Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nurse is teaching nursing students about stress adaptation.
Which statement best reflects the concept of stress as a
biological response?
A. Stress is caused only by external events that overwhelm
coping ability
B. Stress is the body’s nonspecific response to any demand
placed on it
,C. Stress occurs only when a person perceives an event as
threatening
D. Stress is defined by the meaning a person assigns to an
experience
Correct Answer: B
Rationale:
• B is correct because stress as a biological response is
described as the body’s nonspecific physiological reaction
to demands.
• A is incorrect because stress is not limited to external
events only.
• C is incorrect because this describes stress as a transaction
involving perception.
• D is incorrect because this reflects the cognitive
appraisal/transaction model.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client says, “I don’t know why I feel so sick all the time. I’m
exhausted, and I can’t sleep.” The nurse recognizes these
symptoms may be associated with which stress-related stage?
,A. Alarm reaction stage
B. Resistance stage
C. Exhaustion stage
D. Adaptation stage
Correct Answer: C
Rationale:
• C is correct because prolonged stress can lead to
exhaustion, where the body’s adaptive energy is depleted,
resulting in fatigue and illness.
• A is incorrect because the alarm stage involves initial
activation and fight-or-flight responses.
• B is incorrect because the resistance stage involves
continued adaptation and coping efforts.
• D is incorrect because adaptation is the overall process,
not a stage of breakdown.
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 has been under stress for
several months. The client reports frequent headaches and
, gastrointestinal discomfort. Which interpretation by the nurse
is most appropriate?
A. The client is demonstrating a maladaptive stress response
B. The client is exaggerating symptoms to gain attention
C. The client’s symptoms are unrelated to stress
D. The client is likely experiencing a psychotic disorder
Correct Answer: A
Rationale:
• A is correct because prolonged stress may manifest as
physical symptoms such as headaches and GI disturbances,
reflecting maladaptive responses.
• B is incorrect because the nurse should avoid judgmental
assumptions.
• C is incorrect because stress is strongly linked to
physiological symptoms.
• D is incorrect because these symptoms do not indicate
psychosis.
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 nurse is teaching nursing students about stress adaptation.
Which statement best reflects the concept of stress as a
biological response?
A. Stress is caused only by external events that overwhelm
coping ability
B. Stress is the body’s nonspecific response to any demand
placed on it
,C. Stress occurs only when a person perceives an event as
threatening
D. Stress is defined by the meaning a person assigns to an
experience
Correct Answer: B
Rationale:
• B is correct because stress as a biological response is
described as the body’s nonspecific physiological reaction
to demands.
• A is incorrect because stress is not limited to external
events only.
• C is incorrect because this describes stress as a transaction
involving perception.
• D is incorrect because this reflects the cognitive
appraisal/transaction model.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client says, “I don’t know why I feel so sick all the time. I’m
exhausted, and I can’t sleep.” The nurse recognizes these
symptoms may be associated with which stress-related stage?
,A. Alarm reaction stage
B. Resistance stage
C. Exhaustion stage
D. Adaptation stage
Correct Answer: C
Rationale:
• C is correct because prolonged stress can lead to
exhaustion, where the body’s adaptive energy is depleted,
resulting in fatigue and illness.
• A is incorrect because the alarm stage involves initial
activation and fight-or-flight responses.
• B is incorrect because the resistance stage involves
continued adaptation and coping efforts.
• D is incorrect because adaptation is the overall process,
not a stage of breakdown.
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 has been under stress for
several months. The client reports frequent headaches and
, gastrointestinal discomfort. Which interpretation by the nurse
is most appropriate?
A. The client is demonstrating a maladaptive stress response
B. The client is exaggerating symptoms to gain attention
C. The client’s symptoms are unrelated to stress
D. The client is likely experiencing a psychotic disorder
Correct Answer: A
Rationale:
• A is correct because prolonged stress may manifest as
physical symptoms such as headaches and GI disturbances,
reflecting maladaptive responses.
• B is incorrect because the nurse should avoid judgmental
assumptions.
• C is incorrect because stress is strongly linked to
physiological symptoms.
• D is incorrect because these symptoms do not indicate
psychosis.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
