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 individual perceives an event
negatively.”
B. “Stress activates physiological mechanisms that prepare the
body to respond to threats.”
C. “Stress is always harmful to physical and mental health.”
D. “Stress responses are identical in all individuals regardless of
perception.”
Correct Answer: B
Rationale:
• Stress as a biological response involves activation of
physiologic systems, including the autonomic nervous
system and endocrine responses, to help the individual
adapt to stressors.
• Option A is incorrect because stress responses depend
partly on perception but are not limited to negative
events.
• Option C is incorrect because some stress can be adaptive
and motivating.
• Option D is incorrect because stress responses vary among
individuals.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
,Question 2
A patient reports feeling overwhelmed after losing a job and
moving to a new city. Which factor best supports the concept
of stress as an environmental event?
A. The patient’s genetic predisposition to anxiety
B. The physiologic activation of the stress response
C. External life changes that challenge adaptation
D. The patient’s unconscious defense mechanisms
Correct Answer: C
Rationale:
• Stress as an environmental event refers to external
changes or demands that require adaptation.
• Option A relates to biologic vulnerability rather than
environmental stress.
• Option B reflects physiologic response mechanisms.
• Option D refers to psychological coping processes.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
, A nurse assesses two patients experiencing the same medical
diagnosis. One adapts effectively while the other becomes
highly distressed. Which concept best explains this difference?
A. Stress is solely determined by external events.
B. Stress responses are unrelated to coping abilities.
C. Stress results from the interaction between the person and
the environment.
D. Stress reactions are determined only by physiologic factors.
Correct Answer: C
Rationale:
• The transactional model recognizes that stress results
from the interaction between the individual and
environmental demands.
• Option A ignores individual perception.
• Option B is incorrect because coping significantly
influences stress adaptation.
• Option D is too limited and excludes psychological and
environmental factors.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4