Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks why two patients exposed to the same
stressful event respond differently. Which response by the
psychiatric nurse is most appropriate?
A. “Stress responses are determined entirely by genetic
makeup.”
B. “The meaning an individual assigns to the event influences
the stress response.”
,C. “Stress affects all individuals in the same physiological
manner.”
D. “People with effective coping skills do not experience
stress.”
Correct Answer: B
Rationale:
• Stress as a transaction between the individual and the
environment emphasizes that individual perception and
appraisal influence the stress response.
• Option A is incorrect because stress responses are
influenced by multiple factors, not genetics alone.
• Option C is incorrect because responses to stress vary
widely among individuals.
• Option D is incorrect because coping skills may reduce the
impact of stress but do not eliminate stress entirely.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client experiencing prolonged stress reports fatigue,
irritability, and frequent headaches. Which concept should the
nurse recognize as most relevant?
,A. Homeostasis disruption
B. Sensory perception alteration
C. Intellectual disability
D. Circadian rhythm normalization
Correct Answer: A
Rationale:
• Stress can disrupt homeostasis, leading to physiological
and psychological symptoms such as fatigue and
headaches.
• Option B is unrelated to the stress response described.
• Option C does not explain the client’s current symptoms.
• Option D is incorrect because prolonged stress commonly
disrupts rather than normalizes circadian rhythms.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse assesses a client who states, “I lost my job, but I see it
as an opportunity for change.” Which coping response is the
client demonstrating?
, A. Maladaptive coping
B. Cognitive appraisal influencing stress adaptation
C. Denial of environmental stressors
D. Regression during crisis
Correct Answer: B
Rationale:
• The client’s interpretation of the event demonstrates
cognitive appraisal, which influences adaptation to stress.
• Option A is incorrect because the response reflects
adaptive thinking.
• Option C is incorrect because the client acknowledges the
stressor.
• Option D is unsupported because no regressive behavior is
demonstrated.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A client hospitalized for a stress-related illness asks why the
body reacts physically to emotional stress. Which response by
the nurse is best?
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks why two patients exposed to the same
stressful event respond differently. Which response by the
psychiatric nurse is most appropriate?
A. “Stress responses are determined entirely by genetic
makeup.”
B. “The meaning an individual assigns to the event influences
the stress response.”
,C. “Stress affects all individuals in the same physiological
manner.”
D. “People with effective coping skills do not experience
stress.”
Correct Answer: B
Rationale:
• Stress as a transaction between the individual and the
environment emphasizes that individual perception and
appraisal influence the stress response.
• Option A is incorrect because stress responses are
influenced by multiple factors, not genetics alone.
• Option C is incorrect because responses to stress vary
widely among individuals.
• Option D is incorrect because coping skills may reduce the
impact of stress but do not eliminate stress entirely.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client experiencing prolonged stress reports fatigue,
irritability, and frequent headaches. Which concept should the
nurse recognize as most relevant?
,A. Homeostasis disruption
B. Sensory perception alteration
C. Intellectual disability
D. Circadian rhythm normalization
Correct Answer: A
Rationale:
• Stress can disrupt homeostasis, leading to physiological
and psychological symptoms such as fatigue and
headaches.
• Option B is unrelated to the stress response described.
• Option C does not explain the client’s current symptoms.
• Option D is incorrect because prolonged stress commonly
disrupts rather than normalizes circadian rhythms.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse assesses a client who states, “I lost my job, but I see it
as an opportunity for change.” Which coping response is the
client demonstrating?
, A. Maladaptive coping
B. Cognitive appraisal influencing stress adaptation
C. Denial of environmental stressors
D. Regression during crisis
Correct Answer: B
Rationale:
• The client’s interpretation of the event demonstrates
cognitive appraisal, which influences adaptation to stress.
• Option A is incorrect because the response reflects
adaptive thinking.
• Option C is incorrect because the client acknowledges the
stressor.
• Option D is unsupported because no regressive behavior is
demonstrated.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A client hospitalized for a stress-related illness asks why the
body reacts physically to emotional stress. Which response by
the nurse is best?
