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TestBankforDavisAdvantageforTownsend'sPsychiatric Mental
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HealthNursing,11thEditionbyKarynI.Morgan
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TableofContents
I. BASICCONCEPTSIN PSYCHIATRIC-MENTALHEALTH NURSING
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1. The Concept of Stress Adaptation
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2. Mental HealthandMental Illness: Historical andTheoreticalConcepts
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II. FOUNDATIONSFORPSYCHIATRIC-MENTALHEALTH NURSING g g g g
3. Concepts of Psychobiology g g
4. Psychopharmacology
5. Ethical and Legal Issues
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III. THERAPEUTICAPPROACHESINPSYCHIATRIC NURSINGCARE g g g g g
6. RelationshipDevelopment g
7. Therapeutic Communication g
8. The Nursing Processin Psychiatric-Mental HealthNursing
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9. TherapeuticGroups g
10. InterventionwithFamilies g g
11. MilieuTherapy— the Therapeutic Community
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12. CrisisIntervention
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13. Assertiveness Training g
14. PromotingSelf Esteem g g
15. Anger and AggressionManagement
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16. Suicide Prevention g
17. BehaviorTherapy g
18. CognitiveBehavioral Therapy g g
19. Electroconvulsive Therapy g
20. The Recovery Model
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IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION g g g g g g g g
21. Caringfor Patients withMental IllnessandSubstanceUse Disordersin General Practice Settings
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22. Neurocognitive Disorders g
23. Substance-RelatedandAddictive Disorders g g g
24. SchizophreniaSpectrumand Other Psychotic Disorders g g g g g
25. Depressive Disorders g
26. Bipolarand Related Disorders g g g
27. Anxiety,Obsessive-Compulsive,andRelatedDisorders g g g g
28. TraumaandStressor-Related Disorders g g g
29. SomaticSymptomand Dissociative Disorders g g g g
30. EatingDisorders g
31. Personality Disorders g
V. PSYCHIATRIC/MENTALHEALTH NURSINGOF SPECIALPOPULATIONS g g g g g
32. ChildrenandAdolescents g g
33. The Aging Individual
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34. Survivors of Abuse or Neglect g g g g
35. CommunityMental HealthNursing g g g
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36. The Bereaved Individual
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37. Military Families g
EBook Bonus Chapters
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38. TheoreticalModels ofPersonalityDevelopment g g g g
39. Cultural and Spiritual Concepts RelevanttoPsychiatricMental Health Nursing
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40. ComplementaryandPsychosocial Therapies g g g
41. RelaxationTherapy g
42. Issues Relatedto Human Sexualityand Gender Dysphoria
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43. Forensic Nursing g
Chapter 1. MentalHealth and Mentalillness
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MultipleChoice g
1. Anurse is assessingaclient whois experiencing occasional feelingsofsadness
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Becauseoftherecentdeath ofabelovedpet.Theclient’s appetite,sleep patterns, and
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daily routine have not changed. How should the nurse interpret the client’s
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behaviors?
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1. Theclient’s behaviorsdemonstratementalillness inthe formofdepression. g g g g g g
2. Theclient’sbehaviorsareextensive,which indicatesthepresenceofmentalillness. g g g g g g
3. Theclient’sbehaviorsarenot congruent withculturalnorms. g g g g
4. Theclient’s behaviorsdemonstratenofunctionalimpairment,indicatingno mentalillness. g g g g g g
ANSWERS:- 4 g
FEEDBACK: The nurse should assess that the client’s daily functioning is not impaired. The client
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who experiences feelings of sadness after the loss of a pet is responding within normal
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expectations. Without significant impairment, the client’s distress does not indicate a mental
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illness.
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COGNITIVELEVEL: g
Analysis
INTEGRATEDPROCESS:
Assessment
2. At whatpointshouldthenursedeterminethat aclientisatriskfordevelopinga
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mentalillness?
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Whenthoughts,feelings,andbehaviorsarenotreflectiveoftheDSM-5criteria. When g g g g g g g g
maladaptive responses to stress are coupled with interference in daily functioning.
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Whenaclientcommunicatessignificantdistress.
Whenaclientusesdefensemechanisms asego protection.
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ANSWERS:- 2
FEEDBACK: Thenurseshould determinethat the client is at risk formental illness when responses to
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stress are maladaptive and interfere with daily functioning. TheDSM-5 indicatesthat in order to be
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diagnosed with a mental illness,daily
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Functioningmustbesignificantlyimpaired.The client sabilityto communicatedistress would be considered a
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positive attribute.
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COGNITIVELEVEL: g
Application
INTERGRATE
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D
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PROCESS: Assessment g
3. A nurse is assessing a set of 15-year-old identical twins who respond very differently to stress.
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One twin becomes anxious and irritable, and the other withdraws and cries. How shouldthe
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nurse explain these different stress responsesto the parents?
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1. Reactionstostressarerelativeratherthanabsolute;individualresponsesto stressvary. g g g g g
2. Itisabnormalforidentical twinstoreact differentlyto similarstressors.
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3. Identicaltwinsshouldsharethesametemperament andrespondsimilarlytostress. g g g g g g g
4. Environmentalinfluences tostressweighmoreheavilythangeneticinfluences. g g g g g g
ANSWERS:- 1 g
FEEDBACK: Thenurseshouldexplaintotheparentsthat,although thetwinshave g g g v g g
gidenticalDNA,thereareseveralotherfactorsthat affect reactionstostress.
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