Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
ok
Question 1
A nursing student asks about the body's initial physiologic
response to a stressor. Which statement by the instructor is
most accurate?
A. “Stress responses occur only with physical illness.”
B. “The body activates neuroendocrine responses to maintain
adaptation.”
,C. “Stress responses are always harmful to the body.”
D. “Stress is solely an emotional reaction.”
Correct Answer: B
Rationale:
The stress response involves biologic and neuroendocrine
mechanisms that help the body adapt to internal and external
stressors. Stress is not limited to illness, is not always harmful,
and includes physiologic, emotional, and behavioral responses.
Options A, C, and D are overly restrictive or inaccurate.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse explains the stages of the general adaptation response
to a patient experiencing prolonged work stress. Which
response indicates understanding?
A. “The body stays in the alarm phase permanently.”
B. “Adaptation occurs only after the stressor disappears.”
C. “The body attempts to cope with stress through stages of
response.”
D. “Stress responses are identical in all individuals.”
Correct Answer: C
,Rationale:
Stress adaptation involves progressive physiologic attempts to
respond and adapt to stressors. Individuals experience stress
differently, and responses are not permanent or identical.
Options A, B, and D are inconsistent with adaptation concepts.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1
Question 3 (SATA)
A nurse assessing stress as an environmental event recognizes
which situations as potential stressors? Select all that apply.
A. Divorce
B. Job promotion
C. Loss of housing
D. Starting college
E. Stable daily routine without change
Correct Answers: A, B, C, D
Rationale:
Environmental stressors may include both positive and negative
life changes requiring adaptation. Divorce, promotions, housing
instability, and educational transitions may trigger stress
responses. A stable routine without significant change is less
likely to function as a major stressor.
, Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1
Question 4
A client says, “My coworker and I experienced the same event,
but I feel overwhelmed while she seems calm.” Which nurse
response best reflects stress as a transaction between the
individual and environment?
A. “People react differently depending on how events are
perceived.”
B. “You should ignore your emotions.”
C. “Stress affects everyone exactly the same way.”
D. “Your reaction means you are emotionally weak.”
Correct Answer: A
Rationale:
Stress as a transaction emphasizes individual appraisal and
perception of environmental events. Personal coping abilities
and interpretation influence responses. Options B, C, and D are
dismissive, inaccurate, or nontherapeutic.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1