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 “fight-or-flight”
response associated with stress. Which statement by the
instructor is most accurate?
A. “It is a psychological defense mechanism that blocks
anxiety.”
B. “It is a biological response triggered by activation of the
,sympathetic nervous system.”
C. “It occurs only in response to severe traumatic events.”
D. “It is considered evidence of ineffective adaptation.”
Correct Answer: B
Rationale:
• The fight-or-flight response is a physiological reaction to
stress involving activation of the sympathetic nervous
system and release of stress hormones.
• Option A is incorrect because defense mechanisms are
psychological coping responses.
• Option C is incorrect because the response can occur with
various stressors, not only severe trauma.
• Option D is incorrect because the stress response itself is
adaptive and protective.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse assesses a client who reports prolonged exposure to
workplace stress. Which physiological finding would the nurse
expect during chronic activation of the stress response?
,A. Decreased heart rate
B. Reduced blood glucose levels
C. Increased cortisol secretion
D. Increased digestive activity
Correct Answer: C
Rationale:
• Chronic stress is associated with prolonged cortisol release
from the adrenal cortex.
• Option A is incorrect because stress commonly increases
heart rate.
• Option B is incorrect because stress typically increases
blood glucose availability.
• Option D is incorrect because digestion is generally
suppressed during stress responses.
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 can’t sleep and I feel
overwhelmed.” Which concept of stress is best illustrated by
this statement?
, A. Stress as a biological response
B. Stress as an environmental event
C. Stress as a psychotic process
D. Stress as sensory deprivation
Correct Answer: B
Rationale:
• Stress as an environmental event refers to stress arising
from external life changes or circumstances such as job
loss.
• Option A focuses on physiological reactions.
• Option C is unrelated to stress adaptation concepts.
• Option D does not describe the client’s situation.
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 a group about stress adaptation. Which
client statement demonstrates understanding of stress as a
transaction between the individual and the environment?
A. “Stress affects everyone exactly the same way.”
B. “Stress only occurs when physical illness is present.”
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor about the “fight-or-flight”
response associated with stress. Which statement by the
instructor is most accurate?
A. “It is a psychological defense mechanism that blocks
anxiety.”
B. “It is a biological response triggered by activation of the
,sympathetic nervous system.”
C. “It occurs only in response to severe traumatic events.”
D. “It is considered evidence of ineffective adaptation.”
Correct Answer: B
Rationale:
• The fight-or-flight response is a physiological reaction to
stress involving activation of the sympathetic nervous
system and release of stress hormones.
• Option A is incorrect because defense mechanisms are
psychological coping responses.
• Option C is incorrect because the response can occur with
various stressors, not only severe trauma.
• Option D is incorrect because the stress response itself is
adaptive and protective.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse assesses a client who reports prolonged exposure to
workplace stress. Which physiological finding would the nurse
expect during chronic activation of the stress response?
,A. Decreased heart rate
B. Reduced blood glucose levels
C. Increased cortisol secretion
D. Increased digestive activity
Correct Answer: C
Rationale:
• Chronic stress is associated with prolonged cortisol release
from the adrenal cortex.
• Option A is incorrect because stress commonly increases
heart rate.
• Option B is incorrect because stress typically increases
blood glucose availability.
• Option D is incorrect because digestion is generally
suppressed during stress responses.
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 can’t sleep and I feel
overwhelmed.” Which concept of stress is best illustrated by
this statement?
, A. Stress as a biological response
B. Stress as an environmental event
C. Stress as a psychotic process
D. Stress as sensory deprivation
Correct Answer: B
Rationale:
• Stress as an environmental event refers to stress arising
from external life changes or circumstances such as job
loss.
• Option A focuses on physiological reactions.
• Option C is unrelated to stress adaptation concepts.
• Option D does not describe the client’s situation.
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 a group about stress adaptation. Which
client statement demonstrates understanding of stress as a
transaction between the individual and the environment?
A. “Stress affects everyone exactly the same way.”
B. “Stress only occurs when physical illness is present.”
