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