(Test Bank) Psychiatric–Mental Health Nursing

Videbeck, 5

Nursing

Test Bank

5th Edition

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Test Bank for Psychiatric–Mental Health Nursing, The downloadable file consists of 546 pages, and the total size of the file is 11.98 MB. Purchase now only for highly discounted price.

Author(s): Videbeck

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78616_FM_pi-xii.indd xii 78616_FM_pi-xii.indd xii 11/12/09 6:52:43 PM 11/12/09 6:52:43 PMThis page intentionally left blank. Psychiatric–Mental Health Nursing FIFTH EDITION SHEILA L. VIDEBECK, PhD, RN Professor, Nursing Des Moines Area Community College Ankeny , Iowa Illustrations by Cathy J. Miller 78616_FM_pi-xii.indd i 78616_FM_pi-xii.indd i 11/12/09 6:52:39 PM 11/12/09 6:52:39 PMAcquisitions Editor : Jean Rodenberger Product Manager : Katherine Burland Editorial Assistant : Laura Scott Design Coordinator : Holly McLaughlin Vendor Manager : Cynthia Rudy Manufacturing Coordinator : Karin Duffield Prepress Vendor : MPS Limited, A Macmillan Company Fifth EditionCopyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins.Copyright © 2008 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Copyright © 2006, 2004, 2001 by Lippincott Williams & Wilkins. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Lippincott Williams & Wilkins at 530 Walnut Street, Philadelphia, PA 19106, via email at permissions@lww.com, or via our website at lww.com (products and services).9 8 7 6 5 4 3 2 1Printed in ChinaLibrary of Congress Cataloging-in-Publication DataVidebeck, Sheila L. Psychiatric-mental health nursing / Sheila L. Videbeck; [illustrations by Cathy J. Miller]. — 5th ed. p.; cm. Includes bibliographical references and index. ISBN 978-1-60547-861-6 (alk. paper) 1. Psychiatric nursing. I. Title. [DNLM: 1. Psychiatric Nursing. 2. Mental Disorders—nursing. WY 160 V652p 2011] RC440.V536 2011 616.89’0231—dc22 2009045890 Care has been taken to confirm the accuracy of the information presented and to describe generally accepted prac- tices. However, the author, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the cur-rency, completeness, or accuracy of the contents of the publication. Application of this information in a particular situ-ation remains the professional responsibility of the practitioner; the clinical treatments described and recommended may not be considered absolute and universal recommendations. The author, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with the current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug. Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in his or her clinical practice. 78616_FM_pi-xii.indd ii 78616_FM_pi-xii.indd ii 11/12/09 6:52:40 PM 11/12/09 6:52:40 PMiii Reviewers MARGE BLONDELL, MS, RN Assistant Professor of NursingGenesee Community CollegeBatavia, New YorkMARTHA M. COLVIN, PhD, RN, APRN-PMHN Associate Dean, College of Health Sciences and ProfessorGeorgia College & State University , School of NursingMilledgeville, GeorgiaKAREN CUMMINS, CRNP-BC, MSN, CNE Professor of NursingCommunity College of Allegheny CountyPittsburgh, PennsylvaniaNursing InstructorSlippery Rock UniversitySlippery Rock, PennsylvaniaPATRICIA H. DAVIS, RN, BSN, MN Professor of NursingLake City Community CollegeLake City , FloridaMARIAN T. DOYLE, RN, MSN, MS Associate Professor of NursingNorthampton Community CollegeBethlehem, PennsylvaniaROSEMARY GATES, RN, MS ProfessorCrouse Hospital School of NursingSyracuse, New YorkBARBARA J. GOLDBERG, APRN, BC Adjunct Professor of NursingOnondaga Community CollegeSyracuse, New YorkDEBORAH A. GREENAWALD, RN, MSN, PhD(c) Assistant Professor of NursingAlvernia UniversityReading, PennsylvaniaALICE P . JENSEN, MS, RN Associate Professor of NursingMaryville UniversitySt. Louis, MissouriSOPHIE KNAB, MS (Psychiatric Clinical Nurse Specialist) Professor, Nursing DivisionNiagara County Community CollegeSanborn, New YorkKARREN BROWN LIEBERT, BSN, RN, MSN (doctoral candidate)Assistant ProfessorLong Island University School of NursingBrooklyn, New YorkSUSAN MADSON, MSN, RN Professor of NursingHorry Georgetown Technical CollegeMyrtle Beach, South CarolinaJOAN C. MASTERS, EdD, MBA, RN Associate Professor of NursingBellarmine UniversityLouisville, KentuckyKIMBERLEY R. MEYER, RN, BAN, MSN, EdD Associate Professor of NursingBethel UniversitySt. Paul, MinnesotaMAGDALENA MORRIS, RN, MSN Faculty , LPN and ASN ProgramsApollo College (DeVry)Boise, IdahoPENNY R. PAK, RN, MSN Assistant Professor NursingPasco Hernando Community CollegeDade City , FloridaCOLLEEN PRUNIER, MS, APRN, CARN Assistant Professor of NursingSuffolk County Community College, School of NursingBrentwood Campus, New YorkCARLA E. RANDALL, RN, PhD University of Southern Maine, Lewiston-Auburn Campus Lewiston, MaineELLEN STUART, MSN, RN Professor of NursingGrand Rapids Community CollegeGrand Rapids, MichiganPAMELA WEAVER, MSN, PMHCNS, BC Nursing Instructor IUPMC Shadyside School of NursingPittsburgh, Pennsylvania 78616_FM_pi-xii.indd iii 78616_FM_pi-xii.indd iii 11/12/09 6:52:40 PM 11/12/09 6:52:40 PMiv Preface The fifth edition of Psychiatric–Mental Health Nursing maintains a strong student focus, presenting sound nurs-ing theory , therapeutic modalities, and clinical applica-tions across the treatment continuum. The chapters are short and the writing style is direct in order to facilitate reading comprehension and student learning. This text uses the nursing process framework and em- phasizes assessment, therapeutic communication, neurobi-ologic theory , and pharmacology throughout. Interventions focus on all aspects of client care, including communica-tion, client and family education, and community resources, as well as their practical application in various clinical settings. This new edition is supported with an ancillary package designed to assist instructors with course planning and ex-ecution, and student evaluation, and to assist students with comprehensive knowledge synthesis. ORGANIZATION OF THE TEXT Unit 1: Current Theories and Practice provides a strong foundation for students. It addresses current issues in psy-chiatric nursing as well as the many treatment settings in which nurses encounter clients. It discusses thoroughly neurobiologic theories, psychopharmacology , and psycho-social theories and therapy as a basis for understanding mental illness and its treatment.Unit 2: Building the Nurse–Client Relationship pres- ents the basic elements essential to the practice of mental health nursing. Chapters on therapeutic relationships and therapeutic communication prepare students to begin working with clients both in mental health settings and in all other areas of nursing practice. The chapter on the client’s response to illness provides a framework for understanding the individual client. An entire chapter is devoted to assessment, emphasizing its importance in nursing.Unit 3: Current Social and Emotional Concerns covers topics that are not exclusive to mental health settings, in-cluding legal and ethical issues; anger, aggression, and hostility; abuse and violence; and grief and loss. Nurses in all practice settings find themselves confronted with issues related to these topics. Additionally , many legal and ethical concerns are interwoven with issues of violence and loss.Unit 4: Nursing Practice for Psychiatric Disorders covers all the major categories identified in the DSM-IV-TR . Each chapter provides current information on etiology , onset and clinical course, treatment, and nursing care.PEDAGOGICAL FEATURES Psychiatric–Mental Health Nursing incorporates several ped- agogical features designed to facilitate student learning: Learning Objectives focus the students’ reading and  study .Key Terms identify new terms used in the chapter. Each  term is identified in bold and defined in the text.Application of the Nursing Process sections use the as-  sessment framework presented in Chapter 8, so