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...
Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
te te te te te te te t e
Edition.
Fortinash: te Psychiatric te Mental te Health te Nursing, te 5th
te Edition te Chapter te 01: te Psychiatric te Nursing: te Theory,
te Principles, te and te Trends
1. Which teunderstanding teis tethe tebasis tefor tethe tenursing teactions tefocused t e on
teminimizing temental t e health t e promotion t e of t e families t e with t e chronically
t e mentally t e ill t e members?
a. Family t e members t e are t e at t e an t e increased t e risk t e for t e mental t e illness.
b. The t e mental t e health t e care t e system te is t e not t e prepared t e to t e deal t e with
t e family t e crises.
c. Family t e members t e are te seldom t e prepared t e to t e cope t e with t e a t e chronically
t e ill t e individual.
d. The t e chronically t e mentally t e ill t e receive t e care t e best t e when t e delivered t e in t e a
t e formal t e setting.
ANS: t e t e A
When t e families t e live t e with t e a t e dominant t e member t e who t e has t e a t e persistent t e and
t e severe t e mental tedisorder t e the t e outcomes t e are t e often t e expressed t e as t e family t e members
t e who t e are t e at t e increased t e riskifor tephysical teand temental teillnesses. teThe teremaining teoptions
teare tenot tenecessarily tetrue.
DIF: Cognitive t e Level: t e Application REF: Page t e 3
2. Which t e nursing t e activity t e shows t e the t e nurse t e actively t e engaged t e in t e the
t e primary t e prevention teofmental tedisorders?
a. Providing t e a t e patient, t e whose t e depression t e is t e well t e managed, t e with
t e medication t e on t e tim
b. Making t e regular t e follow-up t e visits te to te a t e new t e mother t e at te risk te for
t e post-partum tedepression
c. Providing t e the t e family t e of t e a t e patient, te diagnosed t e with t e depression,
t e information t e on tesuicide teprevention
d. Assisting t e a t e patient t e who t e has t e obsessive t e compulsive t e tendencies
t e prepare t e and tepractice tefor tea tejob teinterview
ANS: B
Primary t e prevention t e helps t e to t e reduce t e the t e occurrence t e of t e mental t e disorders
t e by t e staying teinvolved t e with t e a t e patient. t e Providing t e medication t e and t e information
t e on t e existing t e illnesses t e are teexamples t e of t e secondary t e prevention t e which t e helps
t e to t e reduce t e the t e prevalence t e of t e mental tedisorders. t e Assisting t e a t e mentally t e ill
t e patient t e with t e preparation t e for t e a t e job t e interview t e is t e tertiary teprevention tesince teit
teinvolves terehabilitation.
DIF: Cognitive t e Level: t e Application REF: Page t e 4
3. Which t e intervention t e reflects t e attention t e being t e focused t e on t e the t e patient‘s
t e intentions teregarding tehis t e diagnosis t e of tesevere t e depression?
a. Being t e placed t e on tesuicide t e precautions
b. Encouraging te visits te by t e his t e family te members
c. Receiving t e a t e combination t e of t e medications t e to t e address t e his
t e emotional t e needs
d. Being t e asked t e to t e decide t e where t e he t e will t e attend t e his t e prescribed
Page te1
, t e therapy t e sessions
ANS: t e D
A t e primary t e factor t e in t e patient t e treatment t e includes t e consideration t e of t e the
t e patient‘s t e intentions teregarding t e his t e or t e her t e own t e care. t e Patients t e are t e central
t e to t e the t e process t e that t e determines t e their tecare t e as t e their t e abilities t e allow. t e Under
t e the t e guidance t e of t e PMH t e nurses t e and t e other t e mental t e health tepersonnel, t e patients
t e are t e encouraged t e to t e make t e decisions t e and t e to t e actively t e engage t e in
t e their teown t e treatment t e plans t e to t e meet t e their t e needs. t e The t e remaining t e options
t e are t e focused t e on tespecificsof tethe tedetermined teplan teof tecare.
DIF: Cognitive t e Level: t e Application REF: Page t e 5
Page te2
, Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
te te te te te te te t e
Edition.
