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
ar ar ar ar ar ar ar a r
Edition.
Fortinash: a r Psychiatric ar Mental a r Health a r Nursing, a r 5th
ar Edition a r Chapter a r 01: a r Psychiatric a r Nursing: a r Theory,
ar Principles, a r and a r Trends
1. Which arunderstanding aris arthe arbasis arfor arthe arnursing aractions arfocused a r on
arminimizing armental a r health a r promotion a r of a r families a r with a r chronically
a r mentally a r ill a r members?
a. Family a r members a r are a r at a r an a r increased a r risk a r for a r mental a r illness.
b. The a r mental a r health a r care a r system ar is a r not a r prepared a r to a r deal a r with
a r family a r crises.
c. Family a r members a r are ar seldom a r prepared a r to a r cope a r with a r a a r chronically
a r ill a r individual.
d. The a r chronically a r mentally a r ill a r receive a r care a r best a r when a r delivered a r in a r a
a r formal a r setting.
ANS: a r a r A
When a r families a r live a r with a r a a r dominant a r member a r who a r has a r a a r persistent a r and
a r severe a r mental ardisorder a r the a r outcomes a r are a r often a r expressed a r as a r family a r members
a r who a r are a r at a r increased a r riskifor arphysical arand armental arillnesses. arThe arremaining aroptions
arare arnot arnecessarily artrue.
DIF: Cognitive a r Level: a r Application REF: Page a r 3
2. Which a r nursing a r activity a r shows a r the a r nurse a r actively a r engaged a r in a r the
a r primary a r prevention arofmental ardisorders?
a. Providing a r a a r patient, a r whose a r depression a r is a r well a r managed, a r with
a r medication a r on a r tim
b. Making a r regular a r follow-up a r visits a r to a r a a r new a r mother a r at a r risk ar for
a r post-partum ardepression
c. Providing a r the a r family a r of a r a a r patient, a r diagnosed a r with a r depression,
a r information a r on arsuicide arprevention
d. Assisting a r a a r patient a r who a r has a r obsessive a r compulsive a r tendencies
a r prepare a r and arpractice arfor ara arjob arinterview
ANS: B
Primary a r prevention a r helps a r to a r reduce a r the a r occurrence a r of a r mental a r disorders
a r by a r staying arinvolved a r with a r a a r patient. a r Providing a r medication a r and a r information
a r on a r existing a r illnesses a r are arexamples a r of a r secondary a r prevention a r which a r helps
a r to a r reduce a r the a r prevalence a r of a r mental ardisorders. a r Assisting a r a a r mentally a r ill
a r patient a r with a r preparation a r for a r a a r job a r interview a r is a r tertiary arprevention arsince arit
arinvolves arrehabilitation.
DIF: Cognitive a r Level: a r Application REF: Page a r 4
3. Which a r intervention a r reflects a r attention a r being a r focused a r on ar the a r patient‘s
a r intentions arregarding arhis a r diagnosis a r of arsevere a r depression?
a. Being a r placed a r on arsuicide a r precautions
b. Encouraging ar visits ar by a r his a r family ar members
c. Receiving a r a a r combination a r of a r medications a r to a r address a r his
a r emotional a r needs
d. Being a r asked a r to a r decide a r where a r he a r will a r attend a r his a r prescribed
Page ar1
, a r therapy a r sessions
ANS: a r D
A a r primary a r factor a r in a r patient a r treatment a r includes a r consideration a r of a r the
a r patient‘s a r intentions arregarding a r his a r or a r her a r own a r care. a r Patients a r are a r central
a r to a r the a r process a r that a r determines a r their arcare a r as a r their a r abilities a r allow. a r Under
a r the a r guidance a r of a r PMH a r nurses a r and a r other a r mental a r health arpersonnel, a r patients
a r are a r encouraged a r to a r make a r decisions a r and a r to a r actively a r engage a r in
a r their arown a r treatment a r plans a r to a r meet a r their a r needs. a r The a r remaining a r options
a r are a r focused a r on arspecificsof arthe ardetermined arplan arof arcare.
DIF: Cognitive a r Level: a r Application REF: Page a r 5
Page ar2
, Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
ar ar ar ar ar ar ar a r
Edition.
