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 patients respond differently to
the same stressful situation. Which response by the psychiatric
nurse is most appropriate?
A. “Stress responses are identical because all individuals use the
same coping methods.”
B. “Stress is determined only by the severity of the external
event.”
,C. “Stress occurs through a transaction between the person and
the environment.”
D. “Stress reactions depend entirely on genetic inheritance.”
Correct Answer: C
Rationale:
The transactional model explains that stress results from the
interaction between an individual and the environment,
including the person’s perception and coping abilities.
• Option A is incorrect because stress responses vary among
individuals.
• Option B is incorrect because perception influences stress
response, not merely event severity.
• Option D is incorrect because genetics alone do not
determine stress adaptation.
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 occupational stress reports
headaches, insomnia, and irritability. Which nursing
interpretation is most accurate?
,A. The client is demonstrating maladaptive stress responses.
B. The client is exhibiting normal developmental milestones.
C. The client’s symptoms indicate psychosis.
D. The client is experiencing a temporary euphoria reaction.
Correct Answer: A
Rationale:
Physical and emotional symptoms such as insomnia, irritability,
and headaches may indicate maladaptive responses to stress.
• Option B is incorrect because the symptoms are stress
related rather than developmental.
• Option C is incorrect because psychotic symptoms are not
described.
• Option D is incorrect because euphoria is not reflected in
the assessment findings.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse is teaching about Hans Selye’s General Adaptation
Syndrome (GAS). Which client statement indicates
understanding of the alarm reaction stage?
, A. “My body eventually becomes exhausted from prolonged
stress.”
B. “My body initially responds to stress with physiological
changes.”
C. “I no longer recognize stressors after repeated exposure.”
D. “The resistance stage occurs immediately after exhaustion.”
Correct Answer: B
Rationale:
The alarm reaction stage involves the body’s initial
physiological response to stress, including activation of the
fight-or-flight response.
• Option A describes the exhaustion stage.
• Option C is inaccurate regarding GAS concepts.
• Option D is incorrect because resistance precedes
exhaustion.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A client states, “I can’t handle another problem right now.”
Which nursing response best reflects therapeutic
communication?
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks why two patients respond differently to
the same stressful situation. Which response by the psychiatric
nurse is most appropriate?
A. “Stress responses are identical because all individuals use the
same coping methods.”
B. “Stress is determined only by the severity of the external
event.”
,C. “Stress occurs through a transaction between the person and
the environment.”
D. “Stress reactions depend entirely on genetic inheritance.”
Correct Answer: C
Rationale:
The transactional model explains that stress results from the
interaction between an individual and the environment,
including the person’s perception and coping abilities.
• Option A is incorrect because stress responses vary among
individuals.
• Option B is incorrect because perception influences stress
response, not merely event severity.
• Option D is incorrect because genetics alone do not
determine stress adaptation.
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 occupational stress reports
headaches, insomnia, and irritability. Which nursing
interpretation is most accurate?
,A. The client is demonstrating maladaptive stress responses.
B. The client is exhibiting normal developmental milestones.
C. The client’s symptoms indicate psychosis.
D. The client is experiencing a temporary euphoria reaction.
Correct Answer: A
Rationale:
Physical and emotional symptoms such as insomnia, irritability,
and headaches may indicate maladaptive responses to stress.
• Option B is incorrect because the symptoms are stress
related rather than developmental.
• Option C is incorrect because psychotic symptoms are not
described.
• Option D is incorrect because euphoria is not reflected in
the assessment findings.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse is teaching about Hans Selye’s General Adaptation
Syndrome (GAS). Which client statement indicates
understanding of the alarm reaction stage?
, A. “My body eventually becomes exhausted from prolonged
stress.”
B. “My body initially responds to stress with physiological
changes.”
C. “I no longer recognize stressors after repeated exposure.”
D. “The resistance stage occurs immediately after exhaustion.”
Correct Answer: B
Rationale:
The alarm reaction stage involves the body’s initial
physiological response to stress, including activation of the
fight-or-flight response.
• Option A describes the exhaustion stage.
• Option C is inaccurate regarding GAS concepts.
• Option D is incorrect because resistance precedes
exhaustion.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A client states, “I can’t handle another problem right now.”
Which nursing response best reflects therapeutic
communication?
