TEST BANK-
Davis Advantage for Psychiatric Mental Health Nursing
Karyn I. Morgan
11th Edition
PlusBay.Plus
, Table of Contents
Chapter 01. The Concept of Stress Adaptation
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts
Chapter 03. Psychopharmacology
Chapter 04. Concepts of Psychobiology
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing
Chapter 07. Relationship Development
Chapter 08. Therapeutic Communication
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
Chapter 10. Therapeutic Groups
Chapter 11. Intervention With Families
Chapter 12. Milieu Therapy - The Therapeutic Community
Chapter 13. Crisis Intervention
Chapter 14. Assertiveness Training
Chapter 15. Promoting Self-Esteem
Chapter 16. Anger/Aggression Management
Chapter 17. The Suicidal Client
Chapter 18. Behavior Therapy
Chapter 19. Cognitive Therapy
Chapter 20. Electroconvulsive Therapy
Chapter 21. The Recovery Model
Chapter 22. Neurocognitive Disorders
Chapter 23. Substance-Related and Addictive Disorders
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
Chapter 25. Depressive Disorders
Chapter 26. Bipolar and Related Disorders
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
Chapter 28: Trauma and Stressor-Related Disorders
Chapter 29. Somatic Symptom and Dissociative Disorders
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria
Chapter 31. Eating Disorders
Chapter 32. Personality Disorders
Chapter 33. Children and Adolescents
Chapter 34. The Aging Individual
Chapter 35. Survivors of Abuse or Neglect
Chapter 36. Community Mental Health Nursing
Chapter 37. The Bereaved Individual
Chapter 38. Military Families
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,Chapter 01. Psychopharmacology nb nb
Multiple Choice nb
1. The NURSE manager on the psychiatric unit was explaining to the new staff the differences betwee
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
n typical and atypical antipsychotics. The NURSE correctly states that atypical antipsychotics:
nb nb nb nb nb nb nb nb nb nb nb
A. Remain in the system longer nb nb nb nb
B. Act more quickly to reduce delusions
nb nb nb nb nb
C. Produce fewer extrapyramidal effects nb nb nb
D. Are risk free for neuroleptic malignant syndrome (NMS)
nb nb nb nb nb nb nb
CORRECT ANSWER:C nb
Atypical antipsychotics produce less D2blockade; thus movement disorders are less of a problem. No evidence s
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
uggests that the medication remains in the system longer nor that it acts more quicklyto reduce delusions. The at
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
ypicals are not risk free for NMS.
nb nb nb nb nb nb
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
nb nb nb n b nb nb nb nb nb n b nb nb
Physiological Integrity: Pharmacological and Parenteral Therapies nb nb nb nb nb
2. The NURSE would assess for neuroleptic malignant syndrome (NMS) if a patient on haloperido
nb nb nb nb nb nb nb nb nb nb nb nb nb
l (Haldol) develops a:
nb nb nb
A. 30 mm Hg decrease in blood pressure reading
nb nb nb nb nb nb nb
B. Respiratory rate of 24 respirations per minute nb nb nb nb nb nb
C. Temperature reading of 104° F nb nb nb nb
D. Pulse rate of 70 beats per minutenb nb nb nb nb nb
CORRECT ANSWER:C nb
Increased temperature is the cardinal sign of NMS. This BP is not a significant feature of NMS. There are no signif
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
icant findings to support the options related to respirations or pulse rate.
nb nb nb nb nb nb nb nb nb nb nb
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
nb nb nb n b nb nb nb nb nb n b nb nb
Physiological Integrity: Pharmacological and Parenteral Therapies nb nb nb nb nb
3. A patient taking fluphenazine (Prolixin) complains of dry mouth and blurred vision. What would the NURS
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
E assess as the likely cause of these symptoms?
nb nb nb nb nb nb nb nb
A. Decreased dopamine at receptor sites nb nb nb nb
B. Blockade of histamine nb nb
C. Cholinergic blockade nb
D. Adrenergic blocking nb
CORRECT ANSWER:C nb
Fluphenazine administration produces blockade of cholinergic receptors giving rise to anticholinergic effects, s
nb nb nb nb nb nb nb nb nb nb nb nb
uch as dry mouth, blurred vision, and constipation.
