TEST BANK FOR
ESSENTIALS OF PSYCHIATRIC MENTAL
HEALTH NURSING:
A COMMUNICATION APPROACH TO
EVIDENCE-BASED CARE, 4TH EDITION
LATEST EDITION WITH COMPLETE
CHAPTERS 1-28
,TABLE OF CONTENTS
CHAPTER 01: SCIENCE AND THE THERAPEUTIC USE OF SELF IN PSYCHIATRIC
MENTAL HEALTH NURSING .................................................................................... 4
CHAPTER 02: MENTAL HEALTH AND MENTAL ILLNESS ......................................... 12
CHAPTER 03: THEORIES AND THERAPIES.............................................................. 20
CHAPTER 04: BIOLOGICAL BASIS FOR UNDERSTANDING PSYCHOPHARMACOLOGY
............................................................................................................................. 33
CHAPTER 05: SETTINGS FOR PSYCHIATRIC CARE .................................................. 46
CHAPTER 06: LEGAL AND ETHICAL BASIS FOR PRACTICE ...................................... 57
CHAPTER 07: THE NURSING PROCESS IN PSYCHIATRIC–MENTAL HEALTH NURSING
............................................................................................................................. 70
CHAPTER 08: COMMUNICATION SKILLS: MEDIUM FOR ALL NURSING PRACTICE . 84
CHAPTER 09: THERAPEUTIC RELATIONSHIPS AND THE CLINICAL INTERVIEW ....... 94
CHAPTER 10: TRAUMA AND STRESS-RELATED DISORDERS AND DISSOCIATIVE
DISORDERS......................................................................................................... 108
CHAPTER 11: ANXIETY, ANXIETY DISORDERS, AND OBSESSIVE-COMPULSIVE AND
RELATED DISORDERS.......................................................................................... 119
CHAPTER 12: SOMATIC SYMPTOM DISORDERS .................................................. 138
CHAPTER 13: PERSONALITY DISORDERS ............................................................. 153
CHAPTER 14: EATING DISORDERS ...................................................................... 166
CHAPTER 15: MOOD DISORDERS: DEPRESSION .................................................. 180
CHAPTER 16: BIPOLAR SPECTRUM DISORDERS .................................................. 196
CHAPTER 17: SCHIZOPHRENIA SPECTRUM DISORDERS AND OTHER PSYCHOTIC
DISORDERS......................................................................................................... 212
CHAPTER 18: NEUROCOGNITIVE DISORDERS ..................................................... 230
CHAPTER 19: SUBSTANCE-RELATED AND ADDICTIVE DISORDERS ...................... 244
CHAPTER 20: CRISIS AND MASS DISASTER.......................................................... 264
CHAPTER 21: CHILD, PARTNER, AND ELDER VIOLENCE ....................................... 277
CHAPTER 22: SEXUAL VIOLENCE......................................................................... 290
,CHAPTER 23: SUICIDAL THOUGHTS AND BEHAVIOR .......................................... 302
CHAPTER 24: ANGER, AGGRESSION, AND VIOLENCE .......................................... 317
CHAPTER 25: CARE FOR THE DYING AND THOSE WHO GRIEVE .......................... 331
CHAPTER 26: CHILDREN AND ADOLESCENTS ...................................................... 345
CHAPTER 27: ADULTS ......................................................................................... 357
CHAPTER 28: OLDER ADULTS ............................................................................. 373
, CHAPTER 01: SCIENCE AND THE THERAPEUTIC USE OF SELF IN
PSYCHIATRIC MENTAL HEALTH NURSING
MULTIPLE CHOICE
1. WHICH OUTCOME, FOCUSED ON RECOVERY, WOULD BE EXPECTED IN THE PLAN OF CARE FOR A
CLIENT LIVING IN THE COMMUNITY AND DIAGNOSED WITH SERIOUS AND PERSISTENT MENTAL ILLNESS?
WITHIN 3 MONTHS, THE CLIENT WILL DEMONSTRATE WHAT BEHAVIOR?
