Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor to define stress using the
biological response model. Which response by the instructor is
most accurate?
,A. “Stress is an automatic physiological response to perceived
change.”
B. “Stress occurs only when a person experiences anxiety.”
C. “Stress is always harmful to physical health.”
D. “Stress develops only from external environmental factors.”
Correct Answer: A
Rationale:
• The biological response model describes stress as a
physiological and adaptive response to demands or
changes affecting homeostasis.
• Option B is incorrect because stress may occur without
anxiety.
• Option C is incorrect because stress may be adaptive or
maladaptive.
• Option D is incorrect because stress can 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 nurse is caring for a patient experiencing prolonged stress.
Which physiological finding is most consistent with activation of
the sympathetic nervous system?
A. Decreased heart rate
B. Bronchoconstriction
C. Increased blood pressure
D. Increased gastrointestinal motility
Correct Answer: C
Rationale:
• Sympathetic nervous system activation during stress
increases heart rate, blood pressure, and respiratory rate
to prepare the body for action.
• Option A is incorrect because heart rate increases during
stress.
• Option B is incorrect because bronchodilation occurs.
• Option D is incorrect because gastrointestinal activity
decreases during 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, “Ever since losing my job, I cannot sleep or
concentrate.” Which concept of stress is best illustrated?
A. Stress as a biological adaptation
B. Stress as an environmental event
C. Stress as a defense mechanism
D. Stress as unconscious conflict
Correct Answer: B
Rationale:
• Stress as an environmental event focuses on external
situations or life changes that challenge adaptation.
• Option A focuses on physiological responses.
• Option C refers to ego defense mechanisms rather than
stress theories.
• Option D is unrelated to environmental stress concepts.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse assesses two patients who experienced the same
traumatic event. One adapts effectively, while the other