ATI Mental Health Nursing Review Module Edition 11.0 PDF

11/13/23, 1:16 AM ATI Mental Health pdf book RN Mental Health Nursing REVIEW MODULE EDITION 11.0 Contributors Honey C. Holman, MSN, RN...

11/13/23, 1:16 AM ATI Mental Health pdf book RN Mental Health Nursing REVIEW MODULE EDITION 11.0 Contributors Honey C. Holman, MSN, RN Debborah Williams, MSN, RN Consultants Sheryl Sommer, PhD, RN, CNE Susan Adcock, RN, MS Janean Johnson, MSN, RN, CNE Lisa Kongable, MA, ARNP, PMHCNS, CNE Brenda S. Ball, MEd, BSN, RN Gail Raasakka, MSN, RN, CNE Mendy G. McMichael, DNP, RN Melanie P. Schrader, PhD, RN INTELLECTUAL PROPERTY NOTICE ATI Nursing is a division of Assessment Technologies Institute®, LLC. Copyright © 2019 Assessment Technologies Institute, LLC. All rights reserved. The reproduction of this work in any electronic, mechanical or other means, now known or hereafter invented, is forbidden without the written permission of Assessment Technologies Institute, LLC. All of the content in this publication, including, for example, the cover, all of the page headers, images, illustrations, graphics, and text, are subject to trademark, service mark, trade dress, copyright, and/or other intellectual property rights or licenses held by Assessment Technologies Institute, LLC, one of its affiliates, or by third parties who have licensed their materials to Assessment Technologies Institute, LLC. RN MENTAL HEALTH NURSING I about:blank 1/219 11/13/23, 1:16 AM ATI Mental Health pdf book Director of content review: Kristen Lawler Director of development: Derek Prater Project management: Tiffany Pavlik, Shannon Tierney Coordination of content review: Honey C. Holman, Debborah Williams Copy editing: Kelly Von Lunen, Bethany Phillips, Kya Rodgers, Joshua Hoeven Layout: Spring Lenox, Maureen Bradshaw, Bethany Phillips Illustrations: Randi Hardy Online media: Brant Stacy, Ron Hanson, Britney Fuller, Barry Wilson Cover design: Jason Buck Interior book design: Spring Lenox IMPORTANT NOTICE TO THE READER Assessment Technologies Institute, LLC, is the publisher of this publication. The content of this publication is for informational and educational purposes only and may be modified or updated by the publisher at any time. This publication is not providing medical advice and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. The publisher has designed this publication to provide accurate information regarding the subject matter covered; however, the publisher is not responsible for errors, omissions, or for any outcomes related to the use of the contents of this book and makes no guarantee and assumes no responsibility or liability for the use of the products and procedures described or the correctness, sufficiency, or completeness of stated information, opinions, or recommendations. The publisher does not recommend or endorse any specific tests, providers, products, procedures, processes, opinions, or other information that may be mentioned in this publication. Treatments and side effects described in this book may not be applicable to all people; likewise, some people may require a dose or experience a side effect that is not described herein. Drugs and medical devices are discussed that may have limited availability controlled by the Food and Drug Administration (FDA) for use only in a research study or clinical trial. Research, clinical practice, and government regulations often change the accepted standard in this field. When consideration is being given to use of any drug in the clinical setting, the health care provider or reader is responsible for determining FDA status of the drug, reading the package insert, and reviewing prescribing information for the most up-to-date recommendations on dose, precautions, and contraindications and determining the appropriate usage for the product. Any references in this book to procedures to be employed when rendering emergency care to the sick and injured are provided solely as a general guide. Other or additional safety measures may be required under particular circumstances. This book is not intended as a statement of the standards of care required in any particular situation, because circumstances and a patient’s physical condition can vary widely from one emergency to another. Nor is it intended that this book shall in any way advise personnel concerning legal authority to perform the activities or procedures discussed. Such specific determination should be made only with the aid of legal counsel. Some images in this book feature models. These models do not necessarily endorse, represent, or participate in the activities represented in the images. THE PUBLISHER MAKES NO REPRESENTATIONS OR WARRANTIES OF ANY KIND, WHETHER EXPRESS OR IMPLIED, WITH RESPECT TO THE CONTENT HEREIN. THIS PUBLICATION IS PROVIDED AS-IS, AND THE PUBLISHER AND ITS AFFILIATES SHALL NOT BE LIABLE FOR ANY ACTUAL, INCIDENTAL, SPECIAL, CONSEQUENTIAL, PUNITIVE, OR