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Psychiatric Mental Health Nursing 5th Ed By Fortinash
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,Fortinash: Psychiatric Mental Health Nursing, 5th EditionChapter 01: Psychiatric Nursing: Theory, Principles, and Trends
Test Bank
MULTIPLE CHOICE
1. Which understanding is the basis for the nursing actions focused on minimizing mental
health promotion of families with chronically mentally ill members?
a. Family members are at an increased risk for mental illness.
b. The mental health care system is not prepared to deal with family crises.
c. Family members are seldom prepared to cope with a chronically ill individual.
d. The chronically mentally ill receive care best when delivered in a formal setting.
ANS: A
When families live with a dominant member who has a persistent and severe mental disorder
the outcomes are often expressed as family members who are at increased risk for physical
and mental illnesses. The remaining options are not necessarily true.
DIF: Cognitive Level: Application REF: Page 3 TOP: Nursing Process:
Planning
MSC: NCLEX: Psychosocial Integrity, Health Promotion and Maintenance
2. Which nursing activity shows the nurse actively engaged in the primary prevention of
mental disorders?
a. Providing a patient, whose depression is well managed, with medication on time
b. Making regular follow-up visits to a new mother at risk for post-partum depression
c. Providing the family of a patient, diagnosed with depression, information on
suicide prevention
d. Assisting a patient who has obsessive compulsive tendencies prepare and practice
for a job interview
ANS: B
Primary prevention helps to reduce the occurrence of mental disorders by staying involved
with a patient. Providing medication and information on existing illnesses are examples of
secondary prevention which helps to reduce the prevalence of mental disorders. Assisting a
mentally ill patient with preparation for a job interview is tertiary prevention since it involves
rehabilitation.
DIF: Cognitive Level: Application REF: Page 4
TOP: Nursing Process: Implementation
MSC: NCLEX: Psychosocial Integrity, Health Promotion and Maintenance
Copyright © 2012, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
,Test Bank 1-2
3. Which intervention reflects attention being focused on the patient’s intentions regarding
his diagnosis of severe depression?
a. Being placed on suicide precautions
b. Encouraging visits by his family members
c. Receiving a combination of medications to address his emotional needs
d. Being asked to decide where he will attend his prescribed therapy sessions
ANS: D
A primary factor in patient treatment includes consideration of the patient’s intentions
regarding his or her own care. Patients are central to the process that determines their care as
their abilities allow. Under the guidance of PMH nurses and other mental health personnel,
patients are encouraged to make decisions and to actively engage in their own treatment
plans to meet their needs. The remaining options are focused on specifics of the determined
plan of care.
DIF: Cognitive Level: Application REF: Page 5
TOP: Nursing Process: Implementation
MSC: NCLEX: Psychosocial Integrity, Health Promotion and Maintenance
4. When a patient’s family asks why their chronically mentally ill adult child is being
discharged to a community-based living facility, the nurse responds:
a. “It is a way to meet the need for social support.”
b. “It is too expensive to keep stabilized patients in acute care settings.”
c. “This type of facility will provide the specialized care that is needed.”
d. “Being out in the community will help provide hope and purpose for living.”
ANS: D
Hospitalization may be necessary for acute care, but, when patients are stabilized, they move
into community-based, patient-centered settings or are discharged home with continued
outpatient treatment in the community. Concentrated efforts are made to reduce the patient’s
sick role by providing opportunities for the development of a purposeful life and instilling
hope for each patient’s future. Although social support is important, such a living
arrangement is not the only way to achieve it. Although acute care is expensive, it is not the
major concern when determining long-term care options. Community-based facilities are not
the only option for specialized care.
DIF: Cognitive Level: Application REF: Page 5
TOP: Nursing Process: Implementation
MSC: NCLEX: Psychosocial Integrity, Health Promotion and Maintenance
5. What is the best explanation to offer when the mother of a chronically ill teenage patient
asks, “Under what circumstances would he be considered incompetent?”
a. “When you can provide the court with enough evidence to show that he is not able
to care for himself safely.”
b. “It is not likely that someone his age would be determined to be incompetent
regardless of his mental condition.”
Copyright © 2012, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
, Test Bank 1-3
c. “He would have to engage in behavior that would result in harm to himself or to
someone else; like you or his siblings.”
d. “If the illness becomes so severe that his judgment is impaired to the point where
the decisions he makes are harmful to himself or to others.”
ANS: D
When a person is unable to cognitively process information or to make decisions about his or
her own welfare, the person may be determined to be mentally incompetent. Providing self-
care is not the only criteria considered. Age is not a factor considered. The decision is often
based on the potential for such behavior.
DIF: Cognitive Level: Application REF: Page 6
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Management of Care, Psychosocial
Integrity
6. Which psychiatric nursing intervention shows an understanding of integrated care?
a. A chronically abused woman is assessed for anxiety.
b. A manic patient is taken to the gym to use the exercise equipment.
c. The older adult diagnosed with depression is monitored for suicidal ideations.
d. A teenager who refuses to obey the unit’s rules is not allow to play video games.
ANS: A
The majority of health disciplines now recognize that mental disorders and physical illnesses
are closely linked. The presence of a mental disorder increases the risk for the development
of physical illnesses and vice versa. Assessing a chronically abused individual for anxiety
call should attention to the psychiatric disorder that could develop from the abuse. The
remaining options show interventions that are appropriate for the mental disorder.
DIF: Cognitive Level: Application REF: Page 6
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Management of Care, Psychosocial
Integrity
7. What reason does the nurse give the patient for the emphasis and attention being paid to
the recovery phase of their treatment plan?
a. Recovery care, even when intensive, is less expensive than acute psychiatric care.
b. Effective recovery care is likely to result in fewer relapses and subsequent
hospitalizations.
c. Planning for recovery care is time consuming and involves dealing with many
complicated details.
d. Recovery care is usually done on an outpatient basis and so is generally better
accepted by patients.
ANS: B
Copyright © 2012, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
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