Essentials of Psychiatric Mental Health Nursing
9th Edition Karyn Morgan
Chapters 1 - 32 | Complete
,TABLE OF CONTENTS oo oo
INTRODUCTIONooTOooPSYCHIATRICooMENTALooHEALTHooCONCEPTS
1.ooMentalooHealthooandooMentalooIllness
2.ooBiologicalooImplications
3.ooEthicalooandooLegalooIssues
4.ooPsychopharmacology
II.ooPSYCHIATRICooMENTALooHEALTHooNURSINGooINTERVENTIONS
5.ooRelationshipooDevelopmentooandooTherapeuticooCommunication
6.ooTheooNursingooProcessooinooPsychiatric/MentalooHealthooNursing
7.ooPsychosocialooInterventionsooandooSpiritualooCare
8.ooInterventionooinooGroups
9.ooCrisisooIntervention
10.ooTheooRecoveryooModel
11.ooSuicideooPrevention
III.ooCAREooOFooPATIENTSooWITHooPSYCHIATRICooDISORDERS
12.ooCaringooforooPatientsoowithooMentalooIllnessooandooSubstanceooUseooDisordersooinooGeneralooPracticeoo
Settings
13.ooNeurocognitiveooDisorders
14.ooSubstanceooUseooandooAddictionooDisorders
15.ooSchizophreniaooSpectrumooandooOtherooPsychoticooDisorders
16.ooDepressiveooDisorders
17.ooBipolarooandooRelatedooDisorders
18.ooAnxiety,ooObsessive-Compulsive,ooandooRelatedooDisorders
19.ooTrauma-ooandooStressor-RelatedooDisorders
20.ooSomaticooSymptomooandooDissociativeooDisorders
21.ooEatingooDisorders
22.ooPersonalityooDisorders
IV.ooPSYCHIATRICooMENTALooHEALTHooNURSINGooOFooSPECIALooPOPULATIONS
23.ooChildrenooandooAdolescents
24.ooTheooAgingooIndividual
25.ooSurvivorsooofooAbuseooorooNeglect
26.ooCommunityooMentalooHealthooNursing
27.ooTheooBereavedooIndividual
28.ooMilitaryooFamilies
V.ooONLINEooCHAPTERS
29.ooConceptsooofooPersonalityooDevelopment
30.ooComplementaryooandooIntegrativeooTherapies
31.ooCulturalooConceptsooRelevantootoooPsychiatricooMentalooHealthooNursing
32.ooIssuesooRelatedootoooHumanooSexualityooandooGenderooDysphoriaoo
,Chapteroo1.ooMentalooHealthooandooMentaloo
IllnessooMultipleooChoice
1.ooAoonurseooisooassessingooaooclientoowhoooisooexperiencingoooccasionaloofeelingsooofoosadnessoo
becauseooofootheoorecentoodeathooofooaoobelovedoopet.ooTheooclientsooappetite,oosleepoopatterns,ooan
doodailyooroutineoohaveoonotoochanged.ooHowooshouldootheoonurseoointerpretootheooclientsoobehavi
ors?
1. Theooclientsoobehaviorsoodemonstrateoomentalooillnessooinootheooformooofoodepression.
2. Theooclientsoobehaviorsooareooextensive,oowhichooindicatesootheoopresenceooofoomentalooillness.
3. Theooclientsoobehaviorsooareoonotoocongruentoowithooculturaloonorms.
4. Theooclientsoobehaviorsoodemonstrateoonooofunctionalooimpairment,ooindicatingoonooo mentalooillnes
s.
ANSWER:oo4
Rationale:ooTheoonurseooshouldooassessoothatootheooclientsoodailyoofunctioningooisoonotooimpaired.oo
Theooclientoowhoooexperiencesoofeelingsooofoosadnessooafterootheoolossooofooaoopetooisoorespondingo
owithinoonormalooexpectations.ooWithoutoosignificantooimpairment,ootheooclientsoodistressoodoesoo
notooindicateooaoomentalooillness.
CognitiveooLevel:ooAnalysisooI
ntegratedooProcess:ooAssessme
nt
2.ooAtoowhatoopointooshouldootheoonurseoodetermineoothatooaooclientooisooatooriskooforoodeve
lopingooaoomentalooillness?
1. Whenoothoughts,oofeelings,ooandoobehaviorsooareoonotooreflectiveooofootheooDSM-5oocriteria.
2. Whenoomaladaptiveooresponsesootooostressooareoocoupledoowithoointerferenceooinoodailyoofunctionin
g.
3. Whenooaooclientoocommunicatesoosignificantoo distress.
4. Whenooaooclientoousesoodefenseoomechanismsooasooegooo protection.
ANSWER:oo2
Rationale:ooTheoonurseooshouldoodetermineoothatootheooclientooisooatooriskooforoomentalooillnessoo
whenooresponsesootooostressooareoomaladaptiveooandoointerfereoowithoodailyoofunctioning.ooTheooD
SM-
5ooindicatesoothatooinooorderootooobeoodiagnosedoowithooaoomentalooillness,oodailyoofunctioningoom
ustoobeoosignificantlyooimpaired.ooTheooclientsooabilityootooocommunicateoodistressoowouldoobeoo
consideredooaoopositiveooattribute.
