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