Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor about the concept of
stress adaptation. Which response by the instructor is most
accurate?
A. Stress always results in physical illness
B. Stress adaptation involves responses to demands that
disrupt equilibrium
,C. Adaptation occurs only when stress is eliminated completely
D. Stress is considered harmful in all situations
Correct Answer: B
Rationale:
• Stress adaptation refers to the process by which
individuals respond to stressors that threaten homeostasis
or equilibrium.
• Option A is incorrect because stress does not always cause
illness.
• Option C is incorrect because adaptation can occur even
when stressors remain present.
• Option D is incorrect because some stress can be
motivating and adaptive.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse is teaching a client about the biological response to
stress. Which physiological change should the nurse include?
A. Decreased heart rate
B. Increased gastrointestinal motility
,C. Release of stress hormones from the adrenal glands
D. Reduced respiratory rate
Correct Answer: C
Rationale:
• The biological stress response includes activation of the
sympathetic nervous system and release of stress
hormones such as cortisol and epinephrine.
• Option A is incorrect because heart rate typically increases
during stress.
• Option B is incorrect because gastrointestinal activity is
commonly reduced.
• Option D is incorrect because respiratory rate generally
increases during stress.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A client states, “I lost my job, but I see it as an opportunity to
pursue a different career.” Which concept is best illustrated?
A. Maladaptive coping
B. Environmental stress overload
, C. Cognitive appraisal of stress
D. Physiological exhaustion
Correct Answer: C
Rationale:
• Stress as a transaction between the individual and
environment involves cognitive appraisal and
interpretation of events.
• Option A is incorrect because the statement reflects
adaptive coping.
• Option B is incorrect because the client is not
overwhelmed.
• Option D is incorrect because there are no signs of
exhaustion.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is assessing a client experiencing prolonged stress.
Which finding is most consistent with the exhaustion stage of
stress adaptation?
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor about the concept of
stress adaptation. Which response by the instructor is most
accurate?
A. Stress always results in physical illness
B. Stress adaptation involves responses to demands that
disrupt equilibrium
,C. Adaptation occurs only when stress is eliminated completely
D. Stress is considered harmful in all situations
Correct Answer: B
Rationale:
• Stress adaptation refers to the process by which
individuals respond to stressors that threaten homeostasis
or equilibrium.
• Option A is incorrect because stress does not always cause
illness.
• Option C is incorrect because adaptation can occur even
when stressors remain present.
• Option D is incorrect because some stress can be
motivating and adaptive.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse is teaching a client about the biological response to
stress. Which physiological change should the nurse include?
A. Decreased heart rate
B. Increased gastrointestinal motility
,C. Release of stress hormones from the adrenal glands
D. Reduced respiratory rate
Correct Answer: C
Rationale:
• The biological stress response includes activation of the
sympathetic nervous system and release of stress
hormones such as cortisol and epinephrine.
• Option A is incorrect because heart rate typically increases
during stress.
• Option B is incorrect because gastrointestinal activity is
commonly reduced.
• Option D is incorrect because respiratory rate generally
increases during stress.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A client states, “I lost my job, but I see it as an opportunity to
pursue a different career.” Which concept is best illustrated?
A. Maladaptive coping
B. Environmental stress overload
, C. Cognitive appraisal of stress
D. Physiological exhaustion
Correct Answer: C
Rationale:
• Stress as a transaction between the individual and
environment involves cognitive appraisal and
interpretation of events.
• Option A is incorrect because the statement reflects
adaptive coping.
• Option B is incorrect because the client is not
overwhelmed.
• Option D is incorrect because there are no signs of
exhaustion.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is assessing a client experiencing prolonged stress.
Which finding is most consistent with the exhaustion stage of
stress adaptation?
