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,Psychiatric-Mental Health Nursing 8th edition by Shelia Videbeck
!! !! !! !! !! !! !!
Table of contents
!! !!
UNIT ! ! 1 ! ! Current ! ! Theories ! ! and ! ! Practice
• 1. ! ! Foundations ! ! of ! ! Psychiatric–Mental ! ! Health ! ! Nursing
• 2. ! ! Neurobiologic ! ! Theories ! ! and ! ! Psychopharmacology
• 3. ! ! Psychosocial ! ! Theories ! ! and ! ! Therapy
• 4. ! ! Treatment ! ! Settings ! ! and ! ! Therapeutic ! ! Programs
UNIT ! ! 2 ! ! Building ! ! the ! ! Nurse–Client ! ! Relationship
• 5. ! ! Therapeutic ! ! Relationships
• 6. ! ! Therapeutic ! ! Communication
• 7. ! ! Client’s ! ! Response ! ! to ! ! Illness
• 8. ! ! Assessment
UNIT ! ! 3 ! ! Current ! ! Social ! ! and ! ! Emotional ! ! Concerns
• 9. ! ! Legal ! ! and ! ! Ethical ! ! Issues
• 10. ! ! Grief ! ! and ! ! Loss
• 11. ! ! Anger, ! ! Hostility, ! ! and ! ! Aggression
• 12. ! ! Abuse ! ! and ! ! Violence
UNIT ! ! 4 ! ! Nursing ! ! Practice ! ! for ! ! Psychiatric ! ! Disorders
• 13. ! ! Trauma ! ! and ! ! Stressor-Related ! ! Disorders
• 14. ! ! Anxiety ! ! and ! ! Anxiety ! ! Disorders
• 15. ! ! Obsessive–Compulsive ! ! and ! ! Related ! ! Disorders
• 16. ! ! Schizophrenia
• 17. ! ! Mood ! ! Disorders ! ! and ! ! Suicide
• 18. ! ! Personality ! ! Disorders
• 19. ! ! Addiction
• 20. ! ! Eating ! ! Disorders
• 21. ! ! Somatic ! ! Symptom ! ! Illnesses
• 22. ! ! Neurodevelopmental !!Disorders
• 23 ! ! Disruptive ! ! Behavior ! ! Disorders
• 24 ! ! Cognitive ! ! Disorders
Chapter ! ! 1 ! ! Foundations ! ! of ! ! Psychiatric–Mental ! ! Health ! ! Nursing
1. The !!nurse !!is !!assessing !!the !!factors !!contributing !!to !!the !!well-being !!of !!a !!newly
!!admitted !!client. !!Which !!of !!the !!following !!would !!the !!nurse !!identify !!as !!having !!a
!!positive !!impact !!on !!the !!individual's !!mental !!health?
A) Not !!needing !!others !!for !!companionship
B) The !!ability !!to !!effectively !!manage !!stress
C) A !!family !!history !!of !!mental !!illness
D) Striving !!for !!total !!self-
reliance !!Ans: !!B
Feedback:
Individual !!factors !!influencing !!mental !!health !!include !!biologic !!makeup, !!autonomy,
!!independence, !!self-esteem, !!capacity !!for !!growth, !!vitality, !!ability !!to !!find !!meaning !!in
!!life, !!emotional !!resilience !!or !!hardiness, !!sense !!of !!belonging, !!reality !!orientation, !!and
!!coping !!or !!stress !!management !!abilities. !!Interpersonal !!factors !! such !!as !!intimacy !!and !!a
!!balance !!of !!separateness !!and !!connectedness !!are !!both !!needed !!for !!good !!mental !!health,
Page !!
1
, and !!therefore !!a
!!
