TESTBANK- x
Davis Advantage forPsychiatric Mental Health Nursing Karyn
xx xx xx xx xx xx xx
xx I. Morgan
xx
11th Edition
xx
, Table of Contents x x x x
Chapter 01. The Concept of Stress Adaptation
xx xx xx x x xx x x
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical
xx xx xx xx xx xx xx
Concepts
xx
Chapter 03. Psychopharmacology
x x x x
Chapter 04. Concepts of Psychobiology
xx xx xx xx xx
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
xx xx xx x x xx x x xx x x xx
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health
x x x x x x x x x x x x x x x x x x
Nursing Chapter 07. Relationship Development
x x xx x x x x x x
Chapter 08. Therapeutic Communication
xx xx x x
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
xx xx xx xx xx xx xx xx
Chapter 10. Therapeutic Groups
xx x x x x x x
Chapter 11. Intervention With Families
x x x x x x x x
Chapter 12. Milieu Therapy - The Therapeutic Community
xx xx xx xx xx xx xx
Chapter 13. Crisis Intervention
xx x x x x x x
Chapter 14. Assertiveness Training
xx xx xx
x Chapter 15. Promoting Self-Esteem
x xx xx xx
x Chapter 16. Anger/Aggression
x xx xx
Management Chapter 17. The Suicidal
xx xx x x x x x x
Client
x x
Chapter 18. Behavior Therapy
x x x x x x
Chapter 19. Cognitive Therapy
xx x x x x x x
Chapter 20. Electroconvulsive
xx xx xx
Therapy Chapter 21. The
xx x x x x x x
Recovery Model Chapter 22.
x x xx x x x x
Neurocognitive Disorders
x x xx
Chapter 23. Substance-Related and Addictive Disorders
x x x x x x x x x x
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
xx xx xx xx xx xx xx
Chapter 25. Depressive Disorders
xx x x x x x x
Chapter 26. Bipolar and Related Disorders
x x x x x x x x x x
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
xx xx xx xx xx xx
Chapter 28: Trauma and Stressor-Related Disorders
xx x x x x x x x x x x
Chapter 29. Somatic Symptom and Dissociative Disorders
x x x x x x x x x x x x
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria
xx xx xx xx xx xx xx xx xx
Chapter 31. Eating Disorders
xx x x x x x x
Chapter 32. Personality Disorders
x x x x x x
Chapter 33. Children and Adolescents
xx xx xx xx xx
Chapter 34. The Aging Individual
xx x x x x x x x x
Chapter 35. Survivors of Abuse or Neglect
x x x x x x x x x x x x
Chapter 36. Community Mental Health Nursing
xx xx xx xx xx xx
Chapter 37. The Bereaved Individual
xx x x x x x x x x
Chapter 38. Military Families
x x x x x x
,Chapter 01. Psychopharmacology x x x x
Multiple Choice xx
1. The NURSE manager on the psychiatric unit was explaining to the new staff
x x x x x x x x x x x x x x x x x x x x x x x x
the differences between typical and atypical antipsychotics. The NURSE correctly
x x x x xx x x x x x x x x x x x x x x
states that atypical antipsychotics:
x x x x x x xx
A. Remain in the system longer x x x x x x x x
B. Act more quickly to reduce delusions
xx xx x x xx x x
C. Produce fewer extrapyramidal effects
x x x x x x
D. Are risk free for neuroleptic malignant syndrome (NMS)
x x x x x x x x x x x x x x
CORRECT qANSWER:C xx
Atypical antipsychotics produce less D2blockade; thus movement disorders are less of a
x x x x x x x x x x x x x x x x x x x x x x
problem. No evidence suggests that the medication remains in the system longer nor that it acts more
x x x x xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
quicklyto reduce delusions. The atypicals are not risk free for NMS.
