TEST BANK-b9
Davis Advantage for Psychiatric Mental Health Nursing
b9 b9 b9 b9 b9 b9
Karyn I. Morgan
b9 b9 b9
11th Edition
b9
, Table b 9 of b 9 Contents
Chapter 01. The Concept of Stress Adaptation
b9 b9 b9 b 9 b9 b 9
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical
b9 b9 b9 b9 b9 b9 b9
Concepts
b9
Chapter 03. Psychopharmacology
b 9 b 9
Chapter 04. Concepts of Psychobiology
b9 b9 b9 b9 b9
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
b9 b 9 b9 b 9 b9 b 9 b9 b 9 b9
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental
b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 Health
Nursing Chapter 07. Relationship Development
b 9 b9 b 9 b 9 b 9
Chapter 08. Therapeutic Communication
b9 b 9 b 9
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
b9 b9 b9 b9 b9 b9 b9 b9
Chapter 10. Therapeutic Groups
b9 b 9 b 9 b 9
Chapter 11. Intervention With Families
b 9 b 9 b 9 b 9
Chapter 12. Milieu Therapy - The Therapeutic Community
b9 b9 b9 b9 b9 b9 b9
Chapter 13. Crisis Intervention
b9 b 9 b 9 b 9
Chapter 14. Assertiveness Training
b9 b9 b9
b 9Chapter 15. Promoting Self-Esteem
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b Chapter 16. Anger/Aggression
9 b9 b9
Managem ent Chapter 17. The
b9 b9 b 9 b 9
Suicidal Client
b 9 b 9
Chapter 18. Behavior
b 9 Therapy b 9 b 9
Chapter 19. Cognitive
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Therapy Chapter 20.
b 9 b9 b9
Electroconvulsive Therapy
b9 b9
Chapter 21. The Recovery
b 9 b 9 b 9 b 9
Model Chapter 22.
b9 b 9 b 9
Neurocognitive Disorders
b 9 b9
Chapter 23. Substance-Related and Addictive Disorders
b 9 b 9 b 9 b 9 b 9
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
b9 b9 b9 b9 b9 b9 b9
Chapter 25. Depressive Disorders
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Chapter 26. Bipolar and Related Disorders
b 9 b 9 b 9 b 9 b 9
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
b9 b9 b9 b9 b9 b9
Chapter 28: Trauma and Stressor-Related Disorders
b9 b 9 b 9 b 9 b 9 b 9
Chapter 29. Somatic Symptom and Dissociative Disorders
b 9 b 9 b 9 b 9 b 9 b 9
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria
b9 b9 b9 b9 b9 b9 b9 b9 b9
Chapter 31. Eating Disorders
b9 b 9 b 9 b 9
Chapter 32. Personality Disorders
b 9 b 9 b 9
Chapter 33. Children and Adolescents
b9 b9 b9 b9 b9
Chapter 34. The Aging Individual
b9 b 9 b 9 b 9 b 9
Chapter 35. Survivors of Abuse or Neglect
b 9 b 9 b 9 b 9 b 9 b 9
Chapter 36. Community Mental Health Nursing
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Chapter 37. The Bereaved Individual
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Chapter 38. Military Families
b 9 b 9 b 9
,Chapter 01. Psychopharmacology b 9 b 9
Multiple Choice b9
1. The NURSE manager on the psychiatric unit was explaining to the new staff
b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9
the differences between typical and atypical antipsychotics. The NURSE
b 9 b 9 b9 b 9 b 9 b 9 b 9 b 9 b 9
b 9correctly states that atypical antipsychotics:
b 9 b 9 b 9 b9
A. Remain b 9 in the system longer
b 9 b 9 b 9
B. Act more quickly
b9 b9 b 9 to reduce delusions
b9 b 9
C. Produce fewer b 9 b 9 extrapyramidal b 9 effects
D. Are b 9 risk free for neuroleptic
b 9 b 9 b 9 b 9 malignant b 9 syndrome b 9 (NMS)
CORRECT qANSWER:C b9
Atypical antipsychotics produce less D2blockade; thus movement disorders are less of a
b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9
problem. No evidence suggests that the medication remains in the system longer nor that it acts more
b 9 b 9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
quicklyto reduce delusions. The atypicals are not risk free for NMS.
