DAVIS ADVANTAGE FOR
TOWNSEND'S PSYCHIATRIC
MENTAL HEALTH NURSING
11TH EDITION
• AUTHOR(S)KARYN MORGAN
TEST BANK
1. Stress as a Biological Response
Reference: Ch. 1 — The Concept of Stress Adaptation — Stress
as a Biological Response
Question:
A nurse is caring for a client who reports, “I feel shaky and my
heart pounds every time I walk into class.” The client’s skin is
moist, and respirations are rapid after receiving an unexpected
grade. Which response best reflects a normal biologic stress
,reaction?
A. Decreased heart rate and slowed breathing
B. Increased sympathetic nervous system activation
C. Permanent impairment of memory formation
D. Suppression of all hormone release
Correct Answer: B
Rationale:
Correct Answer: Stress activates the sympathetic nervous
system, preparing the body for a fight-or-flight response.
Tachycardia, rapid respirations, and diaphoresis are expected
physiologic findings.
A: This reflects parasympathetic calming, not an acute
stress response.
C: Stress may affect concentration, but permanent memory
impairment is not the normal biologic response.
D: Stress does not suppress all hormone release; it triggers
neuroendocrine activation.
Teaching Point: Stress often produces sympathetic activation:
increased heart rate, respirations, and alertness.
Citation: Morgan, K. (2024). Davis Advantage for Townsend’s
Psychiatric Mental Health Nursing (11th ed.). Ch. 1.
2. Environmental Stressor Identification
,Reference: Ch. 1 — The Concept of Stress Adaptation — Stress
as an Environmental Event
Question:
A client says, “My anxiety got worse after my job schedule
changed and I started missing sleep.” Which factor is the most
likely environmental stressor?
A. Increased appetite
B. Shift change at work
C. Feeling determined to succeed
D. Using deep breathing
Correct Answer: B
Rationale:
Correct Answer: A change in work schedule is an external
environmental demand that can disrupt sleep and increase
stress.
A: Increased appetite is a possible stress response, not the
stressor itself.
C: Determination is an internal coping resource, not an
environmental event.
D: Deep breathing is a coping strategy, not a stressor.
Teaching Point: Stressors may be external events that disrupt a
person’s usual equilibrium.
Citation: Morgan, K. (2024). Davis Advantage for Townsend’s
Psychiatric Mental Health Nursing (11th ed.). Ch. 1.
, 3. Stress as a Transaction
Reference: Ch. 1 — The Concept of Stress Adaptation — Stress
as a Transaction Between the Individual and the Environment
Question:
A client and the nurse discuss the same divorce process. The
client says, “This is ruining my life,” while a sibling says, “I’m
handling it one day at a time.” Which concept best explains the
difference in response?
A. Identical stressors produce identical reactions
B. Stress depends on the individual’s appraisal of the event
C. Only major life events create stress
D. Stress is determined solely by genetics
Correct Answer: B
Rationale:
Correct Answer: Stress is transactional; the person’s
perception and appraisal of the event strongly influence the
response. Two people can experience the same stressor
differently.
A: Reactions are not identical because appraisal varies.
C: Even smaller events can be stressful if they are perceived
as threatening.
D: Genetics may influence vulnerability, but they do not
solely determine stress.
TOWNSEND'S PSYCHIATRIC
MENTAL HEALTH NURSING
11TH EDITION
• AUTHOR(S)KARYN MORGAN
TEST BANK
1. Stress as a Biological Response
Reference: Ch. 1 — The Concept of Stress Adaptation — Stress
as a Biological Response
Question:
A nurse is caring for a client who reports, “I feel shaky and my
heart pounds every time I walk into class.” The client’s skin is
moist, and respirations are rapid after receiving an unexpected
grade. Which response best reflects a normal biologic stress
,reaction?
A. Decreased heart rate and slowed breathing
B. Increased sympathetic nervous system activation
C. Permanent impairment of memory formation
D. Suppression of all hormone release
Correct Answer: B
Rationale:
Correct Answer: Stress activates the sympathetic nervous
system, preparing the body for a fight-or-flight response.
Tachycardia, rapid respirations, and diaphoresis are expected
physiologic findings.
A: This reflects parasympathetic calming, not an acute
stress response.
C: Stress may affect concentration, but permanent memory
impairment is not the normal biologic response.
D: Stress does not suppress all hormone release; it triggers
neuroendocrine activation.
Teaching Point: Stress often produces sympathetic activation:
increased heart rate, respirations, and alertness.
Citation: Morgan, K. (2024). Davis Advantage for Townsend’s
Psychiatric Mental Health Nursing (11th ed.). Ch. 1.
2. Environmental Stressor Identification
,Reference: Ch. 1 — The Concept of Stress Adaptation — Stress
as an Environmental Event
Question:
A client says, “My anxiety got worse after my job schedule
changed and I started missing sleep.” Which factor is the most
likely environmental stressor?
A. Increased appetite
B. Shift change at work
C. Feeling determined to succeed
D. Using deep breathing
Correct Answer: B
Rationale:
Correct Answer: A change in work schedule is an external
environmental demand that can disrupt sleep and increase
stress.
A: Increased appetite is a possible stress response, not the
stressor itself.
C: Determination is an internal coping resource, not an
environmental event.
D: Deep breathing is a coping strategy, not a stressor.
Teaching Point: Stressors may be external events that disrupt a
person’s usual equilibrium.
Citation: Morgan, K. (2024). Davis Advantage for Townsend’s
Psychiatric Mental Health Nursing (11th ed.). Ch. 1.
, 3. Stress as a Transaction
Reference: Ch. 1 — The Concept of Stress Adaptation — Stress
as a Transaction Between the Individual and the Environment
Question:
A client and the nurse discuss the same divorce process. The
client says, “This is ruining my life,” while a sibling says, “I’m
handling it one day at a time.” Which concept best explains the
difference in response?
A. Identical stressors produce identical reactions
B. Stress depends on the individual’s appraisal of the event
C. Only major life events create stress
D. Stress is determined solely by genetics
Correct Answer: B
Rationale:
Correct Answer: Stress is transactional; the person’s
perception and appraisal of the event strongly influence the
response. Two people can experience the same stressor
differently.
A: Reactions are not identical because appraisal varies.
C: Even smaller events can be stressful if they are perceived
as threatening.
D: Genetics may influence vulnerability, but they do not
solely determine stress.
