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Test Bank For Psychiatric Mental Health Nursing (Psychiatric Mental Health Nursing (Fortinash)) 5th Edition by Katherine M. Fortinash , Patricia A. Holoday Worret||ISBN NO:10,X||ISBN NO:13,978-5||All Chapters Covered||Complete Guide A+$17.99
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Test Bank For Psychiatric Mental Health Nursing (Psychiatric Mental Health Nursing (Fortinash)) 5th Edition by Katherine M. Fortinash , Patricia A. Holoday Worret||ISBN NO:10,X||ISBN NO:13,978-5||All Chapters Covered||Complete Guide A+
Test Bank For Psychiatric Mental Health Nursing (Psychiatric Mental Health Nursing (Fortinash)) 5th Edition by Katherine M. Fortinash , Patricia A. Holoday Worret||ISBN NO:10,X||ISBN NO:13,978-5||All Chapters Covered||Complete Guide A+
,Fortinash: s s Psychiatric s s Mental s s Health s s Nursing, s s 5th s s Edition
Chapter s s 01: s s Psychiatric s s Nursing: s s Theory, s s Principles, s s and s s Trends
1. Which understanding is the basis for the nursing actions focused on
s s s s s s s ss ss ss
minimizing mental health promotion of families with chronically
s s s s s s s s s s s s s
mentallyill members?
s s s
a. Family s s members s s are s s at s s an increased s s s s risk s s for mental illness.
s s s s
b. The mental health care system is not prepared to deal with
s s s s s s s s s s s s
familycrises.s s
c. Family members are seldom prepared to cope with a chronically
s s s s s s s s s
illindividual.
s s
d. The chronically mentally ill receive care best when delivered in a
s s s s s s s s s s s
formalsetting.
s s
ANS: A
When families live with a dominant member who has a persistent and severe
s s s s s s s ss ss ss s s s s
smental disorder the outcomes are often expressed as family members who
s s s s s s s s s s
sare atincreased riskfor physical and mental illnesses. The remaining options are not
s s s s s s s s s s s s
snecessarily true. s
DIF: Cognitive Level: Application REF: Page 3 s s s s ss s s s
2. Which nursing activity shows the nurse actively engaged in the
s s s s s s s s s
primaryprevention ofmental disorders?
s s s s
a. Providing a patient, whose s s s s s depression s s is s s well s s managed, s s with s
medicationon time
s s s
b. Making regular follow-up visits to a new mother at risk for post-
s s s s s s s s s s s
partumdepression s
c. Providing the family of a patient, diagnosed with depression, s s s s s s s s
informationonsuicide prevention
s s s
d. Assisting a patient who has compulsive tendencies prepare
s s s s
obsessiveandpractice for a job interview
s s s s s s
ANS: B
Primary prevention helps to reduce the occurrence of mental disorders by
ss ss ss ss ss sss sss sss sss sss
staying involved with a patient. Providing medication and information on
s ss ss ss sss sss sss sss ss sss
existing illnesses are examples of secondary prevention which helps to
s s s s s s s s s s s s s s s s
sreducethe prevalence of mental disorders. Assisting a mentally ill patient with
s ss ss ss ss ss ss ss ss ss ss
preparation for a job interview is tertiary prevention since it involves
s ss ss ss ss ss ss s ss ss sss
rehabilitation.
s
DIF: Cognitive Level: Application REF: Page 4 s s s s ss s s s
3. Which intervention reflects attention being focused on the
s s s s s s s
patient‘sintentions regarding his diagnosis of severe depression?
s s s s s s s s
a. Being placed on suicide precautions s s s s
b. Encouraging visits by his family members s s s s s
c. Receiving s s a s s combination of sss s s medications to sss s s address his sss s s emotional ss
needs s
d. Being asked to decide where he will attend his prescribed
s s s s s s s s s
therapysessions
s s
ANS: D
A primary factor in patient treatment includes consideration of the patient‘s
s s s s s ss ss ss ss ss
intentions regarding his or her own care. Patients are central to the process
s s s s s s s s s s s s s
1
, that determines their care as their abilities allow. Under the guidance of
s s s s s s s s s s s s s s s s s s
s PMH nurses and other mental health personnel, patients are encouraged to make
s ss ss ss ss ss ss ss ss sss sss
sdecisions and to actively engage in their own treatment plans to meet their
ss ss ss ss ss ss ss ss sss sss sss sss
sneeds. The remaining options are focused on specifics of the determined plan
ss ss ss ss ss ss ss s ss ss ss s
sofcare.
