TESTBANK-
DavisAdvantageforPsychiatricMentalHealthNursingKaryn
kj s
d
I.Morgan
s
d
11thEdition
, Table d s of Contents
Chapter 01. The Concept of Stress Adaptation
d s d s d s d s d s d s
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical
ds ds ds ds ds ds ds
Concepts
ds
Chapter 03. Psychopharmacology d s d s
Chapter 04. Concepts of Psychobiology
ds ds ds ds ds
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
d s d s d s d s d s d s d s d s d s
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental
d s d s d s d s d s d s d s d s
Health Nursing Chapter 07. Relationship Development
d s ds ds d s d s d s
Chapter 08. Therapeutic Communication
d s d s d s
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
ds ds ds ds ds ds ds ds
Chapter 10. Therapeutic Groups
ds d s d s d s
Chapter 11. Intervention With Families
d s d s d s d s d s d s d s
Chapter 12. Milieu Therapy - The Therapeutic Community
ds ds ds ds ds ds ds
Chapter 13. Crisis Intervention
ds d s d s d s
Chapter 14. Assertiveness Training
ds ds ds
Chapter 15. Promoting Self-Esteem
ds ds ds ds
Chapter 16. Anger/Aggression
ds ds ds
Management Chapter 17. The ds d s d s
Suicidal Client
d s ds
Chapter 18. Behavior Therapy d s d s
Chapter 19. Cognitive
ds d s d s
Therapy
Chapter 20. Electroconvulsive
ds ds ds
Therapy Chapter 21. The
ds d s d s d s
Recovery Model Chapter 22.
ds ds d s d s
Neurocognitive Disorders ds
Chapter 23. Substance-Related and Addictive
d s d s d s d s
Disorders
Chapter 24. Schizophrenia Spectrum and Other Psychotic
ds ds ds ds ds ds ds
Disorders Chapter 25. Depressive Disorders
ds ds d s d s d s
Chapter 26. Bipolar and Related Disorders
d s d s d s d s d s d s d s d s d s
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
ds ds ds ds ds ds
Chapter 28: Trauma and Stressor-Related Disorders
ds d s d s d s d s d s
Chapter 29. Somatic Symptom d s and Dissociative d s d s d s
d Disorders Chapter 30. Issues Related to Human Sexuality and
s ds ds ds ds ds ds ds ds
Gender Dysphoria Chapter 31. Eating Disorders
ds ds ds d s d s d s
Chapter 32. Personality Disorders d s d s d s
Chapter 33. Children and Adolescents
ds ds ds ds ds
Chapter 34. The Aging
ds d s d s d s
Individual
d s
Chapter 35. Survivors of Abuse or d s d s d s d s d s
d Neglect Chapter 36. Community Mental
s ds ds ds ds
Health Nursing Chapter
ds ds37. The ds d s d s
d Bereaved
s Individual Chapter 38. d s ds d s
Military Families
d s d s
,Chapter 01. Psychopharmacology d s d s
Multiple Choice ds
1. The NURSE manager on the psychiatric
d s unit was explaining to d s d s d s d s d s d s d s d s
the
d new
s staff the differences between
d typical
s and atypical d s d s ds ds d s d s d s
antipsychotics.
d s The NURSE correctly states that atypical antipsychotics: d s d s d s d s ds d s ds
A. Remain d s in d s the d s system d s longer
B. Act d s more d s quickly d s to d s reduce d s delusions
C. Produce d s fewer d s d s extrapyramidal d s d s effects
D. Are d s risk d s free d s for d s neuroleptic d s d s malignant d s d s syndrome d s d s (NMS)
CORRECT qANSWER:C kj
Atypical antipsychotics produce less D2blockade;
d s thus
d s movement disorders are d s d s d s d s d s d s d s d s d s d s d s d s d s d s d s
less
d s of a problem. No evidence suggests that the medication remains in the system
d s d s d s d s d s d s d s d s d s d s d s d s d s d s d s
longer nor that it acts more quicklyto reduce delusions.
