Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing instructor is discussing stress adaptation with a group
of students. Which statement by a student indicates
understanding of stress as a biological response?
A. “Stress occurs only when a person perceives an event as
threatening.”
B. “The body activates physiologic mechanisms in response to
stressors.”
,C. “Stress is determined entirely by environmental conditions.”
D. “Stress responses are always harmful to the individual.”
Correct Answer: B
Rationale:
Stress as a biological response involves activation of physiologic
and neuroendocrine mechanisms designed to maintain
homeostasis. Option A reflects stress as a transaction between
the individual and environment. Option C is inaccurate because
perception influences stress. Option D is incorrect because
stress responses may be adaptive or maladaptive.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client states, “Ever since losing my job, I can’t sleep or
concentrate.” The nurse recognizes this statement as most
consistent with which concept of stress?
A. Stress as a biological reflex only
B. Stress as an environmental event
C. Stress as a psychotic process
D. Stress as a genetic abnormality
Correct Answer: B
,Rationale:
Stress as an environmental event focuses on external changes
or life events that challenge adaptation. Job loss is a situational
stressor affecting functioning. Option A is incomplete because
the stressor originates externally. Options C and D are
unsupported by the scenario.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse is assessing a client experiencing stress. Which
physiologic finding is most associated with activation of the
sympathetic nervous system?
A. Bradycardia
B. Decreased blood pressure
C. Increased respiratory rate
D. Decreased alertness
Correct Answer: C
Rationale:
Stress activates the sympathetic nervous system, producing
physiologic changes such as increased respiratory rate, elevated
heart rate, and heightened alertness. Bradycardia and
decreased blood pressure are inconsistent with sympathetic
, activation. Decreased alertness is not expected during acute
stress responses.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A client says, “I know exams are stressful, but I view them as
motivation to work harder.” Which concept of stress
adaptation does this statement best illustrate?
A. Stress as a transaction between the individual and
environment
B. Stress as purely physiologic
C. Stress as an unconscious conflict
D. Stress as a fixed environmental reaction
Correct Answer: A
Rationale:
This statement demonstrates individual appraisal and
interpretation of a stressor, which is central to the transactional
model of stress. The client perceives the event as manageable
and motivating. Options B and D ignore personal perception.
Option C is unrelated.
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing instructor is discussing stress adaptation with a group
of students. Which statement by a student indicates
understanding of stress as a biological response?
A. “Stress occurs only when a person perceives an event as
threatening.”
B. “The body activates physiologic mechanisms in response to
stressors.”
,C. “Stress is determined entirely by environmental conditions.”
D. “Stress responses are always harmful to the individual.”
Correct Answer: B
Rationale:
Stress as a biological response involves activation of physiologic
and neuroendocrine mechanisms designed to maintain
homeostasis. Option A reflects stress as a transaction between
the individual and environment. Option C is inaccurate because
perception influences stress. Option D is incorrect because
stress responses may be adaptive or maladaptive.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client states, “Ever since losing my job, I can’t sleep or
concentrate.” The nurse recognizes this statement as most
consistent with which concept of stress?
A. Stress as a biological reflex only
B. Stress as an environmental event
C. Stress as a psychotic process
D. Stress as a genetic abnormality
Correct Answer: B
,Rationale:
Stress as an environmental event focuses on external changes
or life events that challenge adaptation. Job loss is a situational
stressor affecting functioning. Option A is incomplete because
the stressor originates externally. Options C and D are
unsupported by the scenario.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse is assessing a client experiencing stress. Which
physiologic finding is most associated with activation of the
sympathetic nervous system?
A. Bradycardia
B. Decreased blood pressure
C. Increased respiratory rate
D. Decreased alertness
Correct Answer: C
Rationale:
Stress activates the sympathetic nervous system, producing
physiologic changes such as increased respiratory rate, elevated
heart rate, and heightened alertness. Bradycardia and
decreased blood pressure are inconsistent with sympathetic
, activation. Decreased alertness is not expected during acute
stress responses.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A client says, “I know exams are stressful, but I view them as
motivation to work harder.” Which concept of stress
adaptation does this statement best illustrate?
A. Stress as a transaction between the individual and
environment
B. Stress as purely physiologic
C. Stress as an unconscious conflict
D. Stress as a fixed environmental reaction
Correct Answer: A
Rationale:
This statement demonstrates individual appraisal and
interpretation of a stressor, which is central to the transactional
model of stress. The client perceives the event as manageable
and motivating. Options B and D ignore personal perception.
Option C is unrelated.
