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 explain Hans Selye’s
concept of stress as a biological response. Which statement by
the instructor is most accurate?
A. Stress occurs only when an event is perceived as negative
B. Stress activates physiologic responses designed to maintain
homeostasis
,C. Stress responses are identical in every individual
D. Stress is considered a psychiatric disorder
Correct Answer: B
Rationale:
• Stress as a biological response involves physiologic
mechanisms activated to maintain homeostasis and adapt
to stressors.
• Option A is incorrect because stress can result from
positive or negative events.
• Option C is incorrect because stress responses vary among
individuals.
• Option D is incorrect because stress itself is not classified
as a psychiatric disorder.
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
occupational stress. Which physical manifestation would the
nurse associate with activation of the sympathetic nervous
system?
,A. Decreased heart rate
B. Bronchoconstriction
C. Increased blood glucose
D. Increased gastrointestinal motility
Correct Answer: C
Rationale:
• During the stress response, sympathetic nervous system
activation increases blood glucose to provide energy for
adaptation.
• Option A is incorrect because heart rate typically
increases.
• Option B is incorrect because bronchodilation occurs
during stress.
• Option D is incorrect because gastrointestinal motility
usually decreases.
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 cope.” Which factor should the nurse assess first
, when viewing stress as a transaction between the individual
and the environment?
A. Family genetic history
B. The client’s appraisal of the event
C. Previous psychiatric hospitalization
D. Serum cortisol level
Correct Answer: B
Rationale:
• Transactional models of stress emphasize the individual’s
appraisal and perception of the stressor.
• Option A may contribute background information but is
not the priority.
• Option C may be relevant but does not directly assess the
stress transaction.
• Option D measures physiologic response rather than
cognitive appraisal.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor to explain Hans Selye’s
concept of stress as a biological response. Which statement by
the instructor is most accurate?
A. Stress occurs only when an event is perceived as negative
B. Stress activates physiologic responses designed to maintain
homeostasis
,C. Stress responses are identical in every individual
D. Stress is considered a psychiatric disorder
Correct Answer: B
Rationale:
• Stress as a biological response involves physiologic
mechanisms activated to maintain homeostasis and adapt
to stressors.
• Option A is incorrect because stress can result from
positive or negative events.
• Option C is incorrect because stress responses vary among
individuals.
• Option D is incorrect because stress itself is not classified
as a psychiatric disorder.
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
occupational stress. Which physical manifestation would the
nurse associate with activation of the sympathetic nervous
system?
,A. Decreased heart rate
B. Bronchoconstriction
C. Increased blood glucose
D. Increased gastrointestinal motility
Correct Answer: C
Rationale:
• During the stress response, sympathetic nervous system
activation increases blood glucose to provide energy for
adaptation.
• Option A is incorrect because heart rate typically
increases.
• Option B is incorrect because bronchodilation occurs
during stress.
• Option D is incorrect because gastrointestinal motility
usually decreases.
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 cope.” Which factor should the nurse assess first
, when viewing stress as a transaction between the individual
and the environment?
A. Family genetic history
B. The client’s appraisal of the event
C. Previous psychiatric hospitalization
D. Serum cortisol level
Correct Answer: B
Rationale:
• Transactional models of stress emphasize the individual’s
appraisal and perception of the stressor.
• Option A may contribute background information but is
not the priority.
• Option C may be relevant but does not directly assess the
stress transaction.
• Option D measures physiologic response rather than
cognitive appraisal.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
