Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student states, “Stress is always harmful to the
body.” Which response by the psychiatric nurse is most
accurate?
A. “Stress responses occur only in individuals with psychiatric
disorders.”
B. “All stress leads to long-term physiologic damage.”
,C. “Stress can be adaptive or maladaptive depending on the
response.”
D. “Stress is caused only by external environmental events.”
Correct Answer: C
Rationale:
Stress may be adaptive when it motivates coping and problem-
solving, but it becomes maladaptive when responses impair
functioning or health. Option A is incorrect because stress
affects all individuals. Option B is incorrect because not all
stress causes damage. Option D is incorrect because stress may
arise from internal or external factors.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A patient preparing for final examinations reports difficulty
sleeping and increased irritability. Which nursing assessment
best reflects the biologic stress response?
A. Enhanced immune suppression and decreased alertness
B. Activation of physiologic responses preparing the body for
action
C. Permanent autonomic nervous system dysfunction
D. Elimination of emotional reactions during stressful situations
,Correct Answer: B
Rationale:
The biologic stress response activates physiologic mechanisms
that prepare the body for action, often referred to as the fight-
or-flight response. Option A is incomplete and not the primary
response. Option C is incorrect because stress responses are
not necessarily permanent. Option D is incorrect because
emotional responses commonly accompany stress.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A patient states, “Losing my job has completely overwhelmed
me.” Which nursing concept best explains this statement?
A. Stress is identical for all individuals experiencing similar
events
B. Stress occurs only after physical illness develops
C. Stress perception is influenced by individual appraisal of the
event
D. Stress responses are determined solely by genetics
Correct Answer: C
, Rationale:
Stress as a transaction between the individual and environment
emphasizes personal appraisal and coping abilities. Individuals
interpret stressors differently. Option A is incorrect because
responses vary among individuals. Option B is incorrect because
stress can occur independently of illness. Option D is incorrect
because stress responses involve multiple factors beyond
genetics.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse caring for a patient experiencing acute stress should
identify which manifestation as most consistent with
sympathetic nervous system activation?
A. Bradycardia
B. Increased blood pressure
C. Decreased respiratory rate
D. Reduced alertness
Correct Answer: B
Rationale:
Sympathetic nervous system activation increases heart rate,
blood pressure, and alertness during stress. Bradycardia and
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student states, “Stress is always harmful to the
body.” Which response by the psychiatric nurse is most
accurate?
A. “Stress responses occur only in individuals with psychiatric
disorders.”
B. “All stress leads to long-term physiologic damage.”
,C. “Stress can be adaptive or maladaptive depending on the
response.”
D. “Stress is caused only by external environmental events.”
Correct Answer: C
Rationale:
Stress may be adaptive when it motivates coping and problem-
solving, but it becomes maladaptive when responses impair
functioning or health. Option A is incorrect because stress
affects all individuals. Option B is incorrect because not all
stress causes damage. Option D is incorrect because stress may
arise from internal or external factors.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A patient preparing for final examinations reports difficulty
sleeping and increased irritability. Which nursing assessment
best reflects the biologic stress response?
A. Enhanced immune suppression and decreased alertness
B. Activation of physiologic responses preparing the body for
action
C. Permanent autonomic nervous system dysfunction
D. Elimination of emotional reactions during stressful situations
,Correct Answer: B
Rationale:
The biologic stress response activates physiologic mechanisms
that prepare the body for action, often referred to as the fight-
or-flight response. Option A is incomplete and not the primary
response. Option C is incorrect because stress responses are
not necessarily permanent. Option D is incorrect because
emotional responses commonly accompany stress.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A patient states, “Losing my job has completely overwhelmed
me.” Which nursing concept best explains this statement?
A. Stress is identical for all individuals experiencing similar
events
B. Stress occurs only after physical illness develops
C. Stress perception is influenced by individual appraisal of the
event
D. Stress responses are determined solely by genetics
Correct Answer: C
, Rationale:
Stress as a transaction between the individual and environment
emphasizes personal appraisal and coping abilities. Individuals
interpret stressors differently. Option A is incorrect because
responses vary among individuals. Option B is incorrect because
stress can occur independently of illness. Option D is incorrect
because stress responses involve multiple factors beyond
genetics.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse caring for a patient experiencing acute stress should
identify which manifestation as most consistent with
sympathetic nervous system activation?
A. Bradycardia
B. Increased blood pressure
C. Decreased respiratory rate
D. Reduced alertness
Correct Answer: B
Rationale:
Sympathetic nervous system activation increases heart rate,
blood pressure, and alertness during stress. Bradycardia and
