Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student states, “Stress only occurs when something
bad happens.” Which response by the psychiatric nurse is most
accurate?
A. “Stress is only associated with negative life experiences.”
B. “Stress can occur in response to both positive and negative
events.”
,C. “Stress develops only when coping skills are ineffective.”
D. “Stress is considered a psychiatric disorder when it persists.”
Correct Answer: B
Rationale:
Stress may arise from both positive and negative life changes,
depending on how the individual perceives and adapts to the
event. Positive experiences such as marriage or career
advancement can also trigger stress responses. Option A is
incorrect because stress is not limited to negative events.
Option C is incorrect because stress can occur even in
individuals with effective coping skills. Option D is incorrect
because stress itself is not classified as a psychiatric disorder.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A patient preparing for final examinations reports palpitations,
increased alertness, and difficulty sleeping. Which
interpretation by the nurse is most appropriate?
A. The patient is demonstrating maladaptive coping.
B. The patient is experiencing a biological stress response.
C. The patient is exhibiting signs of psychosis.
,D. The patient is experiencing a personality disorder
manifestation.
Correct Answer: B
Rationale:
Stress activates physiologic responses involving the autonomic
nervous system and hormonal changes, producing symptoms
such as increased heart rate and heightened alertness. Option
A is incorrect because the symptoms described may represent a
normal stress response. Options C and D are unsupported by
the assessment findings.
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 patient who recently lost employment.
Which factor should the nurse identify as most influential in
determining the patient’s stress response?
A. The patient’s age
B. The objective severity of the event
C. The patient’s perception of the event
D. The length of unemployment
Correct Answer: C
, Rationale:
Stress adaptation theory emphasizes that stress is influenced
significantly by an individual’s perception and appraisal of an
event. Two individuals may respond differently to the same
circumstance. Option A may influence coping but is not the
primary determinant. Option B is incorrect because subjective
interpretation is more important than objective severity alone.
Option D may contribute to stress but does not determine the
initial response.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A hospitalized patient states, “I feel overwhelmed and unable
to cope with all these changes.” Which nursing response
demonstrates therapeutic communication?
A. “You should focus on the positive aspects of your
hospitalization.”
B. “Everyone feels stressed in the hospital.”
C. “Tell me more about what feels most overwhelming right
now.”
D. “You need to stay calm so your condition does not worsen.”
Correct Answer: C
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student states, “Stress only occurs when something
bad happens.” Which response by the psychiatric nurse is most
accurate?
A. “Stress is only associated with negative life experiences.”
B. “Stress can occur in response to both positive and negative
events.”
,C. “Stress develops only when coping skills are ineffective.”
D. “Stress is considered a psychiatric disorder when it persists.”
Correct Answer: B
Rationale:
Stress may arise from both positive and negative life changes,
depending on how the individual perceives and adapts to the
event. Positive experiences such as marriage or career
advancement can also trigger stress responses. Option A is
incorrect because stress is not limited to negative events.
Option C is incorrect because stress can occur even in
individuals with effective coping skills. Option D is incorrect
because stress itself is not classified as a psychiatric disorder.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A patient preparing for final examinations reports palpitations,
increased alertness, and difficulty sleeping. Which
interpretation by the nurse is most appropriate?
A. The patient is demonstrating maladaptive coping.
B. The patient is experiencing a biological stress response.
C. The patient is exhibiting signs of psychosis.
,D. The patient is experiencing a personality disorder
manifestation.
Correct Answer: B
Rationale:
Stress activates physiologic responses involving the autonomic
nervous system and hormonal changes, producing symptoms
such as increased heart rate and heightened alertness. Option
A is incorrect because the symptoms described may represent a
normal stress response. Options C and D are unsupported by
the assessment findings.
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 patient who recently lost employment.
Which factor should the nurse identify as most influential in
determining the patient’s stress response?
A. The patient’s age
B. The objective severity of the event
C. The patient’s perception of the event
D. The length of unemployment
Correct Answer: C
, Rationale:
Stress adaptation theory emphasizes that stress is influenced
significantly by an individual’s perception and appraisal of an
event. Two individuals may respond differently to the same
circumstance. Option A may influence coping but is not the
primary determinant. Option B is incorrect because subjective
interpretation is more important than objective severity alone.
Option D may contribute to stress but does not determine the
initial response.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A hospitalized patient states, “I feel overwhelmed and unable
to cope with all these changes.” Which nursing response
demonstrates therapeutic communication?
A. “You should focus on the positive aspects of your
hospitalization.”
B. “Everyone feels stressed in the hospital.”
C. “Tell me more about what feels most overwhelming right
now.”
D. “You need to stay calm so your condition does not worsen.”
Correct Answer: C