4. When a r a a r patient‘s a r family a r asks a r why a r their a r chronically a r mentally a r ill a r adult
a r child a r is a r being ardischarged a r to a r a a r community-based a r living a r facility, a r the
a r nurse a r responds:
a. ―It a r is a r a a r way a r to a r meet a r the a r need a r for a r social a r support.‖
b. ―It a r is a r too ar expensive a r to ar keep ar stabilized ar patients a r in ar acute a r care
a r settings.‖
c. ―This a r type a r of a r facility ar will a r provide a r the a r specialized ar care a r that a r is a r needed.‖
d. ―Being a r out a r in a r the a r community a r will a r help a r provide a r hope a r and a r purpose
a r for a r living.‖
ANS: a r D
Hospitalization a r may a r be a r necessary a r for a r acute a r care, a r but, a r when a r patients a r are
a r stabilized, a r they a r move a r into a r community-based, a r patient-centered a r settings a r or a r are
a r discharged a r home a r with arcontinued a r outpatient a r treatment a r in a r the a r community.
a r Concentrated a r efforts a r are a r made a r to arreduce a r the a r patient‘s a r sick a r role a r by
a r providing a r opportunities a r for a r the a r development a r of a r a arpurposeful a r life a r and
arinstilling a r hope a r for a r each a r patient‘s a r future. a r Although arsocial a r support a r is arimportant,
a r such a r a a r living a r arrangement a r is a r not a r the a r only a r way a r to a r achieve a r it. a r Although
a r acute arcare a r is a r expensive, a r it a r is a r not a r the a r major a r concern a r when a r determining
a r long-term a r care a r options. arCommunity-based a r facilities a r are a r not a r the a r only a r option
a r for a r specialized a r care.
DIF: Cognitive a r Level: a r Application REF: Page a r 5
5. What a r is a r the a r best a r explanation a r to a r offer a r when a r the a r mother a r of a r a
a r chronically a r ill a r teenage arpatient a r asks, a r ―Under a r what a r circumstances
a r would a r he a r be a r considered a r incompetent?‖
a. ―When aryou a r can arprovide arthe a r court arwith arenough arevidence a r to arshow arthat arhe
a r is a r not arable arto arcare arfor arhimself arsafely.‖
b. ―It a r is a r not a r likely a r that a r someone a r his a r age a r would a r be a r determined a r to
a r be a r incompetent arregardless arof arhis armental arcondition.‖
c. ―He a r would a r have a r to a r engage a r in a r behavior a r that a r would a r result ar in a r harm
a r to a r himself a r or a r to arsomeone arelse; arlike aryou aror arhis arsiblings.‖
d. ―If a r the a r illness a r becomes a r so a r severe a r that a r his a r judgment a r is a r impaired a r to
a r the a r point a r whe arthe a r decisions a r he a r makes a r are arharmful a r to arhimself aror arto re
arothers.‖
ANS: a r D
When a r a a r person a r is a r unable a r to a r cognitively a r process a r information a r or a r to
a r make a r decisions a r about arhis a r or a r her a r own a r welfare, a r the a r person a r may a r be
a r determined a r to a r be a r mentally a r incompetent.
Providing a r self-care a r is a r not a r the a r only a r criteria a r considered. a r Age a r is a r not a r a
a r factor a r considered. a r The ardecision aris a r often a r based a r on a r the a r potential a r for a r such
a r behavior.
DIF: Cognitive a r Level: a r Application REF: Page a r 6
6. Which a r psychiatric ar nursing a r intervention a r shows a r an ar understanding ar of a r integrated ar care?
a. A a r chronically a r abused a r woman a r is a r assessed a r for a r anxiety.
b. A manic a r patient
ar a r is ar taken ar to a r the a r gym a r to a r use a r the a r exercise
a r equipment.
c. The a r older a r adult a r diagnosed a r with a r depression a r is a r monitored a r for
a r suicidal a r ideations.
s.
ANS: a r a r A
d. Aa ra majority
The r teenager a r who a r refuses a r to a r obey a r the a r unit‘s a r rules a r is a r not a r allow
a r of a r health a r disciplines a r now a r recognize a r that a r mental a r disorders a r and
a r to a r play a r video a r game
a r physical
illnesses a r are a r closely a r linked. a r The a r presence a r of a r a a r mental a r disorder a r increases
a r the a r risk a r for a r the ardevelopment a r of a r physical a r illnesses a r and a r vice a r versa.
a r Assessing a r a a r chronically a r abused arindividual a r for a r anxiety a r call a r should
Page ar3
, Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
ar ar ar ar ar ar ar a r
Edition.
attention a r to a r the a r psychiatric a r disorder a r that a r could a r develop arfrom a r the a r abuse.
a r
The a r remaining a r options a r show a r interventions a r that a r are a r appropriate a r for a r the
a r
armental ardisorder.
DIF: Cognitive a r Level: a r Application REF: Page a r 6
7. What a r reason a r does a r the a r nurse a r give a r the a r patient a r for a r the a r emphasis a r and
a r attention a r being
Page ar4
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