Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nurse is teaching a group of nursing students about stress
adaptation. Which statement by a student indicates
understanding of the concept of stress as a biological response?
A. “Stress occurs only when an event is perceived as negative.”
B. “Stress triggers physiological responses that prepare the
body to react.”
,C. “Stress adaptation depends entirely on environmental
conditions.”
D. “Stress responses are identical in all individuals.”
Correct Answer: B
Rationale:
• Stress as a biological response involves physiologic
reactions initiated by the body to maintain homeostasis
and respond to stressors.
• Option A is incorrect because stress can result from
positive or negative events.
• Option C is incorrect because stress adaptation also
involves perception and coping.
• Option D is incorrect because individuals respond
differently based on multiple factors.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client states, “Losing my job has made me feel overwhelmed
and unable to sleep.” Which nursing concept best reflects
stress as an environmental event?
,A. The client’s coping strategies
B. The physiologic stress response
C. The job loss acting as an external stressor
D. The client’s unconscious defense mechanisms
Correct Answer: C
Rationale:
• Stress as an environmental event refers to external
demands or stressors that disrupt functioning.
• Option A focuses on coping rather than the stressor itself.
• Option B addresses biologic responses rather than
environmental triggers.
• Option D refers to ego defense mechanisms rather than
environmental stress.
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 experiencing stress after relocation to
a new city. Which factor is most important when evaluating
stress as a transaction between the individual and
environment?
, A. The client’s age
B. The objective severity of the move
C. The client’s perception of the relocation
D. The number of stressors experienced previously
Correct Answer: C
Rationale:
• Transactional stress theory emphasizes individual appraisal
and perception of stressors.
• Option A may influence coping but is not central to
transactional theory.
• Option B is incorrect because subjective interpretation is
more important than objective severity.
• Option D may contribute to stress vulnerability but is not
the primary concept.
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 exhibiting tachycardia and
diaphoresis during a stressful situation. Which stage of the
general adaptation syndrome is the client most likely
experiencing?