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9thEditionbyDebbie Steele,Verified
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Chapters 1 – 36
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, Table of Contents
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Chapter 01 Me, Meds, Milieu
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Chapter 02 Historical Issues
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11
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Chapter03Legal Issues
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19
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Chapter04PsychobiologicBasesof Behavior 29
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Chapter05CulturalIssues
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38
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Chapter06SpiritualIssues
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47
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Chapter07Models for Workingwith PsychiatricPatients 54
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Chapter08LearningtoCommunicateProfessionally 64
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Chapter09WorkingWith an Individual Patient
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72
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Chapter10 WorkingWith Groups of Patients 86
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Chapter11 WorkingWith the Family
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95
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Chapter12IntroductiontoPsychotropicDrugs
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103
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Chapter13AntiparkinsonianDrugs
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110
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Chapter14AntipsychoticDrugs
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118
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Chapter15AntidepressantDrugs 128
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Chapter16AntimanicDrugs
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135
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Chapter17AntianxietyDrugs 143
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Chapter18AntidementiaDrugs
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152
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Chapter19AlternativePreparationsandOver-the-CounterDrugs 158
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Chapter20IntroductiontoMilieuManagement
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,165
Chapter21VariablesAffecting the TherapeuticEnvironment ViolenceandSuicide
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173
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Chapter22TherapeuticEnvironment inVariousTreatmentSettings 185
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Chapter23IntroductiontoPsychopathology 191
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Chapter24SchizophreniaSpectrumand Other PsychoticDisorders 197
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Chapter25DepressiveDisorders 204
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Chapter26BipolarDisorders
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211
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Chapter27Anxiety-Related,Obsessive-Compulsive,Trauma-andStressor-
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fRelated,Somatic,andDissociativeDisorders
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218
Chapter28NeurocognitiveDisorders
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227
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Chapter29PersonalityDisorders
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236
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Chapter30SexualDisorders andGenderDysphoria 245
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Chapter31Substance Use Disorders
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252
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Chapter32EatingDisorders 261
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Chapter33Survivors of Violence and Trauma
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268
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Chapter34ChildrenandAdolescents 277
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Chapter35Older Adults
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284
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Chapter36Soldiers andVeterans
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, Chapter 01: Me, Meds, Milieu ft ft ft ft
Steele:Keltner’s PsychiatricNursing,9thEdition
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MULTIPLE CHOICE ft
1. Anewlylicensed nurse asks a nursing recruiter for a descriptionofnursing practice
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thepsychiatric setting. What is the nurse recruiter‘s best response?
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a. ―Thenurseprimarilyservesinasupportiveroletomembersofthehealth ft ft ft ft ft ft ft ft ft ft ft ft
care f t
delivery team.‖ ft
b. ―Themultidisciplinaryapproacheliminatestheneedtoclearlydefinethe ft ft ft ft ft ft ft ft ft
responsibilities of nursing in such a setting.‖
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c. ―Nursingactionsareidentifiedbytheinstitutionthatdistinguishesnursing ft ft ft ft ft ft ft ft ft
from f t
other mental health professions.‖ ft ft ft
d. ―Nursingoffersuniquecontributionstothepsychotherapeuticmanagement ft ft ft ft ft ft ft
of f t
psychiatric patients ft
ANS: D f t
Professional role overlap cannot be denied; however, nursing is unique in its focus on and ft ft ft ft ft ft ft ft ft ft ft ft ft f t
applicationofpsychotherapeutic management. Neither thefacility nor the
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fmultidisciplinaryteam define the professional responsibilities of its members but rather
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futilizes their unique skills to provide holistic care. Ideally, all team members support
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feach other and have functions within the team.
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DIF: Cognitive level: Analyzing TOP: Nursing process: ft ft f t ft
fImplementationMSC: Client Needs: Safe, Effective Care
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Environment
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2. Which component ofthe nursing process willthe nurse focus upon to
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f address theresponsibilityto match individualpatient needs with
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fappropriateservices?
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a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANS: C f t
Proper assessment is critical for being able to determine the appropriate level of services
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that will provide optimal care while considering patient input and at the lowest cost.
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Planning and implementation utilizes the assessment data to identify and execute
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factions (treatment plan) that willprovideappropriate care. Evaluation validatesthe
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f effectivenessofthetreatment plan.
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DIF: Cognitive level: Applying TOP: Nursing ft ft f t
process: AssessmentMSC: Client Needs: Safe, Effective Care
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Environment
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3. An adult diagnosed with paranoid schizophreniafrequently experiences auditory
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f hallucinations and walksabout the unit, muttering. Which nursing action
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f demonstratesthenurse‘sunderstanding ofeffectivepsychotherapeutic management
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f ofthis client?
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a. Discussing thedisease process ofschizophreniawiththeclient and their ft ft ft ft ft ft ft ft ft ft