11thEdition
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, Table b b of Contents
bb Chapter b b 01. b b The b b Concept b b of b b Stress
Adaptation
b b
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical
bb bb bb bb bb bb bb
Concepts
bb
Chapter 03. Psychopharmacology
b b b b
Chapter 04. Concepts of Psychobiology
bb bb bb bb bb
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
b b b b b b b b bb b b b b b b b b
Chapter 06. Cultural and b Spiritual
b Concepts Relevant
b bto b b b b b b b b b b
Psychiatric/Mental
b b Health Nursing Chapter 07. Relationship Development b b bb bb b b b b b b
Chapter 08. Therapeutic Communication
b b b b b b
Chapter 09. The Nursing Process in Psychiatric/Mental Health
bb bb bb bb bb bb bb
Nursing Chapter
bb 10. Therapeuticbb Groups b b b b b b
Chapter 11. Intervention With
bb bb Families bb bb bb bb b b
Chapter 12. Milieu Therapy - The Therapeutic
bb bb bb bb bb bb
Community Chapter
bb 13. Crisis Intervention bb b b b b b b
Chapter 14. Assertiveness Training
bb bb bb
Chapter 15. Promoting Self-Esteem
bb bb bb bb
Chapter 16. Anger/Aggression
bb bb bb
Management Chapter 17. The bb b b b b
Suicidal Client
b b bb
Chapter 18. Behavior Therapy b b b b
Chapter
bb 19. Cognitive b b b b
Therapy
Chapter 20. Electroconvulsive
bb bb bb
Therapy Chapter 21. The
bb b b b b b b
Recovery Model
bb Chapter bb b b
22.
b b
Neurocognitive Disorders bb
Chapter 23. Substance-Relatedb band Addictive Disorders b b b b b b
Chapter 24. Schizophrenia Spectrum and Other Psychotic
bb bb bb bb bb bb bb
Disorders Chapter
bb 25. Depressive bb Disorders b b b b b b
Chapter 26. Bipolar and b bRelated Disorders bb bb bb bb bb bb bb bb
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
bb bb bb bb bb bb
Chapter
bb 28: Trauma and Stressor-Related
b b Disorders b b b b b b b b
Chapter 29. Somatic Symptom
b b and Dissociativeb b b b b b
b Disorders Chapter 30. Issues Related to Human Sexuality and
b bb bb bb bb bb bb bb bb
Gender Dysphoria Chapter
bb 31.
bb Eating Disorders bb b b b b b b
Chapter 32. Personality Disorders
b b b b b b
Chapter 33. Children and Adolescents
bb bb bb bb bb
Chapter
bb 34. The Aging b b b b b b
Individual
b b
Chapter 35. Survivors of b Abuse
b b b b b b b
b orb Neglect Chapter 36. Community
b b bb bb bb
Mental Health Nursing Chapter
bb bb 37. bb bb b b
b The b Bereaved Individual Chapter
b b b b bb
38. Military Families
b b b b b b
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,Chapter b b 01. b b Psychopharmacology
Multiple Choice bb
1. The NURSE manager
b b on the psychiatric unit was explaining
b b to b b b b b b b b b b b b b b
the
b new
b staff the differences between
b b typical and b atypical
b b b bb bb b b b b b b
antipsychotics.
b b The NURSE correctly states that atypical antipsychotics:
b b b b b b b b bb b b bb
A. Remain b b in b b the b b system b b longer
B. Act b b more b b quickly b b to b b reduce b b delusions
C. Produce b b fewer b b b b extrapyramidal b b b b effects
D. Are b b risk b b free b b for b b neuroleptic b b b b malignant bb bb syndrome b b b b (NMS)
CORRECT qANSWER:C kj
Atypical antipsychotics produce
b b less D2blockade;
b b thus movement disorders b b b b b b b b b b b b b b b b b b b b b b b b b b
are
b b less of a problem.
b b b b No evidence suggests that the medication remains in
b b b b b b b b b b b b b b b b b b b b b b b b b b
the system longer nor that it acts more quicklyto reduce delusions.
b b b b b b The atypicals b b b b b b b b b b bb bb bb b b b b
b are bnot risk free b for NMS.
