Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nurse is teaching a group of nursing students about the
concept of stress adaptation. Which statement by a student
indicates understanding of stress as a biological response?
A. “Stress occurs only when a person perceives an event as
threatening.”
B. “Stress activates physiological responses intended to
maintain homeostasis.”
,C. “Stress is determined entirely by environmental
circumstances.”
D. “Stress responses are always harmful to the individual.”
Correct Answer: B
Rationale:
Stress as a biological response involves physiological
mechanisms activated to preserve homeostasis and adaptation.
Option A reflects the transactional model. Option C ignores
individual perception and physiologic adaptation. Option D is
incorrect because stress responses may be adaptive or
maladaptive depending on duration and severity.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A patient experiencing prolonged workplace stress reports
fatigue, irritability, and difficulty concentrating. The nurse
recognizes these manifestations are most consistent with which
stage of the general adaptation syndrome?
A. Alarm reaction stage
B. Resistance stage
C. Exhaustion stage
D. Recovery stage
,Correct Answer: C
Rationale:
The exhaustion stage occurs when adaptive energy is depleted
after prolonged stress exposure, resulting in physical and
emotional symptoms such as fatigue and impaired
concentration. The alarm stage involves initial fight-or-flight
activation. The resistance stage reflects continued adaptation
efforts. Recovery stage is not a formal 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 whose heart rate and blood pressure
increase immediately after hearing unexpected bad news.
Which physiological response is the nurse observing?
A. Parasympathetic nervous system activation
B. Homeostatic suppression
C. Sympathetic nervous system activation
D. Endorphin depletion
Correct Answer: C
, Rationale:
The sympathetic nervous system activates during stress,
producing increased heart rate and blood pressure as part of
the fight-or-flight response. Parasympathetic activation
promotes relaxation. Homeostatic suppression and endorphin
depletion do not best explain the immediate physiologic
changes described.
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 feels devastating, but my partner
thinks it’s only a temporary setback.” Which concept of stress
does the nurse identify?
A. Stress as a purely biological phenomenon
B. Stress as a fixed environmental response
C. Stress as a transaction between the individual and
environment
D. Stress as a universal physiological event
Correct Answer: C
Rationale:
The transactional model recognizes that stress results from an
individual’s perception and appraisal of events. Different
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nurse is teaching a group of nursing students about the
concept of stress adaptation. Which statement by a student
indicates understanding of stress as a biological response?
A. “Stress occurs only when a person perceives an event as
threatening.”
B. “Stress activates physiological responses intended to
maintain homeostasis.”
,C. “Stress is determined entirely by environmental
circumstances.”
D. “Stress responses are always harmful to the individual.”
Correct Answer: B
Rationale:
Stress as a biological response involves physiological
mechanisms activated to preserve homeostasis and adaptation.
Option A reflects the transactional model. Option C ignores
individual perception and physiologic adaptation. Option D is
incorrect because stress responses may be adaptive or
maladaptive depending on duration and severity.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A patient experiencing prolonged workplace stress reports
fatigue, irritability, and difficulty concentrating. The nurse
recognizes these manifestations are most consistent with which
stage of the general adaptation syndrome?
A. Alarm reaction stage
B. Resistance stage
C. Exhaustion stage
D. Recovery stage
,Correct Answer: C
Rationale:
The exhaustion stage occurs when adaptive energy is depleted
after prolonged stress exposure, resulting in physical and
emotional symptoms such as fatigue and impaired
concentration. The alarm stage involves initial fight-or-flight
activation. The resistance stage reflects continued adaptation
efforts. Recovery stage is not a formal 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 whose heart rate and blood pressure
increase immediately after hearing unexpected bad news.
Which physiological response is the nurse observing?
A. Parasympathetic nervous system activation
B. Homeostatic suppression
C. Sympathetic nervous system activation
D. Endorphin depletion
Correct Answer: C
, Rationale:
The sympathetic nervous system activates during stress,
producing increased heart rate and blood pressure as part of
the fight-or-flight response. Parasympathetic activation
promotes relaxation. Homeostatic suppression and endorphin
depletion do not best explain the immediate physiologic
changes described.
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 feels devastating, but my partner
thinks it’s only a temporary setback.” Which concept of stress
does the nurse identify?
A. Stress as a purely biological phenomenon
B. Stress as a fixed environmental response
C. Stress as a transaction between the individual and
environment
D. Stress as a universal physiological event
Correct Answer: C
Rationale:
The transactional model recognizes that stress results from an
individual’s perception and appraisal of events. Different
