For Davis Advantage for Townsend’s Essentials of Psychiatric Mental Health
bg bg bg bg bg bg bg bg bg bg b
gNursing
9th Edition Karyn Morgan
bg bg bg
Chapters 1 - 32 | Complete
bg bg bg bg bg bg
,TABLE OF CONTENTS bg bg
INTRODUCTIONbgTObgPSYCHIATRICbgMENTALbgHEALTHbgCONCEPTS
1.bgMentalbgHealthbgandbgMentalbgIllness
2.bgBiologicalbgImplications
3.bgEthicalbgandbgLegalbgIssues
4.bgPsychopharmacology
II.bgPSYCHIATRICbgMENTALbgHEALTHbgNURSINGbgINTERVENTIONS
5.bgRelationshipbgDevelopmentbgandbgTherapeuticbgCommunication
6.bgThebgNursingbgProcessbginbgPsychiatric/MentalbgHealthbgNursing
7.bgPsychosocialbgInterventionsbgandbgSpiritualbgCare
8.bgInterventionbginbgGroups
9.bgCrisisbgIntervention
10.bgThebgRecoverybgModel
11.bgSuicidebgPrevention
III.bgCAREbgOFbgPATIENTSbgWITHbgPSYCHIATRICbgDISORDERS
12.bgCaringbgforbgPatientsbgwithbgMentalbgIllnessbgandbgSubstancebgUsebgDisordersbginbgGeneralbgPracticebgSettings
13.bgNeurocognitivebgDisorders
14.bgSubstancebgUsebgandbgAddictionbgDisorders
15.bgSchizophreniabgSpectrumbgandbgOtherbgPsychoticbgDisorders
16.bgDepressivebgDisorders
17.bgBipolarbgandbgRelatedbgDisorders
18.bgAnxiety,bgObsessive-Compulsive,bgandbgRelatedbgDisorders
19.bgTrauma-bgandbgStressor-RelatedbgDisorders
20.bgSomaticbgSymptombgandbgDissociativebgDisorders
21.bgEatingbgDisorders
22.bgPersonalitybgDisorders
IV.bgPSYCHIATRICbgMENTALbgHEALTHbgNURSINGbgOFbgSPECIALbgPOPULATIONS
23.bgChildrenbgandbgAdolescents
24.bgThebgAgingbgIndividual
25.bgSurvivorsbgofbgAbusebgorbgNeglect
26.bgCommunitybgMentalbgHealthbgNursing
27.bgThebgBereavedbgIndividual
28.bgMilitarybgFamilies
V.bgONLINEbgCHAPTERS
29.bgConceptsbgofbgPersonalitybgDevelopment
30.bgComplementarybgandbgIntegrativebgTherapies
31.bgCulturalbgConceptsbgRelevantbgtobgPsychiatricbgMentalbgHealthbgNursing
32.bgIssuesbgRelatedbgtobgHumanbgSexualitybgandbgGenderbgDysphoriabg
,Chapterbg1.bgMentalbgHealthbgandbgMentalbgIlln
essbgMultiplebgChoice
1.bgAbgnursebgisbgassessingbgabgclientbgwhobg isbgexperiencingbgoccasionalbgfeelingsbgofbgsadnessbgbecausebg
ofbgthebgrecentbgdeathbgofbgabgbelovedbgpet.bgThebgclientsbgappetite,bgsleepbgpatterns,bgandbgdailybgroutinebgh
avebgnotbgchanged.bg Howbgshouldbgthebg nursebg interpretbgthebgclientsbgbehaviors?
1. Thebgclientsbgbehaviorsbgdemonstratebgmentalbgillnessbg inbgthebgformbgofbgdepression.
2. Thebgclientsbgbehaviorsbgarebgextensive,bgwhichbgindicatesbgthebgpresencebgofbgmentalbgillness.
3. Thebgclientsbgbehaviorsbgarebgnotbgcongruentbgwithbgculturalbgnorms.
4. Thebgclientsbgbehaviorsbgdemonstratebgnobgfunctionalbgimpairment,bgindicatingbgnob g mentalbgillness.
ANSWER:bg4
Rationale:bgThebgnursebgshouldbgassessbgthatbgthebgclientsbgdailybgfunctioningbgisbgnotbgimpaired.bgThebgcli
entbgwhobgexperiencesbgfeelingsbgofbgsadnessbgafterbgthebglossbgofbgabgpetbgisbgrespondingbgwithinbgnormalbg
expectations.bgWithoutbgsignificantbgimpairment,bgthebgclientsbgdistressbgdoesbgnotbgindicatebgabgmentalbg
illness.
CognitivebgLevel:bg AnalysisbgInt
egratedbgProcess:bgAssessment
2.bgAtbgwhatbgpointbgshouldbgthebgnursebgdeterminebgthatbgabgclientbgisbgatbgriskbgforbgdevelopingbgab
gmentalbgillness?
1. Whenbgthoughts,bgfeelings,bgandbgbehaviorsbgarebgnotbgreflectivebgofbgthebgDSM-5bgcriteria.
2. Whenbgmaladaptivebgresponsesbgtobgstressbgarebgcoupledbgwithbginterferencebginbgdailybgfunctioning.
3. Whenbgabgclientbgcommunicatesbgsignificantbg distress.
4. Whenbgabgclientbgusesbgdefensebgmechanismsbgasbgegobg protection.
ANSWER:bg2
Rationale:bgThebgnursebgshouldbgdeterminebgthatbgthebgclientbgisbgatbgriskbgforbgmentalbgillnessbgwhenbgres
ponsesbgtobgstressbgarebgmaladaptivebgandbginterferebgwithbgdailybgfunctioning.bgThebgDSM-
5bgindicatesbgthatbginbgorderbgtobgbebgdiagnosedbgwithbgabgmentalbgillness,bgdailybgfunctioningbgmustbgbebgsi
gnificantlybgimpaired.bgThebgclientsbgabilitybgtobgcommunicatebgdistressbgwouldbgbebgconsideredbgabgpos
itivebgattribute.