EXEMPLARY DAMAGES RESULTING, IN WHOLE OR IN PART, FROM THE READER’S USE OF, OR RELIANCE UPON, SUCH CONTENT. II CONTENT MASTERY SERIES about:blank 2/219 11/13/23, 1:16 AM ATI Mental Health pdf book User’s Guide Welcome to the Assessment Technologies Institute® ACTIVE LEARNING SCENARIOS RN Mental Health Nursing Review Module Edition 11.0. AND APPLICATION EXERCISES The mission of ATI’s Content Mastery Series® Review Each chapter includes opportunities for you to test your Modules is to provide user-friendly compendiums of knowledge and to practice applying that knowledge. Active nursing knowledge that will: Learning Scenario exercises pose a nursing scenario Help you locate important information quickly. Assist in your learning efforts. and then direct you to use an ATI Active Learning Template (included at the back of this book) to record Provide exercises for applying your nursing knowledge. the important knowledge a nurse should apply to the Facilitate your entry into the nursing profession as a scenario. An example is then provided to which you can newly licensed nurse. compare your completed Active Learning Template. The This newest edition of the Review Modules has been Application Exercises include NCLEX-style questions, such redesigned to optimize your learning experience. We’ve as multiple-choice and multiple-select items, providing fit more content into less space and have done so in a you with opportunities to practice answering the kinds of way that will make it even easier for you to find and questions you might expect to see on ATI assessments or understand the information you need. the NCLEX. After the Application Exercises, an answer key is provided, along with rationales. ORGANIZATION This Review Module is organized into units covering NCLEX® CONNECTIONS foundations for mental health nursing, traditional To prepare for the NCLEX-RN, it is important to nonpharmacological therapies, psychobiologic disorders, understand how the content in this Review Module psychopharmacological therapies, specific populations, and is connected to the NCLEX-RN test plan. You can find psychiatric emergencies. Chapters within these units conform information on the detailed test plan at the National to one of four organizing principles for presenting the content. Council of State Boards of Nursing’s website, www.ncsbn. Nursing concepts org. When reviewing content in this Review Module, Procedures regularly ask yourself, “How does this content fit into Disorders the test plan, and what types of questions related to this Medications content should I expect?” Nursing concepts chapters begin with an overview To help you in this process, we’ve included NCLEX describing the central concept and its relevance to nursing. Connections at the beginning of each unit and with each Subordinate themes are covered in outline form to question in the Application Exercises Answer Keys. The demonstrate relationships and present the information in a NCLEX Connections at the beginning of each unit point clear, succinct manner. out areas of the detailed test plan that relate to the content within that unit. The NCLEX Connections attached to the Procedures chapters include an overview describing the Application Exercises Answer Keys demonstrate how each procedure(s) covered in the chapter. These chapters provide exercise fits within the detailed content outline. nursing knowledge relevant to each procedure, including These NCLEX Connections will help you understand how indications, nursing considerations, and complications. the detailed content outline is organized, starting with Disorders chapters include an overview describing the major client needs categories and subcategories and disorder. These chapters cover assessments, including risk followed by related content areas and tasks. The major factors and expected findings, and patient-centered care, client needs categories are: including nursing care, medications, therapeutic procedures, Safe and Effective Care Environment ◯ Management of Care and interprofessional care. ◯ Safety and Infection Control Medications chapters include an overview describing a Health Promotion and Maintenance disorder or group of disorders. Medications used to treat Psychosocial Integrity these disorders are grouped according to classification. Physiological Integrity A specific medication can be selected as a prototype or ◯ Basic Care and Comfort example of the characteristics of medications in this ◯ Pharmacological and Parenteral Therapies classification. These sections include information about ◯ Reduction of Risk Potential how the medication works and its therapeutic uses. ◯ Physiological Adaptation Next, you will find information about complications, contraindications/precautions, and interactions, as well as An NCLEX Connection might, for example, alert you that nursing interventions and client education to help prevent content within