TESTBANK- t
DavisAdvantageforPsychiatricMentalHealthNursing Karyn
t t t t t t t
t I. Morgan
t
11thEdition
t
, Table of Contents
t t
Chapter 01. The Concept of Stress Adaptation
t t t t t t
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts
t t t t t t t t
Chapter 03. Psychopharmacology
t t
Chapter 04. Concepts of Psychobiology
t t t t t
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
t t t t t t t t t
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing
t t t t t t t t t t
Chapter 07. Relationship Development
t t t t
Chapter 08. Therapeutic Communication
t t t
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
t t t t t t t t
Chapter 10. Therapeutic Groups
t t t t
Chapter 11. Intervention With Families
t t t t
Chapter 12. Milieu Therapy - The Therapeutic Community
t t t t t t t
Chapter 13. Crisis Intervention
t t t t
Chapter 14. Assertiveness Training
t t t
tChapter 15. Promoting Self-Esteem t t t
tChapter 16. Anger/Aggression Management
t t t
Chapter 17. The Suicidal Client
t t t t t
Chapter 18. Behavior Therapyt t t
Chapter 19. Cognitive Therapy
t t t t
Chapter 20. Electroconvulsive
t t t
Therapy Chapter 21. The Recovery
t t t t t
Model Chapter 22. Neurocognitive
t t t t
Disorders
t
Chapter 23. Substance-Related and Addictive Disorders
t t t t t
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders Chapter
t t t t t t t t
25. Depressive Disorders
t t t
Chapter 26. Bipolar and Related Disorders
t t t t t
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders Chapter
t t t t t t t
28: Trauma and Stressor-Related Disorders
t t t t t
Chapter 29. Somatic Symptom and Dissociative Disorders
t t t t t t
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria
t t t t t t t t t
Chapter 31. Eating Disorders
t t t t
Chapter 32. Personality Disorders
t t t
Chapter 33. Children and Adolescents
t t t t t
Chapter 34. The Aging Individual
t t t t t
Chapter 35. Survivors of Abuse or Neglect
t t t t t t
Chapter 36. Community Mental Health Nursing
t t t t t t
Chapter 37. The Bereaved Individual
t t t t t
Chapter 38. Military Families
t t t
,Chapter 01. Psychopharmacology t t
Multiple Choice t
1. The NURSE manager on the psychiatric unit was explaining to the new staff the
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tdifferences between typical and atypical antipsychotics. The NURSE correctly states that
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tatypical antipsychotics: t
A. Remain in the system longer t t t t
B. Act more quickly to reduce delusions
t t t t t
C. Produce fewer extrapyramidal effects t t t
D. Are risk free for neuroleptic malignant syndrome (NMS)
t t t t t t t
CORRECTqANSWER:C t
Atypical antipsychotics produce less D2blockade; thus movement disorders are less of a problem. No
t t t t t t t t t t t t t
tevidence suggests that the medication remains in the system longer nor that it acts more quicklyto reduce delusions.
t t t t t t t t t t t t t t t t t
tThe atypicals are not risk free for NMS.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
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Physiological Integrity: Pharmacological and Parenteral Therapies t t t t t
2. The NURSE would assess for neuroleptic malignant syndrome (NMS) if a patient
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ton haloperidol (Haldol) develops a:
t t t t
A. 30 mm Hg decrease in blood pressure reading
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B. Respiratory rate of 24 respirations per minute t t t t t t
C. Temperature reading of 104° F t t t t
D. Pulse rate of 70 beats per minute t t t t t t
CORRECTqANSWER:C t
Increased temperature is the cardinal sign of NMS. This BP is not a significant feature of NMS. There
t t t t t t t t t t t t t t t t t
tare no significant findings to support the options related to respirations or pulse rate.
t t t t t t t t t t t t t
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
t t t t t t t t t t t t
Physiological Integrity: Pharmacological and Parenteral Therapies t t t t t
3. A patient taking fluphenazine (Prolixin) complains of dry mouth and blurred vision. What would
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tthe NURSE assess as the likely cause of these symptoms?
