Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A psychiatric nurse is teaching students about stress theories.
Which statement by a student indicates understanding of stress
as a biological response?
A. “Stress only occurs after a major life crisis.”
B. “Stress responses involve physiologic changes designed for
adaptation.”
C. “Stress develops only from environmental events.”
D. “Stress is determined entirely by culture.”
,Correct Answer: B
Rationale:
Stress as a biological response describes physiologic reactions
intended to maintain adaptation and survival. The body
activates adaptive mechanisms in response to stressors. Option
A limits stress to major crises. Option C ignores physiologic
responses. Option D overstates cultural influence and excludes
biologic processes.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse is caring for a patient who recently lost employment.
One patient reports severe distress, while another reports
feeling motivated to seek new opportunities. Which concept
best explains this difference?
A. Stress as an environmental event
B. Stress as a biological response
C. Stress as a transaction between the individual and
environment
D. Stress as a universal physiologic syndrome
Correct Answer: C
,Rationale:
The transactional model emphasizes that individual perception
and appraisal determine stress responses. Similar events may
be interpreted differently by different people. Options A and D
fail to account for individual appraisal. Option B focuses only on
physiologic reactions.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A psychiatric nurse assesses a patient whose heart rate
increases during an unexpected emergency. Which response
reflects an adaptive physiologic stress reaction?
A. Activation of survival mechanisms
B. Permanent emotional dysfunction
C. Loss of reality testing
D. Suppression of cognitive functioning
Correct Answer: A
Rationale:
Physiologic stress responses activate adaptive survival
mechanisms intended to prepare the body for action.
Emotional dysfunction and impaired reality testing are not
, normal adaptive stress responses. Cognitive function may
become focused rather than suppressed.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse interviews a patient who states, “I enjoy public
speaking because it energizes me.” Which concept does this
statement support?
A. All stress is harmful
B. Stress responses are identical for everyone
C. Perception influences stress appraisal
D. Stress cannot produce positive outcomes
Correct Answer: C
Rationale:
Stress appraisal depends on individual perception. Some
individuals perceive situations as challenges rather than
threats. Options A and D incorrectly portray stress as
exclusively negative. Option B ignores individual variation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A psychiatric nurse is teaching students about stress theories.
Which statement by a student indicates understanding of stress
as a biological response?
A. “Stress only occurs after a major life crisis.”
B. “Stress responses involve physiologic changes designed for
adaptation.”
C. “Stress develops only from environmental events.”
D. “Stress is determined entirely by culture.”
,Correct Answer: B
Rationale:
Stress as a biological response describes physiologic reactions
intended to maintain adaptation and survival. The body
activates adaptive mechanisms in response to stressors. Option
A limits stress to major crises. Option C ignores physiologic
responses. Option D overstates cultural influence and excludes
biologic processes.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
A nurse is caring for a patient who recently lost employment.
One patient reports severe distress, while another reports
feeling motivated to seek new opportunities. Which concept
best explains this difference?
A. Stress as an environmental event
B. Stress as a biological response
C. Stress as a transaction between the individual and
environment
D. Stress as a universal physiologic syndrome
Correct Answer: C
,Rationale:
The transactional model emphasizes that individual perception
and appraisal determine stress responses. Similar events may
be interpreted differently by different people. Options A and D
fail to account for individual appraisal. Option B focuses only on
physiologic reactions.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A psychiatric nurse assesses a patient whose heart rate
increases during an unexpected emergency. Which response
reflects an adaptive physiologic stress reaction?
A. Activation of survival mechanisms
B. Permanent emotional dysfunction
C. Loss of reality testing
D. Suppression of cognitive functioning
Correct Answer: A
Rationale:
Physiologic stress responses activate adaptive survival
mechanisms intended to prepare the body for action.
Emotional dysfunction and impaired reality testing are not
, normal adaptive stress responses. Cognitive function may
become focused rather than suppressed.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse interviews a patient who states, “I enjoy public
speaking because it energizes me.” Which concept does this
statement support?
A. All stress is harmful
B. Stress responses are identical for everyone
C. Perception influences stress appraisal
D. Stress cannot produce positive outcomes
Correct Answer: C
Rationale:
Stress appraisal depends on individual perception. Some
individuals perceive situations as challenges rather than
threats. Options A and D incorrectly portray stress as
exclusively negative. Option B ignores individual variation.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
