z z z z z z z z z z z z 1
Table of Contents z z
Table of Contentsz z 1
Chapter 01: Psychiatric-Mental Health Nursing and Evidence-Based Practice
z z z z z z z 2
Chapter 02: Mental Health and Mental Disorders
z z z z z z 6
Chapter 03: Cultural and Spiritual Issues Related to Mental Health Care
z z z z z z z z z z 10
Chapter 04: Patient Rights and Legal Issues
z z z z z z 14
Chapter 05: Mental Health Care in the Community
z z z z z z z 18
Chapter 06: Ethics, Standards, and Nursing Frameworks
z z z z z z 21
Chapter 07: Psychosocial Theoretic Basis of Psychiatric Nursing
z z z z z z z 25
Chapter 08: Biologic Foundations of Psychiatric Nursing
z z z z z z 29
Chapter 09: Communication and the Therapeutic Relationship
z z z z z z 33
Chapter 10: The Psychiatric-Mental Health Nursing Process
z z z z z z 37
Chapter 11: Psychopharmacology, Dietary Supplements, and Biologic Interventions
z z z z z z z 41
Chapter 12: Cognitive Interventions in Psychiatric Nursing
z z z z z z 46
Chapter 13: Group Interventions
z z z 50
Chapter 14: Family Assessment and Interventions
z z z z z 54
Chapter 15: Mental Health Promotion for Children and Adolescents
z z z z z z z z 58
Chapter 16: Mental Health Promotion for Young and Middle-Aged Adults
z z z z z z z z z 61
Chapter 17: Mental Health Promotion for Older Adults
z z z z z z z 64
Chapter 18: Stress and Mental Health
z z z z z 68
Chapter 19: Management of Anger, Aggression, and Violence
z z z z z z z 72
Chapter 20: Crisis, Loss, Grief, Response, Bereavement, and Disaster Management
z z z z z z z z z 76
Chapter 21: Suicide Prevention: Screening, Assessment, and Intervention
z z z z z z z 80
Chapter 22: Schizophrenia and Related Disorders: Nursing Care of Persons with Thought
z z z z z z z z z z z
Disorders 84
Chapter 23: Depression: Management of Depressive Moods and Suicidal BehaviorChapt
z z z z z z z z z z 92
er 24: Bipolar Disorders: Management of Mood Lability
z z z z z z z 96
Chapter 25: Anxiety Disorders: Management of Anxiety, Phobia, and PanicChapter 2
z z z z z z z z z z z 99
6: Obsessive Compulsive and Related Disorders
z z z z z 103
Chapter 27: Trauma and Stressor Related Disorders
z z z z z z 105
Chapter 28: Personality and Borderline Personality Disorder: Management of EmotionalD
z z z z z z z z z z
ysregulation and Self-Harm z z 106
Chapter 29: Antisocial Personality and Disruptive, Impulse Control, and Conduct Disorders
z z z z z z z z z z
109
Chapter 30: Addiction and Substance-Related Disorders
z z z z z 113
Chapter 31: Eating Disorders: Management of Eating and WeightChapter 3
z z z z z z z z z z 117
2: Somatic Symptom and Related Disorders
z z z z z 121
Chapter 33: Nursing Care of Persons with Insomnia and Sleep Problems
z z z z z z z z z z 125
Chapter 34: Sexual Disorders: Management of Sexual Dysfunction and ParaphiliasC
z z z z z z z z z z 129
hapter 35: Mental Health Assessment of Children and Adolescents
z z z z z z z z 132
Chapter 36: Mental Health Disorders of Childhood and AdolescenceChapt
z z z z z z z z z 135
er 37: Mental Health Assessment of Older Adults
z z z z z z z 139
Chapter 38: Neurocognitive Disorders
z z z 142
Chapter 39: Caring for Persons Who Are Homeless and Mentally Ill Cha
z z z z z z z z z z z 146
pter 40: Caring for Persons With Co-
z z z z z z 150
occurring Mental Disorders Chapter 41: Caring for Survivors of Violenc
z z z z z z z z z 154
e and Abuse
z z 158
Chapter 42: Caring for Persons With Mental Illness and Criminal Behavior Ch
z z z z z z z z z z z 162
apter 43: Caring for Medically Compromised Persons
z z z z z z
,z 2
Chapter 01: Psychiatric- z z
Mental HealthNursing and Evidence-
z z z z
BasedPractice
1. A group of nursing students are reviewing information about thee
z z z z z z z z z z
volution of mental health care and arediscussing the recommendati