a unit is related to: and/or manage these issues. Finally, the chapter includes Psychosocial Integrity information on nursing administration of the medication and ◯ Behavioral Interventions evaluation of the medication’s effectiveness. Incorporate behavioral management techniques when caring for a client. RN MENTAL HEALTH NURSING USER’S GUIDE III about:blank 3/219 11/13/23, 1:16 AM ATI Mental Health pdf book QSEN COMPETENCIES ICONS As you use the Review Modules, you will note the Icons are used throughout the Review Module to draw integration of the Quality and Safety Education for your attention to particular areas. Keep an eye out for Nurses (QSEN) competencies throughout the chapters. these icons. These competencies are integral components of the curriculum of many nursing programs in the United States This icon is used for NCLEX Connections. and prepare you to provide safe, high-quality care as a newly licensed nurse. Icons appear to draw your attention This icon indicates gerontological considerations, to the six QSEN competencies. or knowledge specific to the care of older adult clients. Safety: The minimization of risk factors that could cause injury or harm while promoting quality care This icon is used for content related to safety and maintaining a secure environment for clients, self, and is a QSEN competency. When you see this and others. icon, take note of safety concerns or steps that nurses can take to ensure client safety and a Patient-Centered Care: The provision of caring and safe environment. compassionate, culturally sensitive care that addresses clients’ physiological, psychological, sociological, spiritual, This icon is a QSEN competency that indicates and cultural needs, preferences, and values. the importance of a holistic approach to providing care. Evidence-Based Practice: The use of current knowledge from research and other credible sources, on which to base This icon, a QSEN competency, points out the clinical judgment and client care. integration of research into clinical practice. Informatics: The use of information technology as a This icon is a QSEN competency and highlights communication and information-gathering tool that the use of information technology to support supports clinical decision-making and scientifically based nursing practice. nursing practice. This icon is used to focus on the QSEN Quality Improvement: Care related and organizational competency of integrating planning processes to processes that involve the development and meet clients’ needs. implementation of a plan to improve health care services This icon highlights the QSEN competency of care and better meet clients’ needs. delivery using an interprofessional approach. Teamwork and Collaboration: The delivery of client care This icon appears at the top-right of pages in partnership with multidisciplinary members of the and indicates availability of an online media health care team to achieve continuity of care and positive supplement, such as a graphic, animation, or client outcomes. video. If you have an electronic copy of the Review Module, this icon will appear alongside clickable links to media supplements. If you have a hard copy version of the Review Module, visit www.atitesting.com for details on how to access these features. FEEDBACK ATI welcomes feedback regarding this Review Module. Please provide comments to [email protected]. As needed updates to the Review Modules are identified, changes to the text are made for subsequent printings of the book and for subsequent releases of the electronic version. For the printed books, print runs are based on when existing stock is depleted. For the electronic versions, a number of factors influence the update schedule. As such, ATI encourages faculty and students to refer to the Review Module addendums for information on what updates have been made. These addendums, which are available in the Help/FAQs on the student site and the Resources/eBooks & Active Learning on the faculty site, are updated regularly and always include the most current information on updates to the Review Modules. IV USER’S GUIDE CONTENT MASTERY SERIES about:blank 4/219 11/13/23, 1:16 AM ATI Mental Health pdf book Table of Contents NCLEX® Connections 1 UNIT 1 Foundations for Mental Health Nursing 3 CHAPTER 1 Basic Mental Health Nursing Concepts 3 CHAPTER 2 Legal and Ethical Issues 9 CHAPTER 3 Effective Communication 15 CHAPTER 4 Stress and Defense Mechanisms 19 CHAPTER 5 Creating and Maintaining a Therapeutic and Safe Environment 25 CHAPTER 6 Diverse Practice Settings 31 NCLEX® Connections 35 UNIT 2 Traditional Nonpharmacological Therapies 37 CHAPTER 7 Psychoanalysis, Psychotherapy, and Behavioral Therapies 37 CHAPTER 8 Group and Family Therapy 41 CHAPTER 9 Stress Management 47 CHAPTER 10 Brain Stimulation Therapies 51 RN MENTAL HEALTH NURSING TABLE OF CONTENTS V about:blank 5/219 11/13/23, 1:16 AM ATI Mental Health pdf