CognitiveooLevel:ooApplication
ooIntegratedooProcess:ooAssess
ment
3.ooAoonurseooisooassessingooaoosetooofoo15-year-
oldooidenticalootwinsoowhooorespondooveryoodifferentlyootooostress.ooOneootwinoobecomesooanxiouso
oandooirritable,ooandootheoootheroowithdrawsooandoocries.ooHowooshouldootheoonurseooexplainoothe
seoodifferentoostressooresponsesootoootheooparents?
1. Reactionsootooo stressooareoorelativeooratheroothanooabsolute;ooindividualooresponsesootooostressoovary
.
2. Itooisooabnormalooforooidenticalootwinsootoooreactoodifferentlyootooosimilaroostressors.
3. Identicalootwinsooshouldooshareootheoosameootemperamentooandoorespondoosimilarlyootooostress.
4. Environmentalooinfluencesootooostressooweighoomoreooheavilyoothanoogeneticooinfluences.
, ANSWER:oo1
Rationale:ooTheoonurseooshouldooexplainootoootheooparentsoothat,ooalthoughootheootwinsoohaveooid
enticalooDNA,oothereooareooseveraloootheroofactorsoothatooaffectooreactionsootooostress.ooMentaloohe
althooisooaoostateooofoobeingoothatooisoorelativeootoootheooindividualooclient.ooEnvironmentalooinfluen
cesooandootemperamentoocanooaffectoostressooreactions.
CognitiveooLevel:ooApplicationooIn
tegratedooProcess:ooImplementation
4.ooWhichooclientooshouldootheoonurseooanticipateootooobeoomostooreceptiveootooopsychiatric
ootreatment?oo1.oo AooJewish,oo femaleoosocialooworker.
2. AooBaptist,oohomelessoomale.
3. AooCatholic,ooblackoomale.
4. AooProtestant,ooSwedishoobusinessooexecutive.
ANSWER:oo1
Rationale:ooTheoonurseooshouldooanticipateoothatootheooclientooofooJewishoocultureoowouldooplaceo
oaoohighooimportanceooonoopreventativeoohealthoocareooandoowouldooconsideroomentaloohealthooaso
oequallyooimportantooasoophysicaloohealth.ooWomenooareooalsooomoreoolikelyootoooseekootreatmentoo
foroomentaloohealthooproblemsoothanoomen.
CognitiveooLevel:ooApplicati
onooIntegratedooProcess:ooPlan
ning
5. Aoopsychiatricoonurseoointernoostates,ooThisooclientsoouseooofoodefenseoomechanismsooshouldoobe
ooeliminated.ooWhichooisooaoocorrectoo evaluationooofoothisoonursesoo statement?
1. Defenseoomechanismsoocanoobeooappropriateooresponsesootooostressooandooneedoonotoobeooeliminate
d.
2. Defenseoomechanismsooareooaoomaladaptiveooattemptooofootheooegoootooomanageooanxiet
yooandshouldooalwaysoobeooeliminated.
3. Defenseoomechanisms,oousedoobyooindividualsoowithooweakooegooointegrity,ooshouldoobeoodisc
ouragedandoonotooeliminated.
4. Defenseoomechanismsoocauseoodisintegrationooofootheooegoooandooshouldoobeoofosteredooandooencou
raged.
ANSWER:oo1
Rationale:ooTheoonurseooshouldoodetermineoothatoodefenseoomechanismsoocanoobeooappropriateood
uringootimesooofoostress.ooTheooclientoowithoonooodefenseoomechanismsoomayoohaveooaoolowerootole
ranceooforoostress,oothusooleadingootoooanxietyoodisorders.ooDefenseoomechanismsooshouldoobeooco
nfrontedoowhenootheyooimpedeootheooclientoofromoodevelopingoohealthyoocopingooskills.
CognitiveooLevel:ooApplicatio
nooIntegratedooProcess:ooEvalu
ation
6.ooDuringooanoointakeooassessment,ooaoonurseooasksoobothoophysiologicalooandoopsychosocialooque
stions.ooTheooclientooangrilyooresponds,ooImoohereooforoomyooheart,oonotoomyooheadooproblems.ooW
hichooisootheoonursesoobestooresponse?
1. Itsoojustooaooroutineoopartooofooourooassessment.ooAllooclientsooareooaskedootheseoosameooquestions.
2. Whyooareooyouooconcernedooaboutootheseootypesooofooquestions?
3. Psychologicaloofactors,oolikeooexcessiveoostress,oohaveoobeenoofoundootoooaffectoomedicalooconditio
ns.
4. Weoocanooskipootheseooquestions,ooifooyouoolike.ooItooisntooimperativeoothatooweoocompleteoothisoosec
tion.