Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor about the body’s
physiologic response to stress. Which statement by the
instructor best describes Hans Selye’s concept of stress
adaptation?
A. Stress responses occur only with negative life events.
B. The body responds to stress through predictable physiologic
stages.
,C. Stress reactions are determined entirely by genetics.
D. Stress always results in psychological illness.
Correct Answer: B
Rationale:
Hans Selye described stress adaptation as a physiologic
response pattern known as the General Adaptation Syndrome,
consisting of alarm, resistance, and exhaustion stages. Stress
can occur with positive or negative events. Genetics may
influence responses but are not the sole determinant. Stress
does not inevitably lead to mental illness.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse is assessing a client who recently lost employment and
is experiencing insomnia, tachycardia, and irritability. Which
stage of the General Adaptation Syndrome is most consistent
with these findings?
A. Exhaustion stage
B. Resistance stage
C. Alarm reaction stage
D. Recovery stage
,Correct Answer: C
Rationale:
The alarm reaction stage is the initial physiologic response to
stress and activates the sympathetic nervous system, producing
manifestations such as tachycardia, anxiety, and sleep
disturbance. Resistance occurs when adaptation continues over
time. Exhaustion develops when adaptive resources are
depleted. Recovery is not one of Selye’s stages.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A client states, “I enjoy speaking in public because it motivates
me to perform better.” Which concept does the nurse identify
this statement as reflecting?
A. Distress
B. Maladaptation
C. Eustress
D. Exhaustion
Correct Answer: C
Rationale:
Eustress refers to positive stress that promotes growth,
, motivation, or improved performance. Distress produces
harmful or unpleasant effects. Maladaptation indicates
ineffective coping. Exhaustion occurs when stress adaptation
mechanisms fail after prolonged stress exposure.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is teaching about stress as an environmental event.
Which example should the nurse include?
A. Increased cortisol secretion during stress
B. A student perceiving an exam as overwhelming
C. A hurricane destroying a family’s home
D. The use of meditation to reduce anxiety
Correct Answer: C
Rationale:
Stress as an environmental event refers to external stressors
that place demands on individuals, such as natural disasters,
illness, or financial hardship. Cortisol secretion is a biologic
response. Perception of stress reflects the transactional model.
Meditation is a stress-management strategy.
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor about the body’s
physiologic response to stress. Which statement by the
instructor best describes Hans Selye’s concept of stress
adaptation?
A. Stress responses occur only with negative life events.
B. The body responds to stress through predictable physiologic
stages.
,C. Stress reactions are determined entirely by genetics.
D. Stress always results in psychological illness.
Correct Answer: B
Rationale:
Hans Selye described stress adaptation as a physiologic
response pattern known as the General Adaptation Syndrome,
consisting of alarm, resistance, and exhaustion stages. Stress
can occur with positive or negative events. Genetics may
influence responses but are not the sole determinant. Stress
does not inevitably lead to mental illness.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse is assessing a client who recently lost employment and
is experiencing insomnia, tachycardia, and irritability. Which
stage of the General Adaptation Syndrome is most consistent
with these findings?
A. Exhaustion stage
B. Resistance stage
C. Alarm reaction stage
D. Recovery stage
,Correct Answer: C
Rationale:
The alarm reaction stage is the initial physiologic response to
stress and activates the sympathetic nervous system, producing
manifestations such as tachycardia, anxiety, and sleep
disturbance. Resistance occurs when adaptation continues over
time. Exhaustion develops when adaptive resources are
depleted. Recovery is not one of Selye’s stages.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A client states, “I enjoy speaking in public because it motivates
me to perform better.” Which concept does the nurse identify
this statement as reflecting?
A. Distress
B. Maladaptation
C. Eustress
D. Exhaustion
Correct Answer: C
Rationale:
Eustress refers to positive stress that promotes growth,
, motivation, or improved performance. Distress produces
harmful or unpleasant effects. Maladaptation indicates
ineffective coping. Exhaustion occurs when stress adaptation
mechanisms fail after prolonged stress exposure.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is teaching about stress as an environmental event.
Which example should the nurse include?
A. Increased cortisol secretion during stress
B. A student perceiving an exam as overwhelming
C. A hurricane destroying a family’s home
D. The use of meditation to reduce anxiety
Correct Answer: C
Rationale:
Stress as an environmental event refers to external stressors
that place demands on individuals, such as natural disasters,
illness, or financial hardship. Cortisol secretion is a biologic
response. Perception of stress reflects the transactional model.
Meditation is a stress-management strategy.
