Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks why two patients exposed to the same
stressful event respond differently. Which response by the
psychiatric nurse is most accurate?
A. “Stress affects all individuals in the same manner.”
B. “The meaning attached to the stressor influences the
response.”
,C. “Stress responses are determined only by genetic factors.”
D. “Physical illness is the primary determinant of stress
response.”
Correct Answer: B
Rationale:
• Stress is influenced by the individual’s perception and
appraisal of the event. The same situation may be
interpreted differently by different people, leading to
varied stress responses.
• Option A is incorrect because stress responses vary widely.
• Option C is incorrect because genetics alone do not
determine stress adaptation.
• Option D is incorrect because multiple psychological and
environmental factors contribute to stress responses.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A patient experiencing prolonged occupational stress reports
chronic fatigue, irritability, and difficulty sleeping. 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: C
Rationale:
• The exhaustion stage occurs when prolonged exposure to
stress depletes adaptive energy, resulting in physical and
emotional symptoms such as fatigue and irritability.
• Option A involves the initial fight-or-flight response.
• Option B involves adaptation and coping with ongoing
stress.
• 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 nurse is assessing a patient’s response to a recent divorce.
Which assessment finding indicates adaptive coping?
, A. Social withdrawal and refusal to discuss feelings
B. Increased alcohol consumption to sleep
C. Seeking support from friends and counseling services
D. Ignoring financial and parenting responsibilities
Correct Answer: C
Rationale:
• Seeking social and professional support demonstrates
adaptive coping and healthy stress management.
• Option A reflects ineffective coping and isolation.
• Option B indicates maladaptive coping through substance
use.
• Option D reflects impaired functioning and poor
adaptation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A patient states, “I feel my heart racing and my hands shaking
before every examination.” Which physiological response is the
nurse identifying?
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks why two patients exposed to the same
stressful event respond differently. Which response by the
psychiatric nurse is most accurate?
A. “Stress affects all individuals in the same manner.”
B. “The meaning attached to the stressor influences the
response.”
,C. “Stress responses are determined only by genetic factors.”
D. “Physical illness is the primary determinant of stress
response.”
Correct Answer: B
Rationale:
• Stress is influenced by the individual’s perception and
appraisal of the event. The same situation may be
interpreted differently by different people, leading to
varied stress responses.
• Option A is incorrect because stress responses vary widely.
• Option C is incorrect because genetics alone do not
determine stress adaptation.
• Option D is incorrect because multiple psychological and
environmental factors contribute to stress responses.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A patient experiencing prolonged occupational stress reports
chronic fatigue, irritability, and difficulty sleeping. 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: C
Rationale:
• The exhaustion stage occurs when prolonged exposure to
stress depletes adaptive energy, resulting in physical and
emotional symptoms such as fatigue and irritability.
• Option A involves the initial fight-or-flight response.
• Option B involves adaptation and coping with ongoing
stress.
• 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 nurse is assessing a patient’s response to a recent divorce.
Which assessment finding indicates adaptive coping?
, A. Social withdrawal and refusal to discuss feelings
B. Increased alcohol consumption to sleep
C. Seeking support from friends and counseling services
D. Ignoring financial and parenting responsibilities
Correct Answer: C
Rationale:
• Seeking social and professional support demonstrates
adaptive coping and healthy stress management.
• Option A reflects ineffective coping and isolation.
• Option B indicates maladaptive coping through substance
use.
• Option D reflects impaired functioning and poor
adaptation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A patient states, “I feel my heart racing and my hands shaking
before every examination.” Which physiological response is the
nurse identifying?
