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 about the purpose of
stress adaptation. Which response by the instructor is most
accurate?
A. Stress adaptation eliminates all psychological discomfort
during life events.
B. Stress adaptation enables individuals to respond to internal
and external demands.
C. Stress adaptation occurs only when a person experiences
physical illness.
,D. Stress adaptation prevents exposure to environmental
change.
Correct Answer: B
Rationale:
Stress adaptation refers to the ability of an individual to
respond appropriately to stressors and maintain equilibrium. It
involves biological, psychological, and behavioral responses to
demands. Option A is incorrect because stress adaptation does
not eliminate discomfort. Option C is incorrect because stress
responses occur in both healthy and ill individuals. Option D is
incorrect because stress adaptation does not prevent exposure
to stressors.
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 who reports persistent insomnia,
elevated heart rate, and increased anxiety before examinations.
Which component of stress adaptation is the patient primarily
demonstrating?
A. Stress as an environmental event
B. Stress as a biological response
,C. Stress as a sociocultural construct
D. Stress as a developmental milestone
Correct Answer: B
Rationale:
The patient’s physiological symptoms reflect stress as a
biological response involving activation of the autonomic
nervous system and neuroendocrine responses. Option A
focuses on external stressors rather than physiologic responses.
Options C and D are not primary concepts discussed in the
stress adaptation framework.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse identifies that a patient views a recent job transfer as
exciting and motivating, while another patient perceives a
similar transfer as overwhelming. Which concept of stress
adaptation does this situation best illustrate?
A. Stress is identical for all individuals.
B. Stress occurs only after traumatic events.
C. Stress is a transaction between the individual and the
environment.
D. Stress responses are unrelated to perception.
, Correct Answer: C
Rationale:
Stress as a transaction between the individual and the
environment emphasizes that stress perception varies based on
personal appraisal and coping ability. Option A is incorrect
because individuals respond differently to stressors. Option B is
incorrect because ordinary life events may also cause stress.
Option D is incorrect because perception strongly influences
stress responses.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A patient states, “Ever since my divorce, I feel exhausted and
unable to concentrate.” Which nursing response demonstrates
therapeutic communication?
A. “You should try not to think about the divorce.”
B. “Divorce is difficult. Tell me more about how it has affected
you.”
C. “At least you are no longer in an unhealthy relationship.”
D. “Many people experience worse situations.”
Correct Answer: B
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor about the purpose of
stress adaptation. Which response by the instructor is most
accurate?
A. Stress adaptation eliminates all psychological discomfort
during life events.
B. Stress adaptation enables individuals to respond to internal
and external demands.
C. Stress adaptation occurs only when a person experiences
physical illness.
,D. Stress adaptation prevents exposure to environmental
change.
Correct Answer: B
Rationale:
Stress adaptation refers to the ability of an individual to
respond appropriately to stressors and maintain equilibrium. It
involves biological, psychological, and behavioral responses to
demands. Option A is incorrect because stress adaptation does
not eliminate discomfort. Option C is incorrect because stress
responses occur in both healthy and ill individuals. Option D is
incorrect because stress adaptation does not prevent exposure
to stressors.
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 who reports persistent insomnia,
elevated heart rate, and increased anxiety before examinations.
Which component of stress adaptation is the patient primarily
demonstrating?
A. Stress as an environmental event
B. Stress as a biological response
,C. Stress as a sociocultural construct
D. Stress as a developmental milestone
Correct Answer: B
Rationale:
The patient’s physiological symptoms reflect stress as a
biological response involving activation of the autonomic
nervous system and neuroendocrine responses. Option A
focuses on external stressors rather than physiologic responses.
Options C and D are not primary concepts discussed in the
stress adaptation framework.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse identifies that a patient views a recent job transfer as
exciting and motivating, while another patient perceives a
similar transfer as overwhelming. Which concept of stress
adaptation does this situation best illustrate?
A. Stress is identical for all individuals.
B. Stress occurs only after traumatic events.
C. Stress is a transaction between the individual and the
environment.
D. Stress responses are unrelated to perception.
, Correct Answer: C
Rationale:
Stress as a transaction between the individual and the
environment emphasizes that stress perception varies based on
personal appraisal and coping ability. Option A is incorrect
because individuals respond differently to stressors. Option B is
incorrect because ordinary life events may also cause stress.
Option D is incorrect because perception strongly influences
stress responses.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A patient states, “Ever since my divorce, I feel exhausted and
unable to concentrate.” Which nursing response demonstrates
therapeutic communication?
A. “You should try not to think about the divorce.”
B. “Divorce is difficult. Tell me more about how it has affected
you.”
C. “At least you are no longer in an unhealthy relationship.”
D. “Many people experience worse situations.”
Correct Answer: B