s
DIF: Cognitive Level: Application
s s REF: Page 5
s s ss s s s
2
, 4. When a patient‘s family asks why their chronically mentally ill adult
s s s s s s s s s s s s s s s s s s s s
childis being discharged to a community-based living facility, the nurse
s s ss s ss sss sss sss sss sss sss
responds:
s
a. ―It is a way to meet the need for social support.‖
s s s s s s s s s s s s s s s s s s s
b. ―It is too expensive to keep stabilized patients in acute care settings.‖
s s s s s s s s s s s s s s s s s s s s s
c. ―This type of facility will provide the specialized care that is needed.‖
s s s s ss s s s s ss s s s s ss s s s s
d. ―Being out in the community will help provide hope and purpose forliving.‖
s s s s s s ss ss ss ss ss s
ANS: D
Hospitalization may be necessary for acute care, but, when patients are s s ss ss ss ss ss ss ss ss
stabilized, theymove into community-based, patient-centered settings or
s s s s s s s s
aredischarged home with continued outpatient treatment in the
s s s s s s s s s
community.
s
Concentrated efforts are made to reduce the patient‘s sick role by providing
s s s s s s s s ss ss ss
opportunities for the development of a purposeful life and instilling hope for
s ss ss ss sss ss sss sss sss ss sss sss
each patient‘s future. Although social support is important, such a living
s ss ss ss ss ss ss ss ss ss sss
arrangement is not the only way to achieve it. Although acute care is
s ss ss ss ss ss sss sss sss sss sss sss sss
expensive, it is not the major concern when determining long-term care
s sss ss sss sss sss sss sss sss sss sss
options. Community-based facilities are not the only option for specialized care.
s ss ss ss ss ss ss sss ss sss ss
DIF: Cognitive Level: Application
s REF: Page 5 s s s s s s
5. What is the best explanation to offer when the mother of a
s s s s s s s s s s s s s s s s s s s s s
chronicallyill teenage patient asks, ―Under what circumstances would he
s s s s s s s s s s
cbe
onsidered incompetent?‖
a. ―When vyou can provide vthe court with enough evidence to show that
s s ss
s s s s s s s s s s s s s s s s s s s
he is notable to care for himself safely.‖
sss sss s s s s s s
b. ―It is not likely that someone his age would be determined to
s s s s s s s s s s s
beincompetentregardless of his mental condition.‖
s s s s s s s
c. ―He would have to engage in behavior that would result in harm
s s s s s s s s s s s s s
tohimself or tosomeone else; like you or his siblings.‖
s s s s s s s s s s
d. ―If the illness becomes so severe that his judgment is impaired to
ss ss ss ss ss ss ss ss ss ss ss s
thepoint whethe decisions he makes are harmful to himself or to
s s s s s s s s s s s s
others.‖s re
ANS: D
When a person is unable to cognitively process information or to make
ss ss ss ss ss sss sss sss sss sss sss
decisions abouthis or her own welfare, the person may be determined to
s ss s s s s s s s s s s s
bementally incompetent.
s s s
Providing self-care is not the only criteria considered. Age is not a factor
s s s s s s s s s s s s s s s
considered. Thedecision is often based on the potential for such behavior.
s s s s s s s s s s s s s s s s s s s s s s s
DIF: Cognitive Level: Application REF: Page 6
s s s s s s s
6. Which psychiatric nursing intervention shows an understanding of
s s s s s s s
integratedcare?
s s
a. A s s chronically abused woman is assessed for anxiety.
b. A manic patient s s s s s s is taken to the
s s s s s s s s gym s s to use s s s s the exercise s s s
equipment.
s
c. The older s s s s adult s s diagnosed s s with s s depression s s is s s monitored s s for s s suicidal
ideations.
s.
ANS: A
The majority of health disciplines now recognize that mental disorders and
s ss ss ss ss ss ss ss ss ss
physical illnesses are closely linked. The presence of a mental disorder
s ss ss ss ss ss ss ss sss ss sss
3
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