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
stressor respond differently. Which response by the psychiatric
nurse is most accurate?
A. “Stress affects all individuals in essentially the same way.”
B. “The perception of the stressor influences the individual
response.”
C. “Stress responses are determined only by genetic
,predisposition.”
D. “Physiologic responses to stress are unrelated to coping
abilities.”
Correct Answer: B
Rationale:
• Individual perception and appraisal of a stressor strongly
influence the stress response. Personal experiences,
coping skills, and support systems affect adaptation.
• Option A is incorrect because stress responses vary widely
among individuals.
• Option C is incorrect because stress adaptation is
influenced by multiple factors, not genetics alone.
• Option D is incorrect because coping abilities directly
affect physiologic and emotional responses to stress.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client reports experiencing rapid heartbeat, diaphoresis, and
increased alertness immediately before giving a public speech.
Which interpretation should the nurse make?
,A. The client is demonstrating maladaptive coping.
B. The client is experiencing a psychotic reaction.
C. The client is exhibiting a biologic stress response.
D. The client is displaying symptoms of panic disorder.
Correct Answer: C
Rationale:
• Physiologic changes such as tachycardia and diaphoresis
are characteristic biologic responses to stress mediated by
activation of the sympathetic nervous system.
• Option A is incorrect because the response may be
adaptive rather than maladaptive.
• Option B is incorrect because no psychotic symptoms are
present.
• Option D is incorrect because transient anxiety before a
stressful event does not necessarily indicate panic
disorder.
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 recently lost employment and
states, “I see this as an opportunity to start over.” Which
concept of stress adaptation is best illustrated?
A. Stress as an environmental event
B. Stress as a biologic response
C. Stress as a transaction between the individual and
environment
D. Stress as evidence of ineffective coping
Correct Answer: C
Rationale:
• The transactional model emphasizes the individual’s
appraisal and interpretation of the stressor.
• Option A focuses only on the external event itself.
• Option B addresses physiologic responses rather than
cognitive appraisal.
• Option D is incorrect because the statement reflects
adaptive coping.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
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
stressor respond differently. Which response by the psychiatric
nurse is most accurate?
A. “Stress affects all individuals in essentially the same way.”
B. “The perception of the stressor influences the individual
response.”
C. “Stress responses are determined only by genetic
,predisposition.”
D. “Physiologic responses to stress are unrelated to coping
abilities.”
Correct Answer: B
Rationale:
• Individual perception and appraisal of a stressor strongly
influence the stress response. Personal experiences,
coping skills, and support systems affect adaptation.
• Option A is incorrect because stress responses vary widely
among individuals.
• Option C is incorrect because stress adaptation is
influenced by multiple factors, not genetics alone.
• Option D is incorrect because coping abilities directly
affect physiologic and emotional responses to stress.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client reports experiencing rapid heartbeat, diaphoresis, and
increased alertness immediately before giving a public speech.
Which interpretation should the nurse make?
,A. The client is demonstrating maladaptive coping.
B. The client is experiencing a psychotic reaction.
C. The client is exhibiting a biologic stress response.
D. The client is displaying symptoms of panic disorder.
Correct Answer: C
Rationale:
• Physiologic changes such as tachycardia and diaphoresis
are characteristic biologic responses to stress mediated by
activation of the sympathetic nervous system.
• Option A is incorrect because the response may be
adaptive rather than maladaptive.
• Option B is incorrect because no psychotic symptoms are
present.
• Option D is incorrect because transient anxiety before a
stressful event does not necessarily indicate panic
disorder.
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 recently lost employment and
states, “I see this as an opportunity to start over.” Which
concept of stress adaptation is best illustrated?
A. Stress as an environmental event
B. Stress as a biologic response
C. Stress as a transaction between the individual and
environment
D. Stress as evidence of ineffective coping
Correct Answer: C
Rationale:
• The transactional model emphasizes the individual’s
appraisal and interpretation of the stressor.
• Option A focuses only on the external event itself.
• Option B addresses physiologic responses rather than
cognitive appraisal.
• Option D is incorrect because the statement reflects
adaptive coping.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
