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 primary
purpose of the stress response. Which response by the
instructor is most accurate?
A. “Stress responses are intended to eliminate emotional
reactions.”
B. “Stress responses help the body maintain or regain
homeostasis.”
C. “Stress responses occur only when a person perceives
danger.”
,D. “Stress responses are always harmful to physical
functioning.”
Correct Answer: B
Rationale:
• The stress response is a biological and adaptive
mechanism intended to preserve or restore homeostasis
during challenging situations.
• Option A is incorrect because emotional responses are
part of adaptation, not eliminated by stress.
• Option C is incorrect because stress can arise from many
perceived demands, not only danger.
• Option D is incorrect because stress may be adaptive or
maladaptive depending on duration and intensity.
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 experiencing acute stress after
losing employment. Which client statement reflects appraisal of
the stressor as threatening?
,A. “I can probably manage this situation.”
B. “This situation may help me find a better career.”
C. “I do not think this will affect my life.”
D. “I do not know how I will survive this loss.”
Correct Answer: D
Rationale:
• Viewing the situation as overwhelming and unmanageable
reflects appraisal of the event as threatening.
• Option A reflects confidence in coping ability.
• Option B reflects positive reinterpretation.
• Option C reflects minimization rather than threat
perception.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse explains Hans Selye’s General Adaptation Syndrome to
a client. Which physiological response occurs during the alarm
reaction stage?
A. Depletion of adaptive energy
B. Restoration of complete physiologic stability
, C. Activation of the sympathetic nervous system
D. Permanent adaptation to stressors
Correct Answer: C
Rationale:
• The alarm reaction stage initiates the fight-or-flight
response through sympathetic nervous system activation.
• Option A describes the exhaustion stage.
• Option B is inaccurate because physiologic stress
responses are activated during alarm.
• Option D does not occur during the initial stage.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A client tells the nurse, “I have headaches and stomach pain
every time I argue with my supervisor.” Which concept is the
client demonstrating?
A. Somatic manifestation of stress
B. Cognitive reframing
C. Therapeutic communication
D. Secondary gain behavior
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor about the primary
purpose of the stress response. Which response by the
instructor is most accurate?
A. “Stress responses are intended to eliminate emotional
reactions.”
B. “Stress responses help the body maintain or regain
homeostasis.”
C. “Stress responses occur only when a person perceives
danger.”
,D. “Stress responses are always harmful to physical
functioning.”
Correct Answer: B
Rationale:
• The stress response is a biological and adaptive
mechanism intended to preserve or restore homeostasis
during challenging situations.
• Option A is incorrect because emotional responses are
part of adaptation, not eliminated by stress.
• Option C is incorrect because stress can arise from many
perceived demands, not only danger.
• Option D is incorrect because stress may be adaptive or
maladaptive depending on duration and intensity.
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 experiencing acute stress after
losing employment. Which client statement reflects appraisal of
the stressor as threatening?
,A. “I can probably manage this situation.”
B. “This situation may help me find a better career.”
C. “I do not think this will affect my life.”
D. “I do not know how I will survive this loss.”
Correct Answer: D
Rationale:
• Viewing the situation as overwhelming and unmanageable
reflects appraisal of the event as threatening.
• Option A reflects confidence in coping ability.
• Option B reflects positive reinterpretation.
• Option C reflects minimization rather than threat
perception.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A nurse explains Hans Selye’s General Adaptation Syndrome to
a client. Which physiological response occurs during the alarm
reaction stage?
A. Depletion of adaptive energy
B. Restoration of complete physiologic stability
, C. Activation of the sympathetic nervous system
D. Permanent adaptation to stressors
Correct Answer: C
Rationale:
• The alarm reaction stage initiates the fight-or-flight
response through sympathetic nervous system activation.
• Option A describes the exhaustion stage.
• Option B is inaccurate because physiologic stress
responses are activated during alarm.
• Option D does not occur during the initial stage.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A client tells the nurse, “I have headaches and stomach pain
every time I argue with my supervisor.” Which concept is the
client demonstrating?
A. Somatic manifestation of stress
B. Cognitive reframing
C. Therapeutic communication
D. Secondary gain behavior
