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 describe stress from a
biological perspective. Which response by the instructor is most
accurate?
,A. Stress occurs only when an individual perceives an event as
harmful.
B. Stress is a physiological response that prepares the body for
adaptation.
C. Stress is always harmful to physical and mental health.
D. Stress develops only after exposure to traumatic events.
Correct Answer: B
Rationale:
Stress as a biological response involves physiological changes
that prepare the body to adapt to stressors. This adaptive
response includes neuroendocrine and autonomic nervous
system activation. Option A describes the transactional model
rather than the biological response. Option C is incorrect
because stress can be adaptive or maladaptive. Option D is
incorrect because everyday events may also trigger stress
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 assessing a client experiencing prolonged stress.
Which physiological finding is most consistent with activation of
the sympathetic nervous system?
,A. Bradycardia
B. Increased gastrointestinal motility
C. Dilated pupils
D. Decreased blood glucose levels
Correct Answer: C
Rationale:
Sympathetic nervous system activation produces the fight-or-
flight response, including pupil dilation, increased heart rate,
and elevated blood glucose. Bradycardia and increased
gastrointestinal motility are associated with parasympathetic
activity. Blood glucose levels typically rise rather than decrease
during stress.
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 just lost my job, but I see it as an opportunity
to start over.” Which concept of stress adaptation does this
statement best illustrate?
A. Stress as an environmental event
B. Stress as a biological response
C. Stress as a transaction between the individual and the
, environment
D. Stress as a genetic predisposition
Correct Answer: C
Rationale:
The transactional model emphasizes that stress depends on the
individual’s perception and appraisal of an event. The client
interprets the stressor positively, influencing the stress
response. Environmental-event theory focuses only on the
event itself. Biological response theory addresses physiological
reactions. Genetic predisposition is unrelated to this concept.
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 stress management strategies to a client
with chronic work-related stress. Which intervention should the
nurse recommend first?
A. Avoid discussing stressful events
B. Increase use of caffeine for energy
C. Identify sources of stress and coping responses
D. Withdraw from social interactions temporarily
Correct Answer: C
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor to describe stress from a
biological perspective. Which response by the instructor is most
accurate?
,A. Stress occurs only when an individual perceives an event as
harmful.
B. Stress is a physiological response that prepares the body for
adaptation.
C. Stress is always harmful to physical and mental health.
D. Stress develops only after exposure to traumatic events.
Correct Answer: B
Rationale:
Stress as a biological response involves physiological changes
that prepare the body to adapt to stressors. This adaptive
response includes neuroendocrine and autonomic nervous
system activation. Option A describes the transactional model
rather than the biological response. Option C is incorrect
because stress can be adaptive or maladaptive. Option D is
incorrect because everyday events may also trigger stress
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 assessing a client experiencing prolonged stress.
Which physiological finding is most consistent with activation of
the sympathetic nervous system?
,A. Bradycardia
B. Increased gastrointestinal motility
C. Dilated pupils
D. Decreased blood glucose levels
Correct Answer: C
Rationale:
Sympathetic nervous system activation produces the fight-or-
flight response, including pupil dilation, increased heart rate,
and elevated blood glucose. Bradycardia and increased
gastrointestinal motility are associated with parasympathetic
activity. Blood glucose levels typically rise rather than decrease
during stress.
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 just lost my job, but I see it as an opportunity
to start over.” Which concept of stress adaptation does this
statement best illustrate?
A. Stress as an environmental event
B. Stress as a biological response
C. Stress as a transaction between the individual and the
, environment
D. Stress as a genetic predisposition
Correct Answer: C
Rationale:
The transactional model emphasizes that stress depends on the
individual’s perception and appraisal of an event. The client
interprets the stressor positively, influencing the stress
response. Environmental-event theory focuses only on the
event itself. Biological response theory addresses physiological
reactions. Genetic predisposition is unrelated to this concept.
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 stress management strategies to a client
with chronic work-related stress. Which intervention should the
nurse recommend first?
A. Avoid discussing stressful events
B. Increase use of caffeine for energy
C. Identify sources of stress and coping responses
D. Withdraw from social interactions temporarily
Correct Answer: C
