TEST BANK
,Fortinash: Psychiatric Mental Health
Nursing, 5th Edition Chapter 01:
Psychiatric Nursing: Theory, Principles,
and Trends
MULTIPLE CHOICE
1. Which understanding is the basis for
the nursing actions focused on
minimizing mental 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 risk for 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
tim
b Making regular follow-up visits to a
. new mother at risk for post-partum
depression
c Providing the family of a patient,
. diagnosed with depression,
information on suicide prevention
d Assisting a patient who has
. obsessive compulsive tendencies
prepare and practice 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 tertiary prevention
, since it involves rehabilitation.
DIF: Cognitive Level:
Application REF:Page 4
3. Which intervention reflects
attention being focused on the
patient’s intentions regarding 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 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