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Psychiatric-Mental Health Nursing Ninth, North American Edition
by SHEILA L. VIDEBECK || LATEST EDITION WITH ALL VERIFIED ANSWERS TO ALL
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9TH EDITION
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,TABLE OF CONTENTS
UNIT 1 CURRENT THEORIES AND PRACTICE ................................................................................................. 3
CHAPTER 1: FOUNDATIONS OF PSYCHIATRIC–MENTAL HEALTH NURSING ............................................. 3
CHAPTER 2: NEUROBIOLOGICAL THEORIES AND PSYCHOPHARMACOLOGY.......................................... 17
CHAPTER 3: PSYCHOSOCIAL THEORIES AND THERAPY ........................................................................... 35
CHAPTER 4: TREATMENT SETTINGS AND THERAPEUTIC PROGRAMS .................................................... 52
NIT 2 BUILDING THE NURSE–CLIENT RELATIONSHIP .................................................................................. 67
CHAPTER 5: THERAPEUTIC RELATIONSHIPS ............................................................................................ 67
CHAPTER 6: THERAPEUTIC COMMUNICATION ....................................................................................... 83
CHAPTER 7: CLIENT’S RESPONSE TO ILLNESS........................................................................................ 100
CHAPTER 8: ASSESSMENT ..................................................................................................................... 116
UNIT 3 CURRENT SOCIAL AND EMOTIONAL CONCERNS .......................................................................... 131
CHAPTER 9: LEGAL AND ETHICAL ISSUES .............................................................................................. 131
CHAPTER 10: LEGAL AND ETHICAL ISSUES ............................................................................................ 146
CHAPTER 11: ANGER, HOSTILITY, AND AGGRESSION ........................................................................... 162
CHAPTER 12: ABUSE AND VIOLENCE .................................................................................................... 178
UNIT 4 NURSING PRACTICE FOR PSYCHIATRIC DISORDERS ...................................................................... 191
CHAPTER 13. TRAUMA AND STRESSOR-RELATED DISORDERS ............................................................. 191
CHAPTER 14: ANXIETY AND ANXIETY DISORDERS ................................................................................ 200
CHAPTER 15: OBSESSIVE–COMPULSIVE AND RELATED DISORDERS..................................................... 217
CHAPTER 16: SCHIZOPHRENIA .............................................................................................................. 225
CHAPTER 17: MOOD DISORDERS AND SUICIDE .................................................................................... 242
CHAPTER 18: PERSONALITY DISORDERS ............................................................................................... 258
CHAPTER 19: ADDICTION ...................................................................................................................... 272
CHAPTER 20: EATING DISORDERS ......................................................................................................... 288
CHAPTER 21: SOMATIC SYMPTOM ILLNESSES ...................................................................................... 303
CHAPTER 22: NEURODEVELOPMENTAL DISORDERS ............................................................................ 318
CHAPTER 23: DISRUPTIVE BEHAVIOR DISORDERS ................................................................................ 332
CHAPTER 24: . COGNITIVE DISORDERS ................................................................................................. 344
,UNIT 1 CURRENT THEORIES AND PRACTICE
CHAPTER 1: FOUNDATIONS OF PSYCHIATRIC–MENTAL HEALTH NURSING
1. THE NURSE IS ASSESSING THE FACTORS CONTRIBUTING TO THE WELL-BEING OF A NEWLY
ADMITTED CLIENT. WHICH OF THE FOLLOWING WOULD THE NURSE IDENTIFY AS HAVING A POSITIVE
IMPACT ON THE INDIVIDUAL'S MENTAL HEALTH?
A) NOT NEEDING OTHERS FOR COMPANIONSHIP
B) THE ABILITY TO EFFECTIVELY MANAGE STRESS
C) A FAMILY HISTORY OF MENTAL ILLNESS
D) STRIVING FOR TOTAL SELF-RELIANCE
ACCURATE ANS>> B
FEEDBACK:
INDIVIDUAL FACTORS INFLUENCING MENTAL HEALTH INCLUDE BIOLOGIC MAKEUP, AUTONOMY,
INDEPENDENCE, SELF-ESTEEM, CAPACITY FOR GROWTH, VITALITY, ABILITY TO FIND MEANING IN LIFE,
EMOTIONAL RESILIENCE OR HARDINESS, SENSE OF BELONGING, REALITY ORIENTATION, AND COPING
OR STRESS MANAGEMENT ABILITIES. INTERPERSONAL FACTORS SUCH AS INTIMACY AND A BALANCE OF
SEPARATENESS AND CONNECTEDNESS ARE BOTH NEEDED FOR GOOD MENTAL HEALTH, AND
THEREFORE A HEALTHY PERSON WOULD NEED OTHERS FOR COMPANIONSHIP. A FAMILY HISTORY OF
MENTAL ILLNESS COULD RELATE TO THE BIOLOGIC MAKEUP OF AN INDIVIDUAL, WHICH MAY HAVE A
NEGATIVE IMPACT ON AN INDIVIDUAL'S MENTAL HEALTH, AS WELL AS A NEGATIVE IMPACT ON AN
INDIVIDUAL'S INTERPERSONAL AND SOCIAL AND CULTURAL FACTORS OF HEALTH. TOTAL SELF-RELIANCE
IS NOT POSSIBLE, AND A POSITIVE SOCIAL/CULTURAL FACTOR IS ACCESS TO ADEQUATE RESOURCES.
