TESTBANK-z
Davis Advantage for Psychiatric Mental Health Nursing
z z z z z z
Karyn I. Morgan
z z z
11th Edition
z
, Table z of z Contents
Chapter z 01. z The z Concept z of z Stress z Adaptation
Chapter z02. zMental zHealth/Mental zIllness: zHistorical zand zTheoretical
zConcepts
Chapter z 03. z Psychopharmacology
zChapter z04. zConcepts zof zPsychobiology
Chapter z 05. z Ethical z and z Legal z Issues z in z Psychiatric/Mental z Health z Nursing
Chapter z 06. z Cultural z and z Spiritual z Concepts z Relevant z to z Psychiatric/Mental z Health
z Nursing zChapter z 07. z Relationship z Development
Chapter z 08. z Therapeutic z Communication
Chapter z09. zThe zNursing zProcess zin zPsychiatric/Mental zHealth zNursing
zChapter z 10. z Therapeutic z Groups
Chapter z 11. z Intervention z With z Families
Chapter z12. zMilieu zTherapy z- zThe zTherapeutic zCommunity
zChapter z 13. z Crisis z Intervention
Chapter z14. zAssertiveness zTraining
z Chapter z15. zPromoting zSelf-Esteem
z Chapter z16. zAnger/Aggression
zManagement zChapter z 17. z The z Suicidal
z Client
Chapter z 18. z Behavior z Therapy
zChapter z 19. z Cognitive z Therapy
zChapter z20. zElectroconvulsive
zTherapy z Chapter z 21. z The
z Recovery zModel z Chapter z 22.
z Neurocognitive zDisorders
Chapter z 23. z Substance-Related z and z Addictive z Disorders
Chapter z24. zSchizophrenia zSpectrum zand zOther zPsychotic zDisorders
zChapter z 25. z Depressive z Disorders
Chapter z 26. z Bipolar z and z Related z Disorders
Chapter z27. zAnxiety, zObsessive-Compulsive, zand zRelated zDisorders
zChapter z 28: z Trauma z and z Stressor-Related z Disorders
Chapter z 29. z Somatic z Symptom z and z Dissociative z Disorders
Chapter z30. zIssues zRelated zto zHuman zSexuality zand zGender zDysphoria
zChapter z 31. z Eating z Disorders
Chapter z 32. z Personality z Disorders
zChapter z33. zChildren zand zAdolescents
zChapter z 34. z The z Aging z Individual
Chapter z 35. z Survivors z of z Abuse z or z Neglect
zChapter z36. zCommunity zMental zHealth zNursing
zChapter z 37. z The z Bereaved z Individual
Chapter z 38. z Military z Families
,Chapter 01. Psychopharmacology
z z
Multiple zChoice
1. The z NURSE z manager z on z the z psychiatric z unit z was z explaining z to z the z new z staff z the
z differences zbetween z typical z and z atypical z antipsychotics. z The z NURSE z correctly z states
z that z atypical zantipsychotics:
A. Remain z in z the z system z longer
B. Act z more z quickly z to z reduce z delusions
C. Produce z fewer z extrapyramidal z effects
D. Are z risk z free z for z neuroleptic z malignant z syndrome z (NMS)
CORRECTzqANSWER:C
Atypical z antipsychotics z produce z less z D2blockade; z thus z movement z disorders z are z less z of z a z problem.
z No zevidence zsuggests zthat zthe zmedication zremains zin zthe zsystem zlonger znor zthat zit zacts zmore zquicklyto zreduce
zdelusions. z The z atypicals z are z not z risk z free z for z NMS.
KEY: z Cognitive z Level: z Application z | z Integrated z Processes: z Nursing z Process: z Implementation z | z Client
z Need:
Physiological z Integrity: z Pharmacological z and z Parenteral z Therapies
2. The z NURSE z would z assess z for z neuroleptic z malignant z syndrome z (NMS) z if z a
z patient z on zhaloperidol z (Haldol) z develops z a:
A. 30 z mm z Hg z decrease z in z blood z pressure z reading
B. Respiratory z rate z of z 24 z respirations z per z minute
C. Temperature z reading z of z 104° z F
D. Pulse z rate z of z 70 z beats z per z minute
CORRECTzqANSWER:C
Increased z temperature z is z the z cardinal z sign z of z NMS. z This z BP z is z not z a z significant z feature z of z NMS.
z There z are zno z significant z findings z to z support z the z options z related z to z respirations z or z pulse z rate.
KEY: z Cognitive z Level: z Application z | z Integrated z Processes: z Nursing z Process: z Assessment z | z Client z Need:
Physiological z Integrity: z Pharmacological z and z Parenteral z Therapies
3. A z patient z taking z fluphenazine z (Prolixin) z complains z of z dry z mouth z and z blurred z vision. z What
z would z the zNURSE z assess z as z the z likely z cause z of z these z symptoms?
A. Decreased z dopamine z at z receptor z sites
B. Blockade z of z histamine
C. Cholinergic z blockade
D. Adrenergic z blocking
CORRECTzqANSWER:C
Fluphenazine z administration z produces zblockade zof z cholinergic z receptors z giving z rise z to zanticholinergic
zeffects, z such z as z dry z mouth, z blurred z vision, z and z constipation.
