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 adaptation. Which response by the instructor
is most accurate?
A. Stress is always harmful and leads to illness
B. Stress adaptation involves only psychological responses
C. Stress triggers nonspecific physiologic responses to demands
placed on the body
D. Stress occurs only when an individual perceives an event as
threatening
Correct Answer: C
Rationale:
Hans Selye described stress as the body’s nonspecific response
to any demand placed upon it. Stress adaptation includes
physiologic changes designed to maintain homeostasis. Option
A is incorrect because stress can be adaptive or maladaptive.
Option B is incorrect because stress responses involve
physiologic and psychological mechanisms. Option D reflects
the transactional model rather than Selye’s biologic theory.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
,A nurse is caring for a client experiencing prolonged
occupational stress. The client reports chronic fatigue,
irritability, and headaches. Which stage of the General
Adaptation Syndrome is most consistent with these findings?
A. Alarm reaction stage
B. Resistance stage
C. Exhaustion stage
D. Recovery stage
Correct Answer: C
Rationale:
The exhaustion stage occurs when prolonged exposure to
stress depletes adaptive energy, leading to physiologic and
emotional dysfunction. Option A involves the immediate fight-
or-flight response. Option B reflects adaptation and coping with
sustained stress. Option D is not a stage of the General
Adaptation Syndrome.
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 I lost my job, I cannot sleep or
concentrate.” Which nursing response best reflects the
transactional model of stress?
, A. “Stress occurs because your body is unable to maintain
balance.”
B. “Your reaction depends on how you interpret the situation
and your coping abilities.”
C. “Stress responses are automatic physiologic reactions.”
D. “Your symptoms indicate inadequate neurologic
functioning.”
Correct Answer: B
Rationale:
The transactional model describes stress as a relationship
between the individual and the environment in which appraisal
and coping determine the stress response. Option A reflects
biologic adaptation concepts. Option C oversimplifies stress
responses. Option D is unsupported and nontherapeutic.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse identifies tachycardia, increased respirations, and
diaphoresis in a client immediately after receiving distressing
news. Which physiologic response is the nurse observing?
A. Parasympathetic nervous system activation
B. Homeostatic stabilization
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 adaptation. Which response by the instructor
is most accurate?
A. Stress is always harmful and leads to illness
B. Stress adaptation involves only psychological responses
C. Stress triggers nonspecific physiologic responses to demands
placed on the body
D. Stress occurs only when an individual perceives an event as
threatening
Correct Answer: C
Rationale:
Hans Selye described stress as the body’s nonspecific response
to any demand placed upon it. Stress adaptation includes
physiologic changes designed to maintain homeostasis. Option
A is incorrect because stress can be adaptive or maladaptive.
Option B is incorrect because stress responses involve
physiologic and psychological mechanisms. Option D reflects
the transactional model rather than Selye’s biologic theory.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
,A nurse is caring for a client experiencing prolonged
occupational stress. The client reports chronic fatigue,
irritability, and headaches. Which stage of the General
Adaptation Syndrome is most consistent with these findings?
A. Alarm reaction stage
B. Resistance stage
C. Exhaustion stage
D. Recovery stage
Correct Answer: C
Rationale:
The exhaustion stage occurs when prolonged exposure to
stress depletes adaptive energy, leading to physiologic and
emotional dysfunction. Option A involves the immediate fight-
or-flight response. Option B reflects adaptation and coping with
sustained stress. Option D is not a stage of the General
Adaptation Syndrome.
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 I lost my job, I cannot sleep or
concentrate.” Which nursing response best reflects the
transactional model of stress?
, A. “Stress occurs because your body is unable to maintain
balance.”
B. “Your reaction depends on how you interpret the situation
and your coping abilities.”
C. “Stress responses are automatic physiologic reactions.”
D. “Your symptoms indicate inadequate neurologic
functioning.”
Correct Answer: B
Rationale:
The transactional model describes stress as a relationship
between the individual and the environment in which appraisal
and coping determine the stress response. Option A reflects
biologic adaptation concepts. Option C oversimplifies stress
responses. Option D is unsupported and nontherapeutic.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse identifies tachycardia, increased respirations, and
diaphoresis in a client immediately after receiving distressing
news. Which physiologic response is the nurse observing?
A. Parasympathetic nervous system activation
B. Homeostatic stabilization
