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 exposed to the same
stressful event respond differently. Which response by the
psychiatric nurse is most accurate?
A. “Stress responses are determined only by the severity of the
event.”
B. “Individual perception of the event influences the stress
,response.”
C. “All individuals respond similarly to major life stressors.”
D. “Biological responses to stress are unrelated to psychological
interpretation.”
Correct Answer: B
Rationale:
• The transactional model of stress emphasizes that stress is
influenced by the individual’s perception and appraisal of
the event.
• Option A is incorrect because stress severity alone does
not determine response.
• Option C is incorrect because responses vary among
individuals.
• Option D is incorrect because psychological interpretation
affects biological and emotional responses.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client reports experiencing persistent headaches, muscle
tension, and insomnia while preparing for final examinations.
,Which stage of the general adaptation syndrome is most
consistent with these findings?
A. Exhaustion stage
B. Resistance stage
C. Alarm reaction stage
D. Recovery stage
Correct Answer: B
Rationale:
• During the resistance stage, the body attempts to adapt to
prolonged stress while physiological symptoms such as
tension and sleep disturbances may continue.
• Option A is incorrect because exhaustion occurs when
adaptive mechanisms fail.
• Option C is incorrect because the alarm stage reflects the
immediate fight-or-flight response.
• 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 nurse is assessing a client experiencing acute stress. Which
physiological finding reflects activation of the sympathetic
nervous system?
A. Decreased heart rate
B. Increased gastrointestinal motility
C. Pupillary constriction
D. Elevated blood pressure
Correct Answer: D
Rationale:
• Sympathetic nervous system activation during stress
increases heart rate and blood pressure to prepare the
body for action.
• Option A is incorrect because heart rate typically
increases.
• Option B is incorrect because gastrointestinal activity
decreases during stress.
• Option C is incorrect because pupils dilate rather than
constrict.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks why two clients exposed to the same
stressful event respond differently. Which response by the
psychiatric nurse is most accurate?
A. “Stress responses are determined only by the severity of the
event.”
B. “Individual perception of the event influences the stress
,response.”
C. “All individuals respond similarly to major life stressors.”
D. “Biological responses to stress are unrelated to psychological
interpretation.”
Correct Answer: B
Rationale:
• The transactional model of stress emphasizes that stress is
influenced by the individual’s perception and appraisal of
the event.
• Option A is incorrect because stress severity alone does
not determine response.
• Option C is incorrect because responses vary among
individuals.
• Option D is incorrect because psychological interpretation
affects biological and emotional responses.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client reports experiencing persistent headaches, muscle
tension, and insomnia while preparing for final examinations.
,Which stage of the general adaptation syndrome is most
consistent with these findings?
A. Exhaustion stage
B. Resistance stage
C. Alarm reaction stage
D. Recovery stage
Correct Answer: B
Rationale:
• During the resistance stage, the body attempts to adapt to
prolonged stress while physiological symptoms such as
tension and sleep disturbances may continue.
• Option A is incorrect because exhaustion occurs when
adaptive mechanisms fail.
• Option C is incorrect because the alarm stage reflects the
immediate fight-or-flight response.
• 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 nurse is assessing a client experiencing acute stress. Which
physiological finding reflects activation of the sympathetic
nervous system?
A. Decreased heart rate
B. Increased gastrointestinal motility
C. Pupillary constriction
D. Elevated blood pressure
Correct Answer: D
Rationale:
• Sympathetic nervous system activation during stress
increases heart rate and blood pressure to prepare the
body for action.
• Option A is incorrect because heart rate typically
increases.
• Option B is incorrect because gastrointestinal activity
decreases during stress.
• Option C is incorrect because pupils dilate rather than
constrict.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
