,Fortinash: v v Psychiatric v v Mental v v Health v v Nursing, v v 5th v v Edition
Chapter v v 01: v v Psychiatric v v Nursing: v v Theory, v v Principles, v v and v v Trends
1. Which understanding is the basis for the nursing actions focused on
v v v v v v v vv vv vv
minimizing mental health promotion of families with chronically
v v v v v v v v v v v v v
mentallyill members?
v v v
a. Family v v members v v are v v at v v an v v increased v v risk v v for v v mental v v illness.
b. The mental health care system is not prepared to deal
v v v v v v v v v v v with v
familycrises.v v
c. Family members are seldom prepared to cope with a chronically
v v v v v v v v v
illindividual.
v v
d. The chronically mentally ill receive care best when delivered in a
v v v v v v v v v v v
formalsetting.
v v
ANS: A
When families live with a dominant member who has a persistent and severe
v v v v v v v v v v v v v v v v v
vmental disorder the outcomes are often expressed as family members who
v v v v v v v v v v
vare atincreased riskfor physical and mental illnesses. The remaining options are not
v v v v v v v v v v v v
vnecessarily true. v
DIF: Cognitive Level: Application REF: Page 3 v v v v vv v v v
2. Which nursing activity shows the nurse actively engaged in the
v v v v v v v v v
primaryprevention ofmental disorders?
v v v v
a. Providing a patient, whose v v v v v depression v v is v v well v v managed, v v with v
medicationon time
v v v
b. Making regular follow-up visits to a new mother at risk for post-
v v v v v v v v v v v
partumdepression v
c. Providing the family of a patient, diagnosed with depression,
v v v v v v v v
informationonsuicide prevention
v v v
d. Assisting a patient who has compulsive tendencies prepare
v v v v
obsessiveandpractice for a job interview
v v v v v v
ANS: B
Primary prevention helps to reduce the occurrence of mental disorders by
vv vv vv vv vv vvv vvv vvv vvv vvv
staying involved with a patient. Providing medication and information on
v vv vv vv vvv vvv vvv vvv vv vvv
existing illnesses are examples of secondary prevention which helps to
v v v v v v v v v v v v v v v v
vreducethe prevalence of mental disorders. Assisting a mentally ill patient with
v vv vv vv vv vv vv vv vv vv vv
preparation for a job interview is tertiary prevention since it involves
v vv vv vv vv vv vv v vv vv vvv
rehabilitation.
v
DIF: Cognitive Level: Application REF: Page 4 v v v v vv v v v
3. Which intervention reflects attention being focused on the
v v v v v v v
patient‘sintentions regarding his diagnosis of severe depression?
v v v v v v v v
a. Being placed on suicide precautions v v v v
b. Encouraging visits by his family members v v v v v
c. Receiving v v a v v combination vvv of v v medications vvv to v v address vvv his v v emotional vv
needs v
d. Being asked to decide where he will attend his prescribed
v v v v v v v v v
therapysessions
v v
ANS: D
A primary factor in patient treatment includes consideration of the patient‘s
v v v v v vv vv vv vv vv
intentions regarding his or her own care. Patients are central to the process
v v v v v v v v v v v v v
1
, that determines their care as their abilities allow. Under the guidance of
v v v v v v v v v v v v v v v v v v
v PMH nurses and other mental health personnel, patients are encouraged to
v vv vv vv vv vv vv vv vv vvv vv
vmake decisions and to actively engage in their own treatment plans to meet
v vv vv vv vv vv vv vv vv vvv vvv vvv vv
vtheir needs. The remaining options are focused on specifics of the determined
v vv vv vv vv vv vv vv v vv vv v
vplan ofcare.
