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 affects all individuals in essentially the same way.”
B. “The perception of the stressor influences the individual
response.”
C. “Only biologic factors determine stress adaptation.”
D. “Stress responses are unrelated to coping abilities.”
Correct Answer: B
Rationale:
Stress adaptation is influenced by how an individual perceives
and interprets an event. Personal appraisal, coping abilities,
past experiences, and available support systems affect stress
responses. Option A is incorrect because responses to stress
vary among individuals. Option C is incorrect because stress
adaptation involves biologic, psychological, and environmental
factors. Option D is incorrect because coping abilities strongly
influence adaptation to stress.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
,A client states, “Ever since I lost my job, I can’t sleep and my
heart races all the time.” Which physiologic response should
the nurse recognize as part of the stress response?
A. Decreased sympathetic nervous system activity
B. Increased release of stress hormones
C. Reduced heart rate and blood pressure
D. Suppression of the fight-or-flight response
Correct Answer: B
Rationale:
Stress activates physiologic mechanisms involving the
sympathetic nervous system and endocrine responses,
including increased release of stress hormones. These
responses prepare the body for adaptation to perceived
threats. Options A and D are incorrect because stress increases
sympathetic activation. Option C is incorrect because stress
commonly elevates heart rate and blood pressure.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A client admitted to an inpatient psychiatric unit appears
restless and withdrawn after a recent divorce. Which nursing
, action demonstrates a trauma-informed approach to stress
adaptation?
A. Encouraging the client to discuss the divorce immediately
B. Allowing the client to control the timing of discussions
C. Insisting that the client attend all group activities
D. Minimizing the significance of the divorce
Correct Answer: B
Rationale:
Trauma-informed care emphasizes safety, trust,
empowerment, and respect for the client’s readiness to
communicate. Allowing the client control over discussions
supports adaptation and reduces feelings of powerlessness.
Option A may overwhelm the client. Option C disregards the
client’s emotional readiness. Option D invalidates the client’s
experience and is nontherapeutic.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is assessing a client experiencing prolonged
occupational stress. Which finding should the nurse identify as
a possible maladaptive response to stress?
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 affects all individuals in essentially the same way.”
B. “The perception of the stressor influences the individual
response.”
C. “Only biologic factors determine stress adaptation.”
D. “Stress responses are unrelated to coping abilities.”
Correct Answer: B
Rationale:
Stress adaptation is influenced by how an individual perceives
and interprets an event. Personal appraisal, coping abilities,
past experiences, and available support systems affect stress
responses. Option A is incorrect because responses to stress
vary among individuals. Option C is incorrect because stress
adaptation involves biologic, psychological, and environmental
factors. Option D is incorrect because coping abilities strongly
influence adaptation to stress.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
,A client states, “Ever since I lost my job, I can’t sleep and my
heart races all the time.” Which physiologic response should
the nurse recognize as part of the stress response?
A. Decreased sympathetic nervous system activity
B. Increased release of stress hormones
C. Reduced heart rate and blood pressure
D. Suppression of the fight-or-flight response
Correct Answer: B
Rationale:
Stress activates physiologic mechanisms involving the
sympathetic nervous system and endocrine responses,
including increased release of stress hormones. These
responses prepare the body for adaptation to perceived
threats. Options A and D are incorrect because stress increases
sympathetic activation. Option C is incorrect because stress
commonly elevates heart rate and blood pressure.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
A client admitted to an inpatient psychiatric unit appears
restless and withdrawn after a recent divorce. Which nursing
, action demonstrates a trauma-informed approach to stress
adaptation?
A. Encouraging the client to discuss the divorce immediately
B. Allowing the client to control the timing of discussions
C. Insisting that the client attend all group activities
D. Minimizing the significance of the divorce
Correct Answer: B
Rationale:
Trauma-informed care emphasizes safety, trust,
empowerment, and respect for the client’s readiness to
communicate. Allowing the client control over discussions
supports adaptation and reduces feelings of powerlessness.
Option A may overwhelm the client. Option C disregards the
client’s emotional readiness. Option D invalidates the client’s
experience and is nontherapeutic.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
A nurse is assessing a client experiencing prolonged
occupational stress. Which finding should the nurse identify as
a possible maladaptive response to stress?