4. When t e a t e patient‘s t e family t e asks t e why t e their t e chronically t e mentally t e ill t e adult
t e child t e is t e being tedischarged t e to t e a t e community-based t e living t e facility, t e the
t e nurse t e responds:
a. ―It t e is t e a t e way t e to t e meet t e the t e need t e for t e social t e support.‖
b. ―It t e is t e too te expensive t e to te keep te stabilized te patients t e in te acute te care
t e settings.‖
c. ―This t e type t e of t e facility te will t e provide t e the t e specialized te care t e that t e is t e needed.‖
d. ―Being t e out t e in t e the t e community t e will t e help t e provide t e hope t e and t e purpose
t e for t e living.‖
ANS: t e D
Hospitalization t e may t e be t e necessary t e for t e acute t e care, t e but, t e when t e patients t e are
t e stabilized, t e they t e move t e into t e community-based, t e patient-centered t e settings t e or t e are
t e discharged t e home t e with tecontinued t e outpatient t e treatment t e in t e the t e community.
t e Concentrated t e efforts t e are t e made t e to tereduce t e the t e patient‘s t e sick t e role t e by
t e providing t e opportunities t e for t e the t e development t e of t e a tepurposeful t e life t e and
teinstilling t e hope t e for t e each t e patient‘s t e future. t e Although tesocial t e support t e is teimportant,
t e such t e a t e living t e arrangement t e is t e not t e the t e only t e way t e to t e achieve t e it. t e Although
t e acute tecare t e is t e expensive, t e it t e is t e not t e the t e major t e concern t e when t e determining
t e long-term t e care t e options. teCommunity-based t e facilities t e are t e not t e the t e only t e option
t e for t e specialized t e care.
DIF: Cognitive t e Level: t e Application REF: Page t e 5
5. What t e is t e the t e best t e explanation t e to t e offer t e when t e the t e mother t e of t e a
t e chronically t e ill t e teenage tepatient t e asks, t e ―Under t e what t e circumstances
t e would t e he t e be t e considered t e incompetent?‖
a. ―When teyou t e can teprovide tethe t e court tewith teenough teevidence t e to teshow tethat tehe
t e is t e not teable teto tecare tefor tehimself tesafely.‖
b. ―It t e is t e not t e likely t e that t e someone t e his t e age t e would te be te determined t e to
t e be t e incompetent teregardless teof tehis temental tecondition.‖
c. ―He t e would t e have t e to t e engage t e in t e behavior t e that t e would t e result te in t e harm
t e to t e himself t e or t e to tesomeone teelse; telike teyou teor tehis tesiblings.‖
d. ―If t e the t e illness t e becomes t e so t e severe t e that t e his t e judgment t e is t e impaired
t e to t e the t e point t e whe tethe t e decisions t e he t e makes t e are teharmful t e to tehimself teor re
teto teothers.‖
ANS: t e D
When t e a t e person t e is t e unable t e to t e cognitively t e process t e information t e or t e to
t e make t e decisions t e about tehis t e or t e her t e own t e welfare, t e the t e person t e may t e be
t e determined t e to t e be t e mentally t e incompetent.
Providing t e self-care t e is t e not t e the t e only t e criteria t e considered. t e Age t e is t e not t e a
t e factor t e considered. t e The tedecision teis t e often t e based t e on t e the t e potential t e for t e such
t e behavior.
DIF: Cognitive t e Level: t e Application REF: Page t e 6
6. Which t e psychiatric te nursing t e intervention t e shows t e an te understanding te of t e integrated te care?
a. A t e chronically t e abused t e woman t e is t e assessed t e for t e anxiety.
b. A temanic t e patient t e is te taken te to t e the t e gym t e to t e use t e the t e exercise
t e equipment.
c. The t e older t e adult t e diagnosed t e with t e depression t e is t e monitored t e for
t e suicidal t e ideations.
s.
ANS: t e t e A
d. At et majority
The e teenager t e who t e refuses t e to t e obey t e the t e unit‘s t e rules t e is t e not t e allow
t e of t e health t e disciplines t e now t e recognize t e that t e mental t e disorders t e and
t e to t e play t e video t e game
t e physical
illnesses t e are t e closely t e linked. t e The t e presence t e of t e a t e mental t e disorder t e increases
t e the t e risk t e for t e the tedevelopment t e of t e physical t e illnesses t e and t e vice t e versa.
t e Assessing t e a t e chronically t e abused teindividual t e for t e anxiety t e call t e should
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, Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
te te te te te te te t e
Edition.
attention t e to t e the t e psychiatric t e disorder t e that t e could t e develop tefrom t e the t e abuse.
t e
The t e remaining t e options t e show t e interventions t e that t e are t e appropriate t e for t e the
t e
temental tedisorder.
DIF: Cognitive t e Level: t e Application REF: Page t e 6
7. What t e reason t e does t e the t e nurse t e give t e the t e patient t e for t e the t e emphasis t e and
t e attention t e being
Page te4
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