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 about the purpose of the
“fight-or-flight” response during stress. Which response by the
instructor is most accurate?
A. It eliminates emotional responses to stressful situations.
B. It prepares the body to respond to perceived threats.
,C. It suppresses the autonomic nervous system during stress.
D. It occurs only in individuals with anxiety disorders.
Correct Answer: B
Rationale:
The fight-or-flight response is a biologic adaptation that
prepares the body to respond to danger or threat through
physiologic changes such as increased heart rate and alertness.
Option A is incorrect because emotional responses are not
eliminated. Option C is incorrect because the autonomic
nervous system is activated, not suppressed. Option D is
incorrect because this response occurs in all individuals, not
only those with anxiety disorders.
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 patient who reports ongoing workplace
conflict. Which patient statement demonstrates the
transactional model of stress?
A. “Stress is only caused by physical illness.”
B. “My stress depends on how I interpret the situation.”
C. “Stress automatically produces the same reaction in
everyone.”
,D. “Stress occurs only when there is an environmental
disaster.”
Correct Answer: B
Rationale:
The transactional model describes stress as an interaction
between the individual and the environment, emphasizing
personal perception and appraisal. Option A incorrectly limits
stress to illness. Option C is incorrect because stress responses
vary among individuals. Option D is incorrect because stress can
arise from many types of experiences.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A patient experiencing stress demonstrates tachycardia, dilated
pupils, and increased respirations. Which system is primarily
responsible for these physiologic changes?
A. Parasympathetic nervous system
B. Endocrine reproductive system
C. Sympathetic nervous system
D. Central digestive system
Correct Answer: C
, Rationale:
The sympathetic nervous system activates the physiologic
stress response, resulting in increased heart rate, respirations,
and pupil dilation. Option A is incorrect because the
parasympathetic system promotes relaxation. Options B and D
do not primarily control the acute stress response.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is teaching stress management techniques to a group
of nursing students. Which intervention should the nurse
identify as an adaptive coping strategy?
A. Social withdrawal
B. Substance misuse
C. Time management planning
D. Denial of stressors
Correct Answer: C
Rationale:
Time management is an adaptive coping strategy that can
reduce stress and improve control over responsibilities. Social
withdrawal, substance misuse, and denial are maladaptive
coping responses that may worsen stress over time.
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor about the purpose of the
“fight-or-flight” response during stress. Which response by the
instructor is most accurate?
A. It eliminates emotional responses to stressful situations.
B. It prepares the body to respond to perceived threats.
,C. It suppresses the autonomic nervous system during stress.
D. It occurs only in individuals with anxiety disorders.
Correct Answer: B
Rationale:
The fight-or-flight response is a biologic adaptation that
prepares the body to respond to danger or threat through
physiologic changes such as increased heart rate and alertness.
Option A is incorrect because emotional responses are not
eliminated. Option C is incorrect because the autonomic
nervous system is activated, not suppressed. Option D is
incorrect because this response occurs in all individuals, not
only those with anxiety disorders.
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 patient who reports ongoing workplace
conflict. Which patient statement demonstrates the
transactional model of stress?
A. “Stress is only caused by physical illness.”
B. “My stress depends on how I interpret the situation.”
C. “Stress automatically produces the same reaction in
everyone.”
,D. “Stress occurs only when there is an environmental
disaster.”
Correct Answer: B
Rationale:
The transactional model describes stress as an interaction
between the individual and the environment, emphasizing
personal perception and appraisal. Option A incorrectly limits
stress to illness. Option C is incorrect because stress responses
vary among individuals. Option D is incorrect because stress can
arise from many types of experiences.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A patient experiencing stress demonstrates tachycardia, dilated
pupils, and increased respirations. Which system is primarily
responsible for these physiologic changes?
A. Parasympathetic nervous system
B. Endocrine reproductive system
C. Sympathetic nervous system
D. Central digestive system
Correct Answer: C
, Rationale:
The sympathetic nervous system activates the physiologic
stress response, resulting in increased heart rate, respirations,
and pupil dilation. Option A is incorrect because the
parasympathetic system promotes relaxation. Options B and D
do not primarily control the acute stress response.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is teaching stress management techniques to a group
of nursing students. Which intervention should the nurse
identify as an adaptive coping strategy?
A. Social withdrawal
B. Substance misuse
C. Time management planning
D. Denial of stressors
Correct Answer: C
Rationale:
Time management is an adaptive coping strategy that can
reduce stress and improve control over responsibilities. Social
withdrawal, substance misuse, and denial are maladaptive
coping responses that may worsen stress over time.
