Table of Contents ss ss
Table of Contents
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Chapter 01: Psychiatric-Mental Health Nursing and Evidence-Based Practice
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Chapter 02: Mental Health and Mental Disorders
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Chapter 03: Cultural and Spiritual Issues Related to Mental Health Care
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Chapter 04: Patient Rights and Legal Issues
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Chapter 05: Mental Health Care in the Community
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Chapter 06: Ethics, Standards, and Nursing Frameworks
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Chapter 07: Psychosocial Theoretic Basis of Psychiatric Nursing
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Chapter 08: Biologic Foundations of Psychiatric Nursing
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Chapter 09: Communication and the Therapeutic Relationship
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Chapter 10: The Psychiatric-Mental Health Nursing Process
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Chapter 11: Psychopharmacology, Dietary Supplements, and Biologic Interventions
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Chapter 12: Cognitive Interventions in Psychiatric Nursing
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Chapter 13: Group Interventions
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Chapter 14: Family Assessment and Interventions
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Chapter 15: Mental Health Promotion for Children and Adolescents
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Chapter 16: Mental Health Promotion for Young and Middle-Aged Adults
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Chapter 17: Mental Health Promotion for Older Adults
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Chapter 18: Stress and Mental Health
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Chapter 19: Management of Anger, Aggression, and Violence
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Chapter 20: Crisis, Loss, Grief, Response, Bereavement, and Disaster Management
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Chapter 21: Suicide Prevention: Screening, Assessment, and Intervention
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Chapter 22: Schizophrenia and Related Disorders: Nursing Care of Persons with Thought
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Disorders 84
Chapter 23: Depression: Management of Depressive Moods and Suicidal Behavior
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Chapter 24: Bipolar Disorders: Management of Mood Lability
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Chapter 25: Anxiety Disorders: Management of Anxiety, Phobia, and Panic
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Chapter 26: Obsessive Compulsive and Related Disorders
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Chapter 27: Trauma and Stressor Related Disorders
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Chapter 28: Personality and Borderline Personality Disorder: Management of Emotion
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al Dysregulation and Self-Harm
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Chapter 29: Antisocial Personality and Disruptive, Impulse Control, and Conduct Disorders
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109
Chapter 30: Addiction and Substance-Related Disorders
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Chapter 31: Eating Disorders: Management of Eating and Weight
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Chap ter 32: Somatic Symptom and Related Disorders
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Chapter 33: Nursing Care of Persons with Insomnia and Sleep Problems
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Chapter 34: Sexual Disorders: Management of Sexual Dysfunction and Paraphilias
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Chapter 35: Mental Health Assessment of Children and Adolescents
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Chapter 36: Mental Health Disorders of Childhood and Adolescence
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Chapter 37: Mental Health Assessment of Older Adults
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Chapter 38: Neurocognitive Disorders
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Chapter 39: Caring for Persons Who Are Homeless and Mentally Ill
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Chapter 40: Caring for Persons With Co-
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occurring Mental Disorders
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Chapter 41: Caring for Survivors of Viol ence and Abuse
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Chapter 42: Caring for Persons With Mental Illness and Criminal Behavior
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Chapter 43: Caring for Medically Compromised Persons
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Answers are at the end of each chapter ss ss ss s ss ss ss
Chapter 01: Psychiatric-Mental Health Nursing and Evidence-
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Based Practice
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1. A group of nursing students are reviewing information about the evolution of mental health care and
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ar e discussing the recommendations of the final report of the Joint Commission on Mental Ill
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ness an d Health. The students demonstrate understanding of this information when they identif
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y thate.the re port recommended an increase in which of the following?
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A) Numbers of mental health hospitals ss ss ss s s s s
B) State funding for mental health care ss ss ss ss s s
C) Clinics supplemented by general hospital units s s s s s s s s s s
D) Use of psychotherapy by psychiatrists s s s s s s s s
2. A nurse is reviewing the American Nurses Association‟s Statement on Psychiatric Nursing Practice pu
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blished in 1967, which sanctioned the involvement of psychiatricmental health nurses in the provision
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of holistic nursing care. Integrating knowledge of the various theories and views of ment al healt
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h ande.illness, the nursee.identifies which of the following as most strongly linkede.to this holi stic approa
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ch?
A) Sigmund Freud‟s psychoanalytic theory s s s s ss
B) Florence Nightingale‟s Notes on Nursing ss ss ss ss
C) Hildegarde
D) Clifford Beers‟ A Mind That Found Itself s s s s s s s s s s s s
E) Peplau‟s Interpersonal Relations in Nursing s s s s s s s s
3. A nursing instructor is preparing a presentation about key events and people that influenced the de velopm
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ent of contemporary mental health and illness care. When describing the effects of World War I I, w
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hich of the following would the instructor include?
