’s interpretation or
evaluation of an event and its significance. The patient’s
perception of the event influences the stress response. Option
A is incorrect because the response demonstrates adaptive
, thinking. Option C refers to depletion from prolonged stress.
Option D involves physiologic disequilibrium rather than
perception of stressors.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse identifies that a patient experiencing prolonged
occupational stress is developing chronic headaches and
insomnia. Which nursing interpretation is most appropriate?
A. The patient is exhibiting ineffective role performance.
B. The patient is demonstrating physiologic manifestations of
stress.
C. The patient is experiencing psychotic symptoms.
D. The patient has entered a state of emotional detachment.
Correct Answer: B
Rationale:
Stress commonly produces physiologic symptoms such as
headaches, sleep disturbances, and fatigue. Option A may occur
but is not directly supported by the assessment findings. Option
C is unsupported because no psychotic symptoms are present.
Option D is not indicated by the scenario.
