I I I I I I I
ls of Psychiatric Mental Health Nursing
I I I I I
9th Edition Karyn Morgan
I I I
Chapters 1 - 32 | Complete
I I I I I I
,TABLE OF CONTENTS I I
INTRODUCTIONITOIPSYCHIATRICIMENTALIHEALTHICONCEPTS
1.IMentalIHealthIandIMentalIIllness
2.IBiologicalIImplications
3.IEthicalIandILegalIIssues
4.IPsychopharmacology
II.IPSYCHIATRICIMENTALIHEALTHINURSINGIINTERVENTIONS
5.IRelationshipIDevelopmentIandITherapeuticICommunication
6.ITheINursingIProcessIinIPsychiatric/MentalIHealthINursing
7.IPsychosocialIInterventionsIandISpiritualICare
8.IInterventionIinIGroups
9.ICrisisIIntervention
10.ITheIRecoveryIModel
11.ISuicideIPrevention
III.ICAREIOFIPATIENTSIWITHIPSYCHIATRICIDISORDERS
12.ICaringIforIPatientsIwithIMentalIIllnessIandISubstanceIUseIDisordersIinIGeneralIPracticeISettings
13.INeurocognitiveIDisorders
14.ISubstanceIUseIandIAddictionIDisorders
15.ISchizophreniaISpectrumIandIOtherIPsychoticIDisorders
16.IDepressiveIDisorders
17.IBipolarIandIRelatedIDisorders
18.IAnxiety,IObsessive-Compulsive,IandIRelatedIDisorders
19.ITrauma-IandIStressor-RelatedIDisorders
20.ISomaticISymptomIandIDissociativeIDisorders
21.IEatingIDisorders
22.IPersonalityIDisorders
IV.IPSYCHIATRICIMENTALIHEALTHINURSINGIOFISPECIALIPOPULATIONS
23.IChildrenIandIAdolescents
24.ITheIAgingIIndividual
25.ISurvivorsIofIAbuseIorINeglect
26.ICommunityIMentalIHealthINursing
27.ITheIBereavedIIndividual
28.IMilitaryIFamilies
V.IONLINEICHAPTERS
29.IConceptsIofIPersonalityIDevelopment
30.IComplementaryIandIIntegrativeITherapies
31.ICulturalIConceptsIRelevantItoIPsychiatricIMentalIHealthINursing
32.IIssuesIRelatedItoIHumanISexualityIandIGenderIDysphoriaI
,ChapterI1.IMentalIHealthIandIMentalIIllnessI
MultipleIChoice
1.IAInurseIisIassessingIaIclientIwhoI isIexperiencingIoccasionalIfeelingsIofIsadnessIbecauseIofItheIrece
ntIdeathIofIaIbelovedIpet.ITheIclientsIappetite,IsleepIpatterns,IandIdailyIroutineIhaveInotIchanged.IHo
wIshouldItheI nurseI interpretItheIclientsIbehaviors?
1. TheIclientsIbehaviorsIdemonstrateImentalIillnessIinItheIformIofIdepression.
2. TheIclientsIbehaviorsIareIextensive,IwhichIindicatesItheIpresenceIofImentalIillness.
3. TheIclientsIbehaviorsIareInotIcongruentIwithIculturalInorms.
4. TheIclientsIbehaviorsIdemonstrateInoIfunctionalIimpairment,IindicatingI noI mentalIillness.
ANSWER:I4
Rationale:ITheInurseIshouldIassessIthatItheIclientsIdailyIfunctioningIisInotIimpaired.ITheIclientIwhoIex
periencesIfeelingsIofIsadnessIafterItheIlossIofIaIpetIisIrespondingIwithinInormalIexpectations.IWithou
tIsignificantIimpairment,ItheIclientsIdistressIdoesInotIindicateIaImentalIillness.
CognitiveILevel:IAnalysisIInteg
ratedIProcess:IAssessment
2.IAtIwhatIpointIshouldItheInurseIdetermineIthatIaIclientIisIatIriskIforIdevelopingIaImentalIillne
ss?
1. WhenIthoughts,Ifeelings,IandIbehaviorsIareInotIreflectiveIofItheIDSM-5Icriteria.
2. WhenImaladaptiveIresponsesItoIstressIareIcoupledIwithIinterferenceIinIdailyIfunctioning.
3. WhenIaIclientIcommunicatesIsignificantI distress.
4. WhenIaIclientIusesIdefenseImechanismsIasIegoI protection.
ANSWER:I2
Rationale:ITheInurseIshouldIdetermineIthatItheIclientIisIatIriskIforImentalIillnessIwhenIresponsesItoIst
ressIareImaladaptiveIandIinterfereIwithIdailyIfunctioning.ITheIDSM-
5IindicatesIthatIinIorderItoIbeIdiagnosedIwithIaImentalIillness,IdailyIfunctioningImustIbeIsignificantly
Iimpaired.ITheIclientsIabilityItoIcommunicateIdistressIwouldI beIconsideredIaIpositiveIattribute.
