TESTBANK
j
,Fortinash:jPsychiatricjMentaljHealthjNursing,j5thjEditionjChapt
erj01:jPsychiatricjNursing:jTheory,jPrinciples,jandjTrends
MULTIPLEjCHOICE
1. Whichj understandingjisj thej basisj forj thej nursingj actionsj focusedj onj minimizingj
mentalj healthj promotionj ofj familiesj withj chronicallyj mentallyj illj members?
a. Familyj membersj arej atj anj increasedj riskj forj mentalj illness.
b. Thej mentalj healthj carej systemj isj notj preparedj toj dealj withj familyj crises.
c. Familyj membersj arej seldomj preparedj toj copej withj aj chronicallyj illj individual.
d. Thej chronicallyj mentallyj illj receivej carej bestj whenj deliveredj inj aj formalj setting.
ANS:j j A
Whenj familiesj livej withj aj dominantj memberj whoj hasj aj persistentj andj severej mentaljdisord
erjthejoutcomesjarejoftenjexpressedjasjfamilyjmembersjwhojarejatjincreasedjriskjforjphysicalja
ndjmentaljillnesses.jThejremainingjoptionsjarejnotjnecessarilyjtrue.
DIF: Cognitivej Level:j Application REF: Pagej 3
2. Whichjnursingjactivityjshowsjthejnursejactivelyjengagedjinjthejprimaryjpreventionjof
mentaljdisorders?
a. Providingj aj patient,j whosej depressionj isj wellj managed,j withj medicationj onj tim
b. Makingj regularj follow-upj visitsjtoj aj newj motherj atj riskj forj post-
partumjdepression
c. Providingjthejfamilyjofjajpatient,jdiagnosedjwithjdepression,jinformationj onjsui
cidejprevention
d. Assistingjajpatientjwhojhasjobsessivejcompulsivejtendenciesjpreparejandjpractic
ejforjajjobjinterview
ANS: B
Primaryjpreventionj helpsj tojreducej thej occurrencejofj mentalj disordersj byjstayingjinvolve
djwithjajpatient.jProvidingjmedicationjandj informationjonj existingjillnessesjarejexamplesjof
jsecondaryjpreventionjwhichjhelpsjtojreducej thej prevalencej ofj mentaljdisorders.jAssistingj
ajmentallyjilljpatientjwithjpreparationjforjajjobjinterviewjisjtertiaryjpreventionjsincejitjinvol
vesjrehabilitation.
DIF: Cognitivej Level:j Application REF: Pagej 4
3. Whichjinterventionjreflectsjattentionjbeingjfocusedjonj thejpatient’sjintentionsj
regardingjhisjdiagnosisjofjseverejdepression?
a. Beingj placedj onj suicidej precautions
b. Encouragingj visitsj byj hisj familyj members
c. Receivingj aj combinationj ofj medicationsj toj addressj hisj emotionalj needs
d. Beingj askedj toj decidej wherej hej willj attendj hisj prescribedj therapyj sessions
ANS:j D
Ajprimaryjfactorjinjpatientjtreatmentjincludesjconsiderationjofjthejpatient’sjintentionsjregard
ingj hisj orj herj ownj care.j Patientsj arej centralj toj thej processj thatj determinesj theirjcarej a
sj theirj abilitiesj allow.j Underj thej guidancej ofj PMHj nursesj andj otherj mentalj healthjperson
nel,jpatientsj arej encouragedj toj makej decisionsj andj toj activelyj engagej inj theirjownjtr
eatmentj plansj tojmeetjtheirj needs.j Thejremainingj optionsj arejfocusedj onjspecificsofjth
ejdeterminedjplanjofjcare.
DIF: Cognitivej Level:j Application REF: Pagej 5
,4. Whenjajpatient’sjfamilyjasksjwhyjtheirjchronicallyjmentallyjilljadultjchildjisjbeingj
dischargedjtoj ajcommunity-basedjlivingj facility,j thej nursejresponds:
a. “Itj isj aj wayj toj meetj thej needj forj socialj support.”
b. “Itj isj tooj expensivej toj keepj stabilizedj patientsj inj acutej carej settings.”
c. “Thisj typej ofj facilityj willj providej thej specializedj carej thatj isj needed.”
d. “Beingj outj inj thej communityj willj helpj providej hopej andj purposej forj living.”
