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 occurs only when an event is perceived as
threatening.”
B. “Stress can occur in response to positive or negative life
,changes.”
C. “Stress is always harmful to physical and mental health.”
D. “Stress is the same for all individuals exposed to similar
situations.”
Correct Answer: B
Rationale:
• Stress may result from both positive and negative events
requiring adaptation. Positive changes such as marriage or
a new job can produce stress responses.
• Option A is incorrect because stress may arise from any
demand requiring adaptation, not only threats.
• Option C is incorrect because some stress can be adaptive
and motivating.
• Option D is incorrect because individuals perceive and
respond to stress differently.
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
persistent fatigue, irritability, and frequent headaches. Which
concept best explains the client’s response?
,A. Homeostasis
B. Adaptation
C. Fight-or-flight response
D. Sensory perception
Correct Answer: C
Rationale:
• The fight-or-flight response is a physiological reaction to
stress involving autonomic nervous system activation and
physical symptoms such as headaches, irritability, and
fatigue.
• Option A is incorrect because homeostasis refers to
balance rather than the acute physiologic stress response.
• Option B is too broad and does not specifically explain the
physiologic symptoms.
• Option D is unrelated to stress physiology.
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 who states, “I lost my job, but I see
this as an opportunity to pursue a better career.” Which
appraisal of stress is the client demonstrating?
, A. Primary appraisal
B. Maladaptive coping
C. Cognitive distortion
D. Panic-level anxiety
Correct Answer: A
Rationale:
• Primary appraisal involves evaluating whether an event is
stressful, benign, or challenging. The client interprets the
event as an opportunity rather than a catastrophe.
• Option B is incorrect because the response reflects
adaptive thinking.
• Option C is incorrect because no distorted thinking is
evident.
• Option D is incorrect because the client is not exhibiting
severe anxiety symptoms.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is teaching stress adaptation concepts. Which
statement by a student indicates understanding of
homeostasis?
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 occurs only when an event is perceived as
threatening.”
B. “Stress can occur in response to positive or negative life
,changes.”
C. “Stress is always harmful to physical and mental health.”
D. “Stress is the same for all individuals exposed to similar
situations.”
Correct Answer: B
Rationale:
• Stress may result from both positive and negative events
requiring adaptation. Positive changes such as marriage or
a new job can produce stress responses.
• Option A is incorrect because stress may arise from any
demand requiring adaptation, not only threats.
• Option C is incorrect because some stress can be adaptive
and motivating.
• Option D is incorrect because individuals perceive and
respond to stress differently.
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
persistent fatigue, irritability, and frequent headaches. Which
concept best explains the client’s response?
,A. Homeostasis
B. Adaptation
C. Fight-or-flight response
D. Sensory perception
Correct Answer: C
Rationale:
• The fight-or-flight response is a physiological reaction to
stress involving autonomic nervous system activation and
physical symptoms such as headaches, irritability, and
fatigue.
• Option A is incorrect because homeostasis refers to
balance rather than the acute physiologic stress response.
• Option B is too broad and does not specifically explain the
physiologic symptoms.
• Option D is unrelated to stress physiology.
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 who states, “I lost my job, but I see
this as an opportunity to pursue a better career.” Which
appraisal of stress is the client demonstrating?
, A. Primary appraisal
B. Maladaptive coping
C. Cognitive distortion
D. Panic-level anxiety
Correct Answer: A
Rationale:
• Primary appraisal involves evaluating whether an event is
stressful, benign, or challenging. The client interprets the
event as an opportunity rather than a catastrophe.
• Option B is incorrect because the response reflects
adaptive thinking.
• Option C is incorrect because no distorted thinking is
evident.
• Option D is incorrect because the client is not exhibiting
severe anxiety symptoms.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is teaching stress adaptation concepts. Which
statement by a student indicates understanding of
homeostasis?
