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Psychiatric Mental Health Nursing 10th Edition – Chapter 1 The Concept of Stress Adaptation – Test Bank Questions and Answers

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This document contains a comprehensive test bank for Chapter 1, The Concept of Stress Adaptation, from Psychiatric Mental Health Nursing 10th Edition. It includes multiple-choice questions, correct answers, detailed rationales, learning objectives, cognitive levels, and nursing concepts related to stress, coping, adaptation, anxiety management, and physiological responses to stress. The material is designed to support exam preparation and revision for psychiatric and mental health nursing students. It covers key topics such as the fight-or-flight response, stress appraisal, maladaptive coping, stress management strategies, and the relationship between stress and illness.

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Psychiatric Mental Health Nursing 10th Edition TEST BANK.pdf

Chapter 1. The Concept of Stress Adaptation

1. When an individual’s stress response is sustained over a long period, the nurse

anticipates which physiological effect?

1. Decreased resistance to disease

2. Increased libido

3. Decreased blood pressure

4. Increased feelings of well-being

ANS: 1

Chapter: Chapter 1, The Concept of Stress Adaptation

Objective: Identify physiological responses to stress.



Heading: Stress as a Biological Response

Integrated Processes: Nursing Process: Assessment

Client Need: Physiological Integrity

Cognitive Level: Comprehension [Understanding]

Concept: Stress

Difficulty: Moderate

Feedback

1. This is correct. Selye’s general adaptation syndrome identified that prolonged

exposure to stress leads to a decreased immune response and resistance to disease.

During the stage of exhaustion, the body’s compensatory mechanisms no longer

function effectively and diseases of adaptation occur.

2. This is incorrect. Selye’s general adaptation syndrome identified that prolonged

exposure to stress leads to a decreased immune response and resistance to disease.

The client is likely to experience decreases in libido rather than increases.

, 3. This is incorrect. Selye’s general adaptation syndrome identified that prolonged

exposure to stress leads to a decreased immune response and resistance to disease.

The client is likely to experience increases in blood pressure rather than decreases.

4. This is incorrect. Selye’s general adaptation syndrome identified that prolonged

exposure to stress leads to a decreased immune response and resistance to disease.

The client is not likely to have feelings of increased well-being due to the prolonged

stress response.

CON: Stress

13. Which is a typical part of the fight-or-flight syndrome?

1. Decreased heart rate

2. Decreased peristalsis

3. Increased salivation

4. Pupil constriction

ANS: 2

Chapter: Chapter 1, The Concept of Stress Adaptation

Objective: Identify physiological responses to stress.

Heading: Stress as a Biological Response

Integrated Processes: Nursing Process: Assessment

Client Need: Physiological Integrity

Cognitive Level: Comprehension [Understanding]

Concept: Stress

Difficulty: Easy

Feedback

1. This is incorrect. During the fight-or-flight syndrome, the heart rate increases in

response to the release of epinephrine.

2. This is correct. During the fight-or-flight syndrome, peristalsis decreases as the body

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