b9 b9 b9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation
b9 b 9 b 9 b 9 b9 b 9 b 9 b 9 b 9 b 9 |
Client Need:
b9 b 9
Physiological Integrity: Pharmacological and Parenteral Therapies
b9 b 9 b 9 b 9 b 9
2. The NURSE would assess for neuroleptic malignant
b 9 b 9 b 9 b 9 b 9 b 9 b 9 syndrome (NMS) if b 9 b 9
a patient on haloperidol (Haldol) develops a:
b 9 b 9 b 9 b9 b 9 b 9 b 9
A. 30 b 9 mm Hg decrease b 9 b 9 b 9 in b 9 blood b 9 pressure b 9 reading
B. Respiratory rate b 9 b 9 of 24 respirations
b 9 b 9 b 9 per minute
b 9
C. Temperature b 9 reading b 9 of b 9 104° b 9 F
D. Pulse rate b 9 b 9 of 70 beats per minute
b 9 b 9 b 9 b 9
CORRECT qANSWER:C b9
Increased temperature is the cardinal sign of NMS. This BP is not a significant feature of
b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9
NMS. There are no significant findings to support the options related to respirations or
b 9 b 9 b 9 b9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9
pulse rate.
b 9 b 9
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment
b9 b 9 b 9 b 9 b9 b 9 b 9 b 9 b9 b 9 |
Client Need:
b9 b 9
Physiological Integrity: Pharmacological and Parenteral Therapies
b9 b 9 b 9 b 9 b 9
3. A patient taking fluphenazine (Prolixin) complains of dry mouth and blurred vision.
b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9
What would the NURSE assess as the likely cause of these symptoms?
b 9 b 9 b 9 b9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9
A. Decreased dopamine at receptor sites b 9 b 9 b 9 b 9
B. Blockade b 9 of histamine
b9
C. Cholinergic b 9 blockade
D. Adrenergic b 9 blocking
CORRECT qANSWER:C b9
Fluphenazine b 9 administration b 9 produces blockade of cholinergic receptors giving
b9 b9 b 9 b 9 b 9 b 9 rise to b 9
, b9 anticholinergic effects,
b9 b 9 such b 9 as b 9 dry b 9 mouth, b 9 blurred b 9 vision, b 9 and b 9 constipation.
KEY: Cognitive
b9 b 9 Level: Application
b 9 b 9 | Integrated Processes: Nursing Process: Assessment
b9 b 9 b 9 b 9 b9 b 9 |
Client Need:
b9 b 9
Davis Advantage for Psychiatric Mental Health Nursing
b9 b9 b9 b9 b9 b9
Karyn I. Morgan
b9 b9 b9
11th Edition
b9
, Table b 9 of b 9 Contents
Chapter 01. The Concept of Stress Adaptation
b9 b9 b9 b 9 b9 b 9
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical
b9 b9 b9 b9 b9 b9 b9
Concepts
b9
Chapter 03. Psychopharmacology
b 9 b 9
Chapter 04. Concepts of Psychobiology
b9 b9 b9 b9 b9
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
b9 b 9 b9 b 9 b9 b 9 b9 b 9 b9
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental
b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 Health
Nursing Chapter 07. Relationship Development
b 9 b9 b 9 b 9 b 9
Chapter 08. Therapeutic Communication
b9 b 9 b 9
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
b9 b9 b9 b9 b9 b9 b9 b9
Chapter 10. Therapeutic Groups
b9 b 9 b 9 b 9
Chapter 11. Intervention With Families
b 9 b 9 b 9 b 9
Chapter 12. Milieu Therapy - The Therapeutic Community
b9 b9 b9 b9 b9 b9 b9
Chapter 13. Crisis Intervention
b9 b 9 b 9 b 9
Chapter 14. Assertiveness Training
b9 b9 b9
b 9Chapter 15. Promoting Self-Esteem
b9 b9 b9
b Chapter 16. Anger/Aggression
9 b9 b9
Managem ent Chapter 17. The
b9 b9 b 9 b 9
Suicidal Client
b 9 b 9
Chapter 18. Behavior
b 9 Therapy b 9 b 9
Chapter 19. Cognitive
b9 b 9 b 9
Therapy Chapter 20.
b 9 b9 b9
Electroconvulsive Therapy
b9 b9
Chapter 21. The Recovery
b 9 b 9 b 9 b 9
Model Chapter 22.
