Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nurse is teaching a group of nursing students about stress
adaptation. Which statement by a student indicates
understanding of stress as a biological response?
A. “Stress occurs only when an event is perceived as negative.”
B. “Stress activates physiological responses that prepare the
body to respond.”
,C. “Stress is determined entirely by environmental conditions.”
D. “Stress responses are identical in all individuals.”
Correct Answer: B
Rationale:
Stress as a biological response involves physiologic and
neuroendocrine reactions that prepare the body to respond to
perceived threats or challenges. Option A is incorrect because
stress may result from positive or negative events. Option C is
incorrect because perception influences stress responses.
Option D is incorrect because individuals respond differently
based on adaptation and coping abilities.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A patient states, “I have final exams next week, and I cannot
sleep.” Which nursing response best reflects understanding of
stress as a transaction between the individual and the
environment?
A. “Everyone experiences stress the same way during exams.”
B. “Your reaction depends on how you perceive and cope with
the situation.”
,C. “Exams are considered harmful stressors for all students.”
D. “You should avoid stressful situations completely.”
Correct Answer: B
Rationale:
The transactional model emphasizes that stress results from an
interaction between the individual and environmental
demands, influenced by perception and coping abilities. Option
A ignores individual variability. Option C incorrectly assumes
universal responses. Option D is unrealistic and nontherapeutic.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse is assessing a patient experiencing prolonged stress.
Which physical manifestation should the nurse anticipate
during the stress response?
A. Decreased heart rate
B. Increased alertness
C. Reduced muscle tension
D. Decreased blood pressure
Correct Answer: B
, Rationale:
Stress activates the sympathetic nervous system, increasing
alertness, heart rate, blood pressure, and muscle tension.
Options A, C, and D are inconsistent with typical physiologic
stress responses.
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 patient who recently lost employment.
Which factor is most important in determining whether the
event becomes stressful for the patient?
A. The patient’s age
B. The duration of unemployment statistics nationally
C. The patient’s perception of the event
D. The opinions of family members
Correct Answer: C
Rationale:
Stress is influenced primarily by the individual’s perception and
appraisal of the event. Age and family opinions may contribute
but are not the primary determinant. National statistics are
irrelevant to the patient’s immediate stress response.
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nurse is teaching a group of nursing students about stress
adaptation. Which statement by a student indicates
understanding of stress as a biological response?
A. “Stress occurs only when an event is perceived as negative.”
B. “Stress activates physiological responses that prepare the
body to respond.”
,C. “Stress is determined entirely by environmental conditions.”
D. “Stress responses are identical in all individuals.”
Correct Answer: B
Rationale:
Stress as a biological response involves physiologic and
neuroendocrine reactions that prepare the body to respond to
perceived threats or challenges. Option A is incorrect because
stress may result from positive or negative events. Option C is
incorrect because perception influences stress responses.
Option D is incorrect because individuals respond differently
based on adaptation and coping abilities.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A patient states, “I have final exams next week, and I cannot
sleep.” Which nursing response best reflects understanding of
stress as a transaction between the individual and the
environment?
A. “Everyone experiences stress the same way during exams.”
B. “Your reaction depends on how you perceive and cope with
the situation.”
,C. “Exams are considered harmful stressors for all students.”
D. “You should avoid stressful situations completely.”
Correct Answer: B
Rationale:
The transactional model emphasizes that stress results from an
interaction between the individual and environmental
demands, influenced by perception and coping abilities. Option
A ignores individual variability. Option C incorrectly assumes
universal responses. Option D is unrealistic and nontherapeutic.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse is assessing a patient experiencing prolonged stress.
Which physical manifestation should the nurse anticipate
during the stress response?
A. Decreased heart rate
B. Increased alertness
C. Reduced muscle tension
D. Decreased blood pressure
Correct Answer: B
, Rationale:
Stress activates the sympathetic nervous system, increasing
alertness, heart rate, blood pressure, and muscle tension.
Options A, C, and D are inconsistent with typical physiologic
stress responses.
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 patient who recently lost employment.
Which factor is most important in determining whether the
event becomes stressful for the patient?
A. The patient’s age
B. The duration of unemployment statistics nationally
C. The patient’s perception of the event
D. The opinions of family members
Correct Answer: C
Rationale:
Stress is influenced primarily by the individual’s perception and
appraisal of the event. Age and family opinions may contribute
but are not the primary determinant. National statistics are
irrelevant to the patient’s immediate stress response.
