,Chapter 01: Psychiatric Nursing: Theory, Principles, and Trends
Chapter 02: Nursing Practice in the Clinical Setting
Chapter 03: The Nursing Process and Standards of Practice
Chapter 04: Therapeutic Communication
Chapter 05: Adaptation to Stress
Chapter 06: Neurobiology in Mental Health and Mental Disorder
Chapter 07: Human Development Across the Life Span
Chapter 08: Culture, Ethnicity, and Spirituality
Chapter 09: Legal and Ethical Aspects in Clinical Practice
Chapter 10: Anxiety and Anxiety Disorders
Chapter 11: Somatoform, Factitious, and Dissociative Disorders
Chapter 12: Mood Disorders: Depression, Bipolar, and Adjustment Disorders
Chapter 13: Schizophrenia and Other Psychotic Disorders
Chapter 14: Personality Disorders
Chapter 15: Substance-Related Disorders and Addictive Behaviors
Chapter 16: Cognitive Disorders: Delirium, Dementia, and Amnestic Disorders
Chapter 17: Disorders of Infancy, Childhood, and Adolescence
Chapter 18: Eating Disorders: Anorexia Nervosa and Bulimia Nervosa
Chapter 19: Sleep Disorders: Dyssomnias and Parasomnias
Chapter 20: Sexual Disorders: Sexual Dysfunctions and Paraphilias
Chapter 21: Crisis: Theory and Intervention
Chapter 22: Suicide Prevention and Intervention
,Chapter 23: Violence: Anger, Abuse, and Aggression
Chapter 24: Forensic Nursing
Chapter 25: Psychopharmacology
Chapter 26: Therapies: Theory and Clinical Practice
Chapter 27: Complementary and Alternative Therapies
Chapter 28: Grief: In Loss and Death
Chapter 29: Mental and Emotional Responses to Medical Illness
Chapter 30: Community Mental Health Nursing for Patients with Severe and
Persistent Mental Illness
, Fortinash: Psychiatric Mental Health Nursing, 5th Edition
Chapter 01: Psychiatric Nursing: Theory, Principles, and Trends
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?”
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 where
the decisions he makes are harmful to himself or to others.”
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?
a. A chronically abused woman is assessed for anxiety.
b. A manic patient is taken to the gym to use the exercise equipment.
c. The older adult diagnosed with depression is monitored for suicidal ideations.
d. A teenager who refuses to obey the unit’s rules is not allow to play video games.
ANS: A
The majority of health disciplines now recognize that mental disorders and physical
illnesses are closely linked. The presence of a mental disorder increases the risk for the
development of physical illnesses and vice versa. Assessing a chronically abused
individual for anxiety call should attention to the psychiatric disorder that could develop
from the abuse. The remaining options show interventions that are appropriate for the
mental disorder.
DIF: Cognitive Level: Application REF: Page 6
7. What reason does the nurse give the patient for the emphasis and attention being
2
Chapter 02: Nursing Practice in the Clinical Setting
Chapter 03: The Nursing Process and Standards of Practice
Chapter 04: Therapeutic Communication
Chapter 05: Adaptation to Stress
Chapter 06: Neurobiology in Mental Health and Mental Disorder
Chapter 07: Human Development Across the Life Span
Chapter 08: Culture, Ethnicity, and Spirituality
Chapter 09: Legal and Ethical Aspects in Clinical Practice
Chapter 10: Anxiety and Anxiety Disorders
Chapter 11: Somatoform, Factitious, and Dissociative Disorders
Chapter 12: Mood Disorders: Depression, Bipolar, and Adjustment Disorders
Chapter 13: Schizophrenia and Other Psychotic Disorders
Chapter 14: Personality Disorders
Chapter 15: Substance-Related Disorders and Addictive Behaviors
Chapter 16: Cognitive Disorders: Delirium, Dementia, and Amnestic Disorders
Chapter 17: Disorders of Infancy, Childhood, and Adolescence
Chapter 18: Eating Disorders: Anorexia Nervosa and Bulimia Nervosa
Chapter 19: Sleep Disorders: Dyssomnias and Parasomnias
Chapter 20: Sexual Disorders: Sexual Dysfunctions and Paraphilias
Chapter 21: Crisis: Theory and Intervention
Chapter 22: Suicide Prevention and Intervention
,Chapter 23: Violence: Anger, Abuse, and Aggression
Chapter 24: Forensic Nursing
Chapter 25: Psychopharmacology
Chapter 26: Therapies: Theory and Clinical Practice
Chapter 27: Complementary and Alternative Therapies
Chapter 28: Grief: In Loss and Death
Chapter 29: Mental and Emotional Responses to Medical Illness
Chapter 30: Community Mental Health Nursing for Patients with Severe and
Persistent Mental Illness
, Fortinash: Psychiatric Mental Health Nursing, 5th Edition
Chapter 01: Psychiatric Nursing: Theory, Principles, and Trends
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?”
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 where
the decisions he makes are harmful to himself or to others.”
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?
a. A chronically abused woman is assessed for anxiety.
b. A manic patient is taken to the gym to use the exercise equipment.
c. The older adult diagnosed with depression is monitored for suicidal ideations.
d. A teenager who refuses to obey the unit’s rules is not allow to play video games.
ANS: A
The majority of health disciplines now recognize that mental disorders and physical
illnesses are closely linked. The presence of a mental disorder increases the risk for the
development of physical illnesses and vice versa. Assessing a chronically abused
individual for anxiety call should attention to the psychiatric disorder that could develop
from the abuse. The remaining options show interventions that are appropriate for the
mental disorder.
DIF: Cognitive Level: Application REF: Page 6
7. What reason does the nurse give the patient for the emphasis and attention being
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