Davis Advantage for Townsend's
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 indicates
understanding of stress as a biological response?
A. “Stress occurs only when a person perceives a threat.”
B. “Stress activates physiological responses intended to
maintain homeostasis.”
,C. “Stress responses are identical in every individual.”
D. “Stress is always harmful to physical health.”
Correct Answer: B
Rationale:
• Stress as a biological response involves physiologic
mechanisms activated to maintain or restore homeostasis.
• Option A describes stress as a transaction between the
individual and environment rather than a biological
response.
• Option C is incorrect because stress responses vary among
individuals.
• Option D is incorrect because stress can be adaptive or
maladaptive depending on circumstances and duration.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A patient states, “Ever since I lost my job, I feel constantly tense
and unable to sleep.” Which factor is the nurse identifying?
A. Internal adaptation mechanism
B. Environmental stressor
,C. Biological coping response
D. Defense mechanism
Correct Answer: B
Rationale:
• Loss of employment is considered an environmental
stressor capable of disrupting equilibrium.
• Option A refers to adaptation processes rather than the
stressor itself.
• Option C refers to physiologic responses.
• Option D refers to unconscious coping mechanisms.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse assesses a patient experiencing acute stress. Which
physiological finding would the nurse expect?
A. Decreased heart rate
B. Increased blood pressure
C. Reduced respiratory rate
D. Decreased blood glucose
Correct Answer: B
, Rationale:
• Acute stress activates the sympathetic nervous system,
causing increased blood pressure, pulse, and respiratory
rate.
• Option A is incorrect because heart rate typically
increases.
• Option C is incorrect because respirations generally
increase.
• Option D is incorrect because stress commonly increases
blood glucose levels.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A patient says, “My coworker handles emergencies calmly, but I
panic.” Which concept should guide the nurse’s response?
A. Stress responses are universally predictable.
B. Stress adaptation is influenced by individual perception.
C. Biological stress reactions are absent in calm individuals.
D. Environmental events affect all individuals equally.
Correct Answer: B
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 indicates
understanding of stress as a biological response?
A. “Stress occurs only when a person perceives a threat.”
B. “Stress activates physiological responses intended to
maintain homeostasis.”
,C. “Stress responses are identical in every individual.”
D. “Stress is always harmful to physical health.”
Correct Answer: B
Rationale:
• Stress as a biological response involves physiologic
mechanisms activated to maintain or restore homeostasis.
• Option A describes stress as a transaction between the
individual and environment rather than a biological
response.
• Option C is incorrect because stress responses vary among
individuals.
• Option D is incorrect because stress can be adaptive or
maladaptive depending on circumstances and duration.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A patient states, “Ever since I lost my job, I feel constantly tense
and unable to sleep.” Which factor is the nurse identifying?
A. Internal adaptation mechanism
B. Environmental stressor
,C. Biological coping response
D. Defense mechanism
Correct Answer: B
Rationale:
• Loss of employment is considered an environmental
stressor capable of disrupting equilibrium.
• Option A refers to adaptation processes rather than the
stressor itself.
• Option C refers to physiologic responses.
• Option D refers to unconscious coping mechanisms.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse assesses a patient experiencing acute stress. Which
physiological finding would the nurse expect?
A. Decreased heart rate
B. Increased blood pressure
C. Reduced respiratory rate
D. Decreased blood glucose
Correct Answer: B
, Rationale:
• Acute stress activates the sympathetic nervous system,
causing increased blood pressure, pulse, and respiratory
rate.
• Option A is incorrect because heart rate typically
increases.
• Option C is incorrect because respirations generally
increase.
• Option D is incorrect because stress commonly increases
blood glucose levels.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A patient says, “My coworker handles emergencies calmly, but I
panic.” Which concept should guide the nurse’s response?
A. Stress responses are universally predictable.
B. Stress adaptation is influenced by individual perception.
C. Biological stress reactions are absent in calm individuals.
D. Environmental events affect all individuals equally.
Correct Answer: B
