TEST BANK-
Davis Advantage for Psychiatric Mental Health Nursing
Karyn I. Morgan
11th Edition
, Table of Contents
Chapter 01. The Concept of 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
Chapter 17. The Suicidal Client
Chapter 18. Behavior Therapy
Chapter 19. Cognitive Therapy
Chapter 20. Electroconvulsive
Therapy Chapter 21. The Recovery
Model Chapter 22. Neurocognitive
Disorders
Chapter 23. Substance-Related and Addictive Disorders
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
Chapter 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
Chapter 34. The Aging Individual
Chapter 35. Survivors of Abuse or Neglect
Chapter 36. Community Mental Health Nursing
Chapter 37. The Bereaved Individual
Chapter 38. Military Families
,Chapter 01. Psychopharmacology
Multiple Choice
1. The NURSE manager on the psychiatric unit was explaining to the new staff the differences
between 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 malignant syndrome (NMS)
CORRECT qANSWER:C
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. The atypicals are not risk free 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
haloperidol (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
CORRECT qANSWER:C
Increased temperature is the cardinal sign of NMS. This BP is not a significant feature of NMS. There are
no significant 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
NURSE assess as the likely cause of these symptoms?
A. Decreased dopamine at receptor sites
B. Blockade of histamine
C. Cholinergic blockade
D. Adrenergic blocking
CORRECT qANSWER:C
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: Assessment | Client Need:
, Physiological Integrity: Pharmacological and Parenteral Therapies
Davis Advantage for Psychiatric Mental Health Nursing
Karyn I. Morgan
11th Edition
, Table of Contents
Chapter 01. The Concept of 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
Chapter 17. The Suicidal Client
Chapter 18. Behavior Therapy
Chapter 19. Cognitive Therapy
Chapter 20. Electroconvulsive
Therapy Chapter 21. The Recovery
Model Chapter 22. Neurocognitive
Disorders
Chapter 23. Substance-Related and Addictive Disorders
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
Chapter 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
Chapter 34. The Aging Individual
Chapter 35. Survivors of Abuse or Neglect
Chapter 36. Community Mental Health Nursing
Chapter 37. The Bereaved Individual
Chapter 38. Military Families
,Chapter 01. Psychopharmacology
Multiple Choice
1. The NURSE manager on the psychiatric unit was explaining to the new staff the differences
between 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 malignant syndrome (NMS)
CORRECT qANSWER:C
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. The atypicals are not risk free 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
haloperidol (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
CORRECT qANSWER:C
Increased temperature is the cardinal sign of NMS. This BP is not a significant feature of NMS. There are
no significant 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
NURSE assess as the likely cause of these symptoms?
A. Decreased dopamine at receptor sites
B. Blockade of histamine
C. Cholinergic blockade
D. Adrenergic blocking
CORRECT qANSWER:C
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: Assessment | Client Need:
, Physiological Integrity: Pharmacological and Parenteral Therapies