A. DENYING SUICIDAL IDEATION
B. REPORTING A SENSE OF WELL-BEING
C. TAKING MEDICATIONS AS PRESCRIBED
D. ATTENDING CLINIC APPOINTMENTS ON TIME
ANS: B
RECOVERY EMPHASIZES MANAGING SYMPTOMS, REDUCING PSYCHOSOCIAL DISABILITY, AND
IMPROVING ROLE PERFORMANCE. THE GOAL OF RECOVERY IS TO EMPOWER THE INDIVIDUAL WITH
MENTAL ILLNESS TO ACHIEVE A SENSE OF MEANING AND SATISFACTION IN LIFE AND TO FUNCTION AT
THE HIGHEST POSSIBLE LEVEL OF WELLNESS. THE INCORRECT OPTIONS FOCUS ON THE CLASSIC
MEDICAL MODEL RATHER THAN RECOVERY.
DIF: COGNITIVE LEVEL: APPLICATION (APPLYING) TOP: NURSING PROCESS: OUTCOMES
IDENTIFICATION MSC: NCLEX: HEALTH PROMOTION AND MAINTENANCE
2. A CLIENT IS HOSPITALIZED FOR DEPRESSION AND SUICIDAL IDEATION AFTER THEIR SPOUSE ASKS
FOR A DIVORCE. SELECT THE CAREGIVER‘S MOST CARING COMMENT.
A. ―LET‘S DISCUSS HEALTHY MERESPONSE OF COPING WHEN YOU HAVE SUICIDAL FEELINGS.‖
B. ―I UNDERSTAND WHY YOU‘RE SO DEPRESSED. WHEN I GOT DIVORCED, I WAS DEVASTATED
TOO.‖
C. ―YOU SHOULD FORGET ABOUT YOUR MARRIAGE AND MOVE ON WITH YOUR LIFE.‖
D. ―HOW DID YOU GET SO DEPRESSED THAT HOSPITALIZATION WAS NECESSARY?‖
ANS: A
THE CAREGIVER‘S COMMUNICATION SHOULD EVIDENCE CARING AND A COMMITMENT TO WORK WITH
THE CLIENT. THIS COMMITMENT LETS THE CLIENT KNOW THE CAREGIVER WILL HELP. PROBING AND
ADVICE ARE NOTHELPFUL FOR THERAPEUTIC INTERVENTIONS.
ESSENTIALS OF PSYCHIATRIC MENTAL
HEALTH NURSING:
A COMMUNICATION APPROACH TO
EVIDENCE-BASED CARE, 4TH EDITION
LATEST EDITION WITH COMPLETE
CHAPTERS 1-28
,TABLE OF CONTENTS
CHAPTER 01: SCIENCE AND THE THERAPEUTIC USE OF SELF IN PSYCHIATRIC
MENTAL HEALTH NURSING .................................................................................... 4
CHAPTER 02: MENTAL HEALTH AND MENTAL ILLNESS ......................................... 12
CHAPTER 03: THEORIES AND THERAPIES.............................................................. 20
CHAPTER 04: BIOLOGICAL BASIS FOR UNDERSTANDING PSYCHOPHARMACOLOGY
............................................................................................................................. 33
CHAPTER 05: SETTINGS FOR PSYCHIATRIC CARE .................................................. 46
CHAPTER 06: LEGAL AND ETHICAL BASIS FOR PRACTICE ...................................... 57
CHAPTER 07: THE NURSING PROCESS IN PSYCHIATRIC–MENTAL HEALTH NURSING
............................................................................................................................. 70
CHAPTER 08: COMMUNICATION SKILLS: MEDIUM FOR ALL NURSING PRACTICE . 84
CHAPTER 09: THERAPEUTIC RELATIONSHIPS AND THE CLINICAL INTERVIEW ....... 94
CHAPTER 10: TRAUMA AND STRESS-RELATED DISORDERS AND DISSOCIATIVE
DISORDERS......................................................................................................... 108
CHAPTER 11: ANXIETY, ANXIETY DISORDERS, AND OBSESSIVE-COMPULSIVE AND
RELATED DISORDERS.......................................................................................... 119
CHAPTER 12: SOMATIC SYMPTOM DISORDERS .................................................. 138
CHAPTER 13: PERSONALITY DISORDERS ............................................................. 153
