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Mental Health Nursing 10th Edition By Karyn I.
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Morgan; Mary C. Townsend
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TESTBANK b
,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 b b b b
3. Concepts of Psychobiology b b
4. Psychopharmacology
5. Ethical and Legal Issues
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III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE b b b b b
6. Relationship Development b
7. Therapeutic Communication b
8. The Nursing Process in Psychiatric-Mental Health Nursing
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9. Therapeutic Groups b
10. Intervention with Families b b
11. Milieu Therapy—The Therapeutic Community
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12. Crisis Intervention
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13. Assertiveness Training b
14. Promoting Self Esteem b b
15. Anger and Aggression Management
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16. Suicide Prevention b
17. Behavior Therapy b
18. Cognitive Behavioral Therapy b b
19. Electroconvulsive Therapy b
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 b
23. Substance-Related and Addictive Disorders b b b
24. Schizophrenia Spectrum and Other Psychotic Disorders b b b b b
25. Depressive Disorders b
26. Bipolar and Related Disorders b b b
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 b
31. Personality Disorders b
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS b b b b b
32. Children and Adolescents b b
33. The Aging Individual
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34. Survivors of Abuse or Neglect b b b b
35. Community Mental Health Nursing b b b
36. The Bereaved Individual
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37. Military Families b
eBook Bonus Chapters
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38. Theoretical Models of Personality Development b b b b
39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
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40. Complementary and Psychosocial Therapies b b b
41. Relaxation Therapy b
42. Issues Related to Human Sexuality and Gender Dysphoria
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43. Forensic Nursing b
,Chapter 1. The Concept of Stress Adaptation
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MULTIPLE CHOICE b
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 nurse:
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Understands the client is at risk for significant stress-related illness. Determines
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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-related
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illness.
b
Recognizes the client may view the losses as challenges and perceive them asopportunities.
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ANS: 3 b
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: Stress Difficulty:
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Moderate
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Feedback
1. This is incorrect. Assessment is the first step of the nursing process. The nurse should
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assess the client’s coping skills and available support before determining susceptibility
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to stress-related physical and psychological illnesses. The Recent LifeChanges
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Questionnaire is an expanded version of the Schedule of Recent Experiences and the
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Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more or a
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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 should
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assess the client’s coping skills and available support before determining the client’s
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perception of the current stresses. A 6-month score of 300 or more or a year-score total of
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500 or more on the Recent Life Changes Questionnaire indicates high stress in a
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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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assess the client’s coping skills and available support before determining susceptibility to
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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 lifeand risk
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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 should
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assess the client’s coping skills and available support before determining susceptibility
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to stress-related illness. A 6-month score of 300 or more or a year- score of 500 or more
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on the Recent Life Changes Questionnaire indicates high stressin a client’s life is
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susceptible to significant stress-related physical and psychologicalillness.
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CON: Stress b
2. A physically and emotionally healthy client has just been fired. During a routine office visit, he tells
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the 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
Harm or loss
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Threatening
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A challenge
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ANS: 4 b
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: Stress
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Difficulty: Easy
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Feedback
1. This is incorrect. An irrelevant perception is one where the event holds nosignificance for
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the individual.
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2. This is incorrect. A harm or loss appraisal refers to damage or loss alreadyexperienced by
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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 consideran art
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degree.
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CON: Stress b