,Table .of .Contents
I. BASIC .CONCEPTS .IN .PSYCHIATRIC-MENTAL . HEALTH .NURSING
1. The .Concept .of .Stress .Adaptation
2. Mental .Health .and .Mental .Illness: .Historical .and .Theoretical .Concepts
II. FOUNDATIONS .FOR . PSYCHIATRIC-MENTAL . HEALTH .NURSING
3. Concepts .of .Psychobiology
4. Psychopharmacology
5. Ethical .and .Legal .Issues
III. THERAPEUTIC .APPROACHES .IN .PSYCHIATRIC .NURSING . CARE
6. Relationship .Development
7. Therapeutic . Communication
8. The .Nursing .Process .in .Psychiatric-Mental .Health .Nursing
9. Therapeutic . Groups
10. Intervention .with .Families
11. Milieu .Therapy—The .Therapeutic .Community
12. Crisis .Intervention
13. Assertiveness .Training
14. Promoting .Self .Esteem
15. Anger .and .Aggression .Management
16. Suicide .Prevention
17. Behavior .Therapy
18. Cognitive .Behavioral .Therapy
19. Electroconvulsive . Therapy
20. The .Recovery .Model
IV. NURSING .CARE .OF .PATIENTS .WITH .ALTERATIONS .IN .PSYCHOSOCIAL .ADAPTATION
21. Caring .for .Patients .with .Mental .Illness .and .Substance .Use .Disorders .in .General .Practice .Settings
22. Neurocognitive .Disorders
23. Substance-Related .and .Addictive .Disorders
24. Schizophrenia .Spectrum .and .Other .Psychotic .Disorders
25. Depressive .Disorders
26. Bipolar .and .Related .Disorders
27. Anxiety, .Obsessive-Compulsive, .and .Related .Disorders
28. Trauma .and .Stressor-Related .Disorders
29. Somatic .Symptom .and .Dissociative .Disorders
30. Eating .Disorders
31. Personality .Disorders
V. PSYCHIATRIC/MENTAL .HEALTH .NURSING .OF .SPECIAL .POPULATIONS
32. Children .and .Adolescents
33. The .Aging .Individual
34. Survivors .of .Abuse .or .Neglect
35. Community .Mental .Health .Nursing
36. The .Bereaved .Individual
37. Military .Families
eBook .Bonus .Chapters
38. Theoretical .Models .of .Personality .Development
39. Cultural .and .Spiritual .Concepts .Relevant .to .Psychiatric .Mental .Health .Nursing
40. Complementary .and .Psychosocial .Therapies
41. Relaxation .Therapy
42. Issues .Related .to .Human .Sexuality .and .Gender .Dysphoria
43. Forensic .Nursing
,Chapter .1. .The .Concept .of .Stress .Adaptation
MULTIPLE .CHOICE
1. A .client .has .experienced .the .death .of .a .close .family .member .and .at .the .same .timebecomes .unemployed.
.The .client‘s .6-month .score .on .the .Recent .Life .Changes .Questionnaire .is .110. .The .nurse:Understands .the
.client .is .at .risk .for .significant .stress-related .illness.
Determines .the .client .is .not .at .risk .for .significant .stress-related .illness.
Needs .further .assessment .of .the .client‘s .coping .skills .to .determine .susceptibility .tostress-
relatedillness. .Recognizes .the .client .may .view .the .losses .as .challenges .and .perceive .them
.asopportunities.
ANS: .3
Chapter: .Chapter .1, .The .Concept .of .Stress .Adaptation
Objective: .Explain .the .relationship .between .stress .and .diseases .of .adaptation.Page: .5
Heading: .Stress .as .an .Environmental .Event .Integrated .Processes: .Nursing .Process: .EvaluationClientNeed:
.Psychosocial .Integrity
Cognitive .Level: .Application .[Applying]Concept: .Stress
.Difficulty: .Moderate
Feedback
1. This .is .incorrect. .Assessment .is .the .first .step .of .the .nursing .process. .The .nurse .should
.assess .the .client‘s .coping .skills .and .available .support .before .determining .susceptibilityto
.stress-related .physical .and .psychological .illnesses. .The .Recent .LifeChanges .Questionnaire
.is .an .expanded .version .of .the .Schedule .of .Recent .Experiences .and .the .Rahe-Holmes .Social
.Readjustment .Rating .Scale. .A .6-month .score .of .300 .or .more .or .a .year-score .total .of .500
.or .more .indicates .high .stress .in .a
client‘s .life .and .susceptibility .to .stress-related .illnesses.
2. This .is .incorrect. .Assessment .is .the .first .step .in .the .nursing .process. .The .nurse .should
.assess .the .client‘s .coping .skills .and .available .support .before .determining .the .client‘s
.perception .of .the .current .stresses. .A .6-month .score .of .300 .or .more .or .a .year-score .totalof
.500 .or .more .on .the .Recent .Life .Changes .Questionnaire .indicates .high .stress .in .a
client‘s .life .and .susceptibility .to .stress-related .physical .and .psychological .illnesses.