students can compare and contrast various disorders more easily .Critical Thinking Questions stimulate students’ thinking  about current dilemmas and issues in mental health.Key Points summarize chapter content to reinforce im-  portant concepts.Chapter Study Guides provide workbook-style ques-  tions for students to test their knowledge and under-standing of each chapter. SPECIAL FEATURES Clinical Vignettes are provided for each major disorder  discussed in the text to “paint a picture” for better understanding.Drug Alerts highlight essential points about psycho-  tropic drugs.Cultural Considerations sections appear in each chap-  ter, as a response to increasing diversity .Therapeutic dialogues give specific examples of nurse–  client interaction to promote therapeutic communica-tion skills.Internet Resources to further enhance study are located  at the end of each chapter.Client/Family Teaching boxes provide information that  help strengthen students’ roles as educators.Symptoms and Interventions are highlighted for chap-  ters in Units 3 and 4.Sample Nursing Care Plans are provided for chapters in  Units 3 and 4.Self-Awareness features appear at the end of each chap-  ter, which encourage students to reflect on themselves, their emotions, and their attitudes as a way to foster both personal and professional development. 78616_FM_pi-xii.indd iv 78616_FM_pi-xii.indd iv 11/12/09 6:52:40 PM 11/12/09 6:52:40 PMv PREFACE ANCILLARY PACKAGE FOR THE FIFTH EDITION Faculty This fifth edition comes with a collection of ancillary ma-terials designed to help you plan class and clinical learning activities and evaluate students’ learning. The Instructor Resource DVD-ROM contains information and activities that will help you engage your students throughout the semester, including PowerPoint Slides  Image Bank Test Generator Additional content and technology r esources ar e avail- able online at Th ePointtnn—http://thepoint.lww.com—allowing instructors easy access to an extensive selection of materials for each chapter, including Pre-lecture Quizzes  Discussion Topics Written, Group, Clinical, and Web Assignments Guided Lecture Notes Online eBook Journal Articles Students Free and bound in the book, the fifth edition DVD-ROM supplies the following learning tools: Movie-Viewing Guides  highlighting films depicting in- dividuals with mental health disorders and providing students the opportunity to approach nursing care re-lated to mental health and illness in a novel way .Clinical Simulations  on Schizophrenia, Depression, and the Acutely Manic Phase that walk students through case studies and put them in real-life situations.Drug Monographs  of commonly prescribed psycho- tropic drugs.These and other valuable student resources, including NCLEX-style psychiatric nursing questions designed to help students prepare to face exams armed with confidence and knowledge, are also available on Th ePointtnn—http:// thepoint.lww.com. 78616_FM_pi-xii.indd v 78616_FM_pi-xii.indd v 12/1/09 2:03:09 PM 12/1/09 2:03:09 PMvi As always, I am grateful to all the nursing students who contribute to this book in more ways than they might imagine. Their continued questions and feedback guide me to keep this text useful, easy to read and understand, and focused on student learning. I want to thank the people at Lippincott Williams & Wilkins for their valuable assistance in making this text-book a reality . Their contributions to its success are greatly appreciated. I thank Jean Rodenberger, Katherine Burland, Laura Scott, and Cynthia Rudy for a job well done once again. My friends, Sheri and Beth, continue to listen, support, and encourage me in all that I do while keeping me from taking myself too seriously . And the women in my neigh-borhood who help me to laugh and enjoy life––their sup-port is greatly appreciated.Acknowledgments 78616_FM_pi-xii.indd vi 78616_FM_pi-xii.indd vi 11/12/09 6:52:42 PM 11/12/09 6:52:42 PMvii Contents UNIT 1  