z z z z z z z z
ons of the final report of the Joint Commission on Mental Illness
z z z z z z z z z z z z
and Health. The students demonstrate understanding of this inform
z z z z z z z z
ation when they identify that the reportrecommended an increase in
z z z z z z z z z
zwhich of the following? z z z
A) Numbers of mental health hospitals z z z z
B) State funding for mental health care z z z z z
C) Clinics supplemented by general hospital units z z z z z
D) Use of psychotherapy by psychiatrists
z z z z
2. A nurse is reviewing the American Nurses Association‟s
z z z z z z z
Statement on Psychiatric Nursing Practice published in 1967,
z z z z z z z
which sanctioned the involvement of psychiatricmental health nurses in the provision of holistic nursin
z z z z z z z z z z z z z
g care. Integrating knowledge of the various theories and views of mentalhealth and illness, the nurse i
z z z z z z z z z z z z z z z z
dentifies which of the following as most strongly linked to this holistic approach?
z z z z z z z z z z z z
A) Sigmund Freud‟s psychoanalytic theory z z z
B) Florence Nightingale‟s Notes on Nursing z z z z
C) Hildegarde
D) Clifford Beers‟ A Mind That Found Itself z z z z z z
E) Peplau‟s Interpersonal Relations in Nursing z z z z
3. A nursing instructor is preparing a presentation about key events and people that influenced the development
z z z z z z z z z z z z z z z z
of contemporary mental health and illness care. When describing the effects of World WarII, which of the f
z z z z z z z z z z z z z z z z z z
ollowing would the instructor include? z z z z
A) People began to view mental illness as more commonplace and acceptable.
z z z z z z z z z z
B) The biologic understanding of mental illness was almost fully developed.
z z z z z z z z z
C) Deinstitutionalization occurred in response to the community health movement. z z z z z z z z
D) Mental illnesses became categorized as psychoses or neuroses.
z z z z z z z
4. A nursing student is presenting a discussion of the history of psychiatricmental health nursing and itspla
z z z z z z z z z z z z z z z z
ce within nursing history. Which of the following would be most appropriate to include?
z z z z z z z z z z z z z
A) Certification for the psychiatricmental health nursing specialty was first emphasized by Mary A z z z z z z z z z z z z
delaide Nutting. z
B) Psychiatric nurses played a part in seeing that all deinstitutionalized patients got treatment atcom
z z z z z z z z z z z z z z
munity mental health centers. z z z
C) There is a historical link between the first nursing program to admit male students and the firsttrai
z z z z z z z z z z z z z z z z z
ning school for psychiatric nursing.z z z z
D) The first graduate program in psychiatric nurses was established in response to the publication of ps
z z z z z z z z z z z z z z z
ychiatric nursing specialty journals. z z z
5. Two nursing students are discussing psychiatricmental health nursing and the role it has played in nu
z z z z z z z z z z z z z z z
rsing‟s overall history. Which statement is most accurate?
z z z z z z z
A) The importance of using therapeutic communication was stressed by Nightingale.
z z z z z z z z z
B) The use of self-care to enhance the immune system was taught by Dorothea Dix.
z z z z z z z z z z z z z
C) The moral treatment of mental illness was a primary focus of deinstitutionalization.
z z z z z z z z z z z
D) Peplau was the first nurse to stress the importance of therapeutic communication.
z z z z z z z z z z z
6. When reviewing the evolution of mental health and illness care, which event is associated with mentaldis
z z z z z z z z z z z z z z z z
orders beginning to be viewed as illnesses requiring treatment?
z z z z z z z z
A) Establishment of Pennsylvania Hospital in Philadelphia z z z z z
,