3. This .is .correct. .Assessment .is .the .first .step .in .the .nursing .process. .The .nurse .should . assess
.the
client‘s .coping .skills .and .available .support .before .determining .susceptibilityto .stress-related
.physical .and .psychological .illnesses. .A .6-month .score
, of .300 .or .more .or .a .year-score .of .500 .or .more .indicates .high .stress .in .a .client‘s .lifeandrisk .for
.significant .stress-related .physical .and .psychological .illness.
4. This .is .incorrect. .Assessment .is .the .first .step .in .the .nursing .process. .The .nurse .should
.assess .the .client‘s .coping .skills .and .available .support .before .determining .susceptibilityto
.stress-related .illness. .A .6-month .score .of .300 .or .more .or .a .year- .score .of .500 .or .more .on
.the .Recent .Life .Changes .Questionnaire .indicates .high .stressin .a .client‘s .life .issusceptible .to
.significant .stress- .related .physical .and .psychologicalillness.
CON: .Stress
2. A .physically .and .emotionally .healthy .client .has .just .been .fired. .During .a .routine .office .visit, .he .tellsthe
.nurse, .―Perhaps .this .was .the .best .thing .to .happen. .Maybe .I‘ll
consider .pursuing .an .art .degree.‖ .The .nurse .determines .the .client .perceives .the .stressorof .his .job .loss .as:
Irrelevant
.Harm .or .loss
.Threatening
.A .challenge
ANS: .4
Chapter: .Chapter .1, .The .Concept .of .Stress .Adaptation
Objective: .Discuss .adaptive .coping .strategies .in .the .management .of .stress.Page: .7Heading:
.Stress .as .a .transaction .between .the .individual .and .the .environment
>Individual‘s .Perception .of .the .Event .> .Primary .AppraisalIntegrated .Processes: .Nursing .Process:Assessment
.Client .Need: .Psychosocial .Integrity .Cognitive .Level: .Application .[Applying]Concept: .StressDifficulty:
Easy
Feedback
1. This .is .incorrect. .An .irrelevant .perception .is .one .where .the .event .holds .nosignificancefor .the
.individual.
2. This .is .incorrect. .A .harm .or .loss .appraisal .refers .to .damage .or .loss .alreadyexperiencedby .the
.individual.
3. This .is .incorrect. .A .threatening .appraisal .is .perceived .as .anticipated .harms .or .losses.
4. This .is .correct. .The .client‘s .statement .indicates .he .perceives .the .loss .of .his .job .as .a
.challenge .and .an .opportunity .for .growth, .demonstrated .by .his .statement .to .consideranart
.degree.
CON: .Stress
I. BASIC .CONCEPTS .IN .PSYCHIATRIC-MENTAL . HEALTH .NURSING
1. The .Concept .of .Stress .Adaptation
2. Mental .Health .and .Mental .Illness: .Historical .and .Theoretical .Concepts
II. FOUNDATIONS .FOR . PSYCHIATRIC-MENTAL . HEALTH .NURSING
3. Concepts .of .Psychobiology
4. Psychopharmacology
5. Ethical .and .Legal .Issues
III. THERAPEUTIC .APPROACHES .IN .PSYCHIATRIC .NURSING . CARE
6. Relationship .Development
7. Therapeutic . Communication
8. The .Nursing .Process .in .Psychiatric-Mental .Health .Nursing
9. Therapeutic . Groups
10. Intervention .with .Families
11. Milieu .Therapy—The .Therapeutic .Community
12. Crisis .Intervention
13. Assertiveness .Training
14. Promoting .Self .Esteem
15. Anger .and .Aggression .Management
16. Suicide .Prevention
17. Behavior .Therapy
18. Cognitive .Behavioral .Therapy
19. Electroconvulsive . Therapy
20. The .Recovery .Model
IV. NURSING .CARE .OF .PATIENTS .WITH .ALTERATIONS .IN .PSYCHOSOCIAL .ADAPTATION
21. Caring .for .Patients .with .Mental .Illness .and .Substance .Use .Disorders .in .General .Practice .Settings
22. Neurocognitive .Disorders
23. Substance-Related .and .Addictive .Disorders
24. Schizophrenia .Spectrum .and .Other .Psychotic .Disorders
25. Depressive .Disorders
26. Bipolar .and .Related .Disorders
27. Anxiety, .Obsessive-Compulsive, .and .Related .Disorders
28. Trauma .and .Stressor-Related .Disorders
29. Somatic .Symptom .and .Dissociative .Disorders
30. Eating .Disorders
31. Personality .Disorders
V. PSYCHIATRIC/MENTAL .HEALTH .NURSING .OF .SPECIAL .POPULATIONS
32. Children .and .Adolescents
33. The .Aging .Individual
34. Survivors .of .Abuse .or .Neglect
35. Community .Mental .Health .Nursing
36. The .Bereaved .Individual
37. Military .Families
eBook .Bonus .Chapters
38. Theoretical .Models .of .Personality .Development
39. Cultural .and .Spiritual .Concepts .Relevant .to .Psychiatric .Mental .Health .Nursing
40. Complementary .and .Psychosocial .Therapies
41. Relaxation .Therapy
42. Issues .Related .to .Human .Sexuality .and .Gender .Dysphoria
43. Forensic .Nursing
,Chapter .1. .The .Concept .of .Stress .Adaptation
MULTIPLE .CHOICE
1. A .client .has .experienced .the .death .of .a .close .family .member .and .at .the .same .timebecomes .unemployed.
.The .client‘s .6-month .score .on .the .Recent .Life .Changes .Questionnaire .is .110. .The .nurse:Understands .the
.client .is .at .risk .for .significant .stress-related .illness.
