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
educator is most accurate?
A. “Stress is always caused by negative life experiences.”
B. “Stress can occur with both positive and negative events.”
C. “Stress is caused only by internal emotional conflicts.”
D. “Stress develops only when coping skills are ineffective.”
,Correct Answer: B
Rationale:
Positive and negative life events can both trigger stress
responses because stress reflects the body’s need to adapt to
change. Marriage, graduation, and promotions may produce
stress despite being positive experiences.
Option A is incorrect because stress is not limited to negative
events.
Option C is incorrect because stress may arise from
environmental, biological, or interpersonal factors.
Option D is incorrect because stress can occur even when
coping skills are effective.
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 occupational stress reports
fatigue, insomnia, and irritability. Which stage of the general
adaptation syndrome is most consistent with these findings?
A. Alarm reaction stage
B. Resistance stage
C. Exhaustion stage
D. Recovery stage
,Correct Answer: B
Rationale:
During the resistance stage, the body attempts to adapt to
ongoing stress while physiologic symptoms such as fatigue,
irritability, and sleep disturbances may emerge.
Option A is incorrect because the alarm stage reflects the
immediate fight-or-flight response.
Option C is incorrect because exhaustion occurs when adaptive
mechanisms fail completely.
Option D is incorrect because recovery is not a formal stage of
the syndrome.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A psychiatric nurse is assessing a client’s appraisal of a recent
divorce. Which statement best reflects the transactional model
of stress?
A. “Stress occurs only after physiologic changes develop.”
B. “Stress results from the interaction between the individual
and the environment.”
C. “Stress is caused entirely by environmental hardships.”
D. “Stress responses are identical among all individuals.”
, Correct Answer: B
Rationale:
The transactional model describes stress as a dynamic
interaction between the individual and the environment,
influenced by personal appraisal and coping abilities.
Option A is incorrect because cognitive appraisal occurs before
physiologic manifestations may appear.
Option C is incorrect because personal interpretation influences
stress perception.
Option D is incorrect because stress responses vary significantly
among individuals.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is caring for a client who begins pacing and breathing
rapidly after receiving distressing news. Which physiologic
response should the nurse anticipate during the alarm reaction
stage?
A. Decreased heart rate
B. Increased blood glucose levels
C. Reduced muscle tension
D. Decreased respiratory rate
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
educator is most accurate?
A. “Stress is always caused by negative life experiences.”
B. “Stress can occur with both positive and negative events.”
C. “Stress is caused only by internal emotional conflicts.”
D. “Stress develops only when coping skills are ineffective.”
,Correct Answer: B
Rationale:
Positive and negative life events can both trigger stress
responses because stress reflects the body’s need to adapt to
change. Marriage, graduation, and promotions may produce
stress despite being positive experiences.
Option A is incorrect because stress is not limited to negative
events.
Option C is incorrect because stress may arise from
environmental, biological, or interpersonal factors.
Option D is incorrect because stress can occur even when
coping skills are effective.
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 occupational stress reports
fatigue, insomnia, and irritability. Which stage of the general
adaptation syndrome is most consistent with these findings?
A. Alarm reaction stage
B. Resistance stage
C. Exhaustion stage
D. Recovery stage
,Correct Answer: B
Rationale:
During the resistance stage, the body attempts to adapt to
ongoing stress while physiologic symptoms such as fatigue,
irritability, and sleep disturbances may emerge.
Option A is incorrect because the alarm stage reflects the
immediate fight-or-flight response.
Option C is incorrect because exhaustion occurs when adaptive
mechanisms fail completely.
Option D is incorrect because recovery is not a formal stage of
the syndrome.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A psychiatric nurse is assessing a client’s appraisal of a recent
divorce. Which statement best reflects the transactional model
of stress?
A. “Stress occurs only after physiologic changes develop.”
B. “Stress results from the interaction between the individual
and the environment.”
C. “Stress is caused entirely by environmental hardships.”
D. “Stress responses are identical among all individuals.”
, Correct Answer: B
Rationale:
The transactional model describes stress as a dynamic
interaction between the individual and the environment,
influenced by personal appraisal and coping abilities.
Option A is incorrect because cognitive appraisal occurs before
physiologic manifestations may appear.
Option C is incorrect because personal interpretation influences
stress perception.
Option D is incorrect because stress responses vary significantly
among individuals.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is caring for a client who begins pacing and breathing
rapidly after receiving distressing news. Which physiologic
response should the nurse anticipate during the alarm reaction
stage?
A. Decreased heart rate
B. Increased blood glucose levels
C. Reduced muscle tension
D. Decreased respiratory rate