b b b b b b b b b
KEY: Cognitive Level:
b b Application b b b b | b b Integrated b b Processes: b b Nursing b b Process:
b Implementation
b | Client Need: b b b b bb
Physiological Integrity: Pharmacological b b b b b b and b b Parenteral b b Therapies
2.The NURSE would b assess
b for neuroleptic malignant b b b b b b b b b b
syndrome
b b (NMS) if a patient on haloperidol (Haldol)
b b b b b b bb b b bb b b
develops
b ba: b b
A. 30 bb b b b b mm b b Hg b b decrease b b b b in b b b b blood b b b b pressure b b b b reading
B. Respiratory
bb b b rate b b b b of bb bb 24 b b respirations b b b b per b b minute
C. Temperature
bb b b b b reading of b b b b 104° F
D. Pulse bb b b rate b b b b of bb bb 70 bb bb beats bb bb per bb bb minute
CORRECT qANSWER:C kj
Increased temperature is b b b b b b b b b b the cardinal sign
b b of NMS. This BP b b b b b b b b b b b b b b b b is b b b b not
a
b b significant feature
b b b b b b b b b bof NMS. There
bb are no significant findings
b b b b bb b b b b b b to
support
b b the options b b b b b b related to respirations orb pulse
b rate. b b b b b b b b
KEY: Cognitive Level:
b b Application b b b b | b b Integrated b b Processes: b b Nursing b b Process:
Assessment
b b | Client Need: b b b b bb
Physiological Integrity: Pharmacological b b b b b b and b b Parenteral b b Therapies
3. A patient taking
bb bb b b b b fluphenazine bb bb (Prolixin) b b complains b b of b b dry b b mouth bb bb and b b blurred
vision.
b b What b b b b
would the NURSE b b bb b b b b assess b b b b as b b b b the b b b b likely b b b b cause b b b b of b b b b these b b b b symptoms?
A. Decreased b b dopamine b b at b b receptor b b sites
B. Blockade b b of b b histamine
C. Cholinergic b b blockade
D. Adrenergic b b blocking
CORRECT qANSWER:C kj
Fluphenazine b b administration b b produces blockade of bb bb b b cholinergic b b receptors b b giving b b rise b b to
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, anticholinergic effects,
bb b b b b such b b b b as b b b b dry b b b b mouth, b b b b blurred b b b b vision, b b b b and b b b b constipation.
KEY: Cognitive
b b b b Level: Application
b b | b b Integrated b b Processes: b b Nursing b b Process:
Assessment
b b |
b b b b Client Need:
bb
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, Table b b of Contents
bb Chapter b b 01. b b The b b Concept b b of b b Stress
Adaptation
b b
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical
bb bb bb bb bb bb bb
Concepts
bb
Chapter 03. Psychopharmacology
b b b b
Chapter 04. Concepts of Psychobiology
bb bb bb bb bb
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
b b b b b b b b bb b b b b b b b b
Chapter 06. Cultural and b Spiritual
b Concepts Relevant
b bto b b b b b b b b b b
Psychiatric/Mental
b b Health Nursing Chapter 07. Relationship Development b b bb bb b b b b b b
Chapter 08. Therapeutic Communication
b b b b b b
Chapter 09. The Nursing Process in Psychiatric/Mental Health
bb bb bb bb bb bb bb
Nursing Chapter
bb 10. Therapeuticbb Groups b b b b b b
Chapter 11. Intervention With
bb bb Families bb bb bb bb b b
Chapter 12. Milieu Therapy - The Therapeutic
bb bb bb bb bb bb
Community Chapter
bb 13. Crisis Intervention bb b b b b b b
Chapter 14. Assertiveness Training
bb bb bb
Chapter 15. Promoting Self-Esteem
bb bb bb bb
Chapter 16. Anger/Aggression
bb bb bb
Management Chapter 17. The bb b b b b
Suicidal Client
b b bb
Chapter 18. Behavior Therapy b b b b
Chapter
bb 19. Cognitive b b b b
Therapy
Chapter 20. Electroconvulsive
bb bb bb
Therapy Chapter 21. The
bb b b b b b b
Recovery Model
bb Chapter bb b b
22.
b b
Neurocognitive Disorders bb
Chapter 23. Substance-Relatedb band Addictive Disorders b b b b b b
Chapter 24. Schizophrenia Spectrum and Other Psychotic
bb bb bb bb bb bb bb
Disorders Chapter
bb 25. Depressive bb Disorders b b b b b b
Chapter 26. Bipolar and b bRelated Disorders bb bb bb bb bb bb bb bb
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
bb bb bb bb bb bb
Chapter
bb 28: Trauma and Stressor-Related
b b Disorders b b b b b b b b
Chapter 29. Somatic Symptom
b b and Dissociativeb b b b b b
b Disorders Chapter 30. Issues Related to Human Sexuality and
b bb bb bb bb bb bb bb bb
Gender Dysphoria Chapter
bb 31.