nb nb nb nb nb nb nb
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
nb nb nb n b nb nb nb nb nb n b nb nb
Physiological Integrity: Pharmacological and Parenteral Therapies nb nb nb nb nb
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, 4. Which behavior displayed by a patient receiving a typical antipsychotic medication would be assessed a
nb nb nb nb nb nb nb nb nb nb nb nb nb nb
s displaying behaviors characteristic of tardive dyskinesia (TD)?
nb nb nb nb nb nb nb
A. Grimacing and lip smacking nb nb nb
B. Falling asleep in the chair and refusing to eat lunch
nb nb nb nb nb nb nb nb nb
C. Experiencing muscle rigidity and tremors nb nb nb nb
D. Having excessive salivation and drooling nb nb nb nb
CORRECT ANSWER:A nb
TD manifests as abnormal movements of voluntary muscle groups after a prolonged period of dopam
n b n b n b n b n b n b n b n b n b n b n b n b n b n b
ine blockade. Movements may affect any muscle group, but muscles of the face, mouth, tongue, and digits
nb nb n b n b nb n b nb n b nb n b nb n b n b nb n b nb n
bare commonly affected. Falling asleep is reflective of the sedative effect of these medications. Muscle rigidity and
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
drooling reflect EPS caused from imbalance between dopamine and acetylcholine.
nb n b n b n b n b n b n b n b n b n b
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
nb nb nb n b nb nb nb nb nb nb nb nb
Physiological Integrity: Pharmacological and Parenteral Therapies
nb nb nb nb nb
5. A NURSE administers a medication that potentiates the action of GABA. Which finding would be expected?
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
A. Reduced anxiety nb
B. Improved memory nb
C. More organized thinking nb nb
D. Fewer sensory perceptual alterations
nb nb nb
CORRECT ANSWER:A nb
Increased levels of GABA reduce anxiety, thus any potentiation of GABA action should result in anxiety re
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
duction. Memory enhancement is associated with acetylcholine and substance P. Thought disorganization is
nb nb nb nb nb nb nb nb nb nb nb nb nb
associated with dopamine. GABA is not associated with sensory perceptual alterations.
n b n b n b n b n b n b n b n b n b n b
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
nb nb nb n b nb nb nb nb nb nb nb nb
Physiological Integrity: Pharmacological and Parenteral Therapies
nb nb nb nb nb
6. On the basis of current knowledge of neurotransmitter effects, a NURSE could anticipate that th
nb nb nb nb nb nb nb nb nb nb nb nb nb nb
e treatment plan for a patient with memory difficulties might include medications designed to:
nb nb n b nb n b nb n b n b nb nb n b nb nb
A. inhibit GABA. nb
B. increase dopamine at receptor sites. nb nb nb nb
C. decrease dopamine at receptor sites. nb nb nb nb
D. prevent destruction of acetylcholine. nb nb nb
CORRECT ANSWER:D nb
Increased acetylcholine plays a role in learning and memory. Preventing destruction of acetylcholine b
n b n b n b n b n b n b n b n b n b n b n b n b n b
y acetylcholinesterase would result in higher levels of acetylcholine, with the potential for improved memory.
nb n b n b nb nb nb nb nb nb n b nb n b nb n b nb
GABA is known to affect anxiety level rather than memory. Increased dopamine would cause sympto
n b n b n b n b n b n b n b n b n b n b n b n b n b n b
ms associated with schizophrenia or mania rather than improve memory. Decreasing dopamine at receptor sites is
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
associated with Parkinson’s disease rather than improving memory.
