,Psychiatric Mental
Health Nursing:
Concepts of Care in Evidence-Based
Practice
TENTH EDITION
OVER 350 WELL-STRUCTURED QUESTIONS WITH 100% CORRECT ANSWERS
Contents
UNIT 1 ........................................................................................................................................................... 3
Basic Concepts in Psychiatric/ Mental Health Nursing ..................................................................... 3
Chapter 1 The Concept of Stress Adaptation/Learning Exercise ........................................................... 3
Chapter 2 Mental Health/Mental Illness: Historical and Theoretical Concepts ...................................... 5
UNIT 2 ........................................................................................................................................................... 8
Foundations for Psychiatric/ Mental Health Nursing ........................................................................ 8
Chapter 3 Theoretical Models of Personality Development .................................................................... 8
Chapter 4 Concepts of Psychobiology .................................................................................................... 10
Chapter 5 Ethical and Legal Issues in Psychiatric/Mental Health Nursing ............................................. 13
Chapter 6 Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing ................. 16
UNIT 3 ......................................................................................................................................................... 19
Therapeutic Approaches in Psychiatric Nursing Care ..................................................................... 19
Chapter 7 Relationship Development .................................................................................................... 19
Chapter 8 Therapeutic Communication ................................................................................................. 22
Chapter 9 The Nursing Process in Psychiatric/ Mental Health Nursing ................................................. 25
Chapter 10 Therapeutic Groups............................................................................................................. 27
Chapter 11 Intervention With Families .................................................................................................. 30
, Chapter 12 Milieu Therapy—The Therapeutic Community ................................................................... 33
Chapter 13 Crisis Intervention ............................................................................................................... 36
Chapter 14 Assertiveness Training ......................................................................................................... 39
Chapter 15 Promoting Self-Esteem........................................................................................................ 42
Chapter 16 Anger/Aggression Management ......................................................................................... 44
Chapter 17 The Suicidal Client ............................................................................................................... 47
Chapter 18 Behavior Therapy ................................................................................................................ 50
Chapter 19 Cognitive Therapy ............................................................................................................... 52
Chapter 20 Electroconvulsive Therapy .................................................................................................. 54
Chapter 21 The Recovery Model ........................................................................................................... 56
UNIT 4 ......................................................................................................................................................... 58
Nursing Care of Clients With Alterations in Psychosocial Adaptation ......................................... 58
Chapter 22 Neurocognitive Disorders.................................................................................................... 58
Chapter 23 Substance-Related and Addictive Disorders ....................................................................... 60
Chapter 24 Schizophrenia Spectrum and Other Psychotic Disorders .................................................... 63
Chapter 25 Depressive Disorders........................................................................................................... 65
Chapter 26 Bipolar and Related Disorders............................................................................................. 68
Chapter 27 Anxiety, Obsessive-Compulsive, and Related Disorders .................................................... 71
Chapter 28 Trauma- and Stressor-Related Disorders ............................................................................ 73
Chapter 29 Somatic Symptom and Dissociative Disorders .................................................................... 75
Chapter 30 Issues Related to Human Sexuality and Gender Dysphoria ................................................ 78
Chapter 31 Eating Disorders .................................................................................................................. 80
Chapter 32 Personality Disorders .......................................................................................................... 82
UNIT 5 ......................................................................................................................................................... 85
Psychiatric/Mental Health Nursing of Special Populations............................................................ 85
Chapter 33 Children and Adolescents.................................................................................................... 85
Chapter 34 The Aging Individual ............................................................................................................ 87
Chapter 35 Survivors of Abuse or Neglect ............................................................................................. 89
Chapter 36 Community Mental Health Nursing .................................................................................... 92
Chapter 37 The Bereaved Individual ...................................................................................................... 94
Chapter 38 Military Families .................................................................................................................. 96
Answers to Chapter Review Questions ....................................................................................................... 99
, UNIT 1
Basic Concepts in Psychiatric/ Mental Health Nursing
Chapter 1 The Concept of Stress Adaptation/Learning Exercise
Select the answer that is most appropriate for questions 1 through 5. In question 6, identify the
category in which each example belongs.
1. Sondra, who lives in Maine, hears on the evening news that 25 people were killed in a tornado
in south Texas. Sondra experiences no anxiety upon hearing of this stressful situation. This is
most likely because Sondra:
a. Is selfish and does not care what happens to other people.
b. Appraises the event as irrelevant to her own situation.
c. Assesses that she has the skills to cope with the stressful situation.
d. Uses suppression as her primary defense mechanism.
2. Cindy regularly develops nausea and vomiting when she is faced with a stressful situation.
Which of the following is most likely a predisposing factor to this maladaptive response by
Cindy?
a. Cindy inherited her mother’s “nervous” stomach.
b. Cindy is fixed in a lower level of development.
c. Cindy has never been motivated to achieve success.
d. When Cindy was a child, her mother pampered her and kept her home from school when she
was ill.
3. When an individual’s stress response is sustained over a long period, the endocrine system
involvement results in which of the following?
