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 students about stress adaptation.
Which statement by a student indicates correct understanding
of stress as a biological response?
A. “Stress occurs only in response to negative life events.”
B. “Stress responses are intended to help the body maintain
equilibrium.”
C. “Stress affects emotional functioning only.”
D. “Stress reactions are always harmful to health.”
,Correct Answer: B
Rationale:
• Stress as a biological response involves physiologic
mechanisms that help the body adapt and maintain
homeostasis.
• Option A is incorrect because stress can result from
positive or negative events.
• Option C is incorrect because stress affects physiologic,
emotional, cognitive, and behavioral functioning.
• Option D is incorrect because short-term adaptive stress
responses may be beneficial.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nursing student asks why two patients react differently to the
same stressful situation. Which response by the nurse is most
accurate?
A. “Stress responses are genetically identical in all people.”
B. “Individuals interpret and respond to stressors differently.”
C. “Only individuals with psychiatric illness experience stress
differently.”
,D. “Environmental stressors affect everyone in the same
manner.”
Correct Answer: B
Rationale:
• Stress as a transaction between the individual and the
environment recognizes that personal perception
influences stress responses.
• Option A is incorrect because responses vary significantly
among individuals.
• Option C is incorrect because stress perception differences
occur in all people, not only those with psychiatric
disorders.
• Option D is incorrect because stressors are interpreted
differently based on coping abilities and appraisal.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A patient states, “Ever since losing my job, I cannot sleep and
feel constantly tense.” Which assessment finding reflects the
alarm reaction stage of stress adaptation?
, A. Increased alertness and elevated heart rate
B. Emotional numbness and social withdrawal
C. Progressive memory loss
D. Flat affect and apathy
Correct Answer: A
Rationale:
• The alarm reaction stage activates the sympathetic
nervous system, producing physiologic changes such as
increased pulse, blood pressure, and alertness.
• Options B, C, and D are not characteristic physiologic
findings associated with the alarm response stage.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is assessing a patient experiencing prolonged
occupational stress. Which outcome is most concerning
regarding chronic stress exposure?
A. Temporary increase in motivation
B. Improved coping efficiency
C. Increased vulnerability to illness
D. Enhanced emotional resilience
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nurse is teaching a group of students about stress adaptation.
Which statement by a student indicates correct understanding
of stress as a biological response?
A. “Stress occurs only in response to negative life events.”
B. “Stress responses are intended to help the body maintain
equilibrium.”
C. “Stress affects emotional functioning only.”
D. “Stress reactions are always harmful to health.”
,Correct Answer: B
Rationale:
• Stress as a biological response involves physiologic
mechanisms that help the body adapt and maintain
homeostasis.
• Option A is incorrect because stress can result from
positive or negative events.
• Option C is incorrect because stress affects physiologic,
emotional, cognitive, and behavioral functioning.
• Option D is incorrect because short-term adaptive stress
responses may be beneficial.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nursing student asks why two patients react differently to the
same stressful situation. Which response by the nurse is most
accurate?
A. “Stress responses are genetically identical in all people.”
B. “Individuals interpret and respond to stressors differently.”
C. “Only individuals with psychiatric illness experience stress
differently.”
,D. “Environmental stressors affect everyone in the same
manner.”
Correct Answer: B
Rationale:
• Stress as a transaction between the individual and the
environment recognizes that personal perception
influences stress responses.
• Option A is incorrect because responses vary significantly
among individuals.
• Option C is incorrect because stress perception differences
occur in all people, not only those with psychiatric
disorders.
• Option D is incorrect because stressors are interpreted
differently based on coping abilities and appraisal.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A patient states, “Ever since losing my job, I cannot sleep and
feel constantly tense.” Which assessment finding reflects the
alarm reaction stage of stress adaptation?
, A. Increased alertness and elevated heart rate
B. Emotional numbness and social withdrawal
C. Progressive memory loss
D. Flat affect and apathy
Correct Answer: A
Rationale:
• The alarm reaction stage activates the sympathetic
nervous system, producing physiologic changes such as
increased pulse, blood pressure, and alertness.
• Options B, C, and D are not characteristic physiologic
findings associated with the alarm response stage.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is assessing a patient experiencing prolonged
occupational stress. Which outcome is most concerning
regarding chronic stress exposure?
A. Temporary increase in motivation
B. Improved coping efficiency
C. Increased vulnerability to illness
D. Enhanced emotional resilience
