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h Essentials of Psychiatric Mental Health Nursing
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9th Edition Karyn Morgan
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Chapters 1 - 32 | Complete
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,TABLE OF CONTENTS h h
INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS h h h h h
1. Mental Health and Mental Illness
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2. Biological Implications
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3. Ethical and Legal Issues
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4. Psychopharmacology
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II. PSYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS
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5. Relationship Development and Therapeutic Communication
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6. The Nursing Process in Psychiatric/Mental Health Nursing
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7. Psychosocial Interventions and Spiritual Care
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8. Intervention in Groups
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9. Crisis Intervention
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10. The Recovery Model
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11. Suicide Prevention
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III. CARE OF PATIENTS WITH PSYCHIATRIC DISORDERS
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12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
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13. Neurocognitive Disorders
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14. Substance Use and Addiction Disorders
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15. Schizophrenia Spectrum and Other Psychotic Disorders
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16. Depressive Disorders
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17. Bipolar and Related Disorders
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18. Anxiety, Obsessive-Compulsive, and Related Disorders
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19. Trauma- and Stressor-Related Disorders
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20. Somatic Symptom and Dissociative Disorders
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21. Eating Disorders
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22. Personality Disorders
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IV. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
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23. Children and Adolescents
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24. The Aging Individual
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25. Survivors of Abuse or Neglect
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26. Community Mental Health Nursing
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27. The Bereaved Individual
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28. Military Families
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V. ONLINE CHAPTERS
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29. Concepts of Personality Development
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,30. Complementary and Integrative Therapies
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31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
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32. Issues Related to Human Sexuality and Gender Dysphoria
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, Chapter 1. Mental Health and Mental Illness
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Multiple Choice
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1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of the
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recent death of a beloved pet. The clients appetite, sleep patterns, and daily routine have not
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changed. How should the nurse interpret the clients behaviors?
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1. The clients behaviors demonstrate mental illness in the form of depression.
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2. The clients behaviors are extensive, which indicates the presence of mental illness.
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3. The clients behaviors are not congruent with cultural norms.
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4. The clients behaviors demonstrate no functional impairment, indicating no mental illness.
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ANSWER: 4 h
Rationale: The nurse should assess that the clients daily functioning is not impaired. The clientwho
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experiences feelings of sadness after the loss of a pet is responding within normal expectations.
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Without significant impairment, the clients distress does not indicate a mental illness.
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Cognitive Level: Analysis h h
Integrated Process: Assessment
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2. At what point should the nurse determine that a client is at risk for developing a mental
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illness?
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1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
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2. When maladaptive responses to stress are coupled with interference in daily functioning.
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3. When a client communicates significant distress.
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4. When a client uses defense mechanisms as ego protection.
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ANSWER: 2 h
Rationale: The nurse should determine that the client is at risk for mental illness when responsesto
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stress are maladaptive and interfere with daily functioning. The DSM-5 indicates that in orderto
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be diagnosed with a mental illness, daily functioning must be significantly impaired. The clients
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ability to communicate distress would be considered a positive attribute.
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Cognitive Level: Application h h
Integrated Process: Assessment
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3. A nurse is assessing a set of 15-year-old identical twins who respond very differently to stress.
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One twin becomes anxious and irritable, and the other withdraws and cries. How should the nurse
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explain these different stress responses to the parents?
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1. Reactions to stress are relative rather than absolute; individual responses to stress vary.
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2. It is abnormal for identical twins to react differently to similar stressors.
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3. Identical twins should share the same temperament and respond similarly to stress.
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4. Environmental influences to stress weigh more heavily than genetic influences. h h h h h h h h h