vv v
DIF: Cognitive Level: Application
v v REF: Page 5
v v vv v v v
2
, 4. When a patient‘s family asks why their chronically mentally ill
v v v v v v v v v v v v v v v v v v v adult v
childis being discharged to a community-based living facility, the
v v vv v vv vvv vvv vvv vvv vvv vvv nurse
responds:
v
a. ―It is a way to meet the need for social support.‖
v v v v v v v v v v v v v v v v v v v
b. ―It is too expensive to keep stabilized patients in acute care settings.‖
v v v v v v v v v v v v v v v v v v v v v
c. ―This type of facility will provide the specialized care that is needed.‖
vv v v vv v v v v vv v v v v vv v v v v
d. ―Being out in the community will help provide hope and purpose
v v v v v v vv vv vv vv v
forliving.‖v v
ANS: D
Hospitalization may be necessary for acute care, but, when patients are
v v vv vv vv vv vv vv vv vv
stabilized, they move into community-based, patient-centered settings or
v v v v v v v v
aredischarged home with continued outpatient treatment in the
v v v v v v v v v
community.
v
Concentrated efforts are made to reduce the patient‘s sick role by providing
v v v v v v v v vv vv vv
opportunities for the development of a purposeful life and instilling hope for
v vv vv vv vvv vv vvv vvv vvv vv vvv vvv
each patient‘s future. Although social support is important, such a living
v vv vv vv vv vv vv vv vv vv vvv
arrangement is not the only way to achieve it. Although acute care is
v vv vv vv vv vv vvv vvv vvv vvv vvv vvv vvv
expensive, it is not the major concern when determining long-term care
v vvv vv vvv vvv vvv vvv vvv vvv vvv vvv
options. Community-based facilities are not the only option for specialized care.
v vv vv vv vv vv vv vvv vv vvv vv
DIF: Cognitive Level: Application
v REF: Page 5 v v v v v v
5. What is the best explanation to offer when the mother of a
v v v v v v v v v v v v v v v v v v v v v
chronicallyill teenage patient asks, ―Under what circumstances would he
v v v v v v v v v v
cbe
onsidered incompetent?‖
a. ―When vyou can provide vthe court with enough evidence to show that
v v vv
v v v v v v v v v v v v v v v v v v v
he is not able to care for himself safely.‖
vvv vvv v v v v v v
b. ―It is not likely that someone his age would be determined to
v v v v v v v v v v v
beincompetent regardless of his mental condition.‖
v v v v v v v
c. ―He would have to engage in behavior that would result in harm
v v v v v v v v v v v v v
tohimself or tosomeone else; like you or his siblings.‖
v v v v v v v v v v
d. ―If the illness becomes so severe that his judgment is impaired to
vv vv vv vv vv vv vv vv vv vv vv v
thepoint whethe decisions he makes are harmful to himself or to
v v v v v v v v v v v v
others.‖v re
ANS: D
When a person is unable to cognitively process information or to make
vv vv vv vv vv vvv vvv vvv vvv vvv vvv
decisions about his or her own welfare, the person may be determined to
v vv v v v v v v v v v v v
bementally incompetent.
v v v
Providing self-care is not the only criteria considered. Age is not a factor
v v v v v v v v v v v v v v v
considered. Thedecision is often based on the potential for such behavior.
v v v v v v v v v v v v v v v v v v v v v v v
DIF: Cognitive Level: Application REF: Page 6
v v v v v v v
6. Which psychiatric nursing intervention shows an understanding of
v v v v v v v
integratedcare?
v v
a. A v v chronically abused woman is assessed for anxiety.
b. A manic patient v v v v v v is taken to
v v v v v v the v v gym v v to v v use v v the v v exercise v
equipment.
v
c. The older v v v v adult v v diagnosed v v with v v depression v v is v v monitored v v for v v suicidal
ideations.
s.
ANS: A
The majority of health disciplines now recognize that mental disorders and
v vv vv vv vv vv vv vv vv vv
physical illnesses are closely linked. The presence of a mental disorder
v vv vv vv vv vv vv vv vvv vv vvv
3
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