book NCLEX® Connections 55 UNIT 3 Psychobiologic Disorders 57 CHAPTER 11 Anxiety Disorders 57 CHAPTER 12 Trauma- and Stressor-Related Disorders 61 CHAPTER 13 Depressive Disorders 67 CHAPTER 14 Bipolar Disorders 73 CHAPTER 15 Psychotic Disorders 77 CHAPTER 16 Personality Disorders 83 CHAPTER 17 Neurocognitive Disorders 87 CHAPTER 18 Substance Use and Addictive Disorders 93 CHAPTER 19 Eating Disorders 99 CHAPTER 20 Somatic Symptom and Related Disorders 105 NCLEX® Connections 111 UNIT 4 Psychopharmacological Therapies 113 CHAPTER 21 Medications for Anxiety and Trauma-and Stressor-Related Disorders 113 CHAPTER 22 Medications for Depressive Disorders 121 CHAPTER 23 Medications for Bipolar Disorders 129 CHAPTER 24 Medications for Psychotic Disorders 135 CHAPTER 25 Medications for Children and Adolescents Who Have Mental Health Issues 143 CHAPTER 26 Medications for Substance Use Disorders 153 VI TABLE OF CONTENTS CONTENT MASTERY SERIES about:blank 6/219 11/13/23, 1:16 AM ATI Mental Health pdf book Document continues below Discover more from: Nursing 101 Capitol Technology University 999+ documents Go to course Student-Acute Delirium- Unfolding Reasoning 10 Nursing 100% (10) Psychiatric Nursing 8th Edition Keltner Test Ban 107 Nursing 89% (38) Medsurg ATI Questions - ati 22 Nursing 100% (6) Nclex Cheat Sheet Not 26 Nursing 100% (6) Nursing Fundamentals Proctor A Flashcards Quizlet 31 Nursing 100% (6) Essential Summary Paper Week 8 9 Nursing 100% (5) about:blank 7/219 11/13/23, 1:16 AM ATI Mental Health pdf book NCLEX® Connections 159 UNIT 5 Specific Populations 161 CHAPTER 27 Care of Clients Who are Dying and/or Grieving 161 CHAPTER 28 Mental Health Issues of Children and Adolescents 165 NCLEX® Connections 171 UNIT 6 Psychiatric Emergencies 173 CHAPTER 29 Crisis Management 173 CHAPTER 30 Suicide 177 CHAPTER 31 Anger Management 181 CHAPTER 32 Family and Community Violence 185 CHAPTER 33 Sexual Assault 189 References 193 Active Learning Templates A1 Basic Concept A1 Diagnostic Procedure A3 Growth and Development A5 Medication A7 Nursing Skill A9 System Disorder A11 Therapeutic Procedure A13 Concept Analysis A15 RN MENTAL HEALTH NURSING TABLE OF CONTENTS VII about:blank 8/219 11/13/23, 1:16 AM ATI Mental Health pdf book VIII TABLE OF CONTENTS CONTENT MASTERY SERIES about:blank 9/219 11/13/23, 1:16 AM ATI Mental Health pdf book NCLEX® Connections When reviewing the following chapters, keep in mind the relevant topics and tasks of the NCLEX outline, in particular: Management of Care CLIENT RIGHTS: Advocate for client rights and needs. CONFIDENTIALITY/INFORMATION SECURITY: Maintain client confidentiality and privacy. ESTABLISHING PRIORITIES: Apply knowledge of pathophysiology when establishing priorities for interventions with multiple clients. ETHICAL PRACTICE: Practice in a manner consistent with a code of ethics for registered nurses. LEGAL RIGHTS AND RESPONSIBILITIES Report client conditions as required by law. Identify legal issues affecting the client. REFERRALS: Identify community resources for the client. Safety and Infection Control ACCIDENT/ERROR/INJURY PREVENTION: Identify factors that influence accident/injury prevention. USE OF RESTRAINTS/SAFETY DEVICES: Monitor/evaluate the client’s response to restraints/safety device. RN MENTAL HEALTH NURSING NCLEX® CONNECTIONS 1 about:blank 10/219 11/13/23, 1:16 AM ATI Mental Health pdf book Psychosocial Integrity COPING MECHANISMS: Assess client’s ability to adapt to temporary/permanent role changes. CRISIS INTERVENTION: Assess potential for violence and use safety precautions. MENTAL HEALTH CONCEPTS Recognize client use of defense mechanisms. Assess client for alterations in mood, judgment, and, cognition. THERAPEUTIC COMMUNICATION Assess verbal and nonverbal client communication needs. Evaluate the effectiveness of communications with the client. Use therapeutic communication techniques. THERAPEUTIC ENVIRONMENT: Promote a therapeutic environment. 2 NCLEX® CONNECTIONS CONTENT MASTERY SERIES about:blank 11/219 11/13/23, 1:16 AM ATI Mental Health pdf book about:blank 12/219 11/13/23, 1:16 AM ATI Mental Health pdf book about:blank 13/219 11/13/23, 1:16 AM ATI Mental Health pdf book about:blank 14/219 11/13/23, 1:16 AM ATI Mental Health pdf book about:blank 15/219 11/13/23, 1:16 AM ATI Mental Health pdf book about:blank 16/219 11/13/23, 1:16 AM ATI Mental Health pdf book about:blank 17/219 11/13/23, 1:16 AM ATI Mental Health pdf book about:blank 18/219 11/13/23, 1:16 AM ATI Mental Health pdf book about:blank 19/219 11/13/23, 1:16 AM ATI Mental Health pdf book about:blank 20/219 11/13/23, 1:16 AM ATI Mental Health pdf book about:blank 21/219 11/13/23, 1:16 AM ATI Mental Health pdf book about:blank 22/219 11/13/23, 1:16 AM ATI Mental Health pdf book about:blank 23/219 11/13/23, 1:16 AM ATI Mental Health pdf book about:blank 24/219 11/13/23, 1:16 AM ATI Mental 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