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
instructor is most accurate?
A. “Stress affects all people in essentially the same way.”
B. “Stress responses depend on the meaning the event has for
the individual.”
,C. “Biological stress responses occur only when events are life-
threatening.”
D. “Stress adaptation is determined primarily by genetic
inheritance.”
Correct Answer: B
Rationale:
Stress as a transaction between the individual and the
environment emphasizes that a person’s perception and
appraisal of an event influence the stress response. Individuals
interpret stressors differently based on past experiences,
coping abilities, and available supports. Option A is incorrect
because stress responses vary among individuals. Option C is
incorrect because non–life-threatening situations can also
produce stress responses. Option D is incorrect because
adaptation involves multiple psychological, social, and
environmental factors in addition to biology.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client reports persistent headaches, elevated blood pressure,
and difficulty sleeping during a period of prolonged work stress.
Which nursing interpretation is most appropriate?
,A. The client is demonstrating maladaptive denial.
B. The client is experiencing biologic manifestations of stress.
C. The client’s symptoms are unrelated to environmental
stressors.
D. The client is displaying evidence of psychotic
decompensation.
Correct Answer: B
Rationale:
Stress as a biological response includes physiologic reactions
such as hypertension, sleep disturbances, and headaches
resulting from activation of stress-response systems. Option A
is incorrect because denial is not clearly demonstrated. Option
C ignores the relationship between stress and physiologic
symptoms. Option D is unsupported because psychotic
symptoms are not described.
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 employment.
Which assessment finding best indicates effective stress
adaptation?
, A. Refuses to discuss the job loss
B. Uses alcohol nightly to promote sleep
C. Develops a plan to seek employment and support services
D. Withdraws from family interactions
Correct Answer: C
Rationale:
Adaptive coping involves problem-solving, seeking support, and
taking constructive action. Developing a plan demonstrates
effective adaptation to stress. Option A reflects avoidance.
Option B represents maladaptive coping. Option D suggests
social withdrawal and ineffective coping.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse teaches a group about Hans Selye’s General Adaptation
Syndrome. Which statement by a participant indicates
understanding of the alarm reaction stage?
A. “The body attempts to return to normal functioning.”
B. “Resources become depleted after prolonged stress.”
C. “Physiologic defenses are activated in response to a
stressor.”
D. “Adaptation is no longer possible once stress occurs.”
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
instructor is most accurate?
A. “Stress affects all people in essentially the same way.”
B. “Stress responses depend on the meaning the event has for
the individual.”
,C. “Biological stress responses occur only when events are life-
threatening.”
D. “Stress adaptation is determined primarily by genetic
inheritance.”
Correct Answer: B
Rationale:
Stress as a transaction between the individual and the
environment emphasizes that a person’s perception and
appraisal of an event influence the stress response. Individuals
interpret stressors differently based on past experiences,
coping abilities, and available supports. Option A is incorrect
because stress responses vary among individuals. Option C is
incorrect because non–life-threatening situations can also
produce stress responses. Option D is incorrect because
adaptation involves multiple psychological, social, and
environmental factors in addition to biology.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client reports persistent headaches, elevated blood pressure,
and difficulty sleeping during a period of prolonged work stress.
Which nursing interpretation is most appropriate?
,A. The client is demonstrating maladaptive denial.
B. The client is experiencing biologic manifestations of stress.
C. The client’s symptoms are unrelated to environmental
stressors.
D. The client is displaying evidence of psychotic
decompensation.
Correct Answer: B
Rationale:
Stress as a biological response includes physiologic reactions
such as hypertension, sleep disturbances, and headaches
resulting from activation of stress-response systems. Option A
is incorrect because denial is not clearly demonstrated. Option
C ignores the relationship between stress and physiologic
symptoms. Option D is unsupported because psychotic
symptoms are not described.
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 employment.
Which assessment finding best indicates effective stress
adaptation?
, A. Refuses to discuss the job loss
B. Uses alcohol nightly to promote sleep
C. Develops a plan to seek employment and support services
D. Withdraws from family interactions
Correct Answer: C
Rationale:
Adaptive coping involves problem-solving, seeking support, and
taking constructive action. Developing a plan demonstrates
effective adaptation to stress. Option A reflects avoidance.
Option B represents maladaptive coping. Option D suggests
social withdrawal and ineffective coping.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse teaches a group about Hans Selye’s General Adaptation
Syndrome. Which statement by a participant indicates
understanding of the alarm reaction stage?
A. “The body attempts to return to normal functioning.”
B. “Resources become depleted after prolonged stress.”
C. “Physiologic defenses are activated in response to a
stressor.”
D. “Adaptation is no longer possible once stress occurs.”
