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 why two individuals may
respond differently to the same stressor. Which response by
the instructor is most accurate?
A. “Stress responses are identical in all individuals exposed to
the same event.”
B. “Stress is determined only by the severity of the external
event.”
,C. “Stress occurs through a transaction between the person and
the environment.”
D. “Stress responses are based entirely on genetic inheritance.”
Correct Answer: C
Rationale:
• Stress adaptation theory recognizes stress as a transaction
between the individual and the environment, meaning
personal perception and coping abilities influence the
response.
• Option A is incorrect because individuals respond
differently to stressors.
• Option B is incorrect because appraisal and coping affect
stress perception.
• Option D is incorrect because environmental and cognitive
factors also contribute.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client reports difficulty sleeping, irritability, and muscle
tension after losing employment. Which nursing assessment
finding reflects a biological response to stress?
,A. Increased heart rate
B. Loss of social support
C. Financial insecurity
D. Fear of role changes
Correct Answer: A
Rationale:
• Increased heart rate is a physiologic response associated
with activation of the stress response system.
• Options B, C, and D describe psychosocial stressors rather
than biological responses.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse is caring for a client experiencing chronic stress. Which
intervention best promotes adaptive stress management?
A. Encouraging emotional suppression
B. Teaching relaxation breathing exercises
C. Advising the client to avoid discussing stressors
D. Recommending isolation from others during stress
Correct Answer: B
, Rationale:
• Relaxation breathing exercises are evidence-based stress
management strategies that promote adaptive coping.
• Options A, C, and D discourage healthy emotional
processing and support systems.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A client states, “Ever since my divorce, I feel overwhelmed and
unable to cope.” Which nursing response demonstrates
therapeutic communication?
A. “You should focus on the positive aspects of divorce.”
B. “Many people have experienced worse situations.”
C. “Tell me more about how the divorce has affected you.”
D. “You need to avoid thinking about the divorce.”
Correct Answer: C
Rationale:
• Inviting the client to elaborate encourages expression and
demonstrates empathy.
• Options A and D minimize feelings.
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor why two individuals may
respond differently to the same stressor. Which response by
the instructor is most accurate?
A. “Stress responses are identical in all individuals exposed to
the same event.”
B. “Stress is determined only by the severity of the external
event.”
,C. “Stress occurs through a transaction between the person and
the environment.”
D. “Stress responses are based entirely on genetic inheritance.”
Correct Answer: C
Rationale:
• Stress adaptation theory recognizes stress as a transaction
between the individual and the environment, meaning
personal perception and coping abilities influence the
response.
• Option A is incorrect because individuals respond
differently to stressors.
• Option B is incorrect because appraisal and coping affect
stress perception.
• Option D is incorrect because environmental and cognitive
factors also contribute.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A client reports difficulty sleeping, irritability, and muscle
tension after losing employment. Which nursing assessment
finding reflects a biological response to stress?
,A. Increased heart rate
B. Loss of social support
C. Financial insecurity
D. Fear of role changes
Correct Answer: A
Rationale:
• Increased heart rate is a physiologic response associated
with activation of the stress response system.
• Options B, C, and D describe psychosocial stressors rather
than biological responses.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse is caring for a client experiencing chronic stress. Which
intervention best promotes adaptive stress management?
A. Encouraging emotional suppression
B. Teaching relaxation breathing exercises
C. Advising the client to avoid discussing stressors
D. Recommending isolation from others during stress
Correct Answer: B
, Rationale:
• Relaxation breathing exercises are evidence-based stress
management strategies that promote adaptive coping.
• Options A, C, and D discourage healthy emotional
processing and support systems.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A client states, “Ever since my divorce, I feel overwhelmed and
unable to cope.” Which nursing response demonstrates
therapeutic communication?
A. “You should focus on the positive aspects of divorce.”
B. “Many people have experienced worse situations.”
C. “Tell me more about how the divorce has affected you.”
D. “You need to avoid thinking about the divorce.”
Correct Answer: C
Rationale:
• Inviting the client to elaborate encourages expression and
demonstrates empathy.
• Options A and D minimize feelings.
