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 response by the
instructor is most accurate?
A. Stress is always a negative emotional experience.
B. Stress occurs only when an individual cannot adapt to
change.
C. Stress is the body’s nonspecific response to any demand
,made on it.
D. Stress refers exclusively to physiologic reactions caused by
illness.
Correct Answer: C
Rationale:
Stress is defined as the body’s nonspecific response to any
demand placed on it. This definition recognizes physiologic,
psychological, and environmental influences on adaptation.
• Option A is incorrect because stress may be positive or
negative.
• Option B is incorrect because adaptation may still occur
despite stress.
• Option D is incorrect because stress includes more than
physiologic illness responses.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse is caring for a patient who recently started a new job
and reports feeling excited yet mildly anxious. Which
interpretation should the nurse make?
,A. The patient is experiencing maladaptive coping.
B. The patient is demonstrating eustress.
C. The patient is exhibiting a panic response.
D. The patient is experiencing severe psychological dysfunction.
Correct Answer: B
Rationale:
Eustress refers to positive stress that promotes growth,
motivation, and adaptation. Starting a new job may create
excitement and manageable anxiety associated with positive
change.
• Option A is incorrect because no maladaptive behavior is
identified.
• Option C is incorrect because panic symptoms are not
described.
• Option D is incorrect because the scenario reflects normal
adaptation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
, A patient states, “I cannot sleep, my heart races constantly, and
I feel overwhelmed after losing my home.” Which physiologic
response should the nurse associate with stress adaptation?
A. Decreased cortisol release
B. Activation of the sympathetic nervous system
C. Suppression of catecholamine secretion
D. Increased parasympathetic dominance
Correct Answer: B
Rationale:
Stress activates the sympathetic nervous system, producing
physiologic responses such as tachycardia, insomnia, and
heightened alertness.
• Option A is incorrect because cortisol typically increases
during stress.
• Option C is incorrect because catecholamine secretion
rises during stress.
• Option D is incorrect because parasympathetic dominance
is reduced during acute stress.
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 the instructor to define stress from a
psychiatric-mental health perspective. Which response by the
instructor is most accurate?
A. Stress is always a negative emotional experience.
B. Stress occurs only when an individual cannot adapt to
change.
C. Stress is the body’s nonspecific response to any demand
,made on it.
D. Stress refers exclusively to physiologic reactions caused by
illness.
Correct Answer: C
Rationale:
Stress is defined as the body’s nonspecific response to any
demand placed on it. This definition recognizes physiologic,
psychological, and environmental influences on adaptation.
• Option A is incorrect because stress may be positive or
negative.
• Option B is incorrect because adaptation may still occur
despite stress.
• Option D is incorrect because stress includes more than
physiologic illness responses.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse is caring for a patient who recently started a new job
and reports feeling excited yet mildly anxious. Which
interpretation should the nurse make?
,A. The patient is experiencing maladaptive coping.
B. The patient is demonstrating eustress.
C. The patient is exhibiting a panic response.
D. The patient is experiencing severe psychological dysfunction.
Correct Answer: B
Rationale:
Eustress refers to positive stress that promotes growth,
motivation, and adaptation. Starting a new job may create
excitement and manageable anxiety associated with positive
change.
• Option A is incorrect because no maladaptive behavior is
identified.
• Option C is incorrect because panic symptoms are not
described.
• Option D is incorrect because the scenario reflects normal
adaptation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
, A patient states, “I cannot sleep, my heart races constantly, and
I feel overwhelmed after losing my home.” Which physiologic
response should the nurse associate with stress adaptation?
A. Decreased cortisol release
B. Activation of the sympathetic nervous system
C. Suppression of catecholamine secretion
D. Increased parasympathetic dominance
Correct Answer: B
Rationale:
Stress activates the sympathetic nervous system, producing
physiologic responses such as tachycardia, insomnia, and
heightened alertness.
• Option A is incorrect because cortisol typically increases
during stress.
• Option C is incorrect because catecholamine secretion
rises during stress.
• Option D is incorrect because parasympathetic dominance
is reduced during acute stress.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