CURRENT THEORIES AND PRACTICE 1 Chapter 1 Foundations of Psychiatric-Mental Health Nursing 2 Mental Health and Mental Illness 2 Diagnostic and Statistical Manual of Mental Disorders 3 Historical Perspectives of the Treatment of Mental Illness 4 Mental Illness in the 21st Century 5 Psychiatric Nursing Practice 8 Chapter 2 Neurobiologic Theories and Psychopharmacology 17 The Nervous System and How It Works 18 Brain Imaging Techniques 21 Neurobiologic Causes of Mental Illness 23 The Nurse’s Role in Research and Education 24 Psychopharmacology 24 Cultural Considerations 37 Chapter 3 Psychosocial Theories and Therapy 43 Psychosocial Theories 44 Cultural Considerations 56 Treatment Modalities 56 The Nurse and Psychosocial Interventions 60 Chapter 4 Treatment Settings and Therapeutic Programs 65 Treatment Settings 66 Psychiatric Rehabilitation Programs 69 Special Populations of Clients with Mental Illness 71 Interdisciplinary Team 72 Psychosocial Nursing in Public Health and Home Care 73 UNIT 2  BUILDING THE NURSE–CLIENT RELATIONSHIP 79 Chapter 5 Therapeutic Relationships 80 Components of a Therapeutic Relationship 81 Types of Relationships 86 Establishing the Therapeutic Relationship 87 Avoiding Behaviors That Diminish the Therapeutic Relationship 91 Roles of the Nurse in a Therapeutic Relationship 93 Chapter 6 Therapeutic Communication 98 What Is Therapeutic Communication? 99 Verbal Communication Skills 101 Nonverbal Communication Skills 107 Understanding the Meaning of Communication 109 Understanding Context 110 Understanding Spirituality 110 Cultural Considerations 110 The Therapeutic Communication Session 111 Assertive Communication 114 Community-Based Care 115 78616_FM_pi-xii.indd vii 78616_FM_pi-xii.indd vii 11/12/09 6:52:42 PM 11/12/09 6:52:42 PMviii CONTENTS Chapter 7 Client’s Response to Illness 119 Individual Factors 120 Interpersonal Factors 123 Cultural Factors 124 Chapter 8 Assessment 138 Factors Influencing Assessment 139 How to Conduct the Interview 140 Content of the Assessment 140 Assessment of Suicide or Harm Toward Others 143 Data Analysis 145 UNIT 3  CURRENT SOCIAL AND EMOTIONAL CONCERNS 155 Chapter 9 Legal and Ethical Issues 156 Legal Considerations 156 Ethical Issues 161 Chapter 10 Anger, Hostility , and Aggression 166 Onset and Clinical Course 167 Related Disorders 168 Etiology 168 Cultural Considerations 169 Treatment 169 Applying the Nursing Process 170 Workplace Hostility 176 Community-Based Care 176 Chapter 11 Abuse and Violence 180 Clinical Picture of Abuse and Violence 181 Characteristics of Violent Families 181 Cultural Considerations 182 Intimate Partner Violence 182 Child Abuse 185 Elder Abuse 188 Rape and Sexual Assault 190 Community Violence 193 Psychiatric Disorders Related to Abuse and Violence 194 Application of the Nursing Process 196 Chapter 12 Grief and Loss 205 Types of Losses 206 The Grieving Process 206 Dimensions of Grieving 208 Cultural Considerations 211 Disenfranchised Grief 213 Complicated Grieving 213 Application of the Nursing Process 215 UNIT 4  NURSING PRACTICE FOR PSYCHIATRIC DISORDERS 225 Chapter 13 Anxiety , Anxiety Disorders, and Stress-Related Illness 226 Anxiety as a Response to Stress 227 Incidence 232 Onset and Clinical Course 232 78616_FM_pi-xii.indd viii 78616_FM_pi-xii.indd viii 11/12/09 6:52:43 PM 11/12/09 6:52:43 PMix CONTENTS Related Disorders 232 Etiology 232 Cultural Considerations 234 Treatment 234 Elder Considerations 235 Community-Based Care 235 Mental Health Promotion 235 Panic Disorder 236 Application of the Nursing Process: Panic Disorder 237 Phobias 240 Obsessive–Compulsive Disorder 242 Application of the Nursing Process: Obsessive–Compulsive Disorder 243 Generalized Anxiety Disorder 246 Posttraumatic Stress Disorder 246 Acute Stress Disorder 247 Chapter 14 Schizophrenia 251 Clinical Course 253 Related Disorders 254 Etiology 254 Cultural Considerations 256 Treatment 256 Application of the Nursing Process 260 Elder Considerations 274 