Test Bank - Townsend's Psychiatric Mental Health Nursing, 11th Edition (Morgan, 2025), Chapter 1-41 + Next-Generation NCLEX Case Studies with answers | All Chapters

, Table n n of Contents

Chapter 01. The Concept of Stress Adaptation
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Chapter 02. Mental Health/Mental Illness: Historical and Theoretical
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Concepts
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Chapter 03. Psychopharmacology n n n n



Chapter 04. Concepts of Psychobiology
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Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
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Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental
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Health Nursing Chapter 07. Relationship Development
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Chapter 08. Therapeutic Communication
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Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
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Chapter 10. Therapeutic Groups
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Chapter 11. Intervention With Families
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Chapter 12. Milieu Therapy - The Therapeutic Community
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Chapter 13. Crisis Intervention
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Chapter 14. Assertiveness Training
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Chapter 15. Promoting Self-Esteem
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Chapter 16. Anger/Aggression
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Management Chapter 17. The nn n n n n



Suicidal Client
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Chapter 18. Behavior Therapy n n n n



Chapter 19. Cognitive
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Therapy
Chapter 20. Electroconvulsive
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Therapy Chapter 21. The
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Recovery Model Chapter 22.
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Neurocognitive Disorders nn



Chapter 23. Substance-Related and Addictive Disorders
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Chapter 24. Schizophrenia Spectrum and Other Psychotic
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Disorders Chapter 25. Depressive Disorders
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Chapter 26. Bipolar and Related Disorders
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Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
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Chapter 28: Trauma and Stressor-Related Disorders
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Chapter 29. Somatic Symptom n n and Dissociative n n n n n n



n Disorders Chapter 30. Issues Related to Human Sexuality and
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Gender Dysphoria Chapter 31. Eating Disorders
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Chapter 32. Personality Disorders n n n n n n



Chapter 33. Children and Adolescents
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Chapter 34. The Aging
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Individual
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Chapter 35. Survivors of Abuse or n n n n n n n n n n



n Neglect Chapter 36. Community Mental
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Health Nursing Chapter
nn nn37. The nn n n n n



n Bereaved
n Individual Chapter 38. n n nn n n



Military Families
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,Chapter n n 01. n n Psychopharmacology
Multiple Choice nn




1. The NURSE manager on the psychiatric
n n unit was explaining to n n n n n n n n n n n n n n n n



the
n new
n staff the differences between
n typical
n and atypical n n n n nn nn n n n n n n



antipsychotics.
n n The NURSE correctly states that atypical antipsychotics: n n n n n n n n nn n n nn




A. Remain n n in n n the n n system n n longer

B. Act n n more n n quickly n n to n n reduce n n delusions

C. Produce n n fewer n n n n extrapyramidal n n n n effects

D. Are n n risk n n free n n for n n neuroleptic n n n n malignant n n n n syndrome n n n n (NMS)

CORRECT qANSWER:C kj




Atypical antipsychotics produce less D2blockade;
n n thus
n n movement disorders are n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n



less
n n of a problem. No evidence suggests that the medication remains in the system
n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n



longer nor that it acts more quicklyto reduce delusions.
n n n n The atypicals are not risk
n n n n n n n n nn nn nn n n n n n n n n n n



n free nfor NMS. n n n n




KEY: Cognitive Level: Application
n n n n n n | Integrated
n n n n Processes: n n Nursing n n Process:
n Implementation
n | Client Need: n n n n nn



Physiological Integrity: Pharmacological n n n n n n and n n Parenteral n n Therapies

2.The NURSE would assess for neuroleptic
n n n n n n n n n n n n malignant n n syndrome
(NMS) if a patient on haloperidol
n n (Haldol) n n n n nn n n nn n n n ndevelops n n a:

A. 30 nn n n n n mm n n Hg n n decrease n n n n in n n n n blood n n n n pressure n n n n reading

B. Respiratory
nn n n rate n n n n of n n n n 24 n n respirations n n n n per n n minute

C. Temperature
nn n n n n reading of n n n n 104° F

D. Pulse nn n n rate n n n n of n n n n 70 n n n n beats n n n n per n n n n minute

CORRECT qANSWER:C kj




Increased temperature is the cardinal
n nsign of NMS. This
n n n n n n n n n n n n n n n n n n n n n n BP n n n n is notn n n n n n a n n



significant
n n feature of NMS. There are no significant findings n n n n n n nn n n n n nn n n n n n nto n n support n n the
options
n n related to respirations or pulse rate. n n n n n n n n n n n n




KEY: Cognitive Level: Application
n n n n n n | Integrated
n n n n Processes: n n Nursing n n Process:
Assessment | Client Need:
n n n n n n nn



Physiological Integrity: Pharmacological n n n n n n and n n Parenteral n n Therapies

3. A patient taking
n n n n n n n n fluphenazine n n n n (Prolixin) n n complains n n of n n dry n n mouth n n n n and n n blurred
vision.
n nWhat n n n n



would the NURSE n n nn n n n n assess n n n n as n n n n the n n n n likely n n n n cause n n n n of n n n n these n n n n symptoms?

A. Decreased n n dopamine n n at n n receptor n n sites

B. Blockade n n of n n histamine

C. Cholinergic n n blockade

D. Adrenergic n n blocking

CORRECT qANSWER:C kj




Fluphenazine n n administration n n produces blockade of nn nn n n cholinergic n n receptors n n giving n n rise n n to

, anticholinergic effects,
nn n n n n such n n n n as n n n n dry n n n n mouth, n n n n blurred n n n n vision, n n n n and n n n n constipation.

KEY: Cognitive
n n Level: nApplication
n n n | Integrated
n n n n Processes: n n Nursing n n Process:
Assessment | Client Need:
n n n n n n nn