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2
, healthy !!person !!would !!need !!others !!for !!companionship. !!A !!family !!history !!of !!mental
!!illness !!could !!relate !!to !!the !!biologic !!makeup !!of !!an !!individual, !!which !!may !!have !!a
!!negative !!impact !!on !!an !!individual's !!mental !!health, !!as !!well !!as !!a !!negative !!impact
!!on !!an !!individual's !!interpersonal !! and !!socialñcultural !!factors !!of !!health. !!Total !!self-
reliance !!is !!not !!possible, !!and !!a !!positive !!social/cultural !!factor !!is !!access !!to !!adequate
!!resources.
2. Which !!of !!the !!following !!statements !!about !!mental !!illness !!are !!true? !!Select !!all !!that
!!apply.
A) Mental !!illness !!can !!cause !!significant !!distress, !!impaired !!functioning, !!or !!both.
B) Mental !!illness !!is !!only !!due !!to !!social/cultural !!factors.
C) Social/cultural !!factors !!that !!relate !!to !!mental !!illness !!include !!excessive
!!dependency !!on !!or !!withdrawal !!from !!relationships.
D) Individuals !!suffering !!from !!mental !!illness !!are !!usually !!able !!to !!cope !!effectively
!!with !!daily !!life.
E) Individuals !!suffering !!from !!mental !!illness !!may !!experience !!dissatisfaction
!!with !!relationships !!and !!self.
Ans: !!A, !!D, !!E
Feedback:
Mental !!illness !!can !!cause !!significant !!distress, !!impaired !!functioning, !!or !!both.
!!Mental !!illness !!may !!be !!related !!to !!individual, !!interpersonal, !!or !!social/cultural
!!factors. !!Excessive !!dependency !!on !!or !!withdrawal !!from !!relationships !!are
!!interpersonal !!factors !!that !!relate !!to !!mental !!illness. !!Individuals !!suffering !!from
!!mental !!illness !!can !!feel !!overwhelmed !!with !!daily !!life. !!Individuals !!suffering !!from
!!mental !!illness !!may !!experience !!dissatisfaction !!with !!relationships !!and !!self.
3. Which !!of !!the !!following !!are !!true !!regarding !!mental !!health !!and !!mental !!illness?
A) Behavior !!that !!may !!be !!viewed !!as !!acceptable !!in !!one !!culture !!is !!always
!!unacceptable !!in !!other !!cultures.
B) It !!is !!easy !!to !!determine !!if !!a !!person !!is !!mentally !!healthy !!or !!mentally !!ill.
C) In !!most !!cases, !!mental !!health !!is !!a !!state !!of !!emotional, !!psychological, !!and
!!social !!wellness !!evidenced !!by !!satisfying !!interpersonal !!relationships,
!!effective !!behavior !!and !!coping, !!positive !! self-concept, !!and !!emotional
!!stability.
D) Persons !!who !!engage !!in !!fantasies !!are !!mentally
!!ill. !!Ans: !!C
Feedback:
What !!one !!society !!may !!view !!as !!acceptable !!and !!appropriate !!behavior, !!another
!!society !!may !!see !!that !!as !!maladaptive, !!and !!inappropriate. !!Mental !!health !!and !!mental
!!illness !!are !!difficult !!to !!define !!precisely. !!In !!most !!cases, !!mental !!health !!is !!a !! state !!of
!!emotional, !!psychological, !!and !!social !!wellness !!evidenced !!by !!satisfying
!!interpersonal !!relationships, !!effective !!behavior !!and !!coping, !!positive !!self-concept,
!!and !!emotional !!stability. !!Persons !!who !!engage !!in !!fantasies !!may !!be !!mentally
!!healthy, !!but !!the !!inability !!to !!distinguish !!reality !!from !!fantasy !!is !!an !!individual
!!factor !!that !!may !!contribute !!to !!mental !!illness.
4. A !!client !!grieving !!the !!recent !!loss !!of !!her !!husband !!asks !!if !!she !!is !!becoming
!!mentally !!ill !!because !!she !!is !!so !!sad. !!The !!nurse's !!best !!response !!would !!be,
A) ìYou !!may !!have !!a !!temporary !!mental !!illness !!because !!you !!are !!experiencing !!so
Page !!
3
!!
