Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor to define stress from a
psychiatric-mental health perspective. Which statement by the
instructor is most accurate?
A. Stress is always a harmful physiologic reaction to illness.
B. Stress is the body’s automatic response to any pleasurable
event.
,C. Stress is a response to demands that are appraised as
challenging or threatening.
D. Stress occurs only when individuals lack effective coping
mechanisms.
Correct Answer: C
Rationale:
Stress is described as a response to demands or stressors that
are perceived as challenging, threatening, or requiring
adaptation. Stress may be positive or negative depending on
the individual’s appraisal. Option A is incorrect because stress is
not always harmful. Option B is incorrect because pleasurable
events are not the sole cause of stress. Option D is incorrect
because stress can occur even in individuals with effective
coping abilities.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse is teaching a community group about the biological
response to stress. Which physiologic finding should the nurse
identify as occurring during activation of the sympathetic
nervous system?
,A. Decreased heart rate
B. Bronchoconstriction
C. Increased blood glucose levels
D. Increased gastrointestinal motility
Correct Answer: C
Rationale:
Activation of the sympathetic nervous system during stress
increases blood glucose to provide energy for the fight-or-flight
response. Heart rate typically increases rather than decreases.
Bronchodilation, not bronchoconstriction, occurs to improve
oxygenation. Gastrointestinal motility decreases during stress
because blood flow is redirected to essential organs and
muscles.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A client states, “Ever since I lost my job, I feel overwhelmed and
cannot sleep.” Which interpretation by the nurse best reflects
stress as an environmental event?
A. The client is demonstrating unresolved developmental
conflict.
B. The client is responding to an external life change perceived
, as stressful.
C. The client’s insomnia is unrelated to psychosocial stressors.
D. The client lacks the physiologic ability to adapt to stress.
Correct Answer: B
Rationale:
Stress as an environmental event involves external changes or
demands that require adaptation. Job loss is a major life
stressor that can affect emotional and physiologic functioning.
Option A is unsupported by the scenario. Option C ignores the
impact of stress on sleep. Option D inaccurately assumes
physiologic inability rather than adaptive strain.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse assesses a client experiencing prolonged stress. Which
manifestation should the nurse expect during the resistance
stage of the general adaptation syndrome?
A. Shock and decreased energy reserves
B. Mobilization of adaptive coping mechanisms
C. Irreversible organ damage immediately after stress exposure
D. Complete elimination of physiologic stress responses
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor to define stress from a
psychiatric-mental health perspective. Which statement by the
instructor is most accurate?
A. Stress is always a harmful physiologic reaction to illness.
B. Stress is the body’s automatic response to any pleasurable
event.
,C. Stress is a response to demands that are appraised as
challenging or threatening.
D. Stress occurs only when individuals lack effective coping
mechanisms.
Correct Answer: C
Rationale:
Stress is described as a response to demands or stressors that
are perceived as challenging, threatening, or requiring
adaptation. Stress may be positive or negative depending on
the individual’s appraisal. Option A is incorrect because stress is
not always harmful. Option B is incorrect because pleasurable
events are not the sole cause of stress. Option D is incorrect
because stress can occur even in individuals with effective
coping abilities.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse is teaching a community group about the biological
response to stress. Which physiologic finding should the nurse
identify as occurring during activation of the sympathetic
nervous system?
,A. Decreased heart rate
B. Bronchoconstriction
C. Increased blood glucose levels
D. Increased gastrointestinal motility
Correct Answer: C
Rationale:
Activation of the sympathetic nervous system during stress
increases blood glucose to provide energy for the fight-or-flight
response. Heart rate typically increases rather than decreases.
Bronchodilation, not bronchoconstriction, occurs to improve
oxygenation. Gastrointestinal motility decreases during stress
because blood flow is redirected to essential organs and
muscles.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A client states, “Ever since I lost my job, I feel overwhelmed and
cannot sleep.” Which interpretation by the nurse best reflects
stress as an environmental event?
A. The client is demonstrating unresolved developmental
conflict.
B. The client is responding to an external life change perceived
, as stressful.
C. The client’s insomnia is unrelated to psychosocial stressors.
D. The client lacks the physiologic ability to adapt to stress.
Correct Answer: B
Rationale:
Stress as an environmental event involves external changes or
demands that require adaptation. Job loss is a major life
stressor that can affect emotional and physiologic functioning.
Option A is unsupported by the scenario. Option C ignores the
impact of stress on sleep. Option D inaccurately assumes
physiologic inability rather than adaptive strain.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse assesses a client experiencing prolonged stress. Which
manifestation should the nurse expect during the resistance
stage of the general adaptation syndrome?
A. Shock and decreased energy reserves
B. Mobilization of adaptive coping mechanisms
C. Irreversible organ damage immediately after stress exposure
D. Complete elimination of physiologic stress responses
