Psychiatric Mental Health Nursing Success

1 Psychiatric Mental HealthNursing SuccessA Course Review Applying Critical Thinking to Test 10/2/08 4:16 AM Page 10/2/08 4:16 AM Page iiPsychiatric MentalHealth Nursing SuccessA Course Review Applying Critical Thinking to Test TakingCathy Melfi Curtis, MSN, RN-BCPsychiatric Mental Health NurseTrident Technical CollegeCharleston, South CarolinaAudra Baker Fegley, MSN, APRN-BCPsychiatric Mental Health nurse PractitionerTrident Technical CollegeCharleston, South CarolinaCarol Norton Tuzo, MSN, RN-BCPsychiatric Mental Health NurseTrident Technical CollegeCharleston, South CarolinaF. A. DAVIS COMPANY 10/2/08 4:16 AM Page iiiF. A. Davis Company1915 Arch StreetPhiladelphia, PA 2009 by F. A. Davis CompanyCopyright 2009 by F. A. Davis Company. All rights reserved.

2 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 in the United States of AmericaLast digit indicates print number: 10 9 8 7 6 5 4 3 2 1 Publisher, Nursing : Robert G. MartoneDirector of Content Development: Darlene D. PedersenProject Editor: Padraic J. MaroneyDesign and Illustration Manager: Carolyn O BrienAs new scientific information becomes available through basic and clinical research, recommended treatments anddrug therapies undergo changes. The author(s) and publisher have done everything possible to make this bookaccurate, up to date, and in accord with accepted standards at the time of publication.

3 The author(s), editors, andpublisher are not responsible for errors or omissions or for consequences from application of the book, and makeno warranty, expressed or implied, in regard to the contents of the book. Any practice described in this book shouldbe applied by the reader in accordance with professional standards of care used in regard to the unique circum-stances that may apply in each situation. The reader is advised always to check product information (packageinserts) for changes and new information regarding dose and contraindications before administering any is especially urged when using new or infrequently ordered to photocopy items for internal or personal use, or the internal or personal use of specific clients, isgranted by F.

4 A. Davis Company for users registered with the Copyright Clearance Center (CCC) TransactionalReporting Service, provided that the fee of $.10 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 pay-ment has been arranged. The fee code for users of the Transactional Reporting Service is: 8036-1169-2/04 0 $. 10/2/08 4:16 AM Page ivThe authors dedicate this book to the Nursing students of Trident Technical College, whose eager-ness to learn motivates us to teach Mental Health Nursing concepts in a way that is clear and read-ily understood. We have a passion for promoting Mental Health and hope to transfer this passionto our students by encouraging our students to critically think through application test would like to thank Bob Martone, Alan Sorkowitz, and Padraic Maroney for giving us theopportunity to realize this goal.

5 Working together has increased our knowledge, deepened ourfriendships, and reinforced our appreciation for good wine. A special thanks to Ramsay Hawkinsfor his patience during crisis situations, technical expertise, and memory sticks, all of which contributed to a successful project. Cathy Melfi CurtisAudra FegleyCarol Norton TuzoI would like to dedicate this book to the memory of my sister, Sally. She was also a Nursing instruc-tor and would have appreciated the time and effort that went into this book. Also, I would like tothank my children, Scott, Emily, and Katie, who were supportive and patient during the projectdevelopment. I m now available to babysit the grandchildren, Tessa, Bobby, Eve, Willie, and Addy. Cathy Melfi CurtisThis book is dedicated to my loving husband, Damon, whose patience and understanding gave mestrength; to my parents, Bonnie and Stan Baker, who listened attentively, always believed in me,and reminded me to laugh; and, lastly, to the girls, my fellow authors.

6 I would never havewanted to be on this journey without the both of you. Much love. Audra FegleyI would like to dedicate this book to the memory of my husband, George Lawrence Tuzo, whosesupport and encouragement saw me through Nursing school; also, to the memory of my parents,Astrid and Eric Norton, who always encouraged me to pursue my dreams and have fun along theway. Thanks also to my children, Steve, David, and Monique, for the many uplifting phone calls. Carol Norton 10/2/08 4:16 AM Page 10/2/08 4:16 AM Page viGeorgia Anderson, MSNP rofessorSalt Lake Community CollegeSalt Lake City, UtahLinda L. Austin, BSN, MSN, PhDcAssistant ProfessorUniversity of North AlabamaFlorence, AlabamaBonnie Bar, RN, MS, AHN-CAssociate ProfessorUniversity of West GeorgiaCarrollton, GeorgiaBarbara Chamberlain, MSN, APN, C, CCRN, WCCC ritical Care Advanced Practice NurseKennedy Health SystemTurnersville, New JerseyBeth Amy Clouse, RN, BSEdEducational Program ManagerMaryland General HospitalBaltimore, MarylandMartha M.

