Chapter 01: Psychiatric Nursing: Theory, Principles, and Trends 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 h...
1. Which gtunderstanding gtis gtthe gtbasis gtfor gtthe gtnursing gtactions gtfocused g t on
gt minimizing gt mental g t health g t promotion g t of g t families g t with g t chronically
g t mentally g t ill g t members?
a. Family g t members g t are g t at g t an g t increased g t risk g t for g t mental g t illness.
b. The g t mental g t health g t care g t system gt is g t not g t prepared g t to g t deal g t with
g t family g t crises.
c. Family g t members g t are gt seldom g t prepared g t to g t cope g t with gt a gt chronically
g t ill g t individual.
d. The g t chronically g t mentally g t ill g t receive g t care g t best g t when g t delivered g t in g t a
g t formal g t setting.
ANS: g t g t A
When g t families g t live g t with g t a g t dominant g t member g t who g t has g t a g t persistent g t and
g t severe g t mental gtdisorder g t the g t outcomes g t are g t often g t expressed g t as g t family g t members
g t who g t are g t at g t increased g t riskifor gtphysical gtand gtmental gtillnesses. gtThe gtremaining gtoptions
gtare gtnot gtnecessarily gttrue.
DIF: Cognitive g t Level: g t Application REF: Page g t 3
2. Which g t nursing g t activity g t shows g t the g t nurse g t actively g t engaged g t in g t the
g t primary g t prevention gtofmental gtdisorders?
a. Providing g t a g t patient, g t whose g t depression g t is g t well g t managed, g t with
g t medication g t on g t tim
b. Making g t regular g t follow-up g t visits gt to g t a gt new gt mother g t at gt risk gt for
g t post-partum gtdepression
c. Providing g t the g t family g t of g t a g t patient, g t diagnosed g t with gt depression,
g t information g t on gtsuicide gtprevention
d. Assisting g t a g t patient g t who g t has g t obsessive g t compulsive g t tendencies
g t prepare g t and gtpractice gtfor gta gtjob gtinterview
ANS: B
Primary g t prevention g t helps g t to g t reduce g t the g t occurrence g t of g t mental g t disorders
g t by g t staying gtinvolved g t with g t a g t patient. g t Providing g t medication g t and g t information
g t on g t existing g t illnesses g t are gtexamples g t of g t secondary g t prevention g t which g t helps
g t to g t reduce g t the g t prevalence g t of g t mental gtdisorders. g t Assisting g t a g t mentally g t ill
g t patient g t with g t preparation g t for g t a g t job g t interview g t is g t tertiary gtprevention gtsince gtit
gtinvolves gtrehabilitation.
DIF: Cognitive g t Level: g t Application REF: Page g t 4
3. Which g t intervention g t reflects g t attention g t being g t focused g t on gt the gt patient‘s
g t intentions gtregarding gthis g t diagnosis g t of gtsevere g t depression?
a. Being g t placed g t on gtsuicide g t precautions
b. Encouraging gt visits gt by g t his g t family gt members
c. Receiving g t a g t combination g t of g t medications g t to g t address g t his
g t emotional g t needs
d. Being g t asked g t to g t decide g t where g t he g t will g t attend g t his g t prescribed
Page gt1
, g t therapy g t sessions
ANS: g t D
A g t primary g t factor g t in g t patient g t treatment g t includes g t consideration g t of g t the
g t patient‘s g t intentions gtregarding g t his g t or g t her g t own g t care. g t Patients g t are g t central
g t to g t the g t process g t that g t determines g t their gtcare g t as g t their g t abilities g t allow. g t Under
g t the g t guidance g t of g t PMH g t nurses g t and g t other g t mental g t health gtpersonnel, g t patients
g t are g t encouraged g t to g t make g t decisions g t and g t to g t actively g t engage g t in
g t their gtown g t treatment g t plans g t to g t meet g t their g t needs. g t The g t remaining g t options
g t are g t focused g t on gtspecificsof gtthe gtdetermined gtplan gtof gtcare.
DIF: Cognitive g t Level: g t Application REF: Page g t 5
Page gt2
, Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
gt gt gt gt gt gt gt g t
Edition.
