h
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,Tableb of bContents 1
Chapterb01:bPsychiatric-MentalbHealthbNursingb andbEvidence-BasedbPractice 2
Chapterb02:bMentalbHealthbandbMentalbDisorders 6
Chapterb03:bCulturalbandbSpiritualbIssuesbRelatedbto bMentalbHealthbCare 10
Chapterb04:bPatientbRightsbandbLegalbIssues 14
Chapterb05:bMentalbHealthbCarebinbthebCommunity 18
Chapterb06:bEthics,bStandards, bandbNursingbFrameworks 21
Chapterb07:bPsychosocialbTheoretic bBasisbof bPsychiatric bNursing 25
Chapterb08:bBiologic bFoundationsbof bPsychiatric bNursing 29
Chapterb09:bCommunicationbandbthebTherapeutic bRelationship 33
Chapterb10:bThebPsychiatric-MentalbHealthbNursingbProcess 37
Chapterb11:bPsychopharm acology,bDietary bSupplem ents,bandbBiologic bInterventions 41
Chapterb12:bCognitivebInterventionsbinbPsychiatric bNursing 46
Chapterb13:bGroupbInterventions 50
Chapterb14:bFamily bAssessment andbInterventions
fi 54
Chapterb15:bMentalbHealthbPromotionbforbChildrenbandbAdolescents 58
Chapterb16:bMentalbHealthbPromotionbforbYoungbandbMiddle-AgedbAdults 61
Chapterb17:bMentalbHealthbPromotionbforbOlderbAdults 64
Chapterb18:bStress andbMentalbHealth
fi 68
Chapterb19:bManagementbof bAnger,bAggression,bandbViolence 72
Chapterb20:bCrisis,bLoss,bGrief,bResponse,bBereavement,bandbDisasterbManagement 76
Chapterb21:bSuicidebPrevention:bScreening,bAssessment,bandbIntervention 80
Chapterb22:bSchizophreniabandbRelatedbDisorders:bNursingbCarebof bPersonsbwithb Thought
Disorders 84
Chapterb23:bDepression:bManagem entb of bDepressivebMoodsbandbSuicidalbBehaviorChapbt 92
erb24:bBipolarbDisorders:bManagement of bMoodb Lability
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Chapterb25:bAnxiety bDisorders:bManagementbof bAnxiety,bPhobia,bandbPanic Chapterb26
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:bObsessivebCompulsiveb andbRelatedbDisorders 103
Chapterb27:bTraumabandbStressorbRelatedbDisorders 105
Chapterb28:bPersonality bandbBorderlinebPersonality bDisorder:bManagementb of bEmotionalb
DysregulationbandbSelf-Harm 106
Chapterb29:bAntisocialbPersonality bandbDisruptive,bImpulsebControl,bandbConductbDisorders
109
Chapterb30:bAddictionb andbSubstance-RelatedbDisorders 113
Chapterb31:bEatingbDisorders:bManagem ent bof bEatingbandbWeight Chapterb3
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2:bSomatic Symptom bandbRelatedbDisorders
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Chapterb33:bNursingbCarebof bPersonsbwithb Insom niabandbSleepbProblems 125
Chapterb34:bSexualbDisorders:bManagem ent bof bSexualbDysfunctionbandbParaphilias b
fi fi 129
Chapterb35:bMentalbHealthbAssessmentbof bChildrenbandbAdolescents 132
Chapterb36:bMentalbHealthbDisordersbof bChildhoodbandbAdolescence Chapbt
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erb37:bMentalbHealthbAssessment of bOlderbAdults
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Chapterb38:bNeurocognitivebDisorders 142
Chapterb39:bCaringbforbPersonsbWhobAre HomelessbandbMentally bIllbChab
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pterb40:bCaringbforbPersonsbWithbCo- 150
occurringbMentalbDisordersbChapterb41:bCaringbforbSurvivorsbof bViolenc be 154
bandbAbuse 158
Chapterb42:bCaring bforbPersonsbWithbM ental bIllnessbandbCrim inalbBehaviorbChb 162
apterb43:bCaringbforbMedically bCompromisedbPersons
,Test Bankb-bPsychiatric Nursing:bContemporarybPracticeb (7thbEditionbbybMary bAnn bBoyd)
fi fi 2
Chapter 01: Psychiatric-
b b
Mental Health Nursing and Evidence-
b fi b b
BasedPractice
b
1. Ab groupb ofb nursingb studentsb arebreviewingb informationb aboutb thb e fi
evolutionbofbmentalbhealthbcarebandbarediscussingb theb recommenb d
ationsb ofb theb finalb reportb ofb thebJointb Commissionb onb Mentb alb
Illnessb andb Health.b Thebstudents demonstrateb understanding ofb tb hi fi fi
sb informationb whenb theyb identifybthatb theb reportrecommendedb ab nb
increaseb inb whichb ofb theb following?
