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