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 is most
accurate?
A. “Stress is always associated with loss and trauma.”
B. “Any change requiring adaptation can be perceived as
stress.”
,C. “Stress occurs only when coping skills are ineffective.”
D. “Stress develops only after physiologic exhaustion occurs.”
Correct Answer: B
Rationale:
• Stress may arise from positive or negative events if
adaptation is required. Major life changes, even desirable
ones, can create stress responses.
• Option A is incorrect because stress is not limited to
traumatic or negative experiences.
• Option C is incorrect because stress can occur even when
coping is effective.
• Option D is incorrect because exhaustion is a later phase
of stress adaptation, not the definition of stress.
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 work-related stress reports
frequent headaches, insomnia, and irritability. Which concept
best explains these manifestations?
,A. Stress as a biological response
B. Stress as a developmental milestone
C. Stress as a learned behavior
D. Stress as a personality disorder
Correct Answer: A
Rationale:
• Physiologic symptoms such as headaches, sleep
disturbances, and irritability reflect activation of the
body’s biological stress response.
• Option B is incorrect because developmental milestones
are not the focus of these physiologic symptoms.
• Option C is incorrect because the symptoms are
physiologic stress responses rather than learned
behaviors.
• Option D is incorrect because these findings do not
indicate a personality disorder.
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 client who recently lost a job. Which
assessment finding suggests effective stress adaptation?
, A. Refuses to discuss the situation
B. Uses alcohol nightly to relax
C. Identifies supportive family members to contact
D. Reports frequent angry outbursts toward others
Correct Answer: C
Rationale:
• Seeking social support demonstrates adaptive coping and
healthy stress management.
• Option A reflects avoidance coping.
• Option B indicates maladaptive coping.
• Option D suggests ineffective emotional regulation
associated with poor adaptation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A psychiatric nurse explains Hans Selye’s General Adaptation
Syndrome to a client. Which statement by the client indicates
understanding of the alarm reaction stage?
A. “My body returns to normal functioning during this stage.”
B. “My body reacts immediately to a stressor during this stage.”
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 is most
accurate?
A. “Stress is always associated with loss and trauma.”
B. “Any change requiring adaptation can be perceived as
stress.”
,C. “Stress occurs only when coping skills are ineffective.”
D. “Stress develops only after physiologic exhaustion occurs.”
Correct Answer: B
Rationale:
• Stress may arise from positive or negative events if
adaptation is required. Major life changes, even desirable
ones, can create stress responses.
• Option A is incorrect because stress is not limited to
traumatic or negative experiences.
• Option C is incorrect because stress can occur even when
coping is effective.
• Option D is incorrect because exhaustion is a later phase
of stress adaptation, not the definition of stress.
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 work-related stress reports
frequent headaches, insomnia, and irritability. Which concept
best explains these manifestations?
,A. Stress as a biological response
B. Stress as a developmental milestone
C. Stress as a learned behavior
D. Stress as a personality disorder
Correct Answer: A
Rationale:
• Physiologic symptoms such as headaches, sleep
disturbances, and irritability reflect activation of the
body’s biological stress response.
• Option B is incorrect because developmental milestones
are not the focus of these physiologic symptoms.
• Option C is incorrect because the symptoms are
physiologic stress responses rather than learned
behaviors.
• Option D is incorrect because these findings do not
indicate a personality disorder.
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 client who recently lost a job. Which
assessment finding suggests effective stress adaptation?
, A. Refuses to discuss the situation
B. Uses alcohol nightly to relax
C. Identifies supportive family members to contact
D. Reports frequent angry outbursts toward others
Correct Answer: C
Rationale:
• Seeking social support demonstrates adaptive coping and
healthy stress management.
• Option A reflects avoidance coping.
• Option B indicates maladaptive coping.
• Option D suggests ineffective emotional regulation
associated with poor adaptation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A psychiatric nurse explains Hans Selye’s General Adaptation
Syndrome to a client. Which statement by the client indicates
understanding of the alarm reaction stage?
A. “My body returns to normal functioning during this stage.”
B. “My body reacts immediately to a stressor during this stage.”