2. WHICH OF THE FOLLOWING STATEMENTS ABOUT MENTAL ILLNESS ARE TRUE? SELECT ALL THAT
APPLY.
A) MENTAL ILLNESS CAN CAUSE SIGNIFICANT DISTRESS, IMPAIRED FUNCTIONING, OR BOTH.
B) MENTAL ILLNESS IS ONLY DUE TO SOCIAL/CULTURAL FACTORS.
C) SOCIAL/CULTURAL FACTORS THAT RELATE TO MENTAL ILLNESS INCLUDE EXCESSIVE
DEPENDENCY ON OR WITHDRAWAL FROM RELATIONSHIPS.
D) INDIVIDUALS SUFFERING FROM MENTAL ILLNESS ARE USUALLY ABLE TO COPE EFFECTIVELY
WITH DAILY LIFE.
, E) INDIVIDUALS SUFFERING FROM MENTAL ILLNESS MAY EXPERIENCE DISSATISFACTION WITH
RELATIONSHIPS AND SELF.
ACCURATE ANS>> A, D, E
FEEDBACK:
MENTAL ILLNESS CAN CAUSE SIGNIFICANT DISTRESS, IMPAIRED FUNCTIONING, OR BOTH. MENTAL
ILLNESS MAY BE RELATED TO INDIVIDUAL, INTERPERSONAL, OR SOCIAL/CULTURAL FACTORS. EXCESSIVE
DEPENDENCY ON OR WITHDRAWAL FROM RELATIONSHIPS ARE INTERPERSONAL FACTORS THAT RELATE
TO MENTAL ILLNESS. INDIVIDUALS SUFFERING FROM MENTAL ILLNESS CAN FEEL OVERWHELMED WITH
DAILY LIFE. INDIVIDUALS SUFFERING FROM MENTAL ILLNESS MAY EXPERIENCE DISSATISFACTION WITH
RELATIONSHIPS AND SELF.
3. WHICH OF THE FOLLOWING ARE TRUE REGARDING MENTAL HEALTH AND MENTAL ILLNESS?
A) BEHAVIOR THAT MAY BE VIEWED AS ACCEPTABLE IN ONE CULTURE IS ALWAYS UNACCEPTABLE
IN OTHER CULTURES.
B) IT IS EASY TO DETERMINE IF A PERSON IS MENTALLY HEALTHY OR MENTALLY ILL.
C) IN MOST CASES, MENTAL HEALTH IS A STATE OF EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL
WELLNESS EVIDENCED BY SATISFYING INTERPERSONAL RELATIONSHIPS, EFFECTIVE BEHAVIOR AND
COPING, POSITIVE SELF-CONCEPT, AND EMOTIONAL STABILITY.
D) PERSONS WHO ENGAGE IN FANTASIES ARE MENTALLY ILL.
ACCURATE ANS>> C
FEEDBACK:
WHAT ONE SOCIETY MAY VIEW AS ACCEPTABLE AND APPROPRIATE BEHAVIOR, ANOTHER SOCIETY MAY
SEE THAT AS MALADAPTIVE, AND INAPPROPRIATE. MENTAL HEALTH AND MENTAL ILLNESS ARE
DIFFICULT TO DEFINE PRECISELY. IN MOST CASES, MENTAL HEALTH IS A STATE OF EMOTIONAL,
PSYCHOLOGICAL, AND SOCIAL WELLNESS EVIDENCED BY SATISFYING INTERPERSONAL RELATIONSHIPS,
EFFECTIVE BEHAVIOR AND COPING, POSITIVE SELF-CONCEPT, AND EMOTIONAL STABILITY. PERSONS
WHO ENGAGE IN FANTASIES MAY BE MENTALLY HEALTHY, BUT THE INABILITY TO DISTINGUISH REALITY
FROM FANTASY IS AN INDIVIDUAL FACTOR THAT MAY CONTRIBUTE TO MENTAL ILLNESS.
4. A CLIENT GRIEVING THE RECENT LOSS OF HER HUSBAND ASKS IF SHE IS BECOMING MENTALLY
ILL BECAUSE SHE IS SO SAD. THE NURSE'S BEST RESPONSE WOULD BE,
A) YOU MAY HAVE A TEMPORARY MENTAL ILLNESS BECAUSE YOU ARE EXPERIENCING SO MUCH
PAIN.