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TestBankforDavisAdvantageforTownsend'sPsychiatric Mental
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HealthNursing,11thEditionbyKarynI.Morgan
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TableofContents
I. BASICCONCEPTSIN PSYCHIATRIC-MENTALHEALTH NURSING
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1. The Concept of Stress Adaptation
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2. Mental HealthandMental Illness: Historical andTheoreticalConcepts
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II. FOUNDATIONSFORPSYCHIATRIC-MENTALHEALTH NURSING r r r r
3. Concepts of Psychobiology r r
4. Psychopharmacology
5. Ethical and Legal Issues r r r
III. THERAPEUTICAPPROACHESINPSYCHIATRIC NURSINGCARE r r r r r
6. RelationshipDevelopment r
7. Therapeutic Communication r
8. The NursingProcessinPsychiatric-Mental HealthNursing
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9. TherapeuticGroups r
10. InterventionwithFamilies r r
11. MilieuTherapy— the Therapeutic Community r r r r
12. CrisisIntervention r
13. AssertivenessTraining r
14. PromotingSelf Esteem r r
15. Anger and AggressionManagement r r r
16. Suicide Prevention r
17. BehaviorTherapy r
18. CognitiveBehavioral Therapy r r
19. Electroconvulsive Therapy r
20. The Recovery Model r r
IV. NURSING CAREOF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION r r r r r r r r
21. Caringfor Patients withMental IllnessandSubstanceUse Disordersin General Practice Settings
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22. Neurocognitive Disorders r
23. Substance-RelatedandAddictive Disorders r r r
24. SchizophreniaSpectrumand Other Psychotic Disorders r r r r r
25. Depressive Disorders r
26. Bipolarand Related Disorders r r r
27. Anxiety,Obsessive-Compulsive,andRelatedDisorders r r r r
28. TraumaandStressor-Related Disorders r r r
29. SomaticSymptomand Dissociative Disorders r r r r
30. EatingDisorders r
31. Personality Disorders r
V. PSYCHIATRIC/MENTALHEALTH NURSINGOF SPECIALPOPULATIONS r r r r r
32. ChildrenandAdolescents r r
33. The Aging Individual
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34. Survivors of Abuse or Neglect r r r r
35. CommunityMental HealthNursing r r r
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36. The Bereaved Individual
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37. Military Families r
EBook Bonus Chapters
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38. TheoreticalModels ofPersonalityDevelopment r r r r
39. Cultural and Spiritual Concepts RelevanttoPsychiatricMental Health Nursing
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40. ComplementaryandPsychosocial Therapies r r r
41. RelaxationTherapy r
42. Issues Relatedto Human Sexualityand Gender Dysphoria
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43. Forensic Nursing r
Chapter 1. MentalHealth and Mentalillness
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MultipleChoice r
1. Anurse is assessingaclient whois experiencing occasional feelingsofsadness
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Becauseofthe recentdeath ofabeloved pet.Theclient’s appetite,sleep patterns, and
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daily routine have not changed. How should the nurse interpret the client’s
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behaviors?
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1. Theclient’s behaviorsdemonstratementalillness inthe formofdepression. r r r r r r
2. Theclient’sbehaviorsareextensive,which indicatesthepresenceofmentalillness. r r r r r r
3. Theclient’sbehaviorsarenot congruent withculturalnorms. r r r r
4. Theclient’s behaviorsdemonstratenofunctionalimpairment,indicatingno mentalillness. r r r r r r
ANSWERS:- 4 r
FEEDBACK: The nurse should assess that the client’s daily functioning is not impaired. The client r r r r r r r r r r r r r r
who experiences feelings of sadness after the loss of a pet is responding within normal expectations.
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Without significant impairment, the client’s distress does not indicate a mental illness.
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COGNITIVELEVEL: r
Analysis
INTEGRATEDPROCESS:
Assessment
2. At whatpointshouldthenursedeterminethat aclientisatriskfordevelopinga
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mentalillness?
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Whenthoughts,feelings,andbehaviorsarenotreflectiveoftheDSM-5criteria. When r r r r r r r r
maladaptive responses tostress are coupled with interference in daily functioning.
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Whenaclientcommunicatessignificantdistress.
Whenaclientusesdefensemechanisms asego protection.
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ANSWERS:- 2
FEEDBACK: Thenurseshould determinethat the client is at riskformental illnesswhen responses to
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stress are maladaptive and interfere with daily functioning. TheDSM-5 indicatesthat in order to be
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diagnosed with a mental illness,daily
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Functioningmustbesignificantlyimpaired.The client sabilitytocommunicatedistress would be considered a
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positive attribute.
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COGNITIVELEVEL: r
Application
INTERGRATE
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D
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PROCESS: Assessment r
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 shouldthe
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nurse explain these different stress responsestothe parents?
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1. Reactionstostressarerelativeratherthanabsolute;individualresponsesto stressvary. r r r r r
2. Itisabnormalforidenticaltwinstoreactdifferentlyto similarstressors.
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3. Identicaltwinsshouldsharethesametemperament andrespondsimilarlytostress. r r r r r r r
4. Environmentalinfluences tostressweighmoreheavilythangeneticinfluences. r r r r r r
ANSWERS:- 1 r
FEEDBACK: Thenurseshouldexplaintotheparentsthat,although thetwinshave r r r v r r
r identicalDNA,thereareseveralotherfactorsthat affect reactionstostress.
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