4. When g t a g t patient‘s g t family g t asks g t why g t their g t chronically g t mentally g t ill g t adult
g t child g t is g t being gtdischarged g t to g t a g t community-based g t living g t facility, g t the
g t nurse g t responds:
a. ―It g t is g t a g t way g t to g t meet g t the g t need g t for g t social g t support.‖
b. ―It g t is g t too gt expensive g t to gt keep gt stabilized gt patients g t in gt acute gt care
g t settings.‖
c. ―This g t type g t of g t facility gt will g t provide g t the g t specialized gt care g t that g t is g t needed.‖
d. ―Being g t out g t in g t the g t community g t will g t help g t provide g t hope g t and g t purpose
g t for g t living.‖
ANS: g t D
Hospitalization g t may g t be g t necessary g t for g t acute g t care, g t but, g t when g t patients g t are
g t stabilized, g t they g t move g t into g t community-based, g t patient-centered g t settings g t or g t are
g t discharged g t home g t with gtcontinued g t outpatient g t treatment g t in g t the g t community.
g t Concentrated g t efforts g t are g t made g t to gtreduce g t the g t patient‘s g t sick g t role g t by
g t providing g t opportunities g t for g t the g t development g t of g t a gtpurposeful g t life g t and
gtinstilling g t hope g t for g t each g t patient‘s g t future. g t Although gtsocial g t support g t is gtimportant,
g t such g t a g t living g t arrangement g t is g t not g t the g t only g t way g t to g t achieve g t it. g t Although
g t acute gtcare g t is g t expensive, g t it g t is g t not g t the g t major g t concern g t when g t determining
g t long-term g t care g t options. gtCommunity-based g t facilities g t are g t not g t the g t only g t option
g t for g t specialized g t care.
DIF: Cognitive g t Level: g t Application REF: Page g t 5
5. What g t is g t the g t best g t explanation g t to g t offer g t when g t the g t mother g t of g t a
g t chronically g t ill g t teenage gtpatient g t asks, g t ―Under g t what g t circumstances
g t would g t he g t be g t considered g t incompetent?‖
a. ―When gtyou g t can gtprovide gtthe g t court gtwith gtenough gtevidence g t to gtshow gtthat gthe
g t is g t not gtable gtto gtcare gtfor gthimself gtsafely.‖
b. ―It g t is g t not g t likely g t that g t someone g t his g t age g t would g t be gt determined g t to
g t be g t incompetent gtregardless gtof gthis gtmental gtcondition.‖
c. ―He g t would g t have g t to g t engage g t in g t behavior g t that g t would g t result gt in gt harm
g t to g t himself g t or g t to gtsomeone gtelse; gtlike gtyou gtor gthis gtsiblings.‖
d. ―If g t the g t illness g t becomes g t so g t severe g t that g t his g t judgment g t is g t impaired g t to
g t the g t point g t whe gtthe g t decisions g t he g t makes g t are gtharmful g t to gthimself gtor gtto re
gtothers.‖
ANS: g t D
When g t a g t person g t is g t unable g t to g t cognitively g t process g t information g t or g t to
g t make g t decisions g t about gthis g t or g t her g t own g t welfare, g t the g t person g t may g t be
g t determined g t to g t be g t mentally g t incompetent.
Providing g t self-care g t is g t not g t the g t only g t criteria g t considered. g t Age g t is g t not g t a
g t factor g t considered. g t The gtdecision gtis g t often g t based g t on g t the g t potential g t for g t such
g t behavior.
DIF: Cognitive g t Level: g t Application REF: Page g t 6
6. Which g t psychiatric gt nursing g t intervention g t shows g t an gt understanding gt of g t integrated gt care?
a. A g t chronically g t abused g t woman g t is g t assessed g t for g t anxiety.
b. A gtmanic g t patient g t is gt taken gt to g t the g t gym g t to g t use g t the g t exercise
g t equipment.
c. The g t older g t adult g t diagnosed g t with g t depression g t is g t monitored g t for
g t suicidal g t ideations.
s.
ANS: g t g t A
d. Ag tg majority
The t teenager g t who g t refuses g t to g t obey g t the g t unit‘s g t rules g t is g t not g t allow
g t of g t health g t disciplines g t now g t recognize g t that g t mental g t disorders g t and
g t to g t play g t video g t game
g t physical
illnesses g t are g t closely g t linked. g t The g t presence g t of g t a g t mental g t disorder g t increases
g t the g t risk g t for g t the gtdevelopment g t of g t physical g t illnesses g t and g t vice g t versa.
g t Assessing g t a g t chronically g t abused gtindividual g t for g t anxiety g t call g t should
Page gt3
, Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
gt gt gt gt gt gt gt g t
Edition.
attention g t to g t the g t psychiatric g t disorder g t that g t could g t develop gtfrom g t the g t abuse.
g t
The g t remaining g t options g t show g t interventions g t that g t are g t appropriate g t for g t the
g t
gtmental gtdisorder.
DIF: Cognitive g t Level: g t Application REF: Page g t 6
7. What g t reason g t does g t the g t nurse g t give g t the g t patient g t for g t the g t emphasis g t and
g t attention g t being
Page gt4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller 17dollars. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