ANS:j D
Hospitalizationjmayjbejnecessaryjforjacutejcare,jbut,j whenj patientsj arej stabilized,j theyjmo
vejintojcommunity-based,jpatient-
centeredjsettingsjorj arej dischargedj homej withjcontinuedjoutpatientjtreatmentjinj thej com
munity.j Concentratedj effortsj arej madej tojreducejthejpatient’sjsickj rolej byjprovidingj oppo
rtunitiesj forjthej developmentj ofj ajpurposefuljlifejandjinstillingjhopejforjeachjpatient’sjfutur
e.jAlthoughjsocialjsupportj isjimportant,jsuchj ajlivingj arrangementj isjnotjthej onlyj wayjtojac
hievej it.jAlthoughj acutejcarejisjexpensive,jitjisjnotjthejmajorjconcernjwhenjdeterminingjlon
g-termjcarejoptions.
Community-
basedjfacilitiesjarejnotjthejonlyjoptionjforjspecializedjcare.jDIF:
Cognitivej Level:j Application REF: Pagej 5
5. Whatj isj thej bestj explanationj toj offerj whenj thej motherj ofj aj chronicallyj illj teenagej
patientjasks,j“Underjwhatjcircumstancesj wouldjhejbejconsideredjincompetent?”
a. “Whenjyoujcanjprovidejthejcourtjwithjenoughjevidencej tojshowjthatjhej isj notj
ablejtojcarejforjhimselfjsafely.”
b. “Itj isj notj likelyj thatj someonej hisj agej wouldj bej determinedj toj bej incompetentjreg
ardlessjofjhisjmentaljcondition.”
c. “Hej wouldj havej toj engagej inj behaviorj thatj wouldj resultj inj harmj toj himselfj orj toj
someonejelse;jlikejyoujorjhisjsiblings.”
d. “Ifj thej illnessj becomesj soj severej thatj hisj judgmentj isj impairedj toj thej pointj whejt re
hejdecisionsjhejmakesjarejharmfuljtojhimselfjorjtojothers.”
ANS:j D
Whenjajpersonjisj unablej toj cognitivelyj processj informationj orj toj makej decisionsj aboutjh
isj orj herj ownj welfare,j thej personj mayj bej determinedj toj bej mentallyj incompetent.
Providingj self-
carej isj notj thej onlyj criteriaj considered.j Agej isj notj aj factorj considered.j Thejdecisionjisjoftenjba
sedjonjthejpotentialjforjsuchjbehavior.
DIF: Cognitivej Level:j Application REF: Pagej 6
6. Whichj psychiatricj nursingj interventionj showsj anj understandingj ofj integratedj care?
a. Aj chronicallyj abusedj womanj isj assessedj forj anxiety.
b. Aj manicj patientj isj takenj toj thej gymj toj usej thej exercisej equipment.
c. Thej olderj adultj diagnosedj withj depressionj isj monitoredj forj suicidalj ideations.
d. Aj teenagerj whoj refusesj toj obeyj thej unit’sj rulesj isj notj allowj toj playj videoj game s.
ANS:j j A
Thej majorityj ofj healthj disciplinesj nowj recognizej thatj mentalj disordersj andj physical
illnessesj arej closelyj linked.j Thej presencej ofj aj mentalj disorderj increasesj thej riskj forj thej
developmentjofjphysicalj illnessesj andjvicej versa.j Assessingj ajchronicallyj abusedjindivid
ualj forj anxietyj callj shouldj attentionj toj thej psychiatricj disorderj thatjcouldj developjfromjt
hejabuse.jThej remainingjoptionsj showjinterventionsj thatj arejappropriatej forjthejmentaljdiso
rder.
