BY DEBBIE STEELE (AUTHOR) VERIFIED CHAPTERS 1- 36|
GURANTEED PASS GUIDE WITH VERIFIED QUESTIONS &
ANSWERS WITH RATIONALES| LATEST EDITION RATED A+
,TABLE OF CONTENTS
UNIT I: THE BASICS ......................................................................................................................... 3
CHAPTER 01: ME, MEDS, MILIEU ................................................................................................ 3
CHAPTER 02: HISTORICAL ISSUES ............................................................................................. 19
CHAPTER 03: LEGAL ISSUES ...................................................................................................... 32
CHAPTER 04: PSYCHOBIOLOGIC BASES OF BEHAVIOR .............................................................. 49
CHAPTER 05: CULTURAL ISSUES ................................................................................................ 63
CHAPTER 06: SPIRITUALITY ISSUES ........................................................................................... 78
UNIT II YOU (THERAPEUTIC NURSE-PATIENT RELATIONSHIP) ..................................................... 90
CHAPTER 07: MODELS FOR WORKING WITH PSYCHIATRIC PATIENTS ...................................... 90
CHAPTER 08: LEARNING TO COMMUNICATE PROFESSIONALLY ............................................. 105
CHAPTER 09: WORKING WITH AN INDIVIDUAL PATIENT ........................................................ 119
CHAPTER 10: WORKING WITH GROUPS OF PATIENTS ............................................................ 143
CHAPTER 11: WORKING WITH THE FAMILY ............................................................................ 158
UNIT III MEDICATION (PSYCHOPHARMACOLOGY) .................................................................... 170
CHAPTER 12: INTRODUCTION TO PSYCHOTROPIC DRUGS ..................................................... 170
CHAPTER 13: ANTIPARKINSONIAN DRUGS ............................................................................. 181
CHAPTER 14: ANTIPSYCHOTIC DRUGS .................................................................................... 194
CHAPTER 15: ANTIDEPRESSANT DRUGS ................................................................................. 210
CHAPTER 16: ANTIMANIC DRUGS ........................................................................................... 221
CHAPTER 17: ANTIANXIETY DRUGS ........................................................................................ 234
CHAPTER 18: ANTIDEMENTIA DRUGS..................................................................................... 248
CHAPTER 19: ALTERNATIVE PREPARATIONS AND OVER-THE-COUNTER DRUGS .................... 257
UNIT IV: ENVIRONMENT: MILIEU MANAGEMENT .................................................................... 267
CHAPTER 20: INTRODUCTION TO MILIEU MANAGEMENT ..................................................... 267
CHAPTER 21: VARIABLES AFFECTING THE THERAPEUTIC ENVIRONMENT: VIOLENCE AND
SUICIDE.................................................................................................................................... 280
CHAPTER 22: THERAPEUTIC ENVIRONMENT IN VARIOUS TREATMENT SETTINGS................. 299
UNIT V: PUTTING IT ALL TOGETHER (PSYCHOPATHOLOGY) ...................................................... 308
CHAPTER 23: INTRODUCTION TO PSYCHOPATHOLOGY .......................................................... 308
, CHAPTER 24: SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC DISORDERS .................. 317
CHAPTER 25: DEPRESSIVE DISORDERS .................................................................................... 329
CHAPTER 26: BIPOLAR DISORDERS ......................................................................................... 341
CHAPTER 27: ANXIETY-RELATED, OBSESSIVE-COMPULSIVE, TRAUMA- AND STRESSOR-
RELATED, SOMATIC, AND DISSOCIATIVE DISORDERS .............................................................. 352
CHAPTER 28: NEUROCOGNITIVE DISORDERS ......................................................................... 367
CHAPTER 29: PERSONALITY DISORDERS ................................................................................. 381
CHAPTER 30: SEXUAL DISORDERS AND GENDER DYSPHORIA ................................................ 396
CHAPTER 31: SUBSTANCE USE DISORDERS ............................................................................. 407
CHAPTER 32: EATING DISORDERS ........................................................................................... 421
UNIT VI: SPECIAL POPULATIONS ................................................................................................ 433
CHAPTER 33: SURVIVORS OF VIOLENCE AND TRAUMA.......................................................... 433
CHAPTER 34: CHILDREN AND ADOLESCENTS.......................................................................... 447
CHAPTER 35: OLDER ADULTS .................................................................................................. 458
CHAPTER 36: SOLDIERS AND VETERANS ................................................................................. 468
UNIT I: THE BASICS
CHAPTER 01: ME, MEDS, MILIEU
STEELE: KELTNER’S PSYCHIATRIC NURSING, 9TH EDITION
MULTIPLE CHOICE
1. A NEWLY LICENSED NURSE ASKS A NURSING RECRUITER FOR A DESCRIPTION OF
NURSING PRACTICE IN THE PSYCHIATRIC SETTING. WHAT IS THE NURSE RECRUITER‘S BEST
RESPONSE?
A. “THE NURSE PRIMARILY SERVES IN A SUPPORTIVE ROLE TO MEMBERS OF THE HEALTH
CARE DELIVERY TEAM.”
, B. “THE MULTIDISCIPLINARY APPROACH ELIMINATES THE NEED TO CLEARLY DEFINE THE
RESPONSIBILITIES OF NURSING IN SUCH A SETTING.”
C. “NURSING ACTIONS ARE IDENTIFIED BY THE INSTITUTION THAT DISTINGUISHES
NURSING FROM OTHER MENTAL HEALTH PROFESSIONS.”
D. “NURSING OFFERS UNIQUE CONTRIBUTIONS TO THE PSYCHOTHERAPEUTIC
MANAGEMENT OF PSYCHIATRIC PATIENTS.”
ANSWER: D
PROFESSIONAL ROLE OVERLAP CANNOT BE DENIED; HOWEVER, NURSING IS UNIQUE IN ITS
FOCUS ON AND APPLICATION OF PSYCHOTHERAPEUTIC MANAGEMENT. NEITHER THE FACILITY
NOR THE MULTIDISCIPLINARY TEAM DEFINE THE PROFESSIONAL RESPONSIBILITIES OF ITS
MEMBERS BUT RATHER UTILIZES THEIR UNIQUE SKILLS TO PROVIDE HOLISTIC CARE. IDEALLY,
ALL TEAM MEMBERS SUPPORT EACH OTHER AND HAVE FUNCTIONS WITHIN THE TEAM.
DIF: COGNITIVE LEVEL: ANALYZING TOP: NURSING PROCESS: IMPLEMENTATION MSC:
CLIENT NEEDS: SAFE, EFFECTIVE CARE ENVIRONMENT
2. WHICH COMPONENT OF THE NURSING PROCESS WILL THE NURSE FOCUS UPON TO
ADDRESS THE RESPONSIBILITY TO MATCH INDIVIDUAL PATIENT NEEDS WITH APPROPRIATE
SERVICES?
A. PLANNING
B. EVALUATION
C. ASSESSMENT
D. IMPLEMENTATION
ANSWER: C
PROPER ASSESSMENT IS CRITICAL FOR BEING ABLE TO DETERMINE THE APPROPRIATE LEVEL OF
SERVICES THAT WILL PROVIDE OPTIMAL CARE WHILE CONSIDERING PATIENT INPUT AND AT THE
LOWEST COST.
PLANNING AND IMPLEMENTATION UTILIZES THE ASSESSMENT DATA TO IDENTIFY AND EXECUTE
ACTIONS (TREATMENT PLAN) THAT WILL PROVIDE APPROPRIATE CARE. EVALUATION VALIDATES
THE EFFECTIVENESS OF THE TREATMENT PLAN.