Test Bank for Psychiatric Mental Health Nursing 5th Edition by Katherine M. Fortinash ISBN:9780323075725 all chapters| Complete Guide A+

TEST BANK
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,Fortinash: Psychiatric Mental Health Nursing, 5th Edition yg yg yg yg yg yg



Chapter 01: Psychiatric Nursing: Theory, Principles, and
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Trends
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MULTIPLE CHOICE yg



1. Which understanding is the basis for the nursing
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minimizing mental health promotion of families
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mentally ill members?
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a. Family y g members y g are y g at y g an y g increased y g risk y g for y g mental y g illness.
b. The mental y g y g health y g care y g system y g is y g not y g prepared y g to y g deal y g with y g family
crises. y g



c. Family members y g y g are y g seldom y g prepared y g to y g cope y g with y g a y g chronically y g ill
individual.y g



d. The chronically mentally ill receive care best when delivered in a
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formal setting.
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ANS: A yg yg

When families live with a dominant member who has a persistent and
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severe mental disorder the outcomes are often expressed as family members who are
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at increased risk for physical and mental illnesses. The remaining options are not
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necessarily true.
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DIF: Cognitive Level: Application REF: Page 3 y g y g y g




2. Which nursing activity shows the nurse actively engaged in the primary
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prevention ofmental disorders?
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a. Providing a y g y g patient, y g whose y g depression y g is y g well y g managed, y g with
medication
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b. Making regular follow-up y g y g y g visits to yg y g a y g new y g mother y g at y g risk y g for
post-partum depression
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c. Providing the family of a patient, diagnosed with depression, information
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on suicide prevention
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d. Assisting a patient who has obsessive compulsive tendencies prepare and
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practice for a job interview
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ANS: B
Primary prevention helps to reduce the occurrence of mental disorders
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staying involved with a patient. Providing medication and information on existing
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illnesses are examples of secondary prevention which helps to reduce the
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prevalence of mental disorders. Assisting a mentally ill patient with preparation
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for a job interview is tertiary prevention since it involves rehabilitation.
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DIF: Cognitive Level: Application REF: Page 4 y g y g y g




3. Which intervention reflects attention being focused on the patient’s
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intentions regarding his diagnosis of severe depression?
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a. Being y g placed y g on suicide y g y g precautions
b. Encouraging y g visits y g by y g his y g family y g members
c. Receiving y g a y g combination y g of y g medications y g to y g address y g his y g emotional
needs y g



d. Being asked to decide where he will attend his prescribed
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therapy sessions
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ANS: D y g

A primary factor in patient treatment includes consideration of the patient’s intentions
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regarding his or her own care. Patients are central to the process that
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determines their care as their abilities allow. Under the guidance of PMH
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nurses and other mental health personnel, patients
y g y g are
y g encouraged to y g y g yg yg y g y g y g

y gmake decisions and to actively
y g engage in their own treatment plans y g y g y g y g y g y g yg yg y g

y gto meet their yg needs. The remaining yg options are focused on specificsof
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the determined plan of care.
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,DIF: Cognitive y g Level: y g Application REF: Page y g 5

, 4. When a patient’s family asks why their chronically mentally ill adult child is
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being discharged to a community-based living facility, the nurse
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responds:
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a. “It is a way to yg yg yg yg y g meet the need for social support.”
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b. “It is too y g y g y g expensive y g to y g keep y g stabilized y g patients y g in y g acute y g care
settings.”
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c. “This type of facility will provide the specialized
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d. “Being out in the community will help provide hope and purpose
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for living.”
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ANS: D y g

Hospitalization may be necessary for acute care, but, when patients are stabilized,
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they move into community-based, patient-centered settings or are discharged
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home with continued outpatient treatment in the community. Concentrated
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efforts are made to reduce the patient’s sick role by providing opportunities
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for the development of a purposeful life and instilling hope for each patient’s
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future. Although social support is important, such a living arrangement is not the
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only way to achieve
y g y g it. Although acute care is expensive, it is not the major
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concern when determining long-term care options.
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Community-based facilities are not the only option for specialized yg yg yg yg yg yg yg yg


care. DIF:
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Application
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5. What is the best explanation to offer when the mother of a
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chronically ill teenage patient asks, “Under what circumstances would he be
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considered incompetent?”
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a. “When you can provide the court with enough evidence to show that he
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is not able to care for himself safely.”
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b. “It is not likely that someone his age would
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incompetent regardless of his mental condition.”
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c. “He y g would have to engage in behavior that would result
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to y g y g himself or to someone 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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the point whe the decisions he makes are harmful to himself or to others.”
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ANS: D y g

When a person is unable
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y gdecisions about his or her own welfare, the person may be determined
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to be mentally incompetent.
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Providing self-care is not the only criteria considered. Age is not a factor
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considered. The decision is often based on the potential for such behavior.
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DIF: Cognitive Level: Application REF: Page 6 y g y g y g




6. Which psychiatric y g y g nursing y g intervention y g shows y g an y g understanding y g of y g integrated
care?
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a. A y g chronically y g abused y g woman y g is y g assessed y g for y g anxiety.
b. A manic patient
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y g equipment.
c. The older adult diagnosed with depression is monitored for
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suicidal ideations.
y g y g
s.
ANS: A yg yg
d. A teenager who refuses to obey the unit’s rules is not allow to
The majority of health disciplines now recognize that mental disorders and
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y g
play video game
physical
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illnesses are closely linked. The presence of a mental disorder increases
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y gthe risk for the development of physical
y g y g illnesses and vice versa.
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y Assessing
g a chronically abused individual for anxiety call should attention
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y gto the psychiatric disorder that could develop from the abuse. The remaining
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options show interventions that are appropriate for the mental disorder.
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DIF: Cognitive Level: Application REF: Page 6 y g y g y g




7. What y g reason y g does y g the y g nurse y g give y g the y g patient y g for y g the y g emphasis y g and