n b n b n b n b n b n b n b
KEY: Cognitive Level: Comprehension | Integrated Processes: Nursing Process: Planning | Client Need:
nb nb nb n b nb nb nb nb nb nb nb nb
Physiological Integrity: Pharmacological and Parenteral Therapies
nb nb nb nb nb
PlusBay.Plus
Davis Advantage for Psychiatric Mental Health Nursing
Karyn I. Morgan
11th Edition
PlusBay.Plus
, Table of Contents
Chapter 01. The Concept of Stress Adaptation
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts
Chapter 03. Psychopharmacology
Chapter 04. Concepts of Psychobiology
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing
Chapter 07. Relationship Development
Chapter 08. Therapeutic Communication
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
Chapter 10. Therapeutic Groups
Chapter 11. Intervention With Families
Chapter 12. Milieu Therapy - The Therapeutic Community
Chapter 13. Crisis Intervention
Chapter 14. Assertiveness Training
Chapter 15. Promoting Self-Esteem
Chapter 16. Anger/Aggression Management
Chapter 17. The Suicidal Client
Chapter 18. Behavior Therapy
Chapter 19. Cognitive Therapy
Chapter 20. Electroconvulsive Therapy
Chapter 21. The Recovery Model
Chapter 22. Neurocognitive Disorders
Chapter 23. Substance-Related and Addictive Disorders
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
Chapter 25. Depressive Disorders
Chapter 26. Bipolar and Related Disorders
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
Chapter 28: Trauma and Stressor-Related Disorders
Chapter 29. Somatic Symptom and Dissociative Disorders
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria
Chapter 31. Eating Disorders
Chapter 32. Personality Disorders
Chapter 33. Children and Adolescents
Chapter 34. The Aging Individual
Chapter 35. Survivors of Abuse or Neglect
Chapter 36. Community Mental Health Nursing
Chapter 37. The Bereaved Individual
Chapter 38. Military Families
PlusBay.Plus
,Chapter 01. Psychopharmacology nb nb
Multiple Choice nb
1. The NURSE manager on the psychiatric unit was explaining to the new staff the differences betwee
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
n typical and atypical antipsychotics. The NURSE correctly states that atypical antipsychotics:
nb nb nb nb nb nb nb nb nb nb nb
A. Remain in the system longer nb nb nb nb
B. Act more quickly to reduce delusions
nb nb nb nb nb
C. Produce fewer extrapyramidal effects nb nb nb
D. Are risk free for neuroleptic malignant syndrome (NMS)
nb nb nb nb nb nb nb
CORRECT ANSWER:C nb
Atypical antipsychotics produce less D2blockade; thus movement disorders are less of a problem. No evidence s
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
uggests that the medication remains in the system longer nor that it acts more quicklyto reduce delusions. The at
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
ypicals are not risk free for NMS.
nb nb nb nb nb nb
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
nb nb nb n b nb nb nb nb nb n b nb nb
Physiological Integrity: Pharmacological and Parenteral Therapies nb nb nb nb nb
2. The NURSE would assess for neuroleptic malignant syndrome (NMS) if a patient on haloperido
nb nb nb nb nb nb nb nb nb nb nb nb nb
l (Haldol) develops a:
nb nb nb
A. 30 mm Hg decrease in blood pressure reading
nb nb nb nb nb nb nb
B. Respiratory rate of 24 respirations per minute nb nb nb nb nb nb
C. Temperature reading of 104° F nb nb nb nb
D. Pulse rate of 70 beats per minutenb nb nb nb nb nb
CORRECT ANSWER:C nb
Increased temperature is the cardinal sign of NMS. This BP is not a significant feature of NMS. There are no signif
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
icant findings to support the options related to respirations or pulse rate.
nb nb nb nb nb nb nb nb nb nb nb
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
nb nb nb n b nb nb nb nb nb n b nb nb
Physiological Integrity: Pharmacological and Parenteral Therapies nb nb nb nb nb
3. A patient taking fluphenazine (Prolixin) complains of dry mouth and blurred vision. What would the NURS
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
E assess as the likely cause of these symptoms?
nb nb nb nb nb nb nb nb
A. Decreased dopamine at receptor sites nb nb nb nb
B. Blockade of histamine nb nb
C. Cholinergic blockade nb
D. Adrenergic blocking nb
CORRECT ANSWER:C nb
Fluphenazine administration produces blockade of cholinergic receptors giving rise to anticholinergic effects, s
nb nb nb nb nb nb nb nb nb nb nb nb
uch as dry mouth, blurred vision, and constipation.