A) Numbersb ofb mentalb healthb hospitals
B) Stateb fundingb forb mentalb healthb careb
C) Clinics supplemented by b general b hospital b unit
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D) sUseb ofb psychotherapyb byb psychiatrists
2. Ab nurseb isb reviewingb theb Americanb Nursesb Association‟s
Statementb onb Psychiatricb Nursingb Practiceb publishedb inb 1967,
whichbsanctioned theb involvementbofb psychiatricmentalb healthb nursesbinb theb provisionb ofbholisticb nursb
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ingb care.b Integratingb knowledgeb ofb theb variousb theoriesb and viewsb ofb mentalhealthb andb illness, b theb nub fi
rseb identifiesb whichb ofb theb followingb asb mostb stronglyb linkedb tob thisb holisticb approach?
A) Sigmundb Freud‟sb psychoanalyticb theory
B) Florence b Nightingale‟s b Notes b on b Nursin
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C) gHildegarde
D) Clifford b Beers‟b A b Mindb Thatb Foundb Itself
f
E) Peplau‟sb Interpersonalb Relationsb inb Nursing
3. Ab nursingb instructor b isbpreparingbabpresentationbaboutbkeybeventsb andbpeopleb thatbinfluencedbtheb developmeb
ntb ofb contemporaryb mentalb healthb andb illnessb care. b Whenb describingb theb effectsb ofb WorldbWarII, b whichb
ofb theb followingb wouldb theb instructor b include?
A) People began b to b view b mental illness b as b more commonplace b and acceptabl
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B) e.
Theb biologicb understandingb ofb mentalb illnessb wasb almostb fullyb developed.
C) Deinstitutionalizationb occurredb inb responseb tob theb communityb healthb movement.
D) Mentalb illnessesb becameb categorizedb asb psychosesb orb neuroses.
4. Ab nursingb studentb isb presentingb ab discussionb ofb theb historybofb psychiatricmentalb healthb nursingb andbitbs fi
placeb withinb nursingb history. b Whichb ofb theb followingb wouldb beb mostb appropriateb tob include?
A) Certificationb forb theb psychiatricmentalb healthb nursingb specialtyb wasb firstb emphasizedb byb Marb
yb Adelaideb Nutting.
B) Psychiatricbnurses playedbabpartbinbseeingbthatballbdeinstitutionalizedbpatientsbgotbtreatment at cob
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mmunityb mentalb healthb centers.
C) There is b a b historical b link between the first nursing b program to admit b male students and the b fi
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rs
t training school b for psychiatric nursing.
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D) Theb firstb graduateb programb inb psychiatricb nursesb wasb establishedb inb responseb tob theb publicationb ob
fb psychiatricb nursingb specialtyb journals.
5. Twob nursingb studentsb areb discussingb psychiatricmentalb healthb nursingb andb theb roleb it bhasb playedb ib fi
nb nursing‟sb overallb history. b Whichb statementb isb most accurate? fi
A) The b importance b of using b therapeutic b communication b was stressed b by Nightingal
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B) e.
Theb useb ofb self-careb tob enhanceb theb immuneb systemb wasb taughtb byb Dorotheab Dix.
C) Theb moralb treatmentb ofb mentalb illnessb wasb ab primaryb focusb ofb deinstitutionalization.
D) Peplaub wasb theb firstb nurseb tob stressb theb importanceb ofb therapeuticb communication.
6. Whenb reviewingb theb evolutionb ofb mentalbhealthb andbillnessb care, b whichbeventb isb associatedb withb mentab ld
isordersb beginningb tob beb viewedb asb illnessesb requiringb treatment?
A) Establishment b of b Pennsylvania b Hospital b in Philadelphi
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a
,