Community-Based Care 274 Mental Health Promotion 274 Chapter 15 Mood Disorders 280 Categories of Mood Disorders 281 Related Disorders 282 Etiology 283 Cultural Considerations 284 Major Depressive Disorder 284 Application of the Nursing Process: Depression 290 Bipolar Disorder 298 Application of the Nursing Process: Bipolar Disorder 303 Suicide 308 Community-Based Care 312 Mental Health Promotion 313 Chapter 16 Personality Disorders 319 Categories of Personality Disorders 320 Onset and Clinical Course 320 Etiology 321 Cultural Considerations 322 Treatment 322 Paranoid Personality Disorder 324 Schizoid Personality Disorder 325 Schizotypal Personality Disorder 326 Antisocial Personality Disorder 327 Application of the Nursing Process: Antisocial Personality Disorder 327 Borderline Personality Disorder 332 Application of the Nursing Process: Borderline Personality Disorder 332 Histrionic Personality Disorder 337 Narcissistic Personality Disorder 337 Avoidant Personality Disorder 328 78616_FM_pi-xii.indd ix 78616_FM_pi-xii.indd ix 11/12/09 6:52:43 PM 11/12/09 6:52:43 PMx CONTENTS Dependent Personality Disorder 339 Obsessive–Compulsive Personality Disorder 340 Depressive Personality Disorder 341 Passive-Aggressive Personality Disorder 342 Elder Considerations 342 Community-Based Care 343 Mental Health Promotion 343 Chapter 17 Substance Abuse 348 Types of Substance Abuse 349 Onset and Clinical Course 350 Related Disorders 350 Etiology 350 Cultural Considerations 351 Types of Substances and Treatment 352 Treatment and Prognosis 357 Application of the Nursing Process 363 Elder Considerations 366 Community-Based Care 366 Mental Health Promotion 366 Substance Abuse in Health Professionals 367 Chapter 18 Eating Disorders 372 Overview of Eating Disorders 372 Categories of Eating Disorders and Related Disorders 373 Etiology 375 Cultural Considerations 377 Anorexia Nervosa 377 Bulimia 379 Application of the Nursing Process 380 Community-Based Care 387 Mental Health Promotion 387 Chapter 19 Somatoform Disorders 392 Overview of Somatoform Disorders 393 Onset and Clinical Course 394 Related Disorders 394 Etiology 395 Application of the Nursing Process 401 Community-Based Care 404 Mental Health Promotion 404 Chapter 20 Child and Adolescent Disorders 410 Autistic Disorder 412 Attention Deficit Hyperactivity Disorder 414 Application of the Nursing Process: Attention Deficit Hyperactivity Disorder 418 Conduct Disorder 422 Application of the Nursing Process: Conduct Disorder 425 Community-Based Care 429 Mental Health Promotion 429 Chapter 21 Cognitive Disorders 440 Delirium 441 Application of the Nursing Process: Delirium 442 Community-Based Care 447 Dementia 447 78616_FM_pi-xii.indd x 78616_FM_pi-xii.indd x 11/12/09 6:52:43 PM 11/12/09 6:52:43 PMxi CONTENTS Application of the Nursing Process: Dementia 452 Community-Based Care 458 Mental Health Promotion 459 Role of the Caregiver 459 Related Disorders 460 Answers to Chapter Study Guides 465 Appendix A DSM-IV-TR Classification 471 Appendix B NANDA-Approved Nursing Diagnoses 479 Appendix C Drug Classification Under the Controlled Substances Act 481 Appendix D Canadian Standards of Psychiatric and Mental Health Nursing Practice (3rd ed.) 482 Appendix E Canadian Drug Trade Names 486 Appendix F Mexican Drug Trade Names 493 Appendix G Sleep Disorders 494 Appendix H Sexual and Gender Identity Disorders 496 Glossary of Key Terms 498 Index 508 78616_FM_pi-xii.indd xi 78616_FM_pi-xii.indd xi 11/12/09 6:52:43 PM 11/12/09 6:52:43 PM78616_FM_pi-xii.indd xii 78616_FM_pi-xii.indd xii 11/12/09 6:52:43 PM 11/12/09 6:52:43 PMThis page intentionally left blank. Unit 1 CURRENT THEORIES AND PRACTICE Chapter 1 Foundations of Psychiatric–Mental Health Nursing Chapter 2 Neurobiologic Theories and Psychopharmacology Chapter 3 Psychosocial Theories and Therapy Chapter 4 Treatment Settings and Therapeutic Programs 78616_01_ch01_p001-016.indd 1 78616_01_ch01_p001-016.indd 1 11/12/09 6:33:41 PM 11/12/09 6:33:41 PM