latest-2023-2024
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,Table of Contents
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Chapter 1 Mental Health and Mental Disorders
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Chapter 2 Cultural and Spiritual Issues Related to Mental
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ss Chapter 3 Patient Rights and Legal Issues
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Chapter 4 Ethics, Standards, and Nursing Frameworks
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ss Chapter 5 Theoretical Basis of Psychiatric Nursing
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ss Chapter 6 Biologic Foundations of Psychiatric
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ss Chapter 7 Recovery Framework for Mental Health
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ss Chapter 8 Therapeutic Communication
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Chapter 9 The Nurse–Patient Relationship
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Chapter 10 The Psychiatric–Mental Health Nursing
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Chapter 11 Psychopharmacology, Dietary Supplements, and Biologic
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Interventions Chapter 12 Group Interventions
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Chapter 13 Stress and Mental Health
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Chapter 14 Management of Anger, Aggression, and Violence
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Chapter 15 Crisis, Loss, Grief, Response, Bereavement, and Disaster
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ss Management Chapter 16 Suicide Prevention ss ss ss ss
Chapter 17 Mental Health Care for Survivors of Violence
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ss Chapter 18 Anxiety Disorders
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Chapter 19 Trauma and Stressor-Related Disorders
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ss Chapter 20 Obsessive–Compulsive and Related Disorders
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ss Chapter 21 Depression
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Chapter 22 Bipolar Disorders
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Chapter 23 Schizophrenia and Related Disorders
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ss Chapter 24 Personality and Impulse-Control
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ss Disorders Chapter 25 Addiction and Substance-
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Related Disorders Chapter 26 Eating Disorders
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Chapter 27 Somatic Symptom and Dissociative Disorders
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ss Chapter 28 Sleep–Wake Disorders
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Chapter 29 Sexual Disorders
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Chapter 30 Mental Health Disorders of Childhood and Adolescence
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ss Chapter 31 Mental Health Disorders of Older Adults
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,Test Generator Questions, Chapter 1, Mental Health and Mental
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Disorders
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Multiple Choice ss
1. As part of a class activity, nursing students are engaged in a small group discussion
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about the epidemiology of mental illness. Which statement best explains the importance of
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epidemiology in understanding the impact of mental disorders? Epidemiology:
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A) Helps promote understanding of the patterns of occurrence associated with mental disorders.
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B) Helps explain research findings about the neurophysiology that causes mental disorders.
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C) Provides a thorough theoretical explanation of why specific mental disorders occur.
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D) Predicts when a specific psychiatric client will recover from a specific mental disorder.
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Ans: A
Chapter: 1
Client Needs: Safe, Effective
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Cognitive Level:
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Integrated Process: Teaching/Learning Objective:
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Page Number: 2
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Feedback: Epidemiology is the study of patterns of disease distribution and determinants of ss ss ss ss ss ss ss ss ss ss ss
health within populations. It contributes to the overall understanding of the mental health status
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of population groups, or aggregates, and it examines the associations among possible factors.
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Epidemiology does not explain research findings about neurophysiology, provide theoretical
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explanations for why specific disorders occur, or predict recovery.
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2. A nurse is working in a community mental health center that provides care to a large
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sspopulation of people of Asian descent. When developing programs for this community, which of the
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following would be most important for the nurse to address?
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A) Public stigma ss
B) Self-stigma
C) Label avoidance ss
D) Negative life events ss ss
Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity Cognitive Level: Understand
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Integrated Process: Nursing Process Objective: 5
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Page Number: 4
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Feedback: Although public stigma and self-stigma may be areas needing to be addressed, in this ss ss ss ss ss ss ss ss ss ss ss ss ss
cultural group, label avoidance would be most important. Label avoidance or avoiding
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treatment/care so as not to be labeled mentally ill is a type of stigma that influences why
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so few people with mental health problems actually receive assistance. Asian cultures commonly
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have negative views of mental illness that influence the willingness of members to seek treatment;
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they possibly ignore the symptoms or refuse to seek treatment because of this stigma. Negative life
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events affect anyone, not just those of the Asian culture.
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3. A nursing student is assigned to care for a client diagnosed with schizophrenia. When talking
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about this client in a clinical post-conference, the student would use which terminology when
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referring to the client?
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A) Committed client ss
B) Schizophrenic
C) Schizophrenic client ss
D) Person with schizophrenia ss ss
, Ans: D Chapter: 1 ss
Client Needs: Psychosocial Integrity Cognitive Level: Apply
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Objective: 5
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Feedback: Just as a person with diabetes should not be referred to as a <diabetic= but rather as a ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
<person with diabetes,= a person with a mental disorder should never be referred to as a
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<schizophrenic= or <bipolar,= but rather as a <person with schizophrenia= or a <person
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with bipolar disorder.= Doing so helps to counteract the negative effects of stigma.
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4. A nursing student is reviewing journal articles about major depression. One of the articles
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describes the number of persons newly diagnosed with the disorder during the past year. The
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student interprets this as which of the following?
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A) Rate
B) Prevalence
C) Point prevalence ss
D) Incidence
Ans: D Chapter: 1 ss
Client Needs: Psychosocial Integrity Cognitive Level: Apply
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Integrated Process: Nursing Process Objective: 4
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Feedback: The article is describing incidence, which refers to a rate that includes only new ss ss ss ss ss ss ss ss ss ss ss ss ss
cases that have occurred within a clearly defined time period. The most common time period
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evaluated is 1 year.
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Rate reflects the proportion of cases in the population compared with the total population. Prevalence
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refers to the total number of people with the disorder within a given population at a specified time,
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s sregardless of how long ago the disorder started. Point prevalence refers to the proportion of
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individuals in the population that have a disorder at a specific point in time.
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5. While working in a community mental health treatment center, the nurse overhears one of
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the receptionists saying that one of the clients is <really psycho.= Later in the day, the
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ssnurse talks with the receptionist about the comment. This action by the nurse demonstrates an
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attempt to address which issue?
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A) Lack of knowledge ss ss
B) Public stigma ss
C) Label avoidance ss
D) Self-stigma
Ans: B Chapter: 1 ss
Client Needs: Psychosocial Integrity Cognitive Level: Apply
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Integrated Process: Nursing Process Objective: 5
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Feedback: The receptionist's negative effects of stigmatization, more specifically public stigma. ss ss ss ss ss ss ss ss ss
Self- stigma reflects a person's internalization of a negative stereotype; that is, the person with the
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mental illness begins to believe that he or she is what the public thinks he or she is. Label
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avoidance
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refers to avoiding treatment or care so as not to be labeled mentally ill. Lack of knowledge is often the
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s underlying theme associated with any type of stigma.
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6. After educating a group of students on mental health and mental illness, the instructor
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determines that the education was successful when the group identifies which of the following
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as reflecting mental disorders?
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A) Capacity to interact with others ss ss ss ss
B) Ability to deal with ordinary stress ss ss ss ss ss
C) Alteration in mood or thinking ss ss ss ss
D) Lack of impaired functioning ss ss ss
Ans: C
Chapter: 1