Davis Advantage for Psychiatric Mental Health Nursing 10th Edition - Test Bank by Morgan

TestBankForDavisAdvantageforPsychiatric
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MentalHealthNursing10thEditionByKarynI.
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n Morgan; Mary C. Townsend
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TESTBANK b

,Tableof Contents
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I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
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1. The ConceptofStress Adaptation
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2. Mental Healthand 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 n




7. Therapeutic Communication b




8. The NursingProcessinPsychiatric-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 b




13. Assertiveness Training b n




14. Promoting Self Esteem b b n




15. Anger and Aggression Management
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16. Suicide Prevention b




17. Behavior Therapy b




18. Cognitive Behavioral Therapy b b n




19. Electroconvulsive Therapy b n




20. The Recovery Model
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IV. NURSINGCARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
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21. Caringfor Patients withMental Illnessand 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 n




V. PSYCHIATRIC/MENTALHEALTHNURSING OF SPECIAL POPULATIONS 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. CommunityMental Health Nursing b b b




36. The Bereaved Individual
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37. Military Families b




eBookBonus Chapters
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38. Theoretical Models of Personality Development b b b b




39. Cultural and Spiritual Concepts Relevant to PsychiatricMental Health Nursing
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40. Complementary and Psychosocial Therapies b b b n




41. Relaxation Therapy b n




42. Issues Related to Human Sexuality and Gender Dysphoria
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43. Forensic Nursing b

,Chapter 1. The Concept ofStress Adaptation
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MULTIPLECHOICE b




1. Aclient has experienced the death of a close familymember and at the same timebecomes
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n unemployed.Theclient’s6-monthscoreonthe RecentLifeChanges Questionnaireis 110. Thenurse:
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nUnderstands the client is at risk for significant stress-related illness. Determines the
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n client is not at risk forsignificant stress-related illness.
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Needsfurtherassessmentoftheclient’scopingskillstodeterminesusceptibilitytostress-related
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illness.
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nRecognizesthe client may viewthelosses as challenges and perceivethem asopportunities.
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ANS: 3 b




Chapter: Chapter 1,The Concept of Stress Adaptation
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nObjective: Explaintherelationship between stress anddiseases ofadaptation.Page: 5
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nHeading: Stress as an Environmental Event IntegratedProcesses: NursingProcess: EvaluationClient Need:
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n Psychosocial Integrity
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CognitiveLevel:Application[Applying]Concept:StressDifficulty: b b




bModerate

Feedback
1. This is incorrect. Assessment is thefirst step of the nursing process. Thenurse should
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assess theclient’s coping skills and availablesupport beforedetermining susceptibility to
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n stress-related physical and psychological illnesses. The Recent LifeChanges
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n Questionnaire is an expanded version ofthe Schedule of Recent Experiences and the
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n Rahe-Holmes Social Readjustment RatingScale.A6-month scoreof300 ormoreor a
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n year-score total of 500 or more indicates high stress in a
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client’slifeandsusceptibilitytostress-related illnesses. b b b b b b




2. This is incorrect. Assessment is the first step in the nursing process. The nurse should n
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n assess the client’s coping skills and available support before determining the client’s n
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n perception ofthecurrent stresses.A6-month scoreof300 ormoreorayear-scoretotal of 500 or
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n more on the Recent Life Changes Questionnaire indicates high stress in a client’slifeand n
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n susceptibility tostress-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 assess n
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n theclient’s coping skills and available support beforedetermining susceptibility to stress-
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nrelated physical and psychological illnesses. A 6-month score b b b b b b b

, of300 ormoreor ayear-scoreof500ormoreindicateshighstressin aclient’s lifeand risk for
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n 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 n
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n assesstheclient’scoping skillsandavailablesupportbeforedetermining susceptibility to
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nstress-related illness. A6-month scoreof300 or moreorayear-scoreof500 ormore on the
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n Recent Life Changes Questionnaire indicates high stressin a client’s lifeis susceptible to n
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n significant stress-related physical and psychologicalillness.
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CON:Stress b




2. Aphysicallyandemotionally healthy clienthasjustbeenfired. During a routine officevisit, hetells the
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n nurse, “Perhaps this was the best thing to happen. Maybe I’ll
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n considerpursuingan art degree.” The nurse determines the client perceives the stressorof his job loss as:
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Irrelevant
bHarmorloss
n Threatenin
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g
n A challeng
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e

ANS: 4 b




Chapter: Chapter 1,The Concept of Stress Adaptation
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nObjective:Discussadaptivecopingstrategiesinthemanagement ofstress.Page:7
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Heading: Stress as a transaction between the individual and the environment
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>Individual’s Perception ofthe Event > Primary AppraisalIntegrated Processes: Nursing Process:
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n Assessment
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Client Need: Psychosocial Integrity CognitiveLevel:Application[Applying]Concept: Stress
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Difficulty: Easy
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Feedback
1. This isincorrect. An irrelevant perception is onewherethe event holds nosignificance for the
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n individual.
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2. Thisisincorrect.Aharm orlossappraisalreferstodamageorlossalreadyexperienced by
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nthe individual. b




3. This isincorrect. 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 n
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n challenge and an opportunity forgrowth,demonstrated by hisstatement to consideran art
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degree.

CON:Stress b