Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor about the concept of
stress adaptation. Which response by the instructor is most
accurate?
A. Stress always results in psychiatric illness.
B. Adaptation occurs when individuals respond to stressors
using available resources.
C. Stress adaptation refers only to physiologic responses to
,illness.
D. Adaptation is unrelated to environmental influences.
Correct Answer: B
Rationale:
• Adaptation involves behavioral, psychological, and
physiologic responses used to manage stressors and
maintain equilibrium.
• Option A is incorrect because stress does not always lead
to psychiatric illness.
• Option C is incorrect because adaptation includes more
than physiologic responses.
• Option D is incorrect because environmental influences
significantly affect adaptation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse is assessing a patient experiencing prolonged exposure
to stress. Which physiologic response is associated with the
alarm reaction stage of the general adaptation syndrome?
,A. Decreased heart rate
B. Reduced cortisol secretion
C. Activation of the sympathetic nervous system
D. Suppression of energy production
Correct Answer: C
Rationale:
• The alarm reaction stage involves activation of the
sympathetic nervous system and release of stress
hormones to prepare the body for fight-or-flight
responses.
• Option A is incorrect because heart rate typically
increases.
• Option B is incorrect because cortisol secretion increases
during stress.
• Option D is incorrect because the body mobilizes energy
rather than suppressing it.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
, A patient states, “Ever since losing my job, I cannot sleep and I
feel overwhelmed.” Which type of stressor is the patient
experiencing?
A. Physiologic stressor
B. Developmental stressor
C. Situational stressor
D. Internal biologic stressor
Correct Answer: C
Rationale:
• Loss of employment is considered a situational stressor
because it arises from external life events.
• Option A is incorrect because no physiologic illness is
identified.
• Option B is incorrect because developmental stressors
relate to life-stage transitions.
• Option D is incorrect because the stressor is external
rather than biologic.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4