Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor which statement best
describes stress as a biological response. Which response by
the instructor is most accurate?
,A. Stress occurs only when an individual perceives a threat
B. Stress is a physiological response of the body to demands
placed upon it
C. Stress refers exclusively to environmental hardships
D. Stress is always harmful to physical health
Correct Answer: B
Rationale:
• Stress as a biological response refers to the body's
physiological adaptation to demands or changes.
• Option A is incomplete because biological stress responses
may occur even before conscious perception.
• Option C focuses only on environmental factors rather
than physiologic adaptation.
• Option D is incorrect because stress may be adaptive or
maladaptive depending on duration and coping ability.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse is assessing a client who reports increased heart rate,
rapid breathing, and muscle tension before an important
,examination. Which stage of the general adaptation syndrome
is the client most likely experiencing?
A. Exhaustion stage
B. Resistance stage
C. Alarm reaction stage
D. Recovery stage
Correct Answer: C
Rationale:
• The alarm reaction stage involves activation of physiologic
defense mechanisms in response to a stressor.
• Option A occurs after prolonged stress and depletion of
adaptive resources.
• Option B involves adaptation and coping with ongoing
stressors.
• Option D is not one of the recognized stages described in
the stress response model.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
, A client states, “I actually perform better under moderate
pressure at work.” Which nursing response best reflects
understanding of stress adaptation?
A. “Stress is harmful and should always be avoided.”
B. “Moderate stress can sometimes improve functioning and
performance.”
C. “Your reaction means you are denying the effects of stress.”
D. “Stress affects only emotional health.”
Correct Answer: B
Rationale:
• Moderate levels of stress may enhance motivation,
alertness, and performance.
• Option A is inaccurate because not all stress is harmful.
• Option C incorrectly interprets the client’s statement as
denial.
• Option D ignores physiologic and behavioral effects of
stress.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4