Test Bank - Townsend's Psychiatric Mental Health Nursing, 11th Edition (Morgan, 2025), Chapter 1-41 + Next-Generation NCLEX Case Studies with answers | All Chapters

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Davis Advantage forPsychiatricMentalHealth Nursing Karyn
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cf I. Morgan
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11thEdition
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, Table of Contents c f c f




Chapter 01. The Concept of Stress Adaptation
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Chapter 02. Mental Health/Mental Illness: Historical and Theoretical
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Concepts
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Chapter 03. Psychopharmacology
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Chapter 04. Concepts of Psychobiology
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Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
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Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health
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Nursing Chapter 07. Relationship Development
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Chapter 08. Therapeutic Communication
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Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
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Chapter 10. Therapeutic Groups
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Chapter 11. Intervention With Families
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Chapter 12. Milieu Therapy - The Therapeutic Community
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Chapter 13. Crisis Intervention
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Chapter 14. Assertiveness Training
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c Chapter 15. Promoting Self-Esteem
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c Chapter 16. Anger/Aggression
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Management Chapter 17. The Suicidal
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Client
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Chapter 18. Behavior Therapy
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Chapter 19. Cognitive Therapy
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Chapter 20. Electroconvulsive
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Therapy Chapter 21. The
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Recovery Model Chapter 22.
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Neurocognitive Disorders
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Chapter 23. Substance-Related and Addictive Disorders
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Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
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Chapter 25. Depressive Disorders
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Chapter 26. Bipolar and Related Disorders
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Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
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Chapter 28: Trauma and Stressor-Related Disorders
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Chapter 29. Somatic Symptom and Dissociative Disorders
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Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria
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Chapter 31. Eating Disorders
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Chapter 32. Personality Disorders
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Chapter 33. Children and Adolescents
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Chapter 34. The Aging Individual
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Chapter 35. Survivors of Abuse or Neglect
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Chapter 36. Community Mental Health Nursing
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Chapter 37. The Bereaved Individual
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Chapter 38. Military Families
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,Chapter 01. Psychopharmacology c f c f




Multiple Choice cf




1. The NURSE manager on the psychiatric unit was explaining to the new staff the
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differences between typical and atypical antipsychotics. The NURSE correctly states
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that atypical antipsychotics:
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A. Remain in the system longer c f c f c f c f




B. Act more quickly to reduce delusions
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C. Produce fewer extrapyramidal effects c f c f c f




D. Are risk free for neuroleptic malignant syndrome (NMS)
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CORRECTqANSWER:C cf




Atypical antipsychotics produce less D2blockade; thus movement disorders are less of a
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problem. No evidence suggests that the medication remains in the system longer nor that it acts more
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quicklyto reduce delusions. The atypicals are not risk free for NMS.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client
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Need:
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Physiological Integrity: Pharmacological and Parenteral Therapies
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2. The NURSE would assess for neuroleptic malignant syndrome (NMS) if a
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patient on haloperidol (Haldol) develops a:
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A. 30 mm Hg decrease in blood pressure reading
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B. Respiratory rate of 24 respirations per minute c f c f c f c f c f c f




C. Temperature reading c f c f of 104° F c f c f




D. Pulse rate of 70 beats per minute
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CORRECTqANSWER:C cf




Increased temperature is the cardinal sign of NMS. This BP is not a significant feature of
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NMS. There are no significant findings to support the options related to respirations or pulse
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rate.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client
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Need:
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Physiological Integrity: Pharmacological and Parenteral Therapies
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3. A patient taking fluphenazine (Prolixin) complains of dry mouth and blurred vision. What
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would the NURSE assess as the likely cause of these symptoms?
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A. Decreased dopamine at receptor sites c f c f c f c f




B. Blockade of histamine cf cf




C. Cholinergic blockade c f




D. Adrenergic blocking c f




CORRECTqANSWER:C cf




Fluphenazine administration produces blockade of cholinergic receptors giving rise to
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, cf anticholinergic effects, such as dry mouth, blurred vision, and constipation.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client
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Need:
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