, KEY: z Cognitive z Level: z Application z | z Integrated z Processes: z Nursing z Process: z Assessment z | z Client z Need:
Davis Advantage for Psychiatric Mental Health Nursing
z z z z z z
Karyn I. Morgan
z z z
11th Edition
z
, Table z of z Contents
Chapter z 01. z The z Concept z of z Stress z Adaptation
Chapter z02. zMental zHealth/Mental zIllness: zHistorical zand zTheoretical
zConcepts
Chapter z 03. z Psychopharmacology
zChapter z04. zConcepts zof zPsychobiology
Chapter z 05. z Ethical z and z Legal z Issues z in z Psychiatric/Mental z Health z Nursing
Chapter z 06. z Cultural z and z Spiritual z Concepts z Relevant z to z Psychiatric/Mental z Health
z Nursing zChapter z 07. z Relationship z Development
Chapter z 08. z Therapeutic z Communication
Chapter z09. zThe zNursing zProcess zin zPsychiatric/Mental zHealth zNursing
zChapter z 10. z Therapeutic z Groups
Chapter z 11. z Intervention z With z Families
Chapter z12. zMilieu zTherapy z- zThe zTherapeutic zCommunity
zChapter z 13. z Crisis z Intervention
Chapter z14. zAssertiveness zTraining
z Chapter z15. zPromoting zSelf-Esteem
z Chapter z16. zAnger/Aggression
zManagement zChapter z 17. z The z Suicidal
z Client
Chapter z 18. z Behavior z Therapy
zChapter z 19. z Cognitive z Therapy
zChapter z20. zElectroconvulsive
zTherapy z Chapter z 21. z The
z Recovery zModel z Chapter z 22.
z Neurocognitive zDisorders
Chapter z 23. z Substance-Related z and z Addictive z Disorders
Chapter z24. zSchizophrenia zSpectrum zand zOther zPsychotic zDisorders
zChapter z 25. z Depressive z Disorders
Chapter z 26. z Bipolar z and z Related z Disorders
Chapter z27. zAnxiety, zObsessive-Compulsive, zand zRelated zDisorders
zChapter z 28: z Trauma z and z Stressor-Related z Disorders
Chapter z 29. z Somatic z Symptom z and z Dissociative z Disorders
Chapter z30. zIssues zRelated zto zHuman zSexuality zand zGender zDysphoria
zChapter z 31. z Eating z Disorders
Chapter z 32. z Personality z Disorders
zChapter z33. zChildren zand zAdolescents
zChapter z 34. z The z Aging z Individual
Chapter z 35. z Survivors z of z Abuse z or z Neglect
zChapter z36. zCommunity zMental zHealth zNursing
zChapter z 37. z The z Bereaved z Individual
Chapter z 38. z Military z Families
,Chapter 01. Psychopharmacology
z z
Multiple zChoice
1. The z NURSE z manager z on z the z psychiatric z unit z was z explaining z to z the z new z staff z the
z differences zbetween z typical z and z atypical z antipsychotics. z The z NURSE z correctly z states
z that z atypical zantipsychotics:
A. Remain z in z the z system z longer
B. Act z more z quickly z to z reduce z delusions
C. Produce z fewer z extrapyramidal z effects
D. Are z risk z free z for z neuroleptic z malignant z syndrome z (NMS)
CORRECTzqANSWER:C
Atypical z antipsychotics z produce z less z D2blockade; z thus z movement z disorders z are z less z of z a z problem.
z No zevidence zsuggests zthat zthe zmedication zremains zin zthe zsystem zlonger znor zthat zit zacts zmore zquicklyto zreduce
zdelusions. z The z atypicals z are z not z risk z free z for z NMS.
KEY: z Cognitive z Level: z Application z | z Integrated z Processes: z Nursing z Process: z Implementation z | z Client
z Need:
Physiological z Integrity: z Pharmacological z and z Parenteral z Therapies
2. The z NURSE z would z assess z for z neuroleptic z malignant z syndrome z (NMS) z if z a
z patient z on zhaloperidol z (Haldol) z develops z a:
A. 30 z mm z Hg z decrease z in z blood z pressure z reading
B. Respiratory z rate z of z 24 z respirations z per z minute
C. Temperature z reading z of z 104° z F
D. Pulse z rate z of z 70 z beats z per z minute
CORRECTzqANSWER:C
Increased z temperature z is z the z cardinal z sign z of z NMS. z This z BP z is z not z a z significant z feature z of z NMS.
z There z are zno z significant z findings z to z support z the z options z related z to z respirations z or z pulse z rate.
KEY: z Cognitive z Level: z Application z | z Integrated z Processes: z Nursing z Process: z Assessment z | z Client z Need:
Physiological z Integrity: z Pharmacological z and z Parenteral z Therapies
3. A z patient z taking z fluphenazine z (Prolixin) z complains z of z dry z mouth z and z blurred z vision. z What
z would z the zNURSE z assess z as z the z likely z cause z of z these z symptoms?
A. Decreased z dopamine z at z receptor z sites
B. Blockade z of z histamine
C. Cholinergic z blockade
D. Adrenergic z blocking
CORRECTzqANSWER:C
Fluphenazine z administration z produces zblockade zof z cholinergic z receptors z giving z rise z to zanticholinergic
zeffects, z such z as z dry z mouth, z blurred z vision, z and z constipation.
, KEY: z Cognitive z Level: z Application z | z Integrated z Processes: z Nursing z Process: z Assessment z | z Client z Need:
