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 clients exposed to the same
stressful event respond differently. Which response by the
psychiatric nurse is most accurate?
,A. “Stress responses are determined entirely by genetics.”
B. “The meaning an individual assigns to an event influences
the stress response.”
C. “People experience stress only when an event is objectively
harmful.”
D. “Stress reactions are identical among people with similar
backgrounds.”
Correct Answer: B
Rationale:
Stress is viewed as a transaction between the individual and the
environment, meaning personal perception and appraisal
strongly influence the response to stress. Option A is incorrect
because stress responses are influenced by multiple factors,
not genetics alone. Option C is incorrect because perception
plays a major role in whether an event is considered stressful.
Option D is incorrect because individuals respond differently
based on coping abilities, experiences, and appraisal of the
situation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
,A client preparing for final examinations reports insomnia,
palpitations, and difficulty concentrating. Which physiological
process is primarily responsible for these manifestations?
A. Parasympathetic nervous system activation
B. Endorphin suppression
C. Sympathetic nervous system activation
D. Cerebellar inhibition
Correct Answer: C
Rationale:
The sympathetic nervous system mediates the body’s fight-or-
flight response during stress, producing manifestations such as
tachycardia, increased alertness, and insomnia. Option A is
incorrect because parasympathetic activation promotes
relaxation. Option B is incorrect because endorphin suppression
is not the primary mechanism described. Option D is unrelated
to typical stress physiology.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A psychiatric nurse is assessing a client experiencing chronic
occupational stress. Which assessment finding suggests
maladaptive coping?
, A. Seeking support from trusted friends
B. Practicing daily relaxation exercises
C. Increasing alcohol consumption to sleep
D. Maintaining a structured daily schedule
Correct Answer: C
Rationale:
Using alcohol to manage stress represents maladaptive coping
because it may worsen psychological and physical health
outcomes. Options A, B, and D are adaptive stress-management
strategies that promote healthier adjustment and coping.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A client says, “Ever since losing my job, I feel like I have no
control over my life.” Which nursing response best reflects
therapeutic communication?
A. “You should focus on finding another job immediately.”
B. “Many people have problems worse than unemployment.”
C. “Losing a job can feel overwhelming and difficult to manage.”
D. “You need to stop thinking negatively.”
Correct Answer: C
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks why two clients exposed to the same
stressful event respond differently. Which response by the
psychiatric nurse is most accurate?
,A. “Stress responses are determined entirely by genetics.”
B. “The meaning an individual assigns to an event influences
the stress response.”
C. “People experience stress only when an event is objectively
harmful.”
D. “Stress reactions are identical among people with similar
backgrounds.”
Correct Answer: B
Rationale:
Stress is viewed as a transaction between the individual and the
environment, meaning personal perception and appraisal
strongly influence the response to stress. Option A is incorrect
because stress responses are influenced by multiple factors,
not genetics alone. Option C is incorrect because perception
plays a major role in whether an event is considered stressful.
Option D is incorrect because individuals respond differently
based on coping abilities, experiences, and appraisal of the
situation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
,A client preparing for final examinations reports insomnia,
palpitations, and difficulty concentrating. Which physiological
process is primarily responsible for these manifestations?
A. Parasympathetic nervous system activation
B. Endorphin suppression
C. Sympathetic nervous system activation
D. Cerebellar inhibition
Correct Answer: C
Rationale:
The sympathetic nervous system mediates the body’s fight-or-
flight response during stress, producing manifestations such as
tachycardia, increased alertness, and insomnia. Option A is
incorrect because parasympathetic activation promotes
relaxation. Option B is incorrect because endorphin suppression
is not the primary mechanism described. Option D is unrelated
to typical stress physiology.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A psychiatric nurse is assessing a client experiencing chronic
occupational stress. Which assessment finding suggests
maladaptive coping?
, A. Seeking support from trusted friends
B. Practicing daily relaxation exercises
C. Increasing alcohol consumption to sleep
D. Maintaining a structured daily schedule
Correct Answer: C
Rationale:
Using alcohol to manage stress represents maladaptive coping
because it may worsen psychological and physical health
outcomes. Options A, B, and D are adaptive stress-management
strategies that promote healthier adjustment and coping.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A client says, “Ever since losing my job, I feel like I have no
control over my life.” Which nursing response best reflects
therapeutic communication?
A. “You should focus on finding another job immediately.”
B. “Many people have problems worse than unemployment.”
C. “Losing a job can feel overwhelming and difficult to manage.”
D. “You need to stop thinking negatively.”
Correct Answer: C