,Psychiatric-Mental Health Nursing 8th edition by Shelia Videbeck
!! !! !! !! !! !! !!
Table of contents
!! !!
UNIT ! ! 1 ! ! Current ! ! Theories ! ! and ! ! Practice
• 1. ! ! Foundations ! ! of ! ! Psychiatric–Mental ! ! Health ! ! Nursing
• 2. ! ! Neurobiologic ! ! Theories ! ! and ! ! Psychopharmacology
• 3. ! ! Psychosocial ! ! Theories ! ! and ! ! Therapy
• 4. ! ! Treatment ! ! Settings ! ! and ! ! Therapeutic ! ! Programs
UNIT ! ! 2 ! ! Building ! ! the ! ! Nurse–Client ! ! Relationship
• 5. ! ! Therapeutic ! ! Relationships
• 6. ! ! Therapeutic ! ! Communication
• 7. ! ! Client’s ! ! Response ! ! to ! ! Illness
• 8. ! ! Assessment
UNIT ! ! 3 ! ! Current ! ! Social ! ! and ! ! Emotional ! ! Concerns
• 9. ! ! Legal ! ! and ! ! Ethical ! ! Issues
• 10. ! ! Grief ! ! and ! ! Loss
• 11. ! ! Anger, ! ! Hostility, ! ! and ! ! Aggression
• 12. ! ! Abuse ! ! and ! ! Violence
UNIT ! ! 4 ! ! Nursing ! ! Practice ! ! for ! ! Psychiatric ! ! Disorders
• 13. ! ! Trauma ! ! and ! ! Stressor-Related ! ! Disorders
• 14. ! ! Anxiety ! ! and ! ! Anxiety ! ! Disorders
• 15. ! ! Obsessive–Compulsive ! ! and ! ! Related ! ! Disorders
• 16. ! ! Schizophrenia
• 17. ! ! Mood ! ! Disorders ! ! and ! ! Suicide
• 18. ! ! Personality ! ! Disorders
• 19. ! ! Addiction
• 20. ! ! Eating ! ! Disorders
• 21. ! ! Somatic ! ! Symptom ! ! Illnesses
• 22. ! ! Neurodevelopmental !!Disorders
• 23 ! ! Disruptive ! ! Behavior ! ! Disorders
• 24 ! ! Cognitive ! ! Disorders
Chapter ! ! 1 ! ! Foundations ! ! of ! ! Psychiatric–Mental ! ! Health ! ! Nursing
1. The !!nurse !!is !!assessing !!the !!factors !!contributing !!to !!the !!well-being !!of !!a !!newly
!!admitted !!client. !!Which !!of !!the !!following !!would !!the !!nurse !!identify !!as !!having !!a
!!positive !!impact !!on !!the !!individual's !!mental !!health?
A) Not !!needing !!others !!for !!companionship
B) The !!ability !!to !!effectively !!manage !!stress
C) A !!family !!history !!of !!mental !!illness
D) Striving !!for !!total !!self-
reliance !!Ans: !!B
Feedback:
Individual !!factors !!influencing !!mental !!health !!include !!biologic !!makeup, !!autonomy,
!!independence, !!self-esteem, !!capacity !!for !!growth, !!vitality, !!ability !!to !!find !!meaning !!in
!!life, !!emotional !!resilience !!or !!hardiness, !!sense !!of !!belonging, !!reality !!orientation, !!and
!!coping !!or !!stress !!management !!abilities. !!Interpersonal !!factors !! such !!as !!intimacy !!and !!a
!!balance !!of !!separateness !!and !!connectedness !!are !!both !!needed !!for !!good !!mental !!health,
Page !!
1
, and !!therefore !!a
!!
Page !!