d s d s The atypicals are not risk
d s d s d s d s ds ds ds d s d s d s d s d s
d free for
s NMS. d s d s
KEY: Cognitive Level: Application
d s d s d s | Integrated
d s d s Processes: d s Nursing d s Process:
d Implementation
s | Client Need: d s d s ds
Physiological Integrity: Pharmacological d s d s d s and d s Parenteral d s Therapies
2.The NURSE would assess for neuroleptic
d s d s d s d s d s d s malignant d s syndrome
(NMS) if a patient on haloperidol
d s (Haldol) d s d s ds d s ds d s d sdevelops d s a:
A. 30 ds d s d s mm d s Hg d s decrease d s d s in d s d s blood d s d s pressure d s d s reading
B. Respiratory
ds d s rate d s d s of d s d s 24 d s respirations d s d s per d s minute
C. Temperature
ds d s d s reading of d s d s 104° F
D. Pulse ds d s rate d s d s of d s d s 70 d s d s beats d s d s per d s d s minute
CORRECT qANSWER:C kj
Increased temperature is the cardinal sign
d s of NMS. This
d s d s d s d s d s d s d s d s d s d s d s BP d s d s is not
d s d s d s a d s
significant
d s feature of NMS. There are no significant findings d s d s d s ds d s d s ds d s d s d sto d s support d s the
options
d s related to respirations or pulse rate. d s d s d s d s d s d s
KEY: Cognitive Level: Application
d s d s d s | Integrated
d s d s Processes: d s Nursing d s Process:
Assessment | Client Need:
d s d s d s ds
Physiological Integrity: Pharmacological d s d s d s and d s Parenteral d s Therapies
3. A patient taking
d s d s d s d s fluphenazine d s d s (Prolixin) d s complains d s of d s dry d s mouth d s d s and d s blurred
vision.
d sWhat d s d s
would the NURSE d s ds d s d s assess d s d s as d s d s the d s d s likely d s d s cause d s d s of d s d s these d s d s symptoms?
A. Decreased d s dopamine d s at d s receptor d s sites
B. Blockade d s of d s histamine
C. Cholinergic d s blockade
D. Adrenergic d s blocking
CORRECT qANSWER:C kj
, Fluphenazine d s administration d s produces blockade of
ds ds d s cholinergic d s receptors d s giving d s rise d s to
DavisAdvantageforPsychiatricMentalHealthNursingKaryn
kj s
d
I.Morgan
s
d
11thEdition
, Table d s of Contents
Chapter 01. The Concept of Stress Adaptation
d s d s d s d s d s d s
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical
ds ds ds ds ds ds ds
Concepts
ds
Chapter 03. Psychopharmacology d s d s
Chapter 04. Concepts of Psychobiology
ds ds ds ds ds
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
d s d s d s d s d s d s d s d s d s
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental
d s d s d s d s d s d s d s d s
Health Nursing Chapter 07. Relationship Development
d s ds ds d s d s d s
Chapter 08. Therapeutic Communication
d s d s d s
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
ds ds ds ds ds ds ds ds
Chapter 10. Therapeutic Groups
ds d s d s d s
Chapter 11. Intervention With Families
d s d s d s d s d s d s d s
Chapter 12. Milieu Therapy - The Therapeutic Community
ds ds ds ds ds ds ds
Chapter 13. Crisis Intervention
ds d s d s d s
Chapter 14. Assertiveness Training
ds ds ds
Chapter 15. Promoting Self-Esteem
ds ds ds ds
Chapter 16. Anger/Aggression
ds ds ds
Management Chapter 17. The ds d s d s
Suicidal Client
d s ds
Chapter 18. Behavior Therapy d s d s
Chapter 19. Cognitive
ds d s d s
Therapy
Chapter 20. Electroconvulsive
ds ds ds
Therapy Chapter 21. The
ds d s d s d s
Recovery Model Chapter 22.
