Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nurse is teaching a group of nursing students about stress
adaptation. Which statement by a student best reflects the
concept of stress as a biological response?
A. “Stress occurs only when a person perceives an event
negatively.”
B. “Stress activates physiologic responses that help the body
adapt to demands.”
,C. “Stress is caused primarily by environmental conditions.”
D. “Stress responses are identical for every individual.”
Correct Answer: B
Rationale:
• Stress as a biological response involves physiologic
reactions initiated by the body to maintain adaptation and
homeostasis when demands occur.
• Option A focuses on cognitive appraisal rather than
biologic response.
• Option C is incomplete because stress also involves
individual interpretation and physiologic reactions.
• Option D is incorrect because stress responses vary among
individuals.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client reports feeling overwhelmed after losing employment
and caring for an ill parent. Which nursing statement best
reflects the transactional model of stress?
,A. “Stress depends only on the seriousness of the event.”
B. “Your reaction is influenced by how you perceive and cope
with the situation.”
C. “Stress is caused by hormonal changes during difficult
situations.”
D. “Most people experience the same amount of stress in this
situation.”
Correct Answer: B
Rationale:
• The transactional model views stress as an interaction
between the individual and the environment, influenced
by perception and coping ability.
• Option A ignores individual appraisal.
• Option C focuses only on physiologic response.
• Option D incorrectly assumes stress responses are
universal.
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 experiencing prolonged stress.
Which physiologic finding should the nurse recognize as
consistent with activation of the stress response?
A. Decreased heart rate
B. Reduced blood glucose levels
C. Increased blood pressure
D. Constricted bronchioles
Correct Answer: C
Rationale:
• Activation of the stress response commonly increases
blood pressure as part of sympathetic nervous system
stimulation.
• Option A is incorrect because heart rate generally
increases.
• Option B is incorrect because stress commonly elevates
glucose levels.
• Option D is incorrect because bronchodilation, not
constriction, typically occurs.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4