DIF: Cognitivej Level:j Application REF: Pagej 6
7. Whatj reasonj doesj thej nursej givej thej patientj forj thej emphasisj andj attentionj being
, paidj toj thej recoveryj phasej ofj theirj treatmentj plan?
a. Recoveryjcare,jevenjwhenjintensive,jisjlessjexpensivejthanjacutej psychiatricjca
re.
b. Effectivejrecoveryjcarejisjlikelyjtojresultjinjfewerjrelapsesjandjsubsequentjhospitalizatio
ns.
c. Planningjforjrecoveryjcarejisjtimejconsumingjandjinvolvesjdealingjwithjmanyjcomplicat
edjdetails.
d. Recoveryjcarejisjusuallyjdonejonjanjoutpatientjbasisjandjsojisjgenerallyjbetterjacce
ptedjbyjpatients.
ANS: B
Muchjattentionjisjpaidjtoj recoveryjcarejsincejeffectivej recoveryj carej helpsj improvejpatie
ntjoutcomesjandjthusjminimizejsubsequentjhospitalizations.jRecoveryjcarejisjnotjnecessarilyjl
essjexpensivejthanjacutej care.j Althoughjeffectivej recoveryj carej planningjmayj bej timej
consumingj andj detailj oriented,j thatj isj notj thej reasonj forj implementingj it.jRecoveryjcarej
isjnotjnecessarilyjwelljacceptedjbyjpatients.
DIF: Cognitivej Level:j Application REF: Pagej 7
8. Thej nursej isj attendingj aj neighborhoodj meetingj wherej aj half-
wayj housej isj beingjproposedj forj thej neighborhoodj whenj aj memberj ofj thej communit
yj states,j “Wejdon’twantj thej facility;j wej especiallyj don’tj wantj violentj peoplej livingj n
earj us.”j Thejresponsej byj thej nursej thatj bestj addressesj thej public’sj concernj is:
a. “Inj truth,jmostj individualsjwithj psychiatricjdisorderjarej passivej andj withdrawnja
ndjposejlittlejthreatjtojthosejaroundjthem.”
b. “Thejmentallyj illjseldomj behavej inj thejmannerjtheyj arejportrayedj byj movies;jth
eyjarejpeoplejjustjlikejthejrestjofjus.”
c. “Patientsj withj psychiatricj disorderj arej soj wellj medicatedj thatj theyj doj notj displajv y
iolentjbehaviors.”
d. “Thej mentallyj illj deservej aj safe,j comfortablej placej toj livej amongj peoplej whoj
trulyjcarejforjthem.”
ANS:j j A
Aj majorj reasonj forj thej existencejofj thej stigmaj placedj onj personsj withj mentalj illnessj isjl
ackjofjknowledge.jThejmainjfearjisjofj violence,j althoughj onlyj ajsmallj percentagej ofjpatient
sjwithjmentaljillnessjdisplayjthisjbehavior.jProvidingjthejpublicjwithj accuratejinformationjcan
jhelpjreducejstigma.jThejremainingjoptionsjdojnotj directlyjaddressj thejconcernsjstated.
DIF: Cognitivej Level:j Application REF: Pagesj 13-14
9. Whichjactivityjshowsjthatjajtherapeuticjalliancejhasjbeenjestablishedjbetweenjt
henursejandjpatient?
a. Thejnursejrespectsjthejpatient’sjrightj toj privacyj whenj visitorsj arej spendingj timj ej
withjthejpatient.
b. Thejpatientjisjeagerlyjattendingjalljgroupjsessionsjandjworkingjindependentlyjoi n
dentifyingjtheirjpersonaljstressors.
c. Thej patientj isj freelyj describingj theirj feelingsj relatedj toj thej physicalj andje
motionaljtraumaj theyjexperiencedj asj ajchildjwithjthejnurse.
d. Thejnursej dutifullyjadministersjthejpatient’sjmedicationsjonj timej andj withjappropriat
ejknowledgejofjthejpotentialjsidejeffects.
