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