ds ds d s d s
Neurocognitive Disorders ds
Chapter 23. Substance-Related and Addictive
d s d s d s d s
Disorders
Chapter 24. Schizophrenia Spectrum and Other Psychotic
ds ds ds ds ds ds ds
Disorders Chapter 25. Depressive Disorders
ds ds d s d s d s
Chapter 26. Bipolar and Related Disorders
d s d s d s d s d s d s d s d s d s
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
ds ds ds ds ds ds
Chapter 28: Trauma and Stressor-Related Disorders
ds d s d s d s d s d s
Chapter 29. Somatic Symptom d s and Dissociative d s d s d s
d Disorders Chapter 30. Issues Related to Human Sexuality and
s ds ds ds ds ds ds ds ds
Gender Dysphoria Chapter 31. Eating Disorders
ds ds ds d s d s d s
Chapter 32. Personality Disorders d s d s d s
Chapter 33. Children and Adolescents
ds ds ds ds ds
Chapter 34. The Aging
ds d s d s d s
Individual
d s
Chapter 35. Survivors of Abuse or d s d s d s d s d s
d Neglect Chapter 36. Community Mental
s ds ds ds ds
Health Nursing Chapter
ds ds37. The ds d s d s
d Bereaved
s Individual Chapter 38. d s ds d s
Military Families
d s d s
,Chapter 01. Psychopharmacology d s d s
Multiple Choice ds
1. The NURSE manager on the psychiatric
d s unit was explaining to d s d s d s d s d s d s d s d s
the
d new
s staff the differences between
d typical
s and atypical d s d s ds ds d s d s d s
antipsychotics.
d s The NURSE correctly states that atypical antipsychotics: d s d s d s d s ds d s ds
A. Remain d s in d s the d s system d s longer
B. Act d s more d s quickly d s to d s reduce d s delusions
C. Produce d s fewer d s d s extrapyramidal d s d s effects
D. Are d s risk d s free d s for d s neuroleptic d s d s malignant d s d s syndrome d s d s (NMS)
CORRECT qANSWER:C kj
Atypical antipsychotics produce less D2blockade;
d s thus
d s movement disorders are d s d s d s d s d s d s d s d s d s d s d s d s d s d s d s
less
d s of a problem. No evidence suggests that the medication remains in the system
d s d s d s d s d s d s d s d s d s d s d s d s d s d s d s
longer nor that it acts more quicklyto reduce delusions.
d s d s The atypicals are not risk
d s d s d s d s ds ds ds d s d s d s d s d s
d free for
s NMS. d s d s
KEY: Cognitive Level: Application
d s d s d s | Integrated
d s d s Processes: d s Nursing d s Process:
d Implementation
s | Client Need: d s d s ds
Physiological Integrity: Pharmacological d s d s d s and d s Parenteral d s Therapies
2.The NURSE would assess for neuroleptic
d s d s d s d s d s d s malignant d s syndrome
(NMS) if a patient on haloperidol
d s (Haldol) d s d s ds d s ds d s d sdevelops d s a:
A. 30 ds d s d s mm d s Hg d s decrease d s d s in d s d s blood d s d s pressure d s d s reading
B. Respiratory
ds d s rate d s d s of d s d s 24 d s respirations d s d s per d s minute
C. Temperature
ds d s d s reading of d s d s 104° F
D. Pulse ds d s rate d s d s of d s d s 70 d s d s beats d s d s per d s d s minute
CORRECT qANSWER:C kj
Increased temperature is the cardinal sign
d s of NMS. This
d s d s d s d s d s d s d s d s d s d s d s BP d s d s is not
d s d s d s a d s
significant
d s feature of NMS. There are no significant findings d s d s d s ds d s d s ds d s d s d sto d s support d s the
options
d s related to respirations or pulse rate. d s d s d s d s d s d s
KEY: Cognitive Level: Application
d s d s d s | Integrated
d s d s Processes: d s Nursing d s Process:
Assessment | Client Need:
d s d s d s ds
Physiological Integrity: Pharmacological d s d s d s and d s Parenteral d s Therapies
3. A patient taking
d s d s d s d s fluphenazine d s d s (Prolixin) d s complains d s of d s dry d s mouth d s d s and d s blurred
vision.
d sWhat d s d s
would the NURSE d s ds d s d s assess d s d s as d s d s the d s d s likely d s d s cause d s d s of d s d s these d s d s symptoms?
A. Decreased d s dopamine d s at d s receptor d s sites
B. Blockade d s of d s histamine
C. Cholinergic d s blockade
D. Adrenergic d s blocking
CORRECT qANSWER:C kj
, Fluphenazine d s administration d s produces blockade of
ds ds d s cholinergic d s receptors d s giving d s rise d s to