CognitiveILevel:IApplicationIIn
tegratedIProcess:IAssessment
3.IAInurseIisIassessingIaIsetIofI15-year-
oldIidenticalItwinsIwhoIrespondIveryIdifferentlyItoIstress.IOneItwinIbecomesIanxiousIandIirritable,Ian
dItheIotherIwithdrawsIandIcries.IHowIshouldItheInurseIexplainItheseIdifferentI stressIresponsesItoItheI
parents?
1. ReactionsItoI stressIareIrelativeIratherIthanIabsolute;IindividualIresponsesItoI stressIvary.
2. ItIisIabnormalIforIidenticalItwinsItoIreactIdifferentlyItoIsimilarIstressors.
3. IdenticalItwinsIshouldIshareItheIsameItemperamentIandIrespondIsimilarlyItoIstress.
4. EnvironmentalIinfluencesItoIstressIweighImoreIheavilyIthanIgeneticIinfluences.
, ANSWER:I1
Rationale:ITheInurseIshouldIexplainItoItheIparentsIthat,IalthoughItheItwinsIhaveIidenticalIDNA,Ithere
IareIseveralIotherIfactorsIthatIaffectI reactionsItoIstress.IMentalIhealthIisIaIstateIofIbeingIthatIisIrelativeIt
oItheIindividualIclient.IEnvironmentalIinfluencesIandItemperamentIcanIaffectIstressIreactions.
CognitiveILevel:IApplicationIIntegr
atedIProcess:IImplementation
4.IWhichIclientIshouldItheInurseIanticipateItoIbeImostIreceptiveItoIpsychiatricItreatment?I1.I AI
Jewish,I femaleIsocialIworker.
2. AIBaptist,IhomelessImale.
3. AICatholic,IblackI male.
4. AIProtestant,ISwedishIbusinessIexecutive.
ANSWER:I1
Rationale:ITheInurseIshouldIanticipateIthatItheIclientIofIJewishIcultureIwouldIplaceIaIhighIimportanc
eIonIpreventativeIhealthIcareIandIwouldIconsiderImentalIhealthIasIequallyIimportantIasIphysicalIhealt
h.IWomenIareIalsoImoreIlikelyItoIseekItreatmentIforImentalIhealthIproblemsIthanImen.
CognitiveILevel:IApplicationI
IntegratedIProcess:IPlanning
5. AIpsychiatricInurseIinternIstates,IThisIclientsIuseIofIdefenseImechanismsIshouldIbeIeliminated.IWh
ichIisIaIcorrectI evaluationIofIthisInursesI statement?
1. DefenseImechanismsIcanIbeIappropriateIresponsesItoIstressIandIneedInotIbeIeliminated.
2. DefenseImechanismsIareIaImaladaptiveIattemptIofItheIegoItoImanageIanxietyIandshouldIal
waysIbeI eliminated.
3. DefenseImechanisms,IusedIbyIindividualsIwithIweakIegoIintegrity,IshouldIbeIdiscouragedandIno
tIeliminated.
4. DefenseImechanismsIcauseIdisintegrationIofItheIegoIandIshouldIbeIfosteredIandIencouraged.
ANSWER:I1
Rationale:ITheInurseIshouldIdetermineIthatIdefenseImechanismsI canIbeIappropriateIduringItimesIofIst
ress.ITheIclientIwithInoIdefenseImechanismsImayIhaveIaIlowerItoleranceIforIstress,IthusIleadingItoIan
xietyIdisorders.IDefenseImechanismsIshouldIbeIconfrontedIwhenItheyIimpedeItheIclientI fromIdevelo
pingI healthyIcopingIskills.
CognitiveILevel:IApplicationII
ntegratedIProcess:IEvaluation
6.IDuringIanIintakeIassessment,IaInurseIasksIbothIphysiologicalIandIpsychosocialIquestions.ITheIclien
tIangrilyIresponds,IImIhereIforImyIheart,InotImyIheadIproblems.IWhichIisItheInursesIbestIresponse?
1. ItsIjustIaIroutineIpartIofIourIassessment.IAllIclientsIareIaskedItheseIsameIquestions.
2. WhyIareIyouIconcernedIaboutItheseItypesIofIquestions?
3. PsychologicalIfactors,IlikeIexcessiveIstress,IhaveIbeenIfoundItoI affectImedicalIconditions.
4. WeIcanIskipItheseIquestions,IifIyouIlike.IItIisntIimperativeIthatIweIcompleteIthisI section.