CognitivebgLevel:bgApplicationbg
IntegratedbgProcess:bgAssessmen
t
3.bgAbgnursebgisbgassessingbgabgsetbgofbg15-year-
oldbgidenticalbgtwinsbgwhobgrespondbgverybgdifferentlybgtobgstress.bgOnebgtwinbgbecomesbganxiousbgandbgirr
itable,bgandbgthebgotherbgwithdrawsbgandbgcries.bgHowbgshouldbgthebgnursebgexplainbgthesebgdifferentbg stre
ssbgresponsesbgtobgthebgparents?
1. Reactionsbgtobg stressbgarebgrelativebgratherbgthanbgabsolute;bgindividualbgresponsesbgtobg stressbgvary.
2. Itbgisbgabnormalbgforbgidenticalbgtwinsbgtobgreactbgdifferentlybgtobgsimilarbgstressors.
3. Identicalbgtwinsbgshouldbgsharebgthebgsamebgtemperamentbg andbgrespondbgsimilarlybgtobgstress.
4. Environmentalbginfluencesbgtobgstressbgweighbgmorebgheavilybgthanbggeneticbginfluences.
, ANSWER:bg1
Rationale:bgThebgnursebgshouldbgexplainbgtobgthebgparentsbgthat,bgalthoughbgthebgtwinsbghavebgidenticalbg
DNA,bgtherebgarebgseveralbgotherbgfactorsbgthatbgaffectbg reactionsbgtobgstress.bgMentalbghealthbgisbgabgstatebgo
fbgbeingbgthatbgisbgrelativebgtobgthebgindividualbgclient.bgEnvironmentalbginfluencesbgandbgtemperamentbgc
anbgaffectbgstressbgreactions.
CognitivebgLevel:bg ApplicationbgInte
gratedbgProcess:bgImplementation
4.bgWhichbgclientbgshouldbgthebgnursebganticipatebgtobgbebgmostbgreceptivebgtobgpsychiatricbgtreatm
ent?bg1.bg AbgJewish,bg femalebgsocialbgworker.
2. AbgBaptist,bghomelessbgmale.
3. AbgCatholic,bgblackbg male.
4. AbgProtestant,bgSwedishbgbusinessbgexecutive.
ANSWER:bg1
Rationale:bgThebgnursebgshouldbganticipatebgthatbgthebgclientbgofbgJewishbgculturebgwouldbgplacebgabghighbg
importancebgonbgpreventativebghealthbgcarebgandbgwouldbgconsiderbgmentalbghealthbgasbgequallybgimport
antbgasbgphysicalbghealth.bgWomenbgarebgalsobgmorebglikelybgtobgseekbgtreatmentbgforbgmentalbghealthbgprob
lemsbgthanbgmen.
CognitivebgLevel:bgApplicatio
nbgIntegratedbgProcess:bgPlannin
g
5. Abgpsychiatricbgnursebginternbgstates,bgThisbgclientsbgusebgofbgdefensebgmechanismsbgshouldbgbebgelimin
ated.bgWhichbgisbgabgcorrectbg evaluationbgofbgthisbgnursesbg statement?
1. Defensebgmechanismsbgcanbgbebgappropriatebgresponsesbgtobgstressbgandbgneedbgnotbgbebgeliminated.
2. Defensebgmechanismsbgarebgabgmaladaptivebgattemptbgofbgthebgegobgtobgmanagebganxietybgands
houldbgalwaysbgbebg eliminated.
3. Defensebgmechanisms,bgusedbgbybgindividualsbgwithbgweakbgegobgintegrity,bgshouldbgbebgdiscourage
dandbgnotbgeliminated.
4. Defensebgmechanismsbgcausebgdisintegrationbgofbgthebgegobgandbgshouldbgbebgfosteredbgandbgencouraged.
ANSWER:bg1
Rationale:bgThebgnursebgshouldbgdeterminebgthatbgdefensebgmechanismsbgcanbgbebgappropriatebgduringbgti
mesbgofbgstress.bgThebgclientbgwithbgnobgdefensebgmechanismsbgmaybghavebgabglowerbgtolerancebgforbgstress,
bgthusbgleading bgtobganxiety bgdisorders.bgDefense bgmechanisms bgshould bgbebgconfronted bgwhen bgthey bgim
pedebgthebgclientbg frombgdevelopingbg healthybgcopingbgskills.
CognitivebgLevel:bgApplication
bgIntegrated bgProcess:bgEvaluati
on
6.bgDuringbganbgintakebgassessment,bgabgnursebgasksbgbothbgphysiologicalbgandbgpsychosocialbgquestions.bg
Thebgclientbgangrilybgresponds,bgImbgherebgforbgmybgheart,bgnotbgmybgheadbgproblems.bgWhichbgisbgthebgnurs
esbgbestbgresponse?
1. Itsbgjustbgabgroutinebgpartbgofbgourbgassessment.bgAllbgclientsbgarebgaskedbgthesebgsamebgquestions.
2. Whybgarebgyoubgconcernedbgaboutbgthesebgtypesbgofbgquestions?
3. Psychologicalbgfactors,bglikebgexcessivebgstress,bghavebgbeenbgfoundbgtobg affectbg medicalbgconditions.
4. Webgcanbgskipbgthesebgquestions,bgifbgyoubglike.bgItbgisntbgimperativebgthatbgwebgcompletebgthisbg section.