Determines .the .client .is .not .at .risk .for .significant .stress-related .illness.
Needs .further .assessment .of .the .client‘s .coping .skills .to .determine .susceptibility .tostress-
relatedillness. .Recognizes .the .client .may .view .the .losses .as .challenges .and .perceive .them
.asopportunities.
ANS: .3
Chapter: .Chapter .1, .The .Concept .of .Stress .Adaptation
Objective: .Explain .the .relationship .between .stress .and .diseases .of .adaptation.Page: .5
Heading: .Stress .as .an .Environmental .Event .Integrated .Processes: .Nursing .Process: .EvaluationClientNeed:
.Psychosocial .Integrity
Cognitive .Level: .Application .[Applying]Concept: .Stress
.Difficulty: .Moderate
Feedback
1. This .is .incorrect. .Assessment .is .the .first .step .of .the .nursing .process. .The .nurse .should
.assess .the .client‘s .coping .skills .and .available .support .before .determining .susceptibilityto
.stress-related .physical .and .psychological .illnesses. .The .Recent .LifeChanges .Questionnaire
.is .an .expanded .version .of .the .Schedule .of .Recent .Experiences .and .the .Rahe-Holmes .Social
.Readjustment .Rating .Scale. .A .6-month .score .of .300 .or .more .or .a .year-score .total .of .500
.or .more .indicates .high .stress .in .a
client‘s .life .and .susceptibility .to .stress-related .illnesses.
2. This .is .incorrect. .Assessment .is .the .first .step .in .the .nursing .process. .The .nurse .should
.assess .the .client‘s .coping .skills .and .available .support .before .determining .the .client‘s
.perception .of .the .current .stresses. .A .6-month .score .of .300 .or .more .or .a .year-score .totalof
.500 .or .more .on .the .Recent .Life .Changes .Questionnaire .indicates .high .stress .in .a
client‘s .life .and .susceptibility .to .stress-related .physical .and .psychological .illnesses.
3. This .is .correct. .Assessment .is .the .first .step .in .the .nursing .process. .The .nurse .should . assess
.the
client‘s .coping .skills .and .available .support .before .determining .susceptibilityto .stress-related
.physical .and .psychological .illnesses. .A .6-month .score
, of .300 .or .more .or .a .year-score .of .500 .or .more .indicates .high .stress .in .a .client‘s .lifeandrisk .for
.significant .stress-related .physical .and .psychological .illness.
4. This .is .incorrect. .Assessment .is .the .first .step .in .the .nursing .process. .The .nurse .should
.assess .the .client‘s .coping .skills .and .available .support .before .determining .susceptibilityto
.stress-related .illness. .A .6-month .score .of .300 .or .more .or .a .year- .score .of .500 .or .more .on
.the .Recent .Life .Changes .Questionnaire .indicates .high .stressin .a .client‘s .life .issusceptible .to
.significant .stress- .related .physical .and .psychologicalillness.
CON: .Stress
2. A .physically .and .emotionally .healthy .client .has .just .been .fired. .During .a .routine .office .visit, .he .tellsthe
.nurse, .―Perhaps .this .was .the .best .thing .to .happen. .Maybe .I‘ll
consider .pursuing .an .art .degree.‖ .The .nurse .determines .the .client .perceives .the .stressorof .his .job .loss .as:
Irrelevant
.Harm .or .loss
.Threatening
.A .challenge
ANS: .4
Chapter: .Chapter .1, .The .Concept .of .Stress .Adaptation
Objective: .Discuss .adaptive .coping .strategies .in .the .management .of .stress.Page: .7Heading:
.Stress .as .a .transaction .between .the .individual .and .the .environment
>Individual‘s .Perception .of .the .Event .> .Primary .AppraisalIntegrated .Processes: .Nursing .Process:Assessment
.Client .Need: .Psychosocial .Integrity .Cognitive .Level: .Application .[Applying]Concept: .StressDifficulty:
Easy
Feedback
1. This .is .incorrect. .An .irrelevant .perception .is .one .where .the .event .holds .nosignificancefor .the
.individual.
2. This .is .incorrect. .A .harm .or .loss .appraisal .refers .to .damage .or .loss .alreadyexperiencedby .the
.individual.
3. This .is .incorrect. .A .threatening .appraisal .is .perceived .as .anticipated .harms .or .losses.
4. This .is .correct. .The .client‘s .statement .indicates .he .perceives .the .loss .of .his .job .as .a
.challenge .and .an .opportunity .for .growth, .demonstrated .by .his .statement .to .consideranart
.degree.
CON: .Stress
