Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student states, “Stress only occurs when something
bad happens.” Which response by the nurse educator is most
appropriate?
,A. “Stress occurs only when a person perceives a threat.”
B. “Stress can result from positive or negative life events.”
C. “Stress always leads to psychological disorders.”
D. “Stress responses are identical in all individuals.”
Correct Answer: B
Rationale:
• Stress may occur in response to both positive and negative
experiences, such as marriage, graduation, illness, or loss.
Stress depends on the individual’s perception and
adaptation.
• Option A is incomplete because stress is not limited only to
perceived threats.
• Option C is incorrect because stress does not inevitably
cause mental illness.
• Option D is incorrect because stress responses vary among
individuals.
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 client who reports persistent stress at
work. Which physiological finding reflects activation of the
sympathetic nervous system?
A. Decreased heart rate
B. Increased gastrointestinal motility
C. Dilated pupils
D. Reduced blood glucose levels
Correct Answer: C
Rationale:
• Sympathetic nervous system activation during stress
causes pupil dilation, increased heart rate, elevated blood
glucose, and reduced gastrointestinal activity.
• Option A is incorrect because heart rate increases during
stress.
• Option B is incorrect because gastrointestinal activity
decreases.
• Option D is incorrect because blood glucose levels increase
to provide energy.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
, A client says, “I have no control over anything happening in my
life.” Which nursing response demonstrates therapeutic
communication?
A. “You should focus on the positive.”
B. “Tell me more about what feels out of control.”
C. “Everyone experiences stress sometimes.”
D. “You need to develop stronger coping skills.”
Correct Answer: B
Rationale:
• Asking the client to elaborate encourages expression of
feelings and promotes therapeutic communication.
• Option A minimizes the client’s concerns.
• Option C is nontherapeutic because it dismisses the
client’s experience.
• Option D may sound judgmental and nonempathetic.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is teaching about Hans Selye’s General Adaptation
Syndrome. Which statement describes the resistance stage?
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student states, “Stress only occurs when something
bad happens.” Which response by the nurse educator is most
appropriate?
,A. “Stress occurs only when a person perceives a threat.”
B. “Stress can result from positive or negative life events.”
C. “Stress always leads to psychological disorders.”
D. “Stress responses are identical in all individuals.”
Correct Answer: B
Rationale:
• Stress may occur in response to both positive and negative
experiences, such as marriage, graduation, illness, or loss.
Stress depends on the individual’s perception and
adaptation.
• Option A is incomplete because stress is not limited only to
perceived threats.
• Option C is incorrect because stress does not inevitably
cause mental illness.
• Option D is incorrect because stress responses vary among
individuals.
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 client who reports persistent stress at
work. Which physiological finding reflects activation of the
sympathetic nervous system?
A. Decreased heart rate
B. Increased gastrointestinal motility
C. Dilated pupils
D. Reduced blood glucose levels
Correct Answer: C
Rationale:
• Sympathetic nervous system activation during stress
causes pupil dilation, increased heart rate, elevated blood
glucose, and reduced gastrointestinal activity.
• Option A is incorrect because heart rate increases during
stress.
• Option B is incorrect because gastrointestinal activity
decreases.
• Option D is incorrect because blood glucose levels increase
to provide energy.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
, A client says, “I have no control over anything happening in my
life.” Which nursing response demonstrates therapeutic
communication?
A. “You should focus on the positive.”
B. “Tell me more about what feels out of control.”
C. “Everyone experiences stress sometimes.”
D. “You need to develop stronger coping skills.”
Correct Answer: B
Rationale:
• Asking the client to elaborate encourages expression of
feelings and promotes therapeutic communication.
• Option A minimizes the client’s concerns.
• Option C is nontherapeutic because it dismisses the
client’s experience.
• Option D may sound judgmental and nonempathetic.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is teaching about Hans Selye’s General Adaptation
Syndrome. Which statement describes the resistance stage?
