Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks why two clients exposed to the same
stressful event respond differently. Which response by the
psychiatric nurse is most accurate?
A. Stress responses are determined only by genetic factors.
B. Stress is experienced similarly by all individuals exposed to
the same event.
C. Individual perception and coping ability influence the stress
,response.
D. Stress occurs only when a person experiences physical
illness.
Correct Answer: C
Rationale:
Stress is influenced by how an individual perceives and
interprets an event and by the coping mechanisms available to
that person. Personal meaning, prior experiences, and adaptive
capacity affect stress responses. Genetic factors may contribute
but are not the sole determinant. Stress responses vary
significantly among individuals, and stress is not limited to
physical illness.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client who recently lost employment states, “I cannot sleep,
and my heart feels like it is racing all the time.” Which
physiologic response is most closely associated with the alarm
reaction stage of stress adaptation?
A. Decreased heart rate
B. Activation of the sympathetic nervous system
,C. Reduced cortisol secretion
D. Suppression of adrenal activity
Correct Answer: B
Rationale:
The alarm reaction stage activates the sympathetic nervous
system, preparing the body for a fight-or-flight response.
Physiologic changes include increased heart rate, elevated
blood pressure, and increased hormone secretion. The other
options are inconsistent with the physiologic stress response.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse is assessing a client experiencing prolonged stress.
Which manifestation suggests the client may be entering the
exhaustion stage of stress adaptation?
A. Increased alertness and energy
B. Temporary increase in coping ability
C. Physiologic depletion and impaired functioning
D. Heightened motivation with stable physical health
Correct Answer: C
, Rationale:
During the exhaustion stage, the body's adaptive resources
become depleted, leading to impaired functioning and
increased vulnerability to illness. Increased alertness and
temporary coping improvements are associated with earlier
stages of stress adaptation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A client says, “I know exams are stressful, but they motivate me
to study harder.” Which type of stress is the client describing?
A. Distress
B. Chronic stress
C. Eustress
D. Maladaptation
Correct Answer: C
Rationale:
Eustress refers to positive, growth-promoting stress that
enhances functioning and motivation. Distress produces
maladaptive or harmful responses. Chronic stress involves
prolonged exposure to stressors, while maladaptation reflects
ineffective coping.
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks why two clients exposed to the same
stressful event respond differently. Which response by the
psychiatric nurse is most accurate?
A. Stress responses are determined only by genetic factors.
B. Stress is experienced similarly by all individuals exposed to
the same event.
C. Individual perception and coping ability influence the stress
,response.
D. Stress occurs only when a person experiences physical
illness.
Correct Answer: C
Rationale:
Stress is influenced by how an individual perceives and
interprets an event and by the coping mechanisms available to
that person. Personal meaning, prior experiences, and adaptive
capacity affect stress responses. Genetic factors may contribute
but are not the sole determinant. Stress responses vary
significantly among individuals, and stress is not limited to
physical illness.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client who recently lost employment states, “I cannot sleep,
and my heart feels like it is racing all the time.” Which
physiologic response is most closely associated with the alarm
reaction stage of stress adaptation?
A. Decreased heart rate
B. Activation of the sympathetic nervous system
,C. Reduced cortisol secretion
D. Suppression of adrenal activity
Correct Answer: B
Rationale:
The alarm reaction stage activates the sympathetic nervous
system, preparing the body for a fight-or-flight response.
Physiologic changes include increased heart rate, elevated
blood pressure, and increased hormone secretion. The other
options are inconsistent with the physiologic stress response.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse is assessing a client experiencing prolonged stress.
Which manifestation suggests the client may be entering the
exhaustion stage of stress adaptation?
A. Increased alertness and energy
B. Temporary increase in coping ability
C. Physiologic depletion and impaired functioning
D. Heightened motivation with stable physical health
Correct Answer: C
, Rationale:
During the exhaustion stage, the body's adaptive resources
become depleted, leading to impaired functioning and
increased vulnerability to illness. Increased alertness and
temporary coping improvements are associated with earlier
stages of stress adaptation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A client says, “I know exams are stressful, but they motivate me
to study harder.” Which type of stress is the client describing?
A. Distress
B. Chronic stress
C. Eustress
D. Maladaptation
Correct Answer: C
Rationale:
Eustress refers to positive, growth-promoting stress that
enhances functioning and motivation. Distress produces
maladaptive or harmful responses. Chronic stress involves
prolonged exposure to stressors, while maladaptation reflects
ineffective coping.
