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 purpose of the
body’s stress response. Which response by the instructor is
most accurate?
A. “Stress responses are always harmful to physical
functioning.”
B. “Stress responses help the individual adapt to perceived
challenges or threats.”
C. “Stress responses occur only when an actual physical danger
exists.”
,D. “Stress responses are unrelated to psychological
interpretation.”
Correct Answer: B
Rationale:
• The stress response is an adaptive physiological and
psychological mechanism designed to help individuals
respond to threats or challenges.
• Option A is incorrect because stress responses can be
adaptive or maladaptive.
• Option C is incorrect because perceived threats may also
trigger stress responses.
• Option D is incorrect because cognitive appraisal
influences stress perception.
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 patient who reports persistent
headaches, insomnia, and irritability after losing a job. Which
concept of stress is most applicable?
,A. Stress as a purely biological response
B. Stress as an environmental event
C. Stress as a transactional process between the individual and
environment
D. Stress as a genetic disorder
Correct Answer: C
Rationale:
• The transactional model emphasizes the interaction
between environmental stressors and the individual’s
interpretation and coping ability.
• Option A is incomplete because it ignores cognitive
appraisal.
• Option B addresses the external event only and does not
include personal perception.
• Option D is unrelated to stress adaptation theory.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A patient states, “I cannot handle one more thing right now.”
Which nursing response demonstrates therapeutic
communication?
, A. “You should try to calm down.”
B. “Other people have bigger problems.”
C. “Tell me more about what feels overwhelming to you.”
D. “You need to focus on positive thinking.”
Correct Answer: C
Rationale:
• Inviting the patient to elaborate encourages expression of
feelings and demonstrates empathy.
• Option A minimizes the patient’s distress.
• Option B is dismissive and nontherapeutic.
• Option D may invalidate the patient’s emotional
experience.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
Which physiological finding is most consistent with activation of
the stress response?
A. Decreased heart rate
B. Reduced blood glucose
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor about the purpose of the
body’s stress response. Which response by the instructor is
most accurate?
A. “Stress responses are always harmful to physical
functioning.”
B. “Stress responses help the individual adapt to perceived
challenges or threats.”
C. “Stress responses occur only when an actual physical danger
exists.”
,D. “Stress responses are unrelated to psychological
interpretation.”
Correct Answer: B
Rationale:
• The stress response is an adaptive physiological and
psychological mechanism designed to help individuals
respond to threats or challenges.
• Option A is incorrect because stress responses can be
adaptive or maladaptive.
• Option C is incorrect because perceived threats may also
trigger stress responses.
• Option D is incorrect because cognitive appraisal
influences stress perception.
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 patient who reports persistent
headaches, insomnia, and irritability after losing a job. Which
concept of stress is most applicable?
,A. Stress as a purely biological response
B. Stress as an environmental event
C. Stress as a transactional process between the individual and
environment
D. Stress as a genetic disorder
Correct Answer: C
Rationale:
• The transactional model emphasizes the interaction
between environmental stressors and the individual’s
interpretation and coping ability.
• Option A is incomplete because it ignores cognitive
appraisal.
• Option B addresses the external event only and does not
include personal perception.
• Option D is unrelated to stress adaptation theory.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A patient states, “I cannot handle one more thing right now.”
Which nursing response demonstrates therapeutic
communication?
, A. “You should try to calm down.”
B. “Other people have bigger problems.”
C. “Tell me more about what feels overwhelming to you.”
D. “You need to focus on positive thinking.”
Correct Answer: C
Rationale:
• Inviting the patient to elaborate encourages expression of
feelings and demonstrates empathy.
• Option A minimizes the patient’s distress.
• Option B is dismissive and nontherapeutic.
• Option D may invalidate the patient’s emotional
experience.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
Which physiological finding is most consistent with activation of
the stress response?
A. Decreased heart rate
B. Reduced blood glucose