xx xx xx x x x x x x x x x x x x x x x x
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation |
xx x x x x x x xx x x x x x x x x x x
Client Need:
xx x x
Physiological Integrity: Pharmacological and Parenteral Therapies
xx x x x x x x x x
2. The NURSE would assess for neuroleptic malignant syndrome (NMS) if a
x x x x x x x x x x x x x x x x x x x x
patient on haloperidol (Haldol) develops a:
x x x x xx x x x x x x
A. 30 mm Hg decrease in blood pressure reading
x x x x x x x x x x x x x x
B. Respiratory rate of 24 respirations per minute x x x x x x x x x x x x
C. Temperature reading x x x x of 104° x x x x F
D. Pulse rate of 70 beats per minute
x x x x x x x x x x x x
CORRECT qANSWER:C xx
Increased temperature is the cardinal sign of NMS. This BP is not a significant feature of
x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x
NMS. There are no significant findings to support the options related to respirations or
x x x x x x xx x x x x x x x x x x x x x x x x x x x x
pulse rate.
x x x x
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client
xx x x x x x x xx x x x x x x xx x x xx
Need:
x x
Physiological Integrity: Pharmacological and Parenteral Therapies
xx x x x x x x x x
3. A patient taking fluphenazine (Prolixin) complains of dry mouth and blurred vision.
x x x x x x x x x x x x x x x x x x x x x x
What would the NURSE assess as the likely cause of these symptoms?
x x x x x x xx x x x x x x x x x x x x x x x x
A. Decreased dopamine at receptor sites x x x x x x x x
B. Blockade of histamine x x xx
C. Cholinergic blockade x x
D. Adrenergic blocking x x
CORRECT qANSWER:C xx
Fluphenazine administration produces blockade of cholinergic receptors giving rise to
x x x x xx xx x x x x x x x x x x
, xx anticholinergic effects, such as dry mouth, blurred vision, and constipation.
xx x x x x x x x x x x x x x x x x
KEY: Cognitive Level: Application
xx x x x x x x | Integrated Processes: Nursing Process: Assessment | Client
xx x x x x x x xx x x xx
Need:
x x
Davis Advantage forPsychiatric Mental Health Nursing Karyn
xx xx xx xx xx xx xx
xx I. Morgan
xx
11th Edition
xx
, Table of Contents x x x x
Chapter 01. The Concept of Stress Adaptation
xx xx xx x x xx x x
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical
xx xx xx xx xx xx xx
Concepts
xx
Chapter 03. Psychopharmacology
x x x x
Chapter 04. Concepts of Psychobiology
xx xx xx xx xx
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
xx xx xx x x xx x x xx x x xx
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health
x x x x x x x x x x x x x x x x x x
Nursing Chapter 07. Relationship Development
x x xx x x x x x x
Chapter 08. Therapeutic Communication
xx xx x x
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
xx xx xx xx xx xx xx xx
Chapter 10. Therapeutic Groups
xx x x x x x x
Chapter 11. Intervention With Families
x x x x x x x x
Chapter 12. Milieu Therapy - The Therapeutic Community
xx xx xx xx xx xx xx
Chapter 13. Crisis Intervention
xx x x x x x x
Chapter 14. Assertiveness Training
xx xx xx
x Chapter 15. Promoting Self-Esteem
x xx xx xx
x Chapter 16. Anger/Aggression
x xx xx
Management Chapter 17. The Suicidal
xx xx x x x x x x
Client
x x
Chapter 18. Behavior Therapy
x x x x x x
Chapter 19. Cognitive Therapy
xx x x x x x x
Chapter 20. Electroconvulsive
xx xx xx
Therapy Chapter 21. The
xx x x x x x x
Recovery Model Chapter 22.
