Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student is studying the concept of stress adaptation.
Which statement best describes stress as presented in
psychiatric-mental health nursing?
A. Stress always results in physical illness.
B. Stress is a response that occurs only after traumatic events.
C. Stress involves physiological and psychological responses to
demands placed on an individual.
D. Stress occurs only when an individual lacks coping abilities.
,Correct Answer: C
Rationale:
• Stress is described as a physiological and psychological
response to internal or external demands. The response
may be adaptive or maladaptive depending on coping
ability and available resources.
• Option A is incorrect because stress does not always lead
to illness.
• Option B is incorrect because stress can result from both
minor and major life events.
• Option D is incorrect because even individuals with
effective coping skills experience stress.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse explains Hans Selye’s General Adaptation Syndrome
(GAS) to a client. Which physiological response occurs during
the alarm reaction stage?
A. The body returns to homeostasis.
B. The body recognizes and responds to the stressor.
,C. Energy stores become depleted leading to collapse.
D. The parasympathetic nervous system slows metabolism.
Correct Answer: B
Rationale:
• During the alarm reaction stage, the body recognizes the
stressor and initiates the fight-or-flight response through
activation of the sympathetic nervous system.
• Option A describes recovery rather than the alarm stage.
• Option C reflects the exhaustion stage.
• Option D is incorrect because sympathetic—not
parasympathetic—activity predominates initially.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A client states, “I feel overwhelmed after losing my job.” Which
nursing response best reflects the concept of stress as an
environmental event?
A. “Your reaction depends entirely on your personality.”
B. “Losing employment can act as a stressor requiring
adaptation.”
, C. “Stress only occurs if you perceive the event negatively.”
D. “Job loss affects everyone in exactly the same way.”
Correct Answer: B
Rationale:
• Stress as an environmental event refers to external stimuli
or life changes that require adaptation. Loss of
employment is a significant situational stressor.
• Option A ignores environmental influences.
• Option C oversimplifies stress responses.
• Option D is incorrect because individuals respond
differently to stressors.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is assessing a client experiencing chronic stress. Which
manifestation would the nurse expect?
A. Increased concentration and memory
B. Reduced sympathetic nervous system activity
C. Persistent fatigue and irritability
D. Improved immune function
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student is studying the concept of stress adaptation.
Which statement best describes stress as presented in
psychiatric-mental health nursing?
A. Stress always results in physical illness.
B. Stress is a response that occurs only after traumatic events.
C. Stress involves physiological and psychological responses to
demands placed on an individual.
D. Stress occurs only when an individual lacks coping abilities.
,Correct Answer: C
Rationale:
• Stress is described as a physiological and psychological
response to internal or external demands. The response
may be adaptive or maladaptive depending on coping
ability and available resources.
• Option A is incorrect because stress does not always lead
to illness.
• Option B is incorrect because stress can result from both
minor and major life events.
• Option D is incorrect because even individuals with
effective coping skills experience stress.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse explains Hans Selye’s General Adaptation Syndrome
(GAS) to a client. Which physiological response occurs during
the alarm reaction stage?
A. The body returns to homeostasis.
B. The body recognizes and responds to the stressor.
,C. Energy stores become depleted leading to collapse.
D. The parasympathetic nervous system slows metabolism.
Correct Answer: B
Rationale:
• During the alarm reaction stage, the body recognizes the
stressor and initiates the fight-or-flight response through
activation of the sympathetic nervous system.
• Option A describes recovery rather than the alarm stage.
• Option C reflects the exhaustion stage.
• Option D is incorrect because sympathetic—not
parasympathetic—activity predominates initially.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A client states, “I feel overwhelmed after losing my job.” Which
nursing response best reflects the concept of stress as an
environmental event?
A. “Your reaction depends entirely on your personality.”
B. “Losing employment can act as a stressor requiring
adaptation.”
, C. “Stress only occurs if you perceive the event negatively.”
D. “Job loss affects everyone in exactly the same way.”
Correct Answer: B
Rationale:
• Stress as an environmental event refers to external stimuli
or life changes that require adaptation. Loss of
employment is a significant situational stressor.
• Option A ignores environmental influences.
• Option C oversimplifies stress responses.
• Option D is incorrect because individuals respond
differently to stressors.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is assessing a client experiencing chronic stress. Which
manifestation would the nurse expect?
A. Increased concentration and memory
B. Reduced sympathetic nervous system activity
C. Persistent fatigue and irritability
D. Improved immune function