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A) People began to view mental illness as more commonplace and acceptable.
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B) The biologic understanding of mental illness was almost fully developed.
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C) Deinstitutionalization occurred in response to the community health movement. s s s s s s s s s s s s s s s s
D) Mental illnesses became categorized as psychoses or neuroses. s s s s s s s s s s s s s s
4. A nursing student is presenting a discussion of the history of psychiatricmental health nursing and
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it s place within nursing history. Which of the following would be most appropriate to incl
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ude?
A) Certification for the psychiatricmental health nursing specialty was first emphasized by Mar ss ss ss ss ss ss ss ss ss ss ss s s
y Adelaide Nutting. ss ss
B) Psychiatric nurses played a part in seeing thate.all deinstitutionalized patients gote.treatment at
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e.community mental health centers. ss ss ss
C) There is a historical link between the first nursing program to admit male students and the fi
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r st training school fore.psychiatric nursing.
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D) The first graduate program in psychiatric nurses was established in response to the publication
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o f psychiatric nursing specialty journals.
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5. Two nursing students are discussing psychiatricmental health nursing and the role it has played
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i n nursing‟s overall history. Which statement is most accurate?
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A) The importance of using therapeutic communication was stressed by Nightingale.
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B) The use of self-care to enhance the immune system was taught by Dorothea Dix.
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C) The moral treatment of mental illness was a primary focus of deinstitutionalization.
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D) Peplau was the first nurse to stress the importance of therapeutic communication.
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6. When reviewing the evolution of mental health and illness care, which event is associated with ment
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al disorders beginning to be viewed as illnesses requiring treatment?
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A) Establishment of Pennsylvania Hospital in Philadelphia ss ss ss ss s s
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B) Quaker establishment ofasylums s s s s
C) Creation of the state hospital system s s ss s s s s s s
D) Freud‟s views on the causes of mental illnesses
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7. A psychiatricmental health nurse is working on a committee that is developing programs that integrate th
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e objectives for mental health and mental disorders as identified in Healthy People 2020. Which ty
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pe of program would be least appropriate?
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A) Single substance abuse treatment programs s s s s s s s s
B) Depression screening programs for primary care providers s s s s s s s s s s s s
C) Mental health programs for the homeless population s s s s s s s s s s s s
D) Employment programs for those with serious mental illness s s s s s s s s s s s s s s
8. A nursing instructor ise.describing the concept of evidence-
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based practice in psychiatricmental health nursing. Which of the following would the instructor in
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cl ude as being important? Selecte.all that apply.
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A) Research findings s s
B) Expert opinion s s
C) Clinical experiences s s
D) Patient data s s
E) Established routines s s
9. The following events are important in the development of psychiatricmental health nursing practice
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. Which event occurred first?
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A) Publication of Standards of Psychiatric-Mental Health Nursing by the ANA s s s s s s ss s s s s ss s s s s
B) Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice
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C) Establishment of the first graduate program in psychiatric nursing at Rutgers University s s ss s s s s s s s s s s s s s s s s s s
D) Publication of the first psychiatric nursing text, Nursing Mental Disease, by Harriet Bailey
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10. A nurse is preparing a presentation about the current status of mental health services in the Unit
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e d States. Which statement would the nurse include as the most reflective of this status
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?
A) Mental health care in the United States is equally accessible to individuals.
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B) Mental illness ranks second in terms of causing disability in comparison.
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C) Mental health care primarily focuses on the cure of mental illness.
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D) Mental health care services are inadequate and fragmented.
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11. A group of students are reviewing the goals identified by the Newe.Freedom Commission on Men ta
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l Health. The students demonstrate understanding of this report when they identify which of t he
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following as a goal? ss ss ss
A) Mental health is viewed as one component of overall health.
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B) The consumer and family are the driving forces for mental health care.
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C) Screening is of greater importance than assessment and referral for services.
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D) Disparities in mental health services are decreased. s s s s s s s s s s s s
12. The following are important legislative and policy efforts influencing current mental health care. Whi
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c h of the following is the most recent?
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A) Mental Health: A Report of the Surgeon General s s s s s s s s s s s s s s
B) New Freedom Commission on Mental Healths s s s s s s s s s
C) Action for MentalHealth s s s s s
D) Mental Retardation Facilities and Community Mental Health Centers Construction Act
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13. As part of a career day presentation to a group of nursing students, a psychiatricmental heal
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th nu rse plans to describe how this specialty developed. Which individual would the nurse describe as pl
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ay ing a major role in the development of specialty training programs for psychiatric nurses?
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A) Mary Adelaide Nutting s s ss
B) Hildegarde Peplau s s