FULLTEST BANK!!!
Test Bank for Psychiatric Mental Health Nursing, 5th Edition by
Katherine M. Fortinash, Patricia A. Holoday
Worret|ISBN:9780323075725| All Chapters Covered| LATEST
VERSION
, 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 minimizingmental 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 riskfor 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 ofmental 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-partumdepression
c. Providing the family of a patient, diagnosed with depression, information onsuicide
prevention
d. Assisting a patient who has obsessive compulsive tendencies prepare andpractice
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
tertiaryprevention since it involves rehabilitation.
DIF: Cognitive Level: Application REF: Page 4
3. Which intervention reflects attention being focused on the patient’s intentionsregarding 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
1|Page
, engage in their own treatment plANS to meet their needs. The remaining options are focused on specificsof
the determined plan of care.
DIF: Cognitive Level: Application REF: Page 5
2|Page
, 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, theymove
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 teenagepatient
asks, “Under what circumstances would he be considered incompetent?”
a. “When you can provide the court with enough evidence to show that he is not
able to care for himself safely.”
b. “It is not likely that someone his age would be determined to be incompetent
regardless of his mental condition.”
c. “He would have to engage in behavior that would result in harm to himself or to
someone else; like you or his siblings.”
d. “If the illness becomes so severe that his judgment is impaired to the point whe
the decisions he makes are harmful to himself or to others.”
re
ANS: D
When a person is unable to cognitively process information or to make decisions abouthis 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?
3|Page
Test Bank for Psychiatric Mental Health Nursing, 5th Edition by
Katherine M. Fortinash, Patricia A. Holoday
Worret|ISBN:9780323075725| All Chapters Covered| LATEST
VERSION
, 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 minimizingmental 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 riskfor 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 ofmental 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-partumdepression
c. Providing the family of a patient, diagnosed with depression, information onsuicide
prevention
d. Assisting a patient who has obsessive compulsive tendencies prepare andpractice
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
tertiaryprevention since it involves rehabilitation.
DIF: Cognitive Level: Application REF: Page 4
3. Which intervention reflects attention being focused on the patient’s intentionsregarding 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
1|Page
, engage in their own treatment plANS to meet their needs. The remaining options are focused on specificsof
the determined plan of care.
DIF: Cognitive Level: Application REF: Page 5
2|Page
, 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, theymove
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 teenagepatient
asks, “Under what circumstances would he be considered incompetent?”
a. “When you can provide the court with enough evidence to show that he is not
able to care for himself safely.”
b. “It is not likely that someone his age would be determined to be incompetent
regardless of his mental condition.”
c. “He would have to engage in behavior that would result in harm to himself or to
someone else; like you or his siblings.”
d. “If the illness becomes so severe that his judgment is impaired to the point whe
the decisions he makes are harmful to himself or to others.”
re
ANS: D
When a person is unable to cognitively process information or to make decisions abouthis 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?
3|Page
