Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nurse is teaching a group of nursing students about the
concept of stress adaptation. Which statement by a student
indicates correct understanding of stress as a biological
response?
A. “Stress only occurs when an individual perceives an event
negatively.”
B. “Stress activates physiologic responses intended to maintain
,homeostasis.”
C. “Stress responses are identical for every individual.”
D. “Stress is always harmful to physical health.”
Correct Answer: B
Rationale:
• Stress as a biological response involves physiologic
mechanisms activated to preserve homeostasis when the
body encounters stressors.
• Option A is incorrect because biologic stress responses
may occur regardless of whether the event is perceived
negatively.
• Option C is incorrect because responses vary among
individuals.
• Option D is incorrect because some stress can be adaptive
and beneficial.
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 a licensing examination reports feeling
motivated and focused because of mild anxiety. Which term
should the nurse use to describe this response?
,A. Distress
B. Maladaptation
C. Eustress
D. Disequilibrium
Correct Answer: C
Rationale:
• Eustress refers to positive stress that promotes growth,
motivation, and improved performance.
• Distress involves negative or harmful stress responses.
• Maladaptation refers to ineffective coping responses.
• Disequilibrium describes disruption in balance, not
specifically positive stress.
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 factor is most important when evaluating the client’s
stress response?
A. The client’s blood type
B. The client’s perception of the event
, C. The nurse’s interpretation of the stressor
D. The time of day the event occurred
Correct Answer: B
Rationale:
• Stress as a transaction between the individual and the
environment emphasizes that perception and appraisal
determine stress responses.
• Blood type has no established relevance to stress
adaptation.
• The nurse’s interpretation is less important than the
client’s perception.
• Time of day is not a primary determinant of stress
response.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is caring for a client experiencing prolonged stress.
Which physiologic finding would the nurse expect during the
resistance stage of the general adaptation syndrome?