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 clients experiencing the same
event respond differently to stress. Which response by the
psychiatric nurse is most appropriate?
A. “Stress affects all people in the same physiologic manner.”
B. “A person’s perception of the event influences the stress
response.”
C. “Stress responses are determined only by genetic factors.”
D. “Environmental events produce identical coping responses.”
,Correct Answer: B
Rationale:
• Stress is influenced by an individual’s perception and
appraisal of an event. One person may interpret an event
as threatening while another may not.
• Option A is incorrect because stress responses vary among
individuals.
• Option C is incorrect because stress responses are not
determined solely by genetics.
• Option D is incorrect because coping responses differ
based on perception, past experiences, and available
resources.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client experiencing prolonged work-related stress reports
chronic fatigue, irritability, and insomnia. Which stage of the
general adaptation syndrome is most consistent with these
findings?
A. Alarm reaction stage
B. Resistance stage
,C. Exhaustion stage
D. Recovery stage
Correct Answer: C
Rationale:
• The exhaustion stage occurs when adaptive resources are
depleted after prolonged stress exposure, leading to
fatigue, irritability, and impaired functioning.
• Option A is incorrect because the alarm stage involves the
initial fight-or-flight response.
• Option B is incorrect because resistance involves
adaptation while the body attempts to cope with ongoing
stress.
• Option D is incorrect because recovery is not a 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 client states, “I cannot handle another problem right now.”
Which nursing response demonstrates therapeutic
communication?
, A. “You need to calm down and think positively.”
B. “Others have more difficult situations than you.”
C. “Tell me more about what feels overwhelming right now.”
D. “You should try not to focus on negative thoughts.”
Correct Answer: C
Rationale:
• Inviting the client to elaborate promotes therapeutic
communication and encourages emotional expression.
• Option A minimizes the client’s feelings.
• Option B is nontherapeutic because it compares the client
to others.
• Option D dismisses the client’s current emotional
experience.
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’s response to stress. Which finding
reflects an adaptive coping mechanism?
A. Social withdrawal from supportive family members
B. Increased alcohol consumption after stressful events
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks why two clients experiencing the same
event respond differently to stress. Which response by the
psychiatric nurse is most appropriate?
A. “Stress affects all people in the same physiologic manner.”
B. “A person’s perception of the event influences the stress
response.”
C. “Stress responses are determined only by genetic factors.”
D. “Environmental events produce identical coping responses.”
,Correct Answer: B
Rationale:
• Stress is influenced by an individual’s perception and
appraisal of an event. One person may interpret an event
as threatening while another may not.
• Option A is incorrect because stress responses vary among
individuals.
• Option C is incorrect because stress responses are not
determined solely by genetics.
• Option D is incorrect because coping responses differ
based on perception, past experiences, and available
resources.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client experiencing prolonged work-related stress reports
chronic fatigue, irritability, and insomnia. Which stage of the
general adaptation syndrome is most consistent with these
findings?
A. Alarm reaction stage
B. Resistance stage
,C. Exhaustion stage
D. Recovery stage
Correct Answer: C
Rationale:
• The exhaustion stage occurs when adaptive resources are
depleted after prolonged stress exposure, leading to
fatigue, irritability, and impaired functioning.
• Option A is incorrect because the alarm stage involves the
initial fight-or-flight response.
• Option B is incorrect because resistance involves
adaptation while the body attempts to cope with ongoing
stress.
• Option D is incorrect because recovery is not a 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 client states, “I cannot handle another problem right now.”
Which nursing response demonstrates therapeutic
communication?
, A. “You need to calm down and think positively.”
B. “Others have more difficult situations than you.”
C. “Tell me more about what feels overwhelming right now.”
D. “You should try not to focus on negative thoughts.”
Correct Answer: C
Rationale:
• Inviting the client to elaborate promotes therapeutic
communication and encourages emotional expression.
• Option A minimizes the client’s feelings.
• Option B is nontherapeutic because it compares the client
to others.
• Option D dismisses the client’s current emotional
experience.
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’s response to stress. Which finding
reflects an adaptive coping mechanism?
A. Social withdrawal from supportive family members
B. Increased alcohol consumption after stressful events