7 Colvin, PhD, RN, CNSP rofessor & Chair of Department of Undergraduate NursingGeorgia College and State UniversityMilledgeville, GeorgiaPerri-Anne Concialdi, RN, MSN, CNSI nstructor IIAultman College of Nursing and Health SciencesCanton, OhioAaron D. Doyle, RN, MSN, CRRNN urse EducatorEastern Iowa Community CollegeClinton, 10/2/08 4:16 AM Page viiKendra Ericson, RN, MSNcNursing FacultyColumbia College of NursingMilwaukee, WisconsinJennifer Gambal, RN, BSN, CHPNA djunct InstructorDeSales UniversityCenter Valley, PennsylvaniaMarybeth Gillis, MSNA ssistant ProfessorElmira CollegeElmira, New YorkJoan Hoover, BSN, MSEdNursing InstructorButler Community CollegeEl Dorado, KansasKatharine M. Howard, MS, RN, BCNursing InstructorCharles E. Gregory School of Nursing /Raritan Bay Medical CenterPerth Amboy, New JerseyMelissa Lickteig, EdD, RNAssistant ProfessorGeorgia Southern UniversityStatesboro, GeorgiaAngela Luciani, RN, BScN, MNNursing InstructorNunavut Arctic CollegeIqluit, Nunavut, CanadaPatricia A.

8 Mahoney, MSN, RN, CNEP residentNursEducator ConsultantsCarver, MassachusettsJudith Mariani, RN, BSN, MSN, ONCA ssistant Professor/Adjunct Nursing InstructorMercer County Community CollegeWest Windsor, New JerseyDeAnne Parrott, Med, MSN, CNEC linical InstructorOklahoma City UniversityOklahoma City, 10/2/08 4:16 AM Page viiiLinda C. Peterson, RN, EdD, NPPP rofessorThe Sage CollegesTroy, New YorkChristine E. Pilon-Kacir, PhD, RNProfessorWinona State UniversityRochester, MinnesotaCarla E. Randall, PhDAssistant ProfessorUniversity of Southern MaineLewiston, MaineCherie Rebar, MSN, MBA, RN, FNP, NDAssistant ProfessorKettering College of Medical ArtsKettering, OhioDebra Renna, MSN, CCRNN ursing InstructorKeiser UniversityFort Lauderdale, FloridaJudi Satereri, RN, MSNA ssociate ProfessorSt.

9 Olaf CollegeNorthfield, MinnesotaJana C. Saunder, PhD, RN, CSProfessorTexas Tech University Health Sciences CenterLubbock, TexasRosalee J. Seymour, EdD, RNProfessor EmeritusEast Tennessee State UniversityJohnson City, TennesseeAnna Shanks, RN, MN, ARNPP rofessorShoreline Community CollegeShoreline, WashingtonArdith Suddith, PhD, MSN, APRN-BCAssistant ProfessorUniversity of Louisiana at LafayetteLafayette, 10/2/08 4:16 AM Page 10/2/08 4:16 AM Page xxiTable of of Critical Thinking Related to Test Taking: The RACE Model .. 1 GUIDELINES FOR USING THIS BOOK .. 1 PREPARING FOR LECTURE .. 2 PREPARING FOR AN EXAMINATION.. 3 TAKING THE EXAMINATION.. 4 UNDERSTANDING THE TYPES OF Nursing QUESTIONS.. 5 RACE MODEL: APPLICATION OF CRITICAL THINKING TO MULTIPLE-CHOICEQUESTIONS.

10 Concepts in Psychiatric Mental Health Nursing .. Health / Mental Illness: Theoretical Concepts .. 7 PRACTICE QUESTIONS .. 8 Major Theoretical Models ..8 Diagnostic and Statistical Manual of Mental Disorders IV-TR (DSM-IV-TR) ..11 PRACTICE QUESTIONS ANSWERS AND RATIONALES .. Nursing .. 23 PRACTICE QUESTIONS .. 24 Mental Health Nursing ..24 Role of the nurse ..25 Nursing Process ..26 nurse -Client Relationship ..28 Transference/Countertransference ..31 PRACTICE QUESTIONS ANSWERS AND RATIONALES .. 47 PRACTICE QUESTIONS .. 48 Therapeutic Communication Facilitators ..48 Blocks to Therapeutic Communication ..50 Therapeutic Communication Interventions ..50 Nonverbal Communication ..53 Cultural Considerations ..54 PRACTICE QUESTIONS ANSWERS AND RATIONALES.