CHAPTER 14: EATING DISORDERS ...................................................................... 166
CHAPTER 15: MOOD DISORDERS: DEPRESSION .................................................. 180
CHAPTER 16: BIPOLAR SPECTRUM DISORDERS .................................................. 196
CHAPTER 17: SCHIZOPHRENIA SPECTRUM DISORDERS AND OTHER PSYCHOTIC
DISORDERS......................................................................................................... 212
CHAPTER 18: NEUROCOGNITIVE DISORDERS ..................................................... 230
CHAPTER 19: SUBSTANCE-RELATED AND ADDICTIVE DISORDERS ...................... 244
CHAPTER 20: CRISIS AND MASS DISASTER.......................................................... 264
CHAPTER 21: CHILD, PARTNER, AND ELDER VIOLENCE ....................................... 277
CHAPTER 22: SEXUAL VIOLENCE......................................................................... 290
,CHAPTER 23: SUICIDAL THOUGHTS AND BEHAVIOR .......................................... 302
CHAPTER 24: ANGER, AGGRESSION, AND VIOLENCE .......................................... 317
CHAPTER 25: CARE FOR THE DYING AND THOSE WHO GRIEVE .......................... 331
CHAPTER 26: CHILDREN AND ADOLESCENTS ...................................................... 345
CHAPTER 27: ADULTS ......................................................................................... 357
CHAPTER 28: OLDER ADULTS ............................................................................. 373
, CHAPTER 01: SCIENCE AND THE THERAPEUTIC USE OF SELF IN
PSYCHIATRIC MENTAL HEALTH NURSING
MULTIPLE CHOICE
1. WHICH OUTCOME, FOCUSED ON RECOVERY, WOULD BE EXPECTED IN THE PLAN OF CARE FOR A
CLIENT LIVING IN THE COMMUNITY AND DIAGNOSED WITH SERIOUS AND PERSISTENT MENTAL ILLNESS?
WITHIN 3 MONTHS, THE CLIENT WILL DEMONSTRATE WHAT BEHAVIOR?
A. DENYING SUICIDAL IDEATION
B. REPORTING A SENSE OF WELL-BEING
C. TAKING MEDICATIONS AS PRESCRIBED
D. ATTENDING CLINIC APPOINTMENTS ON TIME
ANS: B
RECOVERY EMPHASIZES MANAGING SYMPTOMS, REDUCING PSYCHOSOCIAL DISABILITY, AND
IMPROVING ROLE PERFORMANCE. THE GOAL OF RECOVERY IS TO EMPOWER THE INDIVIDUAL WITH
MENTAL ILLNESS TO ACHIEVE A SENSE OF MEANING AND SATISFACTION IN LIFE AND TO FUNCTION AT
THE HIGHEST POSSIBLE LEVEL OF WELLNESS. THE INCORRECT OPTIONS FOCUS ON THE CLASSIC
MEDICAL MODEL RATHER THAN RECOVERY.
DIF: COGNITIVE LEVEL: APPLICATION (APPLYING) TOP: NURSING PROCESS: OUTCOMES
IDENTIFICATION MSC: NCLEX: HEALTH PROMOTION AND MAINTENANCE
2. A CLIENT IS HOSPITALIZED FOR DEPRESSION AND SUICIDAL IDEATION AFTER THEIR SPOUSE ASKS
FOR A DIVORCE. SELECT THE CAREGIVER‘S MOST CARING COMMENT.
A. ―LET‘S DISCUSS HEALTHY MERESPONSE OF COPING WHEN YOU HAVE SUICIDAL FEELINGS.‖
B. ―I UNDERSTAND WHY YOU‘RE SO DEPRESSED. WHEN I GOT DIVORCED, I WAS DEVASTATED
TOO.‖
C. ―YOU SHOULD FORGET ABOUT YOUR MARRIAGE AND MOVE ON WITH YOUR LIFE.‖
D. ―HOW DID YOU GET SO DEPRESSED THAT HOSPITALIZATION WAS NECESSARY?‖
ANS: A
THE CAREGIVER‘S COMMUNICATION SHOULD EVIDENCE CARING AND A COMMITMENT TO WORK WITH
THE CLIENT. THIS COMMITMENT LETS THE CLIENT KNOW THE CAREGIVER WILL HELP. PROBING AND
ADVICE ARE NOTHELPFUL FOR THERAPEUTIC INTERVENTIONS.
