1
Psychiatric Mental Health Nursing (Psychiatric Mental Health Nursing (Fortinash)) 5th Edition
Full Test Bank For
Psychiatric Mental Health Nursing (Psychiatric Mental
Health Nursing (Fortinash)) 5th Edition
By Katherine M. Fortinash MSN APRN BC PMHCNS
(Author), Patricia A. Holoday Worret
, 2
Psychiatric Mental Health Nursing (Psychiatric Mental Health Nursing (Fortinash)) 5th Edition
Table Of Contents
Chapter 01: Psychiatric Nursing: Theory, Principles, And Trends ............................................... 3
Chapter 02: Nursing Practice In The Clinical Setting ................................................................... 8
Chapter 03: The Nursing Process And Standards Of Practice ................................................... 14
Chapter 04: Therapeutic Communication ................................................................................. 22
Chapter 05: Adaptation To Stress.............................................................................................. 33
Chapter 06: Neurobiology In Mental Health And Mental Disorder .......................................... 38
Chapter 07: Human Development Across The Life Span .......................................................... 45
Chapter 08: Culture, Ethnicity, And Spirituality ........................................................................ 53
Chapter 09: Legal And Ethical Aspects In Clinical Practice........................................................ 61
Chapter 10: Anxiety And Anxiety Disorders .............................................................................. 69
Chapter 11: Somatoform, Factitious, And Dissociative Disorders ............................................ 79
Chapter 12: Mood Disorders: Depression, Bipolar, And Adjustment Disorders ....................... 86
Chapter 13: Schizophrenia And Other Psychotic Disorders ...................................................... 99
Chapter 14: Personality Disorders .......................................................................................... 112
Chapter 15: Substance-Related Disorders And Addictive Behaviors ...................................... 121
Chapter 16: Cognitive Disorders: Delirium, Dementia, And Amnestic Disorders ................... 131
Chapter 17: Disorders Of Infancy, Childhood, And Adolescence ............................................ 140
Chapter 18: Eating Disorders: Anorexia Nervosa And Bulimia Nervosa ................................. 148
Chapter 19: Sleep Disorders: Dyssomnias And Parasomnias.................................................. 157
Chapter 20: Sexual Disorders: Sexual Dysfunctions And Paraphilias ...................................... 163
Chapter 21: Crisis: Theory And Intervention .......................................................................... 169
Chapter 22: Suicide Prevention And Intervention .................................................................. 178
Chapter 23: Violence: Anger, Abuse, And Aggression ............................................................ 187
Chapter 24: Forensic Nursing .................................................................................................. 197
Chapter 25: Psychopharmacology .......................................................................................... 203
Chapter 26: Therapies: Theory And Clinical Practice .............................................................. 214
Chapter 27: Complementary And Alternative Therapies........................................................ 228
Chapter 28: Grief: In Loss And Death ...................................................................................... 235
Chapter 29: Mental And Emotional Responses To Medical Illness ......................................... 243
Chapter 30: Community Mental Health Nursing For Patients With Severe And Persistent
Mental Illness .......................................................................................................................... 250
, 3
Psychiatric Mental Health Nursing (Psychiatric Mental Health Nursing (Fortinash)) 5th Edition
Fortinash: Psychiatric Mental Health Nursing, 5th Edition
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 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
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
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
, 4
Psychiatric Mental Health Nursing (Psychiatric Mental Health Nursing (Fortinash)) 5th Edition
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
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
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?”
Re
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
6. Which Psychiatric Nursing Intervention Shows An Understanding Of Integrated Care?
Psychiatric Mental Health Nursing (Psychiatric Mental Health Nursing (Fortinash)) 5th Edition
Full Test Bank For
Psychiatric Mental Health Nursing (Psychiatric Mental
Health Nursing (Fortinash)) 5th Edition
By Katherine M. Fortinash MSN APRN BC PMHCNS
(Author), Patricia A. Holoday Worret
, 2
Psychiatric Mental Health Nursing (Psychiatric Mental Health Nursing (Fortinash)) 5th Edition
Table Of Contents
Chapter 01: Psychiatric Nursing: Theory, Principles, And Trends ............................................... 3
Chapter 02: Nursing Practice In The Clinical Setting ................................................................... 8
Chapter 03: The Nursing Process And Standards Of Practice ................................................... 14
Chapter 04: Therapeutic Communication ................................................................................. 22
Chapter 05: Adaptation To Stress.............................................................................................. 33
Chapter 06: Neurobiology In Mental Health And Mental Disorder .......................................... 38
Chapter 07: Human Development Across The Life Span .......................................................... 45
Chapter 08: Culture, Ethnicity, And Spirituality ........................................................................ 53
Chapter 09: Legal And Ethical Aspects In Clinical Practice........................................................ 61
Chapter 10: Anxiety And Anxiety Disorders .............................................................................. 69
Chapter 11: Somatoform, Factitious, And Dissociative Disorders ............................................ 79
Chapter 12: Mood Disorders: Depression, Bipolar, And Adjustment Disorders ....................... 86
Chapter 13: Schizophrenia And Other Psychotic Disorders ...................................................... 99
Chapter 14: Personality Disorders .......................................................................................... 112
Chapter 15: Substance-Related Disorders And Addictive Behaviors ...................................... 121
Chapter 16: Cognitive Disorders: Delirium, Dementia, And Amnestic Disorders ................... 131
Chapter 17: Disorders Of Infancy, Childhood, And Adolescence ............................................ 140
Chapter 18: Eating Disorders: Anorexia Nervosa And Bulimia Nervosa ................................. 148
Chapter 19: Sleep Disorders: Dyssomnias And Parasomnias.................................................. 157
Chapter 20: Sexual Disorders: Sexual Dysfunctions And Paraphilias ...................................... 163
Chapter 21: Crisis: Theory And Intervention .......................................................................... 169
Chapter 22: Suicide Prevention And Intervention .................................................................. 178
Chapter 23: Violence: Anger, Abuse, And Aggression ............................................................ 187
Chapter 24: Forensic Nursing .................................................................................................. 197
Chapter 25: Psychopharmacology .......................................................................................... 203
Chapter 26: Therapies: Theory And Clinical Practice .............................................................. 214
Chapter 27: Complementary And Alternative Therapies........................................................ 228
Chapter 28: Grief: In Loss And Death ...................................................................................... 235
Chapter 29: Mental And Emotional Responses To Medical Illness ......................................... 243
Chapter 30: Community Mental Health Nursing For Patients With Severe And Persistent
Mental Illness .......................................................................................................................... 250
, 3
Psychiatric Mental Health Nursing (Psychiatric Mental Health Nursing (Fortinash)) 5th Edition
Fortinash: Psychiatric Mental Health Nursing, 5th Edition
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 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
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
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
, 4
Psychiatric Mental Health Nursing (Psychiatric Mental Health Nursing (Fortinash)) 5th Edition
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
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
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?”
Re
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
6. Which Psychiatric Nursing Intervention Shows An Understanding Of Integrated Care?
