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 accurate?
A. “Stress affects all individuals in essentially the same way.”
B. “Stress responses depend on the individual’s perception and
coping abilities.”
,C. “Biological stress responses occur only in psychologically
weak individuals.”
D. “Environmental stressors determine behavior regardless of
personal interpretation.”
Correct Answer: B
Rationale:
• Stress is viewed as a transaction between the individual
and the environment; therefore, perception, appraisal,
and coping abilities influence the response.
• Option A ignores individual differences in stress appraisal.
• Option C is inaccurate and stigmatizing.
• Option D incorrectly excludes the role of personal
interpretation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client reports insomnia, increased heart rate, and muscle
tension before taking a licensing examination. Which response
by the nurse best explains this reaction?
,A. “Your body is demonstrating a biological stress response.”
B. “These symptoms indicate ineffective coping.”
C. “This means you are developing an anxiety disorder.”
D. “The symptoms occur because stress damages the immune
system immediately.”
Correct Answer: A
Rationale:
• Stress activates physiological responses involving the
autonomic nervous system and hormonal changes that
prepare the body to respond to perceived threats.
• Option B is incorrect because physiologic arousal alone
does not indicate ineffective coping.
• Option C is premature and unsupported.
• Option D overgeneralizes stress effects.
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 lost my job yesterday, but I see it as an
opportunity to pursue another career.” Which concept of stress
adaptation is best illustrated?
, A. Stress as a biological response
B. Stress as an environmental event
C. Stress as a transaction between the individual and
environment
D. Stress as evidence of maladaptation
Correct Answer: C
Rationale:
• The client’s interpretation and appraisal of the event
demonstrate the transactional model of stress.
• Option A focuses on physiologic reactions.
• Option B focuses only on the external event.
• Option D is unsupported because the client demonstrates
adaptive thinking.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
Which assessment finding would the nurse identify as a
physiological manifestation of stress?
A. Social withdrawal
B. Elevated blood pressure
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 accurate?
A. “Stress affects all individuals in essentially the same way.”
B. “Stress responses depend on the individual’s perception and
coping abilities.”
,C. “Biological stress responses occur only in psychologically
weak individuals.”
D. “Environmental stressors determine behavior regardless of
personal interpretation.”
Correct Answer: B
Rationale:
• Stress is viewed as a transaction between the individual
and the environment; therefore, perception, appraisal,
and coping abilities influence the response.
• Option A ignores individual differences in stress appraisal.
• Option C is inaccurate and stigmatizing.
• Option D incorrectly excludes the role of personal
interpretation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client reports insomnia, increased heart rate, and muscle
tension before taking a licensing examination. Which response
by the nurse best explains this reaction?
,A. “Your body is demonstrating a biological stress response.”
B. “These symptoms indicate ineffective coping.”
C. “This means you are developing an anxiety disorder.”
D. “The symptoms occur because stress damages the immune
system immediately.”
Correct Answer: A
Rationale:
• Stress activates physiological responses involving the
autonomic nervous system and hormonal changes that
prepare the body to respond to perceived threats.
• Option B is incorrect because physiologic arousal alone
does not indicate ineffective coping.
• Option C is premature and unsupported.
• Option D overgeneralizes stress effects.
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 lost my job yesterday, but I see it as an
opportunity to pursue another career.” Which concept of stress
adaptation is best illustrated?
, A. Stress as a biological response
B. Stress as an environmental event
C. Stress as a transaction between the individual and
environment
D. Stress as evidence of maladaptation
Correct Answer: C
Rationale:
• The client’s interpretation and appraisal of the event
demonstrate the transactional model of stress.
• Option A focuses on physiologic reactions.
• Option B focuses only on the external event.
• Option D is unsupported because the client demonstrates
adaptive thinking.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
Which assessment finding would the nurse identify as a
physiological manifestation of stress?
A. Social withdrawal
B. Elevated blood pressure