bb Eating Disorders bb b b b b b b
Chapter 32. Personality Disorders
b b b b b b
Chapter 33. Children and Adolescents
bb bb bb bb bb
Chapter
bb 34. The Aging b b b b b b
Individual
b b
Chapter 35. Survivors of b Abuse
b b b b b b b
b orb Neglect Chapter 36. Community
b b bb bb bb
Mental Health Nursing Chapter
bb bb 37. bb bb b b
b The b Bereaved Individual Chapter
b b b b bb
38. Military Families
b b b b b b
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Distribution of this document is illegal extra per year?
,Chapter b b 01. b b Psychopharmacology
Multiple Choice bb
1. The NURSE manager
b b on the psychiatric unit was explaining
b b to b b b b b b b b b b b b b b
the
b new
b staff the differences between
b b typical and b atypical
b b b bb bb b b b b b b
antipsychotics.
b b The NURSE correctly states that atypical antipsychotics:
b b b b b b b b bb b b bb
A. Remain b b in b b the b b system b b longer
B. Act b b more b b quickly b b to b b reduce b b delusions
C. Produce b b fewer b b b b extrapyramidal b b b b effects
D. Are b b risk b b free b b for b b neuroleptic b b b b malignant bb bb syndrome b b b b (NMS)
CORRECT qANSWER:C kj
Atypical antipsychotics produce
b b less D2blockade;
b b thus movement disorders b b b b b b b b b b b b b b b b b b b b b b b b b b
are
b b less of a problem.
b b b b No evidence suggests that the medication remains in
b b b b b b b b b b b b b b b b b b b b b b b b b b
the system longer nor that it acts more quicklyto reduce delusions.
b b b b b b The atypicals b b b b b b b b b b bb bb bb b b b b
b are bnot risk free b for NMS.
b b b b b b b b b
KEY: Cognitive Level:
b b Application b b b b | b b Integrated b b Processes: b b Nursing b b Process:
b Implementation
b | Client Need: b b b b bb
Physiological Integrity: Pharmacological b b b b b b and b b Parenteral b b Therapies
2.The NURSE would b assess
b for neuroleptic malignant b b b b b b b b b b
syndrome
b b (NMS) if a patient on haloperidol (Haldol)
b b b b b b bb b b bb b b
develops
b ba: b b
A. 30 bb b b b b mm b b Hg b b decrease b b b b in b b b b blood b b b b pressure b b b b reading
B. Respiratory
bb b b rate b b b b of bb bb 24 b b respirations b b b b per b b minute
C. Temperature
bb b b b b reading of b b b b 104° F
D. Pulse bb b b rate b b b b of bb bb 70 bb bb beats bb bb per bb bb minute
CORRECT qANSWER:C kj
Increased temperature is b b b b b b b b b b the cardinal sign
b b of NMS. This BP b b b b b b b b b b b b b b b b is b b b b not
a
b b significant feature
b b b b b b b b b bof NMS. There
bb are no significant findings
b b b b bb b b b b b b to
support
b b the options b b b b b b related to respirations orb pulse
b rate. b b b b b b b b
KEY: Cognitive Level:
b b Application b b b b | b b Integrated b b Processes: b b Nursing b b Process:
Assessment
b b | Client Need: b b b b bb
Physiological Integrity: Pharmacological b b b b b b and b b Parenteral b b Therapies
3. A patient taking
bb bb b b b b fluphenazine bb bb (Prolixin) b b complains b b of b b dry b b mouth bb bb and b b blurred
vision.
b b What b b b b
would the NURSE b b bb b b b b assess b b b b as b b b b the b b b b likely b b b b cause b b b b of b b b b these b b b b symptoms?
A. Decreased b b dopamine b b at b b receptor b b sites
B. Blockade b b of b b histamine
C. Cholinergic b b blockade
D. Adrenergic b b blocking
CORRECT qANSWER:C kj
Fluphenazine b b administration b b produces blockade of bb bb b b cholinergic b b receptors b b giving b b rise b b to
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, anticholinergic effects,
bb b b b b such b b b b as b b b b dry b b b b mouth, b b b b blurred b b b b vision, b b b b and b b b b constipation.
KEY: Cognitive
b b b b Level: Application
b b | b b Integrated b b Processes: b b Nursing b b Process:
Assessment
b b |
b b b b Client Need:
bb
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