Health Nursing:
Concepts of Care in Evidence-Based
Practice
TENTH EDITION
OVER 350 WELL-STRUCTURED QUESTIONS WITH 100% CORRECT ANSWERS
Contents
UNIT 1 ........................................................................................................................................................... 3
Basic Concepts in Psychiatric/ Mental Health Nursing ..................................................................... 3
Chapter 1 The Concept of Stress Adaptation/Learning Exercise ........................................................... 3
Chapter 2 Mental Health/Mental Illness: Historical and Theoretical Concepts ...................................... 5
UNIT 2 ........................................................................................................................................................... 8
Foundations for Psychiatric/ Mental Health Nursing ........................................................................ 8
Chapter 3 Theoretical Models of Personality Development .................................................................... 8
Chapter 4 Concepts of Psychobiology .................................................................................................... 10
Chapter 5 Ethical and Legal Issues in Psychiatric/Mental Health Nursing ............................................. 13
Chapter 6 Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing ................. 16
UNIT 3 ......................................................................................................................................................... 19
Therapeutic Approaches in Psychiatric Nursing Care ..................................................................... 19
Chapter 7 Relationship Development .................................................................................................... 19
Chapter 8 Therapeutic Communication ................................................................................................. 22
Chapter 9 The Nursing Process in Psychiatric/ Mental Health Nursing ................................................. 25
Chapter 10 Therapeutic Groups............................................................................................................. 27
Chapter 11 Intervention With Families .................................................................................................. 30
, Chapter 12 Milieu Therapy—The Therapeutic Community ................................................................... 33
Chapter 13 Crisis Intervention ............................................................................................................... 36
Chapter 14 Assertiveness Training ......................................................................................................... 39
Chapter 15 Promoting Self-Esteem........................................................................................................ 42
Chapter 16 Anger/Aggression Management ......................................................................................... 44
Chapter 17 The Suicidal Client ............................................................................................................... 47
Chapter 18 Behavior Therapy ................................................................................................................ 50
Chapter 19 Cognitive Therapy ............................................................................................................... 52
Chapter 20 Electroconvulsive Therapy .................................................................................................. 54
Chapter 21 The Recovery Model ........................................................................................................... 56
UNIT 4 ......................................................................................................................................................... 58
Nursing Care of Clients With Alterations in Psychosocial Adaptation ......................................... 58
Chapter 22 Neurocognitive Disorders.................................................................................................... 58
Chapter 23 Substance-Related and Addictive Disorders ....................................................................... 60
Chapter 24 Schizophrenia Spectrum and Other Psychotic Disorders .................................................... 63
Chapter 25 Depressive Disorders........................................................................................................... 65
Chapter 26 Bipolar and Related Disorders............................................................................................. 68
Chapter 27 Anxiety, Obsessive-Compulsive, and Related Disorders .................................................... 71
Chapter 28 Trauma- and Stressor-Related Disorders ............................................................................ 73
Chapter 29 Somatic Symptom and Dissociative Disorders .................................................................... 75
Chapter 30 Issues Related to Human Sexuality and Gender Dysphoria ................................................ 78
Chapter 31 Eating Disorders .................................................................................................................. 80
Chapter 32 Personality Disorders .......................................................................................................... 82
UNIT 5 ......................................................................................................................................................... 85
Psychiatric/Mental Health Nursing of Special Populations............................................................ 85
Chapter 33 Children and Adolescents.................................................................................................... 85
Chapter 34 The Aging Individual ............................................................................................................ 87
Chapter 35 Survivors of Abuse or Neglect ............................................................................................. 89
Chapter 36 Community Mental Health Nursing .................................................................................... 92
Chapter 37 The Bereaved Individual ...................................................................................................... 94
Chapter 38 Military Families .................................................................................................................. 96
Answers to Chapter Review Questions ....................................................................................................... 99
, UNIT 1
Basic Concepts in Psychiatric/ Mental Health Nursing
Chapter 1 The Concept of Stress Adaptation/Learning Exercise
Select the answer that is most appropriate for questions 1 through 5. In question 6, identify the
category in which each example belongs.
1. Sondra, who lives in Maine, hears on the evening news that 25 people were killed in a tornado
in south Texas. Sondra experiences no anxiety upon hearing of this stressful situation. This is
most likely because Sondra:
a. Is selfish and does not care what happens to other people.
b. Appraises the event as irrelevant to her own situation.
c. Assesses that she has the skills to cope with the stressful situation.
d. Uses suppression as her primary defense mechanism.
2. Cindy regularly develops nausea and vomiting when she is faced with a stressful situation.
Which of the following is most likely a predisposing factor to this maladaptive response by
Cindy?
a. Cindy inherited her mother’s “nervous” stomach.
b. Cindy is fixed in a lower level of development.
c. Cindy has never been motivated to achieve success.
d. When Cindy was a child, her mother pampered her and kept her home from school when she
was ill.
3. When an individual’s stress response is sustained over a long period, the endocrine system
involvement results in which of the following?
