mental vacolis

Table of Contents Table of Contents 1 Chapter 01: Mental Health and Mental Illness Chapter 02: Theories and Therapies Chapter 03: Psychobiology and Psychopharmacology Chapter 04: Treatment Settings Chapter 05: Cultural Implications Chapter 06: Legal and Ethical Considerations Chapter 07: The Nursing Process and Standards of Care Chapter 08: Therapeutic Relationships Chapter 09: Therapeutic Communication Chapter 10: Stress Responses and Stress Management Chapter 11: Childhood and Neurodevelopmental Disorders Chapter 12: Schizophrenia Spectrum Disorders Chapter 13: Bipolar and Related Disorders Chapter 14: Depressive Disorders Chapter 15: Anxiety and Obsessive-Compulsive Disorders Chapter 16: Trauma, Stressor-Related, and Dissociative Disorders Chapter 17: Somatic Symptom Disorders Chapter 18: Eating and Feeding Disorders Chapter 19: Sleep-Wake Disorders Chapter 20: Sexual Dysfunctions, Gender Dysphoria, and Paraphilias Chapter 21: Impulse Control Disorders Chapter 22: Substance Related and Addictive Disorders Chapter 23: Neurocognitive Disorders Chapter 24: Personality Disorders Chapter 25: Suicide and Nonsuicidal Self-Injury Chapter 26: Crisis and Disaster Chapter 27: Anger, Aggression, and Violence Chapter 28: Child, Older Adult, and Intimate Partner Violence Chapter 29: Sexual Assault Chapter 30: Dying, Death, and Grieving Chapter 31: Older Adults Chapter 32: Serious Mental Illness Chapter 33: Forensic Nursing Chapter 34: Therapeutic Groups Chapter 35: Family Interventions Chapter 36: Integrative Care 2 14 30 45 62 78 92 106 120 132 144 157 175 192 207 223 237 250 264 276 288 299 315 329 344 357 370 383 394 405 415 431 447 458 472 485 Nursing (8th Edition) 2 Chapter 01: Mental Health and Mental Illness MULTIPLE CHOICE 1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional intervention? a. Conduct mental health assessments. c. Establish therapeutic relationships. b. Prescribe psychotropic medication. d. Individualize nursing care plans. ANS: B In most states, prescriptive privileges are granted to masters-prepared nurse practitioners who have taken special courses on prescribing medication. The nurse prepared at the basic level is permitted to perform mental health assessments, establish relationships, and provide individualized care planning. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: 15 TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment 2. When a nursing student expresses concerns about how mental health nurses lose all their nursing skills, the best response by the mental health nurse is: a. Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient ratios must be better because of the nature of the patients problems. b. Psychiatric nurses use complex communication skills as well as critical thinking to solve multidimensional problems. I am challenged by those situations. c. Thats a misconception. Psychiatric nurses frequently use high technology monitoring equipment and manage complex intravenous therapies. d. Psychiatric nurses do not have to deal with as much pain and suffering as medical-surgical nurses do. That appeals to me. ANS: B The practice of psychiatric nursing requires a different set of skills than medical-surgical nursing, though there is substantial overlap. Psychiatric nurses must be able to help patients with medical as well as mental health problems, reflecting the holistic perspective these nurses must have. Nurse-patient ratios and workloads in psychiatric settings have increased, just like other specialties. Psychiatric nursing involves clinical practice, not just documentation. Psychosocial pain and suffering are as real as physical pain and suffering. PTS: 1 DIF: Cognitive Level: Apply (Application) REF: 10 TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment 3. When a new bill introduced in Congress reduces funding for care of persons with mental illness, a group of Nursing (8th Edition) 3 nurses writes letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled? a. Recovery c. Advocacy b. Attending d. Evidence-based practice ANS: C An advocate defends or asserts anothers cause, particularly when the other person lacks the ability to do that for self. Examples of individual advocacy include helping patients understand their rights or make decisions. On a community scale, advocacy includes political activity, public speaking, and publication in the interest of improving the human condition. Since funding is necessary to deliver quality programming for persons with mental illness, the letter- writing campaign advocates for that cause on behalf of patients who are unable to articulate their own needs. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: 16 TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment 4. Which comment best indicates that a patient perceived the nurse was caring? My nurse: a. always asks me which type of juice I want to help me swallow my medication. b. explained my treatment plan to me and asked for my ideas about how to make it better. c. spends time listening to me talk about my problems. That helps me feel like I am not alone. d. told me that if I take all the medicines the doctor prescribes, then I will get discharged sooner. ANS: C Caring evidences empathetic understanding as well as competency. It helps change pain and suffering into a shared experience, creating a human connection that alleviates feelings of isolation. The distracters give examples of statements that demonstrate advocacy or giving advice. PTS: 1 DIF: Cognitive Level: Apply (Application) REF: 7 TOP: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity 5. Which assessment finding most clearly indicates that a patient may be experiencing a mental illness? The patient: a. reports occasional sleeplessness and anxiety. b. reports a consistently sad, discouraged, and hopeless mood. c. is able to describe the difference between as if and for real. Nursing (8th Edition) 4 d. perceives difficulty making a decision about whether to change jobs. ANS: B The correct response describes a mood alteration, which reflects mental illness. The distracters describe behaviors that are mentally healthy or within the usual scope of human experience. ...............................................................................................CONTINUE