Psychiatric Mental Health Nursing, 5th Edition, Katherine M. Fortinash, Patricia A. Holoday Worret Test Bank

,Fortinash: v v Psychiatric v v Mental v v Health v v Nursing, v v 5th v v Edition


Chapter v v 01: v v Psychiatric v v Nursing: v v Theory, v v Principles, v v and v v Trends

1. Which understanding is the basis for the nursing actions focused on
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minimizing mental health promotion of families with chronically
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mentallyill members?
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a. Family v v members v v are v v at v v an v v increased v v risk v v for v v mental v v illness.
b. The mental health care system is not prepared to deal
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familycrises.v v



c. Family members are seldom prepared to cope with a chronically
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illindividual.
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d. The chronically mentally ill receive care best when delivered in a
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formalsetting.
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ANS: A
When families live with a dominant member who has a persistent and severe
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vmental disorder the outcomes are often expressed as family members who
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vare atincreased riskfor physical and mental illnesses. The remaining options are not
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vnecessarily true. v

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2. Which nursing activity shows the nurse actively engaged in the
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primaryprevention ofmental disorders?
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a. Providing a patient, whose v v v v v depression v v is v v well v v managed, v v with v

medicationon time
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b. Making regular follow-up visits to a new mother at risk for post-
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partumdepression v



c. Providing the family of a patient, diagnosed with depression,
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informationonsuicide prevention
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d. Assisting a patient who has compulsive tendencies prepare
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obsessiveandpractice for a job interview
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ANS: B
Primary prevention helps to reduce the occurrence of mental disorders by
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staying involved with a patient. Providing medication and information on
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existing illnesses are examples of secondary prevention which helps to
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vreducethe prevalence of mental disorders. Assisting a mentally ill patient with
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preparation for a job interview is tertiary prevention since it involves
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rehabilitation.
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3. Which intervention reflects attention being focused on the
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patient‘sintentions regarding his diagnosis of severe depression?
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a. Being placed on suicide precautions v v v v



b. Encouraging visits by his family members v v v v v



c. Receiving v v a v v combination vvv of v v medications vvv to v v address vvv his v v emotional vv

needs v



d. Being asked to decide where he will attend his prescribed
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therapysessions
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ANS: D
A primary factor in patient treatment includes consideration of the patient‘s
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intentions regarding his or her own care. Patients are central to the process
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, that determines their care as their abilities allow. Under the guidance of
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v PMH nurses and other mental health personnel, patients are encouraged to
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vmake decisions and to actively engage in their own treatment plans to meet
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vtheir needs. The remaining options are focused on specifics of the determined
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vplan ofcare.
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DIF: Cognitive Level: Application
v v REF: Page 5
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, 4. When a patient‘s family asks why their chronically mentally ill
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childis being discharged to a community-based living facility, the
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responds:
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a. ―It is a way to meet the need for social support.‖
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b. ―It is too expensive to keep stabilized patients in acute care settings.‖
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c. ―This type of facility will provide the specialized care that is needed.‖
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d. ―Being out in the community will help provide hope and purpose
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forliving.‖v v


ANS: D
Hospitalization may be necessary for acute care, but, when patients are
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stabilized, they move into community-based, patient-centered settings or
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aredischarged home with continued outpatient treatment in the
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community.
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Concentrated efforts are made to reduce the patient‘s sick role by providing
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opportunities for the development of a purposeful life and instilling hope for
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each patient‘s future. Although social support is important, such a living
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arrangement is not the only way to achieve it. Although acute care is
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expensive, it is not the major concern when determining long-term care
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options. Community-based facilities are not the only option for specialized care.
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DIF: Cognitive Level: Application
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5. What is the best explanation to offer when the mother of a
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chronicallyill teenage patient asks, ―Under what circumstances would he
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cbe
onsidered incompetent?‖
a. ―When vyou can provide vthe court with enough evidence to show that
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he is not able to care for himself safely.‖
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b. ―It is not likely that someone his age would be determined to
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beincompetent regardless of his mental condition.‖
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c. ―He would have to engage in behavior that would result in harm
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tohimself or tosomeone else; like you or his siblings.‖
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d. ―If the illness becomes so severe that his judgment is impaired to
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thepoint whethe decisions he makes are harmful to himself or to
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others.‖v re

ANS: D
When a person is unable to cognitively process information or to make
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decisions about his or her own welfare, the person may be determined to
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bementally incompetent.
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Providing self-care is not the only criteria considered. Age is not a factor
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considered. Thedecision is often based on the potential for such behavior.
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6. Which psychiatric nursing intervention shows an understanding of
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integratedcare?
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a. A v v chronically abused woman is assessed for anxiety.
b. A manic patient v v v v v v is taken to
v v v v v v the v v gym v v to v v use v v the v v exercise v

equipment.
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c. The older v v v v adult v v diagnosed v v with v v depression v v is v v monitored v v for v v suicidal
ideations.
s.
ANS: A
The majority of health disciplines now recognize that mental disorders and
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physical illnesses are closely linked. The presence of a mental disorder
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