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 about the concept of
stress adaptation. Which statement by the instructor is most
accurate?
A. Stress always results in mental illness.
B. Stress adaptation involves physiological and psychological
responses to stressors.
C. Adaptation occurs only when stress is eliminated completely.
D. Stress responses are identical in all individuals.
Correct Answer: B
,Rationale:
• Stress adaptation refers to the body's and mind's
responses to demands or stressors in an effort to maintain
equilibrium.
• Option A is incorrect because stress does not always lead
to mental illness.
• Option C is incorrect because adaptation can occur even
when stressors remain present.
• Option D is incorrect because stress responses vary among
individuals based on perception and coping abilities.
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 who suddenly experiences
tachycardia, increased respirations, and dilated pupils after
hearing unexpected bad news. Which stress response is the
client most likely experiencing?
A. Exhaustion stage
B. Relaxation response
C. Fight-or-flight response
D. Adaptive coping response
,Correct Answer: C
Rationale:
• The fight-or-flight response is an immediate physiological
reaction to stress involving sympathetic nervous system
activation.
• Option A is incorrect because exhaustion occurs after
prolonged stress exposure.
• Option B is incorrect because relaxation responses
decrease physiologic arousal.
• Option D is incorrect because adaptive coping refers to
behavioral responses rather than acute physiologic
activation.
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. “Everyone responds to unemployment in exactly the same
way.”
B. “Your response depends partly on how you interpret the
, situation.”
C. “Your symptoms are caused entirely by biological factors.”
D. “Stress only occurs after physical injury or illness.”
Correct Answer: B
Rationale:
• The transactional model views stress as an interaction
between the individual and the environment, influenced
by perception and appraisal.
• Option A is incorrect because stress responses differ
among individuals.
• Option C is incorrect because stress involves psychological
and environmental factors in addition to biology.
• Option D is incorrect because stress can result from
psychological, social, or environmental events.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse identifies that a hospitalized client is entering the
resistance stage of the general adaptation syndrome. Which
assessment finding supports this conclusion?
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor about the concept of
stress adaptation. Which statement by the instructor is most
accurate?
A. Stress always results in mental illness.
B. Stress adaptation involves physiological and psychological
responses to stressors.
C. Adaptation occurs only when stress is eliminated completely.
D. Stress responses are identical in all individuals.
Correct Answer: B
,Rationale:
• Stress adaptation refers to the body's and mind's
responses to demands or stressors in an effort to maintain
equilibrium.
• Option A is incorrect because stress does not always lead
to mental illness.
• Option C is incorrect because adaptation can occur even
when stressors remain present.
• Option D is incorrect because stress responses vary among
individuals based on perception and coping abilities.
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 who suddenly experiences
tachycardia, increased respirations, and dilated pupils after
hearing unexpected bad news. Which stress response is the
client most likely experiencing?
A. Exhaustion stage
B. Relaxation response
C. Fight-or-flight response
D. Adaptive coping response
,Correct Answer: C
Rationale:
• The fight-or-flight response is an immediate physiological
reaction to stress involving sympathetic nervous system
activation.
• Option A is incorrect because exhaustion occurs after
prolonged stress exposure.
• Option B is incorrect because relaxation responses
decrease physiologic arousal.
• Option D is incorrect because adaptive coping refers to
behavioral responses rather than acute physiologic
activation.
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. “Everyone responds to unemployment in exactly the same
way.”
B. “Your response depends partly on how you interpret the
, situation.”
C. “Your symptoms are caused entirely by biological factors.”
D. “Stress only occurs after physical injury or illness.”
Correct Answer: B
Rationale:
• The transactional model views stress as an interaction
between the individual and the environment, influenced
by perception and appraisal.
• Option A is incorrect because stress responses differ
among individuals.
• Option C is incorrect because stress involves psychological
and environmental factors in addition to biology.
• Option D is incorrect because stress can result from
psychological, social, or environmental events.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse identifies that a hospitalized client is entering the
resistance stage of the general adaptation syndrome. Which
assessment finding supports this conclusion?