b9 b 9 b 9
Neurocognitive Disorders
b 9 b9
Chapter 23. Substance-Related and Addictive Disorders
b 9 b 9 b 9 b 9 b 9
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
b9 b9 b9 b9 b9 b9 b9
Chapter 25. Depressive Disorders
b9 b 9 b 9 b 9
Chapter 26. Bipolar and Related Disorders
b 9 b 9 b 9 b 9 b 9
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
b9 b9 b9 b9 b9 b9
Chapter 28: Trauma and Stressor-Related Disorders
b9 b 9 b 9 b 9 b 9 b 9
Chapter 29. Somatic Symptom and Dissociative Disorders
b 9 b 9 b 9 b 9 b 9 b 9
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria
b9 b9 b9 b9 b9 b9 b9 b9 b9
Chapter 31. Eating Disorders
b9 b 9 b 9 b 9
Chapter 32. Personality Disorders
b 9 b 9 b 9
Chapter 33. Children and Adolescents
b9 b9 b9 b9 b9
Chapter 34. The Aging Individual
b9 b 9 b 9 b 9 b 9
Chapter 35. Survivors of Abuse or Neglect
b 9 b 9 b 9 b 9 b 9 b 9
Chapter 36. Community Mental Health Nursing
b9 b9 b9 b9 b9 b9
Chapter 37. The Bereaved Individual
b9 b 9 b 9 b 9 b 9
Chapter 38. Military Families
b 9 b 9 b 9
,Chapter 01. Psychopharmacology b 9 b 9
Multiple Choice b9
1. The NURSE manager on the psychiatric unit was explaining to the new staff
b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9
the differences between typical and atypical antipsychotics. The NURSE
b 9 b 9 b9 b 9 b 9 b 9 b 9 b 9 b 9
b 9correctly states that atypical antipsychotics:
b 9 b 9 b 9 b9
A. Remain b 9 in the system longer
b 9 b 9 b 9
B. Act more quickly
b9 b9 b 9 to reduce delusions
b9 b 9
C. Produce fewer b 9 b 9 extrapyramidal b 9 effects
D. Are b 9 risk free for neuroleptic
b 9 b 9 b 9 b 9 malignant b 9 syndrome b 9 (NMS)
CORRECT qANSWER:C b9
Atypical antipsychotics produce less D2blockade; thus movement disorders are less of a
b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9
problem. No evidence suggests that the medication remains in the system longer nor that it acts more
b 9 b 9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
quicklyto reduce delusions. The atypicals are not risk free for NMS.
b9 b9 b9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation
b9 b 9 b 9 b 9 b9 b 9 b 9 b 9 b 9 b 9 |
Client Need:
b9 b 9
Physiological Integrity: Pharmacological and Parenteral Therapies
b9 b 9 b 9 b 9 b 9
2. The NURSE would assess for neuroleptic malignant
b 9 b 9 b 9 b 9 b 9 b 9 b 9 syndrome (NMS) if b 9 b 9
a patient on haloperidol (Haldol) develops a:
b 9 b 9 b 9 b9 b 9 b 9 b 9
A. 30 b 9 mm Hg decrease b 9 b 9 b 9 in b 9 blood b 9 pressure b 9 reading
B. Respiratory rate b 9 b 9 of 24 respirations
b 9 b 9 b 9 per minute
b 9
C. Temperature b 9 reading b 9 of b 9 104° b 9 F
D. Pulse rate b 9 b 9 of 70 beats per minute
b 9 b 9 b 9 b 9
CORRECT qANSWER:C b9
Increased temperature is the cardinal sign of NMS. This BP is not a significant feature of
b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9
NMS. There are no significant findings to support the options related to respirations or
b 9 b 9 b 9 b9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9
pulse rate.
b 9 b 9
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment
b9 b 9 b 9 b 9 b9 b 9 b 9 b 9 b9 b 9 |
Client Need:
b9 b 9
Physiological Integrity: Pharmacological and Parenteral Therapies
b9 b 9 b 9 b 9 b 9
3. A patient taking fluphenazine (Prolixin) complains of dry mouth and blurred vision.
b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9
What would the NURSE assess as the likely cause of these symptoms?
b 9 b 9 b 9 b9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9
A. Decreased dopamine at receptor sites b 9 b 9 b 9 b 9
B. Blockade b 9 of histamine
b9
C. Cholinergic b 9 blockade
D. Adrenergic b 9 blocking
CORRECT qANSWER:C b9
Fluphenazine b 9 administration b 9 produces blockade of cholinergic receptors giving
b9 b9 b 9 b 9 b 9 b 9 rise to b 9
, b9 anticholinergic effects,
b9 b 9 such b 9 as b 9 dry b 9 mouth, b 9 blurred b 9 vision, b 9 and b 9 constipation.
KEY: Cognitive
b9 b 9 Level: Application
b 9 b 9 | Integrated Processes: Nursing Process: Assessment
b9 b 9 b 9 b 9 b9 b 9 |
Client Need:
b9 b 9