2
, healthy !!person !!would !!need !!others !!for !!companionship. !!A !!family !!history !!of !!mental
!!illness !!could !!relate !!to !!the !!biologic !!makeup !!of !!an !!individual, !!which !!may !!have !!a
!!negative !!impact !!on !!an !!individual's !!mental !!health, !!as !!well !!as !!a !!negative !!impact
!!on !!an !!individual's !!interpersonal !! and !!socialñcultural !!factors !!of !!health. !!Total !!self-
reliance !!is !!not !!possible, !!and !!a !!positive !!social/cultural !!factor !!is !!access !!to !!adequate
!!resources.
2. Which !!of !!the !!following !!statements !!about !!mental !!illness !!are !!true? !!Select !!all !!that
!!apply.
A) Mental !!illness !!can !!cause !!significant !!distress, !!impaired !!functioning, !!or !!both.
B) Mental !!illness !!is !!only !!due !!to !!social/cultural !!factors.
C) Social/cultural !!factors !!that !!relate !!to !!mental !!illness !!include !!excessive
!!dependency !!on !!or !!withdrawal !!from !!relationships.
D) Individuals !!suffering !!from !!mental !!illness !!are !!usually !!able !!to !!cope !!effectively
!!with !!daily !!life.
E) Individuals !!suffering !!from !!mental !!illness !!may !!experience !!dissatisfaction
!!with !!relationships !!and !!self.
Ans: !!A, !!D, !!E
Feedback:
Mental !!illness !!can !!cause !!significant !!distress, !!impaired !!functioning, !!or !!both.
!!Mental !!illness !!may !!be !!related !!to !!individual, !!interpersonal, !!or !!social/cultural
!!factors. !!Excessive !!dependency !!on !!or !!withdrawal !!from !!relationships !!are
!!interpersonal !!factors !!that !!relate !!to !!mental !!illness. !!Individuals !!suffering !!from
!!mental !!illness !!can !!feel !!overwhelmed !!with !!daily !!life. !!Individuals !!suffering !!from
!!mental !!illness !!may !!experience !!dissatisfaction !!with !!relationships !!and !!self.
3. Which !!of !!the !!following !!are !!true !!regarding !!mental !!health !!and !!mental !!illness?
A) Behavior !!that !!may !!be !!viewed !!as !!acceptable !!in !!one !!culture !!is !!always
!!unacceptable !!in !!other !!cultures.
B) It !!is !!easy !!to !!determine !!if !!a !!person !!is !!mentally !!healthy !!or !!mentally !!ill.
C) In !!most !!cases, !!mental !!health !!is !!a !!state !!of !!emotional, !!psychological, !!and
!!social !!wellness !!evidenced !!by !!satisfying !!interpersonal !!relationships,
!!effective !!behavior !!and !!coping, !!positive !! self-concept, !!and !!emotional
!!stability.
D) Persons !!who !!engage !!in !!fantasies !!are !!mentally
!!ill. !!Ans: !!C
Feedback:
What !!one !!society !!may !!view !!as !!acceptable !!and !!appropriate !!behavior, !!another
!!society !!may !!see !!that !!as !!maladaptive, !!and !!inappropriate. !!Mental !!health !!and !!mental
!!illness !!are !!difficult !!to !!define !!precisely. !!In !!most !!cases, !!mental !!health !!is !!a !! state !!of
!!emotional, !!psychological, !!and !!social !!wellness !!evidenced !!by !!satisfying
!!interpersonal !!relationships, !!effective !!behavior !!and !!coping, !!positive !!self-concept,
!!and !!emotional !!stability. !!Persons !!who !!engage !!in !!fantasies !!may !!be !!mentally
!!healthy, !!but !!the !!inability !!to !!distinguish !!reality !!from !!fantasy !!is !!an !!individual
!!factor !!that !!may !!contribute !!to !!mental !!illness.
4. A !!client !!grieving !!the !!recent !!loss !!of !!her !!husband !!asks !!if !!she !!is !!becoming
!!mentally !!ill !!because !!she !!is !!so !!sad. !!The !!nurse's !!best !!response !!would !!be,
A) ìYou !!may !!have !!a !!temporary !!mental !!illness !!because !!you !!are !!experiencing !!so
Page !!
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