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 individuals exposed to the
same stressful event respond differently. Which response by
the psychiatric nurse is most appropriate?
A. “Stress affects all people in essentially the same manner.”
B. “The stress response depends on the individual’s perception
of the event.”
C. “Stress reactions occur only when coping mechanisms fail.”
,D. “Biological responses to stress are unrelated to
environmental factors.”
Correct Answer: B
Rationale:
• Stress as a transaction between the individual and the
environment emphasizes that personal appraisal and
perception influence how stress is experienced.
• Option A is incorrect because individuals respond
differently to stressors.
• Option C is incorrect because stress responses can occur
even when coping mechanisms are intact.
• Option D is incorrect because biological and environmental
factors interact in the stress response.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client reports experiencing persistent muscle tension,
elevated heart rate, and insomnia during periods of stress.
Which physiological process is the nurse identifying?
,A. Adaptive coping
B. General adaptation syndrome
C. Cognitive restructuring
D. Milieu management
Correct Answer: B
Rationale:
• General adaptation syndrome describes the body’s
physiological response to stress involving alarm,
resistance, and exhaustion stages.
• Option A refers to behavioral coping responses rather than
physiologic changes.
• Option C is a cognitive intervention strategy.
• Option D relates to structuring the therapeutic
environment.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A client states, “Ever since losing my job, I feel overwhelmed
and unable to concentrate.” Which nursing assessment finding
is most important to evaluate first?
, A. Preferred leisure activities
B. Current coping strategies
C. Childhood developmental milestones
D. Favorite stress-relief methods used by family members
Correct Answer: B
Rationale:
• Assessment of current coping strategies helps determine
the client’s ability to adapt to the stressor and guides
nursing interventions.
• Option A may be useful later but is not the priority.
• Option C is unrelated to the immediate stress response.
• Option D provides indirect information and is less clinically
urgent.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is caring for a client experiencing severe stress after a
traumatic event. Which nursing intervention best reflects
trauma-informed care principles?
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks why two individuals exposed to the
same stressful event respond differently. Which response by
the psychiatric nurse is most appropriate?
A. “Stress affects all people in essentially the same manner.”
B. “The stress response depends on the individual’s perception
of the event.”
C. “Stress reactions occur only when coping mechanisms fail.”
,D. “Biological responses to stress are unrelated to
environmental factors.”
Correct Answer: B
Rationale:
• Stress as a transaction between the individual and the
environment emphasizes that personal appraisal and
perception influence how stress is experienced.
• Option A is incorrect because individuals respond
differently to stressors.
• Option C is incorrect because stress responses can occur
even when coping mechanisms are intact.
• Option D is incorrect because biological and environmental
factors interact in the stress response.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client reports experiencing persistent muscle tension,
elevated heart rate, and insomnia during periods of stress.
Which physiological process is the nurse identifying?
,A. Adaptive coping
B. General adaptation syndrome
C. Cognitive restructuring
D. Milieu management
Correct Answer: B
Rationale:
• General adaptation syndrome describes the body’s
physiological response to stress involving alarm,
resistance, and exhaustion stages.
• Option A refers to behavioral coping responses rather than
physiologic changes.
• Option C is a cognitive intervention strategy.
• Option D relates to structuring the therapeutic
environment.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A client states, “Ever since losing my job, I feel overwhelmed
and unable to concentrate.” Which nursing assessment finding
is most important to evaluate first?
, A. Preferred leisure activities
B. Current coping strategies
C. Childhood developmental milestones
D. Favorite stress-relief methods used by family members
Correct Answer: B
Rationale:
• Assessment of current coping strategies helps determine
the client’s ability to adapt to the stressor and guides
nursing interventions.
• Option A may be useful later but is not the priority.
• Option C is unrelated to the immediate stress response.
• Option D provides indirect information and is less clinically
urgent.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is caring for a client experiencing severe stress after a
traumatic event. Which nursing intervention best reflects
trauma-informed care principles?
