Davis Advantage for Townsend's Essentials of
Psychiatric Mental Health Nursing, 10th Edition by
Karyn I. Morgan - Concepts Review. ISBN- 978-1-
7196-5162-2
,Chapter 1: The Concept of Stress Adaptation
Q1. Which is the primary nursing goal related to The Concept of Stress
Adaptation?
Promote safety and adaptive coping
Punish maladaptive behavior
Encourage dependency
Focus only on medication
Correct Answer: A
Explanation: Primary goal in psychiatric nursing for the concept of stress
adaptation is safety and promoting adaptive coping, not punishment or
dependency. This aligns with Townsend's framework emphasizing holistic,
person-centered, safe, and evidence-based care.
Q2. A client with The Concept of Stress Adaptation is being assessed. What
is the priority assessment?
Risk for self-harm or harm to others
Favorite color
Financial status only
Past vacation history
Correct Answer: A
Explanation: Safety assessment for harm to self/others is always priority in
psychiatric care, especially with the concept of stress adaptation. This aligns
with Townsend's framework emphasizing holistic, person-centered, safe, and
evidence-based care.
Q3. Best therapeutic communication for The Concept of Stress Adaptation?
'Tell me more about what you are experiencing'
'You should just get over it'
'I know exactly how you feel'
'Stop thinking that way'
Correct Answer: A
Explanation: Open-ended, nonjudgmental statements encourage expression
and are therapeutic for the concept of stress adaptation. This aligns with
Townsend's framework emphasizing holistic, person-centered, safe, and
evidence-based care.
Q4. Which psychopharmacology principle applies to The Concept of Stress
Adaptation?
, Monitor therapeutic effects, side effects, and adherence
Stop meds when feeling better
Double dose if anxious
Share meds with others
Correct Answer: A
Explanation: Nurses monitor efficacy, side effects, labs, and education for
adherence in the concept of stress adaptation. This aligns with Townsend's
framework emphasizing holistic, person-centered, safe, and evidence-based
care.
Q5. Family intervention for The Concept of Stress Adaptation should include:
Psychoeducation and support
Blaming family
Excluding family from care
Keeping secrets from family
Correct Answer: A
Explanation: Family psychoeducation improves outcomes in the concept of
stress adaptation. This aligns with Townsend's framework emphasizing holistic,
person-centered, safe, and evidence-based care.
Q6. Evidence-based intervention for The Concept of Stress Adaptation is:
Cognitive restructuring and coping skills training
Isolation and restraint as first line
Punishment
Ignoring symptoms
Correct Answer: A
Explanation: Evidence supports skills training and cognitive approaches for the
concept of stress adaptation. This aligns with Townsend's framework
emphasizing holistic, person-centered, safe, and evidence-based care.
Q7. Cultural consideration for The Concept of Stress Adaptation:
Assess cultural beliefs about illness and help-seeking
Assume all cultures view illness same
Ignore cultural factors
Impose nurse's values
Correct Answer: A
, Explanation: Culturally competent care requires assessing beliefs about the
concept of stress adaptation. This aligns with Townsend's framework
emphasizing holistic, person-centered, safe, and evidence-based care.
Q8. Which is the primary nursing goal related to The Concept of Stress
Adaptation?
Promote safety and adaptive coping
Punish maladaptive behavior
Encourage dependency
Focus only on medication
Correct Answer: A
Explanation: Primary goal in psychiatric nursing for the concept of stress
adaptation is safety and promoting adaptive coping, not punishment or
dependency. This aligns with Townsend's framework emphasizing holistic,
person-centered, safe, and evidence-based care.
Q9. A client with The Concept of Stress Adaptation is being assessed. What
is the priority assessment?
Risk for self-harm or harm to others
Favorite color
Financial status only
Past vacation history
Correct Answer: A
Explanation: Safety assessment for harm to self/others is always priority in
psychiatric care, especially with the concept of stress adaptation. This aligns
with Townsend's framework emphasizing holistic, person-centered, safe, and
evidence-based care.
Q10. Best therapeutic communication for The Concept of Stress Adaptation?
'Tell me more about what you are experiencing'
'You should just get over it'
'I know exactly how you feel'
'Stop thinking that way'
Correct Answer: A
Explanation: Open-ended, nonjudgmental statements encourage expression
and are therapeutic for the concept of stress adaptation. This aligns with
Townsend's framework emphasizing holistic, person-centered, safe, and
evidence-based care.