Psychiatric Mental Health Nursing – Davis Advantage for Townsend, 11th Edition (Morgan) | Complete Test Bank with Answers

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Test Bank Davis Advantage for Townsend's
Psychiatric Mental Health Nursing, 11th Edition
by Karyn I. Morgan
All Chapters with Answers|A+ Pass
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Table of Contents
Chapter 01. The ConceptAof Stress Adaptation
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts
Chapter 03. Psychopharmacology
Chapter 04. Concepts of Psychobiology
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing
Chapter 07. Relationship Development
Chapter 08. Therapeutic Communication
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
Chapter 10. Therapeutic Groups
Chapter 11. Intervention With Families
Chapter 12. Milieu Therapy -The Therapeutic Community
Chapter 13. Crisis Intervention
Chapter 14. Assertiveness Training
Chapter 15. Promoting Self-Esteem
Chapter 16. Anger/Aggression Management Chap ter 17. The Suicidal Client
Chapter 18. Behavior Therapy Chapte r 19. Cognitive Therapy Chapter 20. E lectroconvulsive Therapy
Chapter 21. The Recovery Model Chapter 22. Neu rocognitive Disorders
Chapter 23. Substance-Related and Addictive Disorders
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders Chapt er 25. Depressive Disorders
Chapter 26. Bipolar and Related Disorders Chapter 27. Anxiety, Obsessive-
Compulsive, and Related Disorders Chapter 28: Trauma and Stressor- Related Disorders
Chapter 29. Somatic Symptom and Dissociative Disorders
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria
Chapter 31. Eating Disorders
Chapter 32. Personality Disorders
Chapter 33. Children and Adolescents
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Chapter34. The Aging Individual
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Chapter 01. Psychopharmacology
Multiple Choice
1. The NURSE manager on the psychiatric unit was explaining to the new staff the differences betw
een typical and atypical antipsychotics. The NURSE correctly states that atypical antipsychotics:
A. Remain in the system longer
B. Act more quickly to reduce delusions
C. Produce fewer extrapyramidal effects
D. Are risk free for neuroleptic malignantAsyndrome (NMS)


Atypical antipsychotics produce less D2blockade; thus movement disorders are less of a problem. No
evidence suggests that the medication remains in the system longer nor that it acts more quicklyto reduce
delusions. T he atypicals are not riskAfree for NMS.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client
Need:
Physiological Integrity: Pharmacological and Parenteral Therapies
2. The NURSE would assess for neuroleptic malignant syndrome (NMS) if a patient on haloperi dol
(Haldol) develops a:
A. 30 mm Hg decrease in blood pressure reading
B. Respiratory rate of 24 respirations per minute
C. Temperature reading of 104° F
D. Pulse rate of 70 beats per minute


Increased temperature is the cardinal sign of NMS. This BP is not a significant feature of NMS. There are
no si gnificant findings to support the options related to respirations or pulse rate.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Physiological Integrity: Pharmacological and Parenteral Therapies
3. A patient taking fluphenazine (Prolixin) complains of dry mouth and blurred vision. What would
the NUR SE assess as the likely cause of these symptoms?
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A. Decreased dopamine at receptor sites
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B. Blockade of histamine
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C. Cholinergic blockade
D. Adrenergic blocking


Fluphenazine administration produces blockade of cholinergic receptors giving rise to anticholinergic
effects, such as dry mouth, blurred vision, and constipation.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: AssessmentA| Client Need:
Physiological Integrity: Pharmacological and Parenteral Therapies


4. Which behavior displayed by a patient receiving a typical antipsychotic medication would be
assessed as displaying behaviors characteristic of tardive dyskinesia (TD)?
A. Grimacing and lip smacking
B. Falling asleep in the chair and refusing to eat lunch
C. Experiencing muscle rigidity and tremors
D. Having excessive salivation and drooling


TD manifests as abnormal movements of voluntary muscle groups after a prolonged period of dopamine
blockade. Movements may affect any muscle group, but muscles of the face, mouth, tongue, and digits
are c ommonly affected. Falling asleep is reflective of the sedative effect of these medications. Muscle
rigidity and dr ooling reflect EPS caused from imbalance between dopamine and acetylcholine.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Physiological Integrity: Pharmacological and Parenteral Therapies
5. A NURSE administers a medication that potentiates the action of GABA. Which finding would
be expected?
A. Reduced anxiety
B. Improved memory
C. More organized thinking
D. Fewer sensory perceptual alterations


Increased levels of GABA reduce anxiety, thus any potentiation of GABA action should result in anxiety
reduction. Memory enhancement is associated with acetylcholine and substance P. Thought
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disorganization is associated with dopamine. GABA is notA associated with sensory perceptual
alterations.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
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