HEALTH NURSING, 10TH EDITION, KARYN I. MORGAN,MARY C.
TOWNSEND, ISBN-13: 9780803699670
,Table of Contents
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I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
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1. The Concept of Stress Adaptation
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2. Mental Health and Mental Illness: Historical and Theoretical Concepts
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II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING P P P P
3. Concepts of Psychobiology P P
4. Psychopharmacology
5. Ethical and Legal Issues
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III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE P P P P P
6. Relationship Development P
7. Therapeutic Communication P
8. The Nursing Process in Psychiatric-Mental Health Nursing
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9. Therapeutic Groups P
10. Intervention with Families P P
11. Milieu Therapy—The Therapeutic Community
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12. Crisis Intervention
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13. Assertiveness Training P
14. Promoting Self Esteem P P
15. Anger and Aggression Management
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16. Suicide Prevention P
17. Behavior Therapy P
18. Cognitive Behavioral Therapy P P
19. Electroconvulsive Therapy P
20. The Recovery Model
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IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
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21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
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22. Neurocognitive Disorders P
23. Substance-Related and Addictive Disorders P P P
24. Schizophrenia Spectrum and Other Psychotic Disorders P P P P P
25. Depressive Disorders P
26. Bipolar and Related Disorders
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27. Anxiety, Obsessive-Compulsive, and Related Disorders
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28. Trauma and Stressor-Related Disorders
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29. Somatic Symptom and Dissociative Disorders
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30. Eating Disorders P
31. Personality Disorders P
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS P P P P P
32. Children and Adolescents P P
33. The Aging Individual
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34. Survivors of Abuse or Neglect P P P P
35. Community Mental Health Nursing P P P
36. The Bereaved Individual
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37. Military Families P
eBook Bonus Chapters
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38. Theoretical Models of Personality Development P P P P
39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
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40. Complementary and Psychosocial Therapies P P P
41. Relaxation Therapy P
42. Issues Related to Human Sexuality and Gender Dysphoria
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43. Forensic Nursing P
,Chapter 1. The Concept of Stress Adaptation
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MULTIPLE CHOICE P
1. A client has experienced the death of a close family member and at the same timebecomes
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unemployed. The client‘s 6-month score on the Recent Life Changes Questionnaire is 110. The
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nurse:Understands the client is at risk for significant stress-related illness.
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Determines the client is not at risk for significant stress-related illness.
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Needs further assessment of the client‘s coping skills to determine susceptibility tostress-
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relatedillness. P
Recognizes the client may view the losses as challenges and perceive them asopportunities.
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ANS: 3 P
Chapter: Chapter 1, The Concept of Stress Adaptation
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Objective: Explain the relationship between stress and diseases of adaptation.Page: 5
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Heading: Stress as an Environmental Event Integrated Processes: Nursing Process: EvaluationClientNeed:
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Psychosocial Integrity
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Cognitive Level: Application [Applying]Concept: StressDifficulty:
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Moderate
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Feedback
1. This is incorrect. Assessment is the first step of the nursing process. The nurse should
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assess the client‘s coping skills and available support before determining
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susceptibilityto stress-related physical and psychological illnesses. The Recent
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LifeChanges Questionnaire is an expanded version of the Schedule of Recent
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Experiences and the Rahe-Holmes Social Readjustment Rating Scale. A 6-month score
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of 300 or more or a year-score total of 500 or more indicates high stress in a
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client‘s life and susceptibility to stress-related illnesses.
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2. This is incorrect. Assessment is the first step in the nursing process. The nurse should
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assess the client‘s coping skills and available support before determining the client‘s
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perception of the current stresses. A 6-month score of 300 or more or a year-score
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totalof 500 or more on the Recent Life Changes Questionnaire indicates high stress in a
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client‘s life and susceptibility to stress-related physical and psychological illnesses.
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3. This is correct. Assessment is the first step in the nursing process. The nurse should
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Passess the client‘s coping skills and available support before determining susceptibility
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to stress-related physical and psychological illnesses. A 6-month score
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, of 300 or more or a year-score of 500 or more indicates high stress in a client‘s lifeand
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risk for significant stress-related physical and psychological illness.
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4. This is incorrect. Assessment is the first step in the nursing process. The nurse should
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assess the client‘s coping skills and available support before determining
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susceptibilityto stress-related illness. A 6-month score of 300 or more or a year- score
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of 500 or more on the Recent Life Changes Questionnaire indicates high stressin a
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client‘s life issusceptible to significant stress-related physical and psychologicalillness.
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CON: Stress P
2. A physically and emotionally healthy client has just been fired. During a routine office visit, he
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tellsthe nurse, ―Perhaps this was the best thing to happen. Maybe I‘ll
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consider pursuing an art degree.‖ The nurse determines the client perceives the stressorof his job loss as:
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Irrelevant
Harm or
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lossThreate
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ning A P
challenge
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Chapter: Chapter 1, The Concept of Stress Adaptation
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Objective: Discuss adaptive coping strategies in the management of stress.Page:
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7Heading:Stress as a transaction between the individual and the environment
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>Individual‘s Perception of the Event > Primary AppraisalIntegrated Processes: Nursing
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Process:Assessment
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Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept:
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StressDifficulty: Easy
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Feedback
1. This is incorrect. An irrelevant perception is one where the event holds nosignificance
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for the individual.
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2. This is incorrect. A harm or loss appraisal refers to damage or loss alreadyexperienced
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by the individual.
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3. This is incorrect. A threatening appraisal is perceived as anticipated harms or losses.
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4. This is correct. The client‘s statement indicates he perceives the loss of his job as a
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challenge and an opportunity for growth, demonstrated by his statement to consideran
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art degree. P
CON: Stress P