Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks why two patients exposed to the same
stressful event respond differently. Which response by the
psychiatric nurse is most appropriate?
A. “Stress affects all individuals in essentially the same way.”
B. “Stress responses depend on individual perception and
coping abilities.”
C. “Genetic factors are the only determinants of stress
,responses.”
D. “The severity of the stressor alone determines adaptation.”
Correct Answer: B
Rationale:
Stress is viewed as a transaction between the individual and the
environment, meaning that perception, appraisal, and coping
influence adaptation. Option A ignores individual variability.
Option C is too narrow because multiple factors affect stress
responses. Option D fails to recognize subjective interpretation
of 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 caring for a patient who recently lost employment
and reports insomnia, headaches, and irritability. Which
assessment finding reflects the biological response to stress?
A. Social withdrawal from family members
B. Increased secretion of stress hormones
C. Refusal to discuss financial concerns
D. Use of denial regarding job loss
Correct Answer: B
,Rationale:
Stress as a biological response involves physiologic activation,
including increased secretion of stress hormones. Option A
reflects behavioral response. Option C reflects communication
behavior. Option D is a coping mechanism rather than a direct
biologic response.
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 can’t handle all these problems anymore.”
Which nursing response demonstrates therapeutic
communication?
A. “You should focus on the positive aspects of your life.”
B. “Everyone experiences stress at some point.”
C. “Tell me more about what feels overwhelming right now.”
D. “You need to learn better coping strategies.”
Correct Answer: C
Rationale:
This response encourages expression of feelings and further
assessment using therapeutic communication. Option A
minimizes the patient’s concerns. Option B offers false
, reassurance and generalization. Option D is judgmental and
prematurely advises the patient.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse identifies that a patient is in the alarm reaction stage of
stress adaptation. Which finding would the nurse expect?
A. Exhaustion and depleted energy reserves
B. Stable physiologic functioning without anxiety
C. Activation of the fight-or-flight response
D. Complete adaptation to the stressor
Correct Answer: C
Rationale:
The alarm reaction stage activates the fight-or-flight response
with physiologic arousal. Option A reflects exhaustion. Option B
is inconsistent with acute stress activation. Option D reflects
successful adaptation rather than initial stress response.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks why two patients exposed to the same
stressful event respond differently. Which response by the
psychiatric nurse is most appropriate?
A. “Stress affects all individuals in essentially the same way.”
B. “Stress responses depend on individual perception and
coping abilities.”
C. “Genetic factors are the only determinants of stress
,responses.”
D. “The severity of the stressor alone determines adaptation.”
Correct Answer: B
Rationale:
Stress is viewed as a transaction between the individual and the
environment, meaning that perception, appraisal, and coping
influence adaptation. Option A ignores individual variability.
Option C is too narrow because multiple factors affect stress
responses. Option D fails to recognize subjective interpretation
of 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 caring for a patient who recently lost employment
and reports insomnia, headaches, and irritability. Which
assessment finding reflects the biological response to stress?
A. Social withdrawal from family members
B. Increased secretion of stress hormones
C. Refusal to discuss financial concerns
D. Use of denial regarding job loss
Correct Answer: B
,Rationale:
Stress as a biological response involves physiologic activation,
including increased secretion of stress hormones. Option A
reflects behavioral response. Option C reflects communication
behavior. Option D is a coping mechanism rather than a direct
biologic response.
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 can’t handle all these problems anymore.”
Which nursing response demonstrates therapeutic
communication?
A. “You should focus on the positive aspects of your life.”
B. “Everyone experiences stress at some point.”
C. “Tell me more about what feels overwhelming right now.”
D. “You need to learn better coping strategies.”
Correct Answer: C
Rationale:
This response encourages expression of feelings and further
assessment using therapeutic communication. Option A
minimizes the patient’s concerns. Option B offers false
, reassurance and generalization. Option D is judgmental and
prematurely advises the patient.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse identifies that a patient is in the alarm reaction stage of
stress adaptation. Which finding would the nurse expect?
A. Exhaustion and depleted energy reserves
B. Stable physiologic functioning without anxiety
C. Activation of the fight-or-flight response
D. Complete adaptation to the stressor
Correct Answer: C
Rationale:
The alarm reaction stage activates the fight-or-flight response
with physiologic arousal. Option A reflects exhaustion. Option B
is inconsistent with acute stress activation. Option D reflects
successful adaptation rather than initial stress response.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