ANS:j j C
Aj primaryj aspectj ofj workingj withj patientsj inj anyj settingj andj particularlyj inj the
j
,Fortinash:jPsychiatricjMentaljHealthjNursing,j5thjEditionjChapt
erj01:jPsychiatricjNursing:jTheory,jPrinciples,jandjTrends
MULTIPLEjCHOICE
1. Whichj understandingjisj thej basisj forj thej nursingj actionsj focusedj onj minimizingj
mentalj healthj promotionj ofj familiesj withj chronicallyj mentallyj illj members?
a. Familyj membersj arej atj anj increasedj riskj forj mentalj illness.
b. Thej mentalj healthj carej systemj isj notj preparedj toj dealj withj familyj crises.
c. Familyj membersj arej seldomj preparedj toj copej withj aj chronicallyj illj individual.
d. Thej chronicallyj mentallyj illj receivej carej bestj whenj deliveredj inj aj formalj setting.
ANS:j j A
Whenj familiesj livej withj aj dominantj memberj whoj hasj aj persistentj andj severej mentaljdisord
erjthejoutcomesjarejoftenjexpressedjasjfamilyjmembersjwhojarejatjincreasedjriskjforjphysicalja
ndjmentaljillnesses.jThejremainingjoptionsjarejnotjnecessarilyjtrue.
DIF: Cognitivej Level:j Application REF: Pagej 3
2. Whichjnursingjactivityjshowsjthejnursejactivelyjengagedjinjthejprimaryjpreventionjof
mentaljdisorders?
a. Providingj aj patient,j whosej depressionj isj wellj managed,j withj medicationj onj tim
b. Makingj regularj follow-upj visitsjtoj aj newj motherj atj riskj forj post-
partumjdepression
c. Providingjthejfamilyjofjajpatient,jdiagnosedjwithjdepression,jinformationj onjsui
cidejprevention
d. Assistingjajpatientjwhojhasjobsessivejcompulsivejtendenciesjpreparejandjpractic
ejforjajjobjinterview
ANS: B
Primaryjpreventionj helpsj tojreducej thej occurrencejofj mentalj disordersj byjstayingjinvolve
djwithjajpatient.jProvidingjmedicationjandj informationjonj existingjillnessesjarejexamplesjof
jsecondaryjpreventionjwhichjhelpsjtojreducej thej prevalencej ofj mentaljdisorders.jAssistingj
ajmentallyjilljpatientjwithjpreparationjforjajjobjinterviewjisjtertiaryjpreventionjsincejitjinvol
vesjrehabilitation.
DIF: Cognitivej Level:j Application REF: Pagej 4
3. Whichjinterventionjreflectsjattentionjbeingjfocusedjonj thejpatient’sjintentionsj
regardingjhisjdiagnosisjofjseverejdepression?
a. Beingj placedj onj suicidej precautions
b. Encouragingj visitsj byj hisj familyj members
c. Receivingj aj combinationj ofj medicationsj toj addressj hisj emotionalj needs
d. Beingj askedj toj decidej wherej hej willj attendj hisj prescribedj therapyj sessions
ANS:j D
Ajprimaryjfactorjinjpatientjtreatmentjincludesjconsiderationjofjthejpatient’sjintentionsjregard
ingj hisj orj herj ownj care.j Patientsj arej centralj toj thej processj thatj determinesj theirjcarej a
sj theirj abilitiesj allow.j Underj thej guidancej ofj PMHj nursesj andj otherj mentalj healthjperson
nel,jpatientsj arej encouragedj toj makej decisionsj andj toj activelyj engagej inj theirjownjtr
eatmentj plansj tojmeetjtheirj needs.j Thejremainingj optionsj arejfocusedj onjspecificsofjth
ejdeterminedjplanjofjcare.
DIF: Cognitivej Level:j Application REF: Pagej 5
,4. Whenjajpatient’sjfamilyjasksjwhyjtheirjchronicallyjmentallyjilljadultjchildjisjbeingj
dischargedjtoj ajcommunity-basedjlivingj facility,j thej nursejresponds:
a. “Itj isj aj wayj toj meetj thej needj forj socialj support.”
b. “Itj isj tooj expensivej toj keepj stabilizedj patientsj inj acutej carej settings.”
c. “Thisj typej ofj facilityj willj providej thej specializedj carej thatj isj needed.”
d. “Beingj outj inj thej communityj willj helpj providej hopej andj purposej forj living.”
