Davis Advantage for Townsend's Psychiatric Mental Health Nursing 11th Edition Test Bank | Advanced NCLEX-RN Psychiatric Nursing MCQs with Rationales, NGN Clinical Judgment & Psychopharmacology Review | Karyn Morgan

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 describe the concept of
stress adaptation. Which statement by the instructor is most
accurate?
A. Stress adaptation occurs only when physiologic symptoms
are present.
B. Stress adaptation refers to the body’s effort to maintain

,balance in response to stressors.
C. Adaptation to stress always eliminates anxiety completely.
D. Stress adaptation occurs only in individuals with mental
illness.
Correct Answer: B
Rationale:
Stress adaptation involves physiologic and psychological
responses aimed at maintaining equilibrium when stressors
occur. Option A is incorrect because stress responses may be
emotional, cognitive, behavioral, or physiologic. Option C is
incorrect because adaptation may reduce but not completely
eliminate anxiety. Option D is incorrect because stress
adaptation occurs in all individuals, not only those with mental
illness.
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 experiencing prolonged stress.
Which physiologic finding is most consistent with activation of
the sympathetic nervous system?
A. Decreased heart rate
B. Increased blood pressure

,C. Increased gastrointestinal motility
D. Constricted bronchioles
Correct Answer: B
Rationale:
Stress activates the sympathetic nervous system, resulting in
increased blood pressure, heart rate, and respiratory rate.
Option A is incorrect because heart rate typically increases.
Option C is incorrect because gastrointestinal motility generally
decreases during stress. Option D is incorrect because
bronchioles dilate to improve oxygenation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation


Question 3
A patient states, “Ever since losing my job, I cannot sleep or
concentrate.” Which type of stressor is the patient most likely
experiencing?
A. Physiologic stressor
B. Developmental stressor
C. Situational stressor
D. Genetic stressor
Correct Answer: C

, Rationale:
Loss of employment is considered a situational stressor
because it arises from a life event requiring adaptation. Option
A is incorrect because the primary issue is environmental rather
than physiologic. Option B is incorrect because developmental
stressors relate to normal life transitions. Option D is incorrect
because genetics are not described in this scenario.
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 about Hans Selye’s General Adaptation
Syndrome. Which response indicates understanding of the
alarm reaction stage?
A. “The body attempts to return to homeostasis.”
B. “The stressor is no longer recognized.”
C. “Physiologic defenses are activated for fight-or-flight.”
D. “Energy stores become completely depleted immediately.”
Correct Answer: C
Rationale:
The alarm reaction stage involves activation of physiologic
defense mechanisms associated with the fight-or-flight
response. Option A describes adaptation during resistance.