nb nb nb nb nb nb nb
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
nb nb nb n b nb nb nb nb nb n b nb nb
Physiological Integrity: Pharmacological and Parenteral Therapies nb nb nb nb nb
PlusBay.Plus
, 4. Which behavior displayed by a patient receiving a typical antipsychotic medication would be assessed a
nb nb nb nb nb nb nb nb nb nb nb nb nb nb
s displaying behaviors characteristic of tardive dyskinesia (TD)?
nb nb nb nb nb nb nb
A. Grimacing and lip smacking nb nb nb
B. Falling asleep in the chair and refusing to eat lunch
nb nb nb nb nb nb nb nb nb
C. Experiencing muscle rigidity and tremors nb nb nb nb
D. Having excessive salivation and drooling nb nb nb nb
CORRECT ANSWER:A nb
TD manifests as abnormal movements of voluntary muscle groups after a prolonged period of dopam
n b n b n b n b n b n b n b n b n b n b n b n b n b n b
ine blockade. Movements may affect any muscle group, but muscles of the face, mouth, tongue, and digits
nb nb n b n b nb n b nb n b nb n b nb n b n b nb n b nb n
bare commonly affected. Falling asleep is reflective of the sedative effect of these medications. Muscle rigidity and
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
drooling reflect EPS caused from imbalance between dopamine and acetylcholine.
nb n b n b n b n b n b n b n b n b n b
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
nb nb nb n b nb nb nb nb nb nb nb nb
Physiological Integrity: Pharmacological and Parenteral Therapies
nb nb nb nb nb
5. A NURSE administers a medication that potentiates the action of GABA. Which finding would be expected?
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
A. Reduced anxiety nb
B. Improved memory nb
C. More organized thinking nb nb
D. Fewer sensory perceptual alterations
nb nb nb
CORRECT ANSWER:A nb
Increased levels of GABA reduce anxiety, thus any potentiation of GABA action should result in anxiety re
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
duction. Memory enhancement is associated with acetylcholine and substance P. Thought disorganization is
nb nb nb nb nb nb nb nb nb nb nb nb nb
associated with dopamine. GABA is not associated with sensory perceptual alterations.
n b n b n b n b n b n b n b n b n b n b
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
nb nb nb n b nb nb nb nb nb nb nb nb
Physiological Integrity: Pharmacological and Parenteral Therapies
nb nb nb nb nb
6. On the basis of current knowledge of neurotransmitter effects, a NURSE could anticipate that th
nb nb nb nb nb nb nb nb nb nb nb nb nb nb
e treatment plan for a patient with memory difficulties might include medications designed to:
nb nb n b nb n b nb n b n b nb nb n b nb nb
A. inhibit GABA. nb
B. increase dopamine at receptor sites. nb nb nb nb
C. decrease dopamine at receptor sites. nb nb nb nb
D. prevent destruction of acetylcholine. nb nb nb
CORRECT ANSWER:D nb
Increased acetylcholine plays a role in learning and memory. Preventing destruction of acetylcholine b
n b n b n b n b n b n b n b n b n b n b n b n b n b
y acetylcholinesterase would result in higher levels of acetylcholine, with the potential for improved memory.
nb n b n b nb nb nb nb nb nb n b nb n b nb n b nb
GABA is known to affect anxiety level rather than memory. Increased dopamine would cause sympto
n b n b n b n b n b n b n b n b n b n b n b n b n b n b
ms associated with schizophrenia or mania rather than improve memory. Decreasing dopamine at receptor sites is
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
associated with Parkinson’s disease rather than improving memory.
n b n b n b n b n b n b n b
KEY: Cognitive Level: Comprehension | Integrated Processes: Nursing Process: Planning | Client Need:
nb nb nb n b nb nb nb nb nb nb nb nb
Physiological Integrity: Pharmacological and Parenteral Therapies
nb nb nb nb nb
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