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wPsychiatric Mental Health Nursing
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w 10thEdition By Karyn I. Morgan; Mary
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C. Townsend
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TEST BANK w
,Table of Contents
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I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
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1. The Concept of Stress Adaptation
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2. Mental Health and Mental Illness: Historical and Theoretical Concepts
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II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING w w w w
3. Concepts of Psychobiology
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4. Psychopharmacology
5. Ethical and Legal Issues
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III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE w w w w w
6. Relationship Development w
7. Therapeutic Communication w
8. The Nursing Process in Psychiatric-Mental Health Nursing
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9. Therapeutic Groups w
10. Intervention with Families w w
11. Milieu Therapy—The Therapeutic Community
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12. Crisis Intervention
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13. Assertiveness Training w
14. Promoting Self Esteem w w
15. Anger and Aggression Management
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16. Suicide Prevention w
17. Behavior Therapy w
18. Cognitive Behavioral Therapy w w
19. Electroconvulsive Therapy w
20. The Recovery Model
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IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
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21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
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22. Neurocognitive Disorders w
23. Substance-Related and Addictive Disorders w w w
24. Schizophrenia Spectrum and Other Psychotic Disorders w w w w w
25. Depressive Disorders w
26. Bipolar and Related Disorders
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27. Anxiety, Obsessive-Compulsive, and Related Disorders
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28. Trauma and Stressor-Related Disorders
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29. Somatic Symptom and Dissociative Disorders
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30. Eating Disorders
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31. Personality Disorders w
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS w w w w w
32. Children and Adolescents w w
33. The Aging Individual
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34. Survivors of Abuse or Neglect w w w w
35. Community Mental Health Nursing w w w
36. The Bereaved Individual
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37. Military Families w
eBook Bonus Chapters
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38. Theoretical Models of Personality Development
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39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
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40. Complementary and Psychosocial Therapies w w w
41. Relaxation Therapy w
42. Issues Related to Human Sexuality and Gender Dysphoria
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43. Forensic Nursing w
,Chapter 1. The Concept of Stress Adaptation
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MULTIPLE CHOICE w
1. A client has experienced the death of a close family member and at the same timebecomes
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unemployed. The client‘s 6-month score on the Recent Life Changes Questionnaire is 110. The
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nurse:Understands the client is at risk for significant stress-related illness.
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Determines the client is not at risk for significant stress-related illness.
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Needs further assessment of the client‘s coping skills to determine susceptibility tostress-
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relatedillness. w
Recognizes the client may view the losses as challenges and perceive them asopportunities.
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ANS: 3 w
Chapter: Chapter 1, The Concept of Stress Adaptation
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Objective: Explain the relationship between stress and diseases of adaptation.Page: 5
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Heading: Stress as an Environmental Event Integrated Processes: Nursing Process: EvaluationClient
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Need: Psychosocial Integrity
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Cognitive Level: Application [Applying]Concept:
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StressDifficulty: Moderate
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Feedback
1. This is incorrect. Assessment is the first step of the nursing process. The nurse
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wshould assess the client‘s coping skills and available support before determining
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wsusceptibilityto stress-related physical and psychological illnesses. The Recent
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LifeChanges Questionnaire is an expanded version of the Schedule of Recent
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Experiences and the Rahe-Holmes Social Readjustment Rating Scale. A 6-month
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wscore of 300 or more or a year-score total of 500 or more indicates high stress in a
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client‘s life and susceptibility to stress-related illnesses.
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2. This is incorrect. Assessment is the first step in the nursing process. The nurse
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wshould assess the client‘s coping skills and available support before determining the
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wclient‘s perception of the current stresses. A 6-month score of 300 or more or a
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wyear-score totalof 500 or more on the Recent Life Changes Questionnaire indicates
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whigh stress in a w w w
client‘s life and susceptibility to stress-related physical and psychological illnesses.
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3. This is correct. Assessment is the first step in the nursing process. The nurse should
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wassess the client‘s coping skills and available support before determining
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wsusceptibilityto stress-related physical and psychological illnesses. A 6-month score
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, of 300 or more or a year-score of 500 or more indicates high stress in a client‘s
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lifeandrisk for significant stress-related physical and psychological illness.
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4. This is incorrect. Assessment is the first step in the nursing process. The nurse
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should assess the client‘s coping skills and available support before determining
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susceptibilityto stress-related illness. A 6-month score of 300 or more or a year-
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score of 500 or more on the Recent Life Changes Questionnaire indicates high
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stressin a client‘s life issusceptible to significant stress-related physical and
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psychologicalillness.
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CON: Stress w
2. A physically and emotionally healthy client has just been fired. During a routine office visit, he
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wtellsthe nurse, ―Perhaps this was the best thing to happen. Maybe I‘ll
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consider pursuing an art degree.‖ The nurse determines the client perceives the stressorof his job loss as:
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Irrelevant
wHarm or w
wloss
Threatening
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wA challenge
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ANS: 4 w
Chapter: Chapter 1, The Concept of Stress Adaptation
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Objective: Discuss adaptive coping strategies in the management of stress.Page: 7
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Heading: Stress as a transaction between the individual and the environment
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>Individual‘s Perception of the Event > Primary AppraisalIntegrated Processes: Nursing Process:
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Assessment
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Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept:
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StressDifficulty: Easy
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Feedback
1. This is incorrect. An irrelevant perception is one where the event holds
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nosignificancefor the individual.
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2. This is incorrect. A harm or loss appraisal refers to damage or loss
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alreadyexperiencedby the individual.
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3. This is incorrect. A threatening appraisal is perceived as anticipated harms or losses.
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4. This is correct. The client‘s statement indicates he perceives the loss of his job as a
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challenge and an opportunity for growth, demonstrated by his statement to
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consideranart degree.
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CON: Stress w