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 exposed to the same
stressor respond differently. Which response by the psychiatric
nurse is most accurate?
A. Stress responses are determined only by genetic factors.
B. Stress is experienced identically among individuals.
C. Individual perception influences the stress response.
D. Physiologic stress responses are unrelated to coping skills.
Correct Answer: C
,Rationale:
• Stress is viewed as a transaction between the individual
and the environment; therefore, perception and appraisal
influence how stress is experienced.
• Genetic factors alone do not determine stress responses.
• Individuals interpret stressors differently based on coping
ability, experiences, and perception.
• Coping skills significantly influence physiologic and
emotional responses to stress.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A patient states, “Ever since losing my job, I cannot sleep and I
feel constantly anxious.” Which nursing concept best explains
this response?
A. Stress as a biological adaptation response
B. Stress as an environmental event
C. Stress as psychosis
D. Stress as a personality disorder
Correct Answer: B
,Rationale:
• Loss of employment is an external environmental stressor
capable of disrupting equilibrium.
• Biological adaptation refers to physiologic responses after
stress perception.
• Psychosis and personality disorders are psychiatric
conditions, not concepts describing stress events.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse is assessing a patient experiencing prolonged stress.
Which physiologic finding reflects activation of the sympathetic
nervous system?
A. Decreased heart rate
B. Increased blood pressure
C. Increased gastrointestinal motility
D. Constricted bronchioles
Correct Answer: B
Rationale:
, • Sympathetic nervous system activation during stress
increases heart rate and blood pressure to prepare the
body for “fight-or-flight.”
• Heart rate typically increases rather than decreases.
• Gastrointestinal motility decreases during stress.
• Bronchioles dilate, not constrict, during sympathetic
activation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A patient says, “I feel overwhelmed caring for my sick parent.”
Which nursing response demonstrates therapeutic
communication?
A. “You should try not to think about it so much.”
B. “Many people have more difficult situations.”
C. “Tell me more about what has been most stressful for you.”
D. “At least your parent is still alive.”
Correct Answer: C
Rationale:
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks why two patients exposed to the same
stressor respond differently. Which response by the psychiatric
nurse is most accurate?
A. Stress responses are determined only by genetic factors.
B. Stress is experienced identically among individuals.
C. Individual perception influences the stress response.
D. Physiologic stress responses are unrelated to coping skills.
Correct Answer: C
,Rationale:
• Stress is viewed as a transaction between the individual
and the environment; therefore, perception and appraisal
influence how stress is experienced.
• Genetic factors alone do not determine stress responses.
• Individuals interpret stressors differently based on coping
ability, experiences, and perception.
• Coping skills significantly influence physiologic and
emotional responses to stress.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A patient states, “Ever since losing my job, I cannot sleep and I
feel constantly anxious.” Which nursing concept best explains
this response?
A. Stress as a biological adaptation response
B. Stress as an environmental event
C. Stress as psychosis
D. Stress as a personality disorder
Correct Answer: B
,Rationale:
• Loss of employment is an external environmental stressor
capable of disrupting equilibrium.
• Biological adaptation refers to physiologic responses after
stress perception.
• Psychosis and personality disorders are psychiatric
conditions, not concepts describing stress events.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse is assessing a patient experiencing prolonged stress.
Which physiologic finding reflects activation of the sympathetic
nervous system?
A. Decreased heart rate
B. Increased blood pressure
C. Increased gastrointestinal motility
D. Constricted bronchioles
Correct Answer: B
Rationale:
, • Sympathetic nervous system activation during stress
increases heart rate and blood pressure to prepare the
body for “fight-or-flight.”
• Heart rate typically increases rather than decreases.
• Gastrointestinal motility decreases during stress.
• Bronchioles dilate, not constrict, during sympathetic
activation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A patient says, “I feel overwhelmed caring for my sick parent.”
Which nursing response demonstrates therapeutic
communication?
A. “You should try not to think about it so much.”
B. “Many people have more difficult situations.”
C. “Tell me more about what has been most stressful for you.”
D. “At least your parent is still alive.”
Correct Answer: C
Rationale:
