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,Psychiatric Mental Health
Cathy Melfi Curtis, MSN, RN-BC
Psychiatric Mental Health Nurse
Charleston, South Carolina
Carol Norton Tuzo, MSN, RN-BC
Psychiatric Mental Health Nurse
Charleston, South Carolina
,F. A. Davis Company
1915 Arch Street
Philadelphia, PA 19103
www.fadavis.com
Copyright © 2017 by F. A. Davis Company
Copyright © 2017 by F. A. Davis Company. All rights reserved. This book is protected by copyright. No part of it may be reproduced,
stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise,
without written permission from the publisher.
Printed in the United States of America
Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1
Publisher, Nursing: Terri Wood Allen
Content Project Manager II: Amy M. Romano
Illustration and Design Manager: Carolyn O’Brien
As new scientific information becomes available through basic and clinical research, recommended treatments and drug therapies
undergo changes. The author(s) and publisher have done everything possible to make this book accurate, up to date, and in accord with
accepted standards at the time of publication. The author(s), editors, and publisher are not responsible for errors or omissions or for
consequences from application of the book, and make no warranty, expressed or implied, in regard to the contents of the book. Any
practice described in this book should be applied by the reader in accordance with professional standards of care used in regard to the
unique circumstances that may apply in each situation. The reader is advised always to check product information (package inserts) for
changes and new information regarding dose and contraindications before administering any drug. Caution is especially urged when
using new or infrequently ordered drugs.
Library of Congress Cataloging-in-Publication Data
Names: Curtis, Cathy Melfi, author. | Tuzo, Carol Norton, author.
Title: Davis essential nursing content + practice questions psychiatric
mental health / Cathy Melfi Curtis, Carol Norton Tuzo.
Other titles: Davis essential nursing content plus practice questions
psychiatric mental health
Description: Philadelphia : F.A. Davis Company, [2017] | Includes
bibliographical references and index.
Identifiers: LCCN 2016010592 | ISBN 9780803633162 (paperback : alk. paper)
Subjects: | MESH: Psychiatric Nursing | Mental Disorders—nursing |
Examination Questions
Classification: LCC RC440 | NLM WY 18.2 | DDC 616.89/0231—dc23 LC record available at
http://lccn.loc.gov/2016010592
Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by F. A. Davis
Company for users registered with the Copyright Clearance Center (CCC) Transactional Reporting Service, provided that the fee of
$.25 per copy is paid directly to CCC, 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a
photocopy license by CCC, a separate system of payment has been arranged. The fee code for users of the Transactional Reporting
Service is: 8036-3316-2/17 0 + $.25.
, Dedication
The authors dedicate this book to Mary
Townsend. She has provided, through her
published works, the essential concepts of
psychiatric mental health to nursing
students and has been a role model for
the authors of this text. Guided by her
expertise, the authors of this book were
able to produce a product to further
assist nursing students in their quest for
success in both classroom testing and the
NCLEX®.
,
, Preface
Why This Book Is Necessary What Information Is Presented
Most beginning nursing students have information over- in This Textbook
load. They must possess knowledge about a variety of This textbook begins with an introduction, which in-
subjects, including anatomy and physiology, psychology, cludes information to help students maximize their abil-
sociology, medical terminology, diagnostic and labora- ity to study effectively and achieve success when studying
tory tests, and growth and development, to mention a pediatric contact and when taking nursing examinations.
few. In addition, with the expanding roles and responsi- General study strategies, specific study strategies, test-
bilities of the nursing profession, the nursing informa- taking tips for answering multiple-choice questions and
tion that beginning nursing students must learn is alternate-format questions, and the test plan categories
growing exponentially in depth and breadth. Psychiatric for the NCLEX® examinations are discussed. The content
nursing concepts are either taught in abbreviated ses- is divided into 20 chapters.
sions as a specialty course or integrated into the entire • The first 19 chapters outline the critical need-to-know
nursing curriculum. Therefore, additional educational information related to psychiatric mental health
support is critical to promote the understanding of psy- nursing in outline format, eliminating nice-to-know,
chiatric mental health nursing concepts. These concepts extraneous information. Only essential information is
can be applied in all fields of nursing. Davis Essential included, limiting the challenge of wading through
Nursing Content + Practice Questions Psychiatric Mental excessive material. This approach assists students to
Health provides that additional educational support. focus on what is most important.
• Each chapter includes definitions of key words to
assist the student in understanding the context of the
Who Should Use This Book information presented.
Davis Essential Nursing Content + Practice Questions • All chapters include at least 20 high-level questions
Psychiatric Mental Health provides beginning nursing related to the content covered in the chapter. Each
students with need-to-know information as well as question contains rationales for correct and incorrect
questions to practice their ability to apply the informa- answers. Studying rationales for the right and wrong
tion in a simulated clinical situation. This textbook is answers to practice questions, helps students learn
designed to: new or solidify previously learned information.
• Be required by a nursing program as the sole textbook • Multiple-choice questions as well as alternate-type
for a psychiatric mental health nursing course to be questions included on NCLEX examinations are
used in conjunction with reliable primary Internet incorporated.
sources for nursing information. • Each question is coded according to the NCLEX-RN
• Be required or recommended by a nursing program to test plan categories: Integrated Processes, including
be used in conjunction with a traditional psychiatric the Nursing Process, Client Need, and Cognitive
mental health nursing textbook. Domain.
• Be used by beginning nursing students who want to • For added flexibility, every question in the book
focus on essential information contained in a psychi- appears online at www.DavisPlus.com. Students can
atric mental health nursing course. create targeted quizzes by sorting the questions by
• Be used by nursing students to learn how to be Content Area, Concept, and/or Question Type.
more successful when answering National Council • To provide even more opportunities to practice
Licensure Examination (NCLEX)–type multiple- NCLEX-type questions, the book includes two
choice and alternate-item format nursing questions 75-question comprehensive tests posted online at
early in their nursing education. www.DavisPlus.com. Like the practice questions
• Be used by nursing students preparing for the in the book, each question includes rationales for
NCLEX-RN® or NCLEX-PN® examination to correct and incorrect answers and coding for the
review basic nursing theory and practice. NCLEX test plan categories.
vii
,viii Preface
• Chapters focusing on DSM-5 content end with a Put- nursing examination that integrates questions span-
ting It All Together case study, encouraging students ning content throughout the textbook.
to put the content into practice. Students are quizzed Students should use every resource available to facili-
on the relevant objective and subjective information tate the learning process. The authors believe that this text-
presented in the scenario and asked to identify a nurs- book will assist nursing students to master psychiatric
ing diagnosis, interventions, and client evaluation. mental health concepts and use this understanding to suc-
• Chapter 20 is a Comprehensive Final Examination ceed on the National Council Licensure Examination
containing a 100-item psychiatric mental health (NCLEX).
, Reviewers
J ULIE B ERTRAM , RN, MSN, PMHCNS-BC M ARSHA G ERDEMAN , RN, BSN, MS
Assistant Professor Associate Professor
St. Louis University School of Nursing Rhodes State College
St. Louis, Missouri Lima, Ohio
Adjunct Instructor
C ONNIE B UTTRICK , MSN, RN-BC
Central Ohio Technical College
Instructor of Nursing
Newark, Ohio
Bellin College
Green Bay, Wisconsin D IANE G RIFFIN , MSN, RN
Assistant Professor of Nursing
L ORRAINE C HIAPPETTA , RN, MSN, CNE
University of Maine at Fort Kent
Professional Faculty, Course Coordinator
Fort Kent, Maine
Washtenaw Community College
Ann Arbor, Michigan E LIZABETH D. G ULLEDGE , P H D, RN, CNE
Associate Dean of Nursing; Assistant Professor
D R . D IANE C RAYTON , DNP, FNP, RN-BC
Jacksonville State University
Assistant Professor, School of Nursing
Jacksonville, Alabama
California State University
Turlock, California S ARAH K ATULA , APN, P H D
Associate Professor
E LAINE L. D AVI , MSN, RN
Elmhurst College
Professor
Elmhurst, Illinois
Hudson Valley Community College
Troy, New York E LIZABETH K AWECKI , E D D, ARNP, CNE
Associate Professor
A BIMBOLA F ARINDE , P HARM D, MS, CGP
South University, College of Nursing and
Clinical Pharmacist Specialist
Public Health
Columbia Southern University
Royal Palm Beach, Florida
Orange Beach, Alabama
P AMELA L ASKOWSKI , MSN, RN, CNE
B ARBARA F ICKLEY , RN, MSN, PMHNCS-BC
Nursing Instructor
Professor of Nursing
Millikin University
Valencia College
Decatur, Illinois
Orlando, Florida
R EBECCA L UEBBERT , P H D, RN, PMHCNS-BC
S HELIA F OSTER , RN, MSN
Assistant Professor
Assistant Professor of Nursing
Southern Illinois University, Edwardsville
Saint Mary’s Center for Education, School of Nursing
Edwardsville, Illinois
Huntington, West Virginia
K AREN M ARTIN , MSN, RN
M AVONNE G ANSEN , DM, MA, RN
Associate Professor
Faculty/Comprehensive Nursing Care of the Mental
Pennsylvania College of Technology
Health Client
Williamsport, Pennsylvania
Northeast Iowa Community College
Peosta, Iowa D R . M ARYELLEN M C B RIDE , P H D, CNS-BC
Assistant Professor
M ELISSA G ARNO , E D D, RN
Washburn University
Associate Professor, BSN Program Director
Topeka, Kansas
Georgia Southern University
Statesboro, Georgia
ix