ANS:j D
Hospitalizationjmayjbejnecessaryjforjacutejcare,jbut,j whenj patientsj arej stabilized,j theyjmo
vejintojcommunity-based,jpatient-
centeredjsettingsjorj arej dischargedj homej withjcontinuedjoutpatientjtreatmentjinj thej com
munity.j Concentratedj effortsj arej madej tojreducejthejpatient’sjsickj rolej byjprovidingj oppo
rtunitiesj forjthej developmentj ofj ajpurposefuljlifejandjinstillingjhopejforjeachjpatient’sjfutur
e.jAlthoughjsocialjsupportj isjimportant,jsuchj ajlivingj arrangementj isjnotjthej onlyj wayjtojac
hievej it.jAlthoughj acutejcarejisjexpensive,jitjisjnotjthejmajorjconcernjwhenjdeterminingjlon
g-termjcarejoptions.
Community-
basedjfacilitiesjarejnotjthejonlyjoptionjforjspecializedjcare.jDIF:
Cognitivej Level:j Application REF: Pagej 5
5. Whatj isj thej bestj explanationj toj offerj whenj thej motherj ofj aj chronicallyj illj teenagej
patientjasks,j“Underjwhatjcircumstancesj wouldjhejbejconsideredjincompetent?”
a. “Whenjyoujcanjprovidejthejcourtjwithjenoughjevidencej tojshowjthatjhej isj notj
ablejtojcarejforjhimselfjsafely.”
b. “Itj isj notj likelyj thatj someonej hisj agej wouldj bej determinedj toj bej incompetentjreg
ardlessjofjhisjmentaljcondition.”
c. “Hej wouldj havej toj engagej inj behaviorj thatj wouldj resultj inj harmj toj himselfj orj toj
someonejelse;jlikejyoujorjhisjsiblings.”
d. “Ifj thej illnessj becomesj soj severej thatj hisj judgmentj isj impairedj toj thej pointj whejt re
hejdecisionsjhejmakesjarejharmfuljtojhimselfjorjtojothers.”
ANS:j D
Whenjajpersonjisj unablej toj cognitivelyj processj informationj orj toj makej decisionsj aboutjh
isj orj herj ownj welfare,j thej personj mayj bej determinedj toj bej mentallyj incompetent.
Providingj self-
carej isj notj thej onlyj criteriaj considered.j Agej isj notj aj factorj considered.j Thejdecisionjisjoftenjba
sedjonjthejpotentialjforjsuchjbehavior.
DIF: Cognitivej Level:j Application REF: Pagej 6
6. Whichj psychiatricj nursingj interventionj showsj anj understandingj ofj integratedj care?
a. Aj chronicallyj abusedj womanj isj assessedj forj anxiety.
b. Aj manicj patientj isj takenj toj thej gymj toj usej thej exercisej equipment.
c. Thej olderj adultj diagnosedj withj depressionj isj monitoredj forj suicidalj ideations.
d. Aj teenagerj whoj refusesj toj obeyj thej unit’sj rulesj isj notj allowj toj playj videoj game s.
ANS:j j A
Thej majorityj ofj healthj disciplinesj nowj recognizej thatj mentalj disordersj andj physical
illnessesj arej closelyj linked.j Thej presencej ofj aj mentalj disorderj increasesj thej riskj forj thej
developmentjofjphysicalj illnessesj andjvicej versa.j Assessingj ajchronicallyj abusedjindivid
ualj forj anxietyj callj shouldj attentionj toj thej psychiatricj disorderj thatjcouldj developjfromjt
hejabuse.jThej remainingjoptionsj showjinterventionsj thatj arejappropriatej forjthejmentaljdiso
rder.
