An important aspect of multi-scale modelling of materials is to link continuum concepts, such as fields, to the underlying discrete microscopic behaviour in a seamless manner. With the growing importance of atomistic calculations to understand material behaviour, reconciling continuum and discrete concepts is necessary to interpret molecular and quantum-mechanical simulations. In this work, we provide a quantum-mechanical framework to a distinctly continuum quantity: mechanical stress. While the concept of the global macroscopic stress tensor in quantum mechanics has been well established, there still exist open issues when it comes to a spatially varying local quantum stress tensor. We attempt to shed some light on this topic by establishing a general quantummechanical operator-based approach to continuity equations and from those, introduce a local quantum-mechanical stress tensor. Further, we elucidate the analogies that exist between the (classical) molecular-dynamics-based stress definition and the quantum stress. Our derivations appear to suggest that the local quantum-mechanical stress may not be an observable in quantum mechanics and therefore traces the non-uniqueness of the atomistic stress tensor to the gauge arbitrariness of the quantum-mechanical state function. Lastly, the virial stress theorem (of empirical molecular dynamics) is re-derived in a transparent manner that elucidates the analogy between quantum-mechanical global stresses.