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A. Decreased dopamine at receptor sites t t t t
B. Blockade of histamine t t
C. Cholinergic blockade t
D. Adrenergic blocking t
CORRECTqANSWER:C t
Fluphenazine administration produces blockade of cholinergic receptors giving rise to anticholinergic
t t t t t t t t t t
teffects, such as dry mouth, blurred vision, and constipation.
t t t t t t t t
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
t t t t t t t t t t t t
, Physiological Integrity: Pharmacological and Parenteral Therapies
t t t t t
DavisAdvantageforPsychiatricMentalHealthNursing Karyn
t t t t t t t
t I. Morgan
t
11thEdition
t
, Table of Contents
t t
Chapter 01. The Concept of Stress Adaptation
t t t t t t
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts
t t t t t t t t
Chapter 03. Psychopharmacology
t t
Chapter 04. Concepts of Psychobiology
t t t t t
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
t t t t t t t t t
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing
t t t t t t t t t t
Chapter 07. Relationship Development
t t t t
Chapter 08. Therapeutic Communication
t t t
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
t t t t t t t t
Chapter 10. Therapeutic Groups
t t t t
Chapter 11. Intervention With Families
t t t t
Chapter 12. Milieu Therapy - The Therapeutic Community
t t t t t t t
Chapter 13. Crisis Intervention
t t t t
Chapter 14. Assertiveness Training
t t t
tChapter 15. Promoting Self-Esteem t t t
tChapter 16. Anger/Aggression Management
t t t
Chapter 17. The Suicidal Client
t t t t t
Chapter 18. Behavior Therapyt t t
Chapter 19. Cognitive Therapy
t t t t
Chapter 20. Electroconvulsive
t t t
Therapy Chapter 21. The Recovery
t t t t t
Model Chapter 22. Neurocognitive
t t t t
Disorders
t
Chapter 23. Substance-Related and Addictive Disorders
t t t t t
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders Chapter
t t t t t t t t
25. Depressive Disorders
t t t
Chapter 26. Bipolar and Related Disorders
t t t t t
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders Chapter
t t t t t t t
28: Trauma and Stressor-Related Disorders
t t t t t
Chapter 29. Somatic Symptom and Dissociative Disorders
t t t t t t
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria
t t t t t t t t t
Chapter 31. Eating Disorders
t t t t
Chapter 32. Personality Disorders
t t t
Chapter 33. Children and Adolescents
t t t t t
Chapter 34. The Aging Individual
t t t t t
Chapter 35. Survivors of Abuse or Neglect
t t t t t t
Chapter 36. Community Mental Health Nursing
t t t t t t
Chapter 37. The Bereaved Individual
t t t t t
Chapter 38. Military Families
t t t
,Chapter 01. Psychopharmacology t t
Multiple Choice t
1. The NURSE manager on the psychiatric unit was explaining to the new staff the
t t t t t t t t t t t t t
tdifferences between typical and atypical antipsychotics. The NURSE correctly states that
t t t t t t t t t t
tatypical antipsychotics: t
A. Remain in the system longer t t t t
B. Act more quickly to reduce delusions
t t t t t
C. Produce fewer extrapyramidal effects t t t
D. Are risk free for neuroleptic malignant syndrome (NMS)
t t t t t t t
CORRECTqANSWER:C t
Atypical antipsychotics produce less D2blockade; thus movement disorders are less of a problem. No
t t t t t t t t t t t t t
tevidence suggests that the medication remains in the system longer nor that it acts more quicklyto reduce delusions.
t t t t t t t t t t t t t t t t t
tThe atypicals are not risk free for NMS.
t t t t t t t
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
t t t t t t t t t t t t
Physiological Integrity: Pharmacological and Parenteral Therapies t t t t t
2. The NURSE would assess for neuroleptic malignant syndrome (NMS) if a patient
t t t t t t t t t t t
ton haloperidol (Haldol) develops a:
t t t t
A. 30 mm Hg decrease in blood pressure reading
t t t t t t t
B. Respiratory rate of 24 respirations per minute t t t t t t
C. Temperature reading of 104° F t t t t
D. Pulse rate of 70 beats per minute t t t t t t
CORRECTqANSWER:C t
Increased temperature is the cardinal sign of NMS. This BP is not a significant feature of NMS. There
t t t t t t t t t t t t t t t t t
tare no significant findings to support the options related to respirations or pulse rate.
t t t t t t t t t t t t t
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
t t t t t t t t t t t t
Physiological Integrity: Pharmacological and Parenteral Therapies t t t t t
3. A patient taking fluphenazine (Prolixin) complains of dry mouth and blurred vision. What would
t t t t t t t t t t t t t
tthe NURSE assess as the likely cause of these symptoms?
t t t t t t t t t
A. Decreased dopamine at receptor sites t t t t
B. Blockade of histamine t t
C. Cholinergic blockade t
D. Adrenergic blocking t
CORRECTqANSWER:C t
Fluphenazine administration produces blockade of cholinergic receptors giving rise to anticholinergic
t t t t t t t t t t
teffects, such as dry mouth, blurred vision, and constipation.
t t t t t t t t
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
t t t t t t t t t t t t
, Physiological Integrity: Pharmacological and Parenteral Therapies
t t t t t