x x xx x x x x
Neurocognitive Disorders
x x xx
Chapter 23. Substance-Related and Addictive Disorders
x x x x x x x x x x
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
xx xx xx xx xx xx xx
Chapter 25. Depressive Disorders
xx x x x x x x
Chapter 26. Bipolar and Related Disorders
x x x x x x x x x x
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
xx xx xx xx xx xx
Chapter 28: Trauma and Stressor-Related Disorders
xx x x x x x x x x x x
Chapter 29. Somatic Symptom and Dissociative Disorders
x x x x x x x x x x x x
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria
xx xx xx xx xx xx xx xx xx
Chapter 31. Eating Disorders
xx x x x x x x
Chapter 32. Personality Disorders
x x x x x x
Chapter 33. Children and Adolescents
xx xx xx xx xx
Chapter 34. The Aging Individual
xx x x x x x x x x
Chapter 35. Survivors of Abuse or Neglect
x x x x x x x x x x x x
Chapter 36. Community Mental Health Nursing
xx xx xx xx xx xx
Chapter 37. The Bereaved Individual
xx x x x x x x x x
Chapter 38. Military Families
x x x x x x
,Chapter 01. Psychopharmacology x x x x
Multiple Choice xx
1. The NURSE manager on the psychiatric unit was explaining to the new staff
x x x x x x x x x x x x x x x x x x x x x x x x
the differences between typical and atypical antipsychotics. The NURSE correctly
x x x x xx x x x x x x x x x x x x x x
states that atypical antipsychotics:
x x x x x x xx
A. Remain in the system longer x x x x x x x x
B. Act more quickly to reduce delusions
xx xx x x xx x x
C. Produce fewer extrapyramidal effects
x x x x x x
D. Are risk free for neuroleptic malignant syndrome (NMS)
x x x x x x x x x x x x x x
CORRECT qANSWER:C xx
Atypical antipsychotics produce less D2blockade; thus movement disorders are less of a
x x x x x x x x x x x x x x x x x x x x x x
problem. No evidence suggests that the medication remains in the system longer nor that it acts more
x x x x xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
quicklyto reduce delusions. The atypicals are not risk free for NMS.
xx xx xx x x x x x x x x x x x x x x x x
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation |
xx x x x x x x xx x x x x x x x x x x
Client Need:
xx x x
Physiological Integrity: Pharmacological and Parenteral Therapies
xx x x x x x x x x
2. The NURSE would assess for neuroleptic malignant syndrome (NMS) if a
x x x x x x x x x x x x x x x x x x x x
patient on haloperidol (Haldol) develops a:
x x x x xx x x x x x x
A. 30 mm Hg decrease in blood pressure reading
x x x x x x x x x x x x x x
B. Respiratory rate of 24 respirations per minute x x x x x x x x x x x x
C. Temperature reading x x x x of 104° x x x x F
D. Pulse rate of 70 beats per minute
x x x x x x x x x x x x
CORRECT qANSWER:C xx
Increased temperature is the cardinal sign of NMS. This BP is not a significant feature of
x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x
NMS. There are no significant findings to support the options related to respirations or
x x x x x x xx x x x x x x x x x x x x x x x x x x x x
pulse rate.
x x x x
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client
xx x x x x x x xx x x x x x x xx x x xx
Need:
x x
Physiological Integrity: Pharmacological and Parenteral Therapies
xx x x x x x x x x
3. A patient taking fluphenazine (Prolixin) complains of dry mouth and blurred vision.
x x x x x x x x x x x x x x x x x x x x x x
What would the NURSE assess as the likely cause of these symptoms?
x x x x x x xx x x x x x x x x x x x x x x x x
A. Decreased dopamine at receptor sites x x x x x x x x
B. Blockade of histamine x x xx
C. Cholinergic blockade x x
D. Adrenergic blocking x x
CORRECT qANSWER:C xx
Fluphenazine administration produces blockade of cholinergic receptors giving rise to
x x x x xx xx x x x x x x x x x x
, xx anticholinergic effects, such as dry mouth, blurred vision, and constipation.
xx x x x x x x x x x x x x x x x x
KEY: Cognitive Level: Application
xx x x x x x x | Integrated Processes: Nursing Process: Assessment | Client
xx x x x x x x xx x x xx
Need:
x x