DIF: Cognitivej Level:j Application REF: Pagej 6
7. Whatj reasonj doesj thej nursej givej thej patientj forj thej emphasisj andj attentionj being
, paidj toj thej recoveryj phasej ofj theirj treatmentj plan?
a. Recoveryjcare,jevenjwhenjintensive,jisjlessjexpensivejthanjacutej psychiatricjca
re.
b. Effectivejrecoveryjcarejisjlikelyjtojresultjinjfewerjrelapsesjandjsubsequentjhospitalizatio
ns.
c. Planningjforjrecoveryjcarejisjtimejconsumingjandjinvolvesjdealingjwithjmanyjcomplicat
edjdetails.
d. Recoveryjcarejisjusuallyjdonejonjanjoutpatientjbasisjandjsojisjgenerallyjbetterjacce
ptedjbyjpatients.
ANS: B
Muchjattentionjisjpaidjtoj recoveryjcarejsincejeffectivej recoveryj carej helpsj improvejpatie
ntjoutcomesjandjthusjminimizejsubsequentjhospitalizations.jRecoveryjcarejisjnotjnecessarilyjl
essjexpensivejthanjacutej care.j Althoughjeffectivej recoveryj carej planningjmayj bej timej
consumingj andj detailj oriented,j thatj isj notj thej reasonj forj implementingj it.jRecoveryjcarej
isjnotjnecessarilyjwelljacceptedjbyjpatients.
DIF: Cognitivej Level:j Application REF: Pagej 7
8. Thej nursej isj attendingj aj neighborhoodj meetingj wherej aj half-
wayj housej isj beingjproposedj forj thej neighborhoodj whenj aj memberj ofj thej communit
yj states,j “Wejdon’twantj thej facility;j wej especiallyj don’tj wantj violentj peoplej livingj n
earj us.”j Thejresponsej byj thej nursej thatj bestj addressesj thej public’sj concernj is:
a. “Inj truth,jmostj individualsjwithj psychiatricjdisorderjarej passivej andj withdrawnja
ndjposejlittlejthreatjtojthosejaroundjthem.”
b. “Thejmentallyj illjseldomj behavej inj thejmannerjtheyj arejportrayedj byj movies;jth
eyjarejpeoplejjustjlikejthejrestjofjus.”
c. “Patientsj withj psychiatricj disorderj arej soj wellj medicatedj thatj theyj doj notj displajv y
iolentjbehaviors.”
d. “Thej mentallyj illj deservej aj safe,j comfortablej placej toj livej amongj peoplej whoj
trulyjcarejforjthem.”
ANS:j j A
Aj majorj reasonj forj thej existencejofj thej stigmaj placedj onj personsj withj mentalj illnessj isjl
ackjofjknowledge.jThejmainjfearjisjofj violence,j althoughj onlyj ajsmallj percentagej ofjpatient
sjwithjmentaljillnessjdisplayjthisjbehavior.jProvidingjthejpublicjwithj accuratejinformationjcan
jhelpjreducejstigma.jThejremainingjoptionsjdojnotj directlyjaddressj thejconcernsjstated.
DIF: Cognitivej Level:j Application REF: Pagesj 13-14
9. Whichjactivityjshowsjthatjajtherapeuticjalliancejhasjbeenjestablishedjbetweenjt
henursejandjpatient?
a. Thejnursejrespectsjthejpatient’sjrightj toj privacyj whenj visitorsj arej spendingj timj ej
withjthejpatient.
b. Thejpatientjisjeagerlyjattendingjalljgroupjsessionsjandjworkingjindependentlyjoi n
dentifyingjtheirjpersonaljstressors.
c. Thej patientj isj freelyj describingj theirj feelingsj relatedj toj thej physicalj andje
motionaljtraumaj theyjexperiencedj asj ajchildjwithjthejnurse.
d. Thejnursej dutifullyjadministersjthejpatient’sjmedicationsjonj timej andj withjappropriat
ejknowledgejofjthejpotentialjsidejeffects.
ANS:j j C
Aj primaryj aspectj ofj workingj withj patientsj inj anyj settingj andj particularlyj inj the
