TEST BANK
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,Fortinash: Psychiatric Mental Health Nursing, 5th Edition df df df df df df
Chapter 01: Psychiatric Nursing: Theory, Principles, and
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Trends
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MULTIPLE CHOICE df
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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mentally ill members?
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a. Family d f members d f are d f at d f an d f increased d f risk d f for d f mental d f illness.
b. The mental d f d f health d f care d f system is d f d f not d f prepared d f to d f deal d f with d f family
crises. d f
c. Family members d f d f are d f seldom d f prepared d f to d f cope d f with d f a d f chronically d f ill
individual. d f
d. The chronically mentally ill receive care best when delivered in a
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formal setting.
df d f
ANS: A df d f
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 d f d f d f
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 d f d f patient, d f whose d f depression d f is d f well d f managed, d f with
medication
d f d f on tim d f
b. Making regular follow-up d f d f d f visits to df d f a d f new d f mother d f at d f risk d f 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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d fprevalence of mental disorders. Assisting a mentally ill patient with preparation for
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a job interview is tertiary prevention since it involves rehabilitation.
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DIF: Cognitive Level: Application REF: Page 4 d f d f d f
3. Which intervention reflects attention being focused on the patient’s
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intentions regarding his diagnosis of severe depression?
df df df df df df df
a. Being d f placed d f on suicide df d f precautions
b. Encouraging d f visits d f by d f his d f family d f members
c. Receiving d f a d f combination d f of d f medications d f to d f address d f his d f emotional
needs d f
d. Being asked to decide where he will attend his prescribed
d f d f d f d f d f d f d f d f d f
therapy sessions
d f d f
ANS: D d f
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
d f d f df d f d f d f d f d f d f d f d f d f
nurses and other mental health personnel, patients
d f d f are encouraged
d f to d f d f df df d f d f d f
d fmake decisions and to actively
d f engage in their own treatment plans d f d f d f d f d f d f df df d f
d fto meet their dfneeds. The remaining options
df are focused on specificsof the
d f d f df d f d f df d f df df
determined plan of care.
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,DIF: Cognitive d f Level: d f Application REF: Page d f 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 meet the need for social support.”
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b. “It is too d f d f d f expensive d f to d f keep d f stabilized d f patients d f in d f acute d f care
settings.”
d f
c. “This type of facility will provide the specialized
df df df d f df df df d f care that is needed.” df df df
d. “Being out in the community will help provide hope and purpose
d f d f d f d f d f d f d f d f d f d f
for living.”
d f d f
ANS: D d f
Hospitalization may be necessary for acute care, but, when patients are stabilized,
df df df df df df df d f d f d f d f
they move into community-based, patient-centered settings or are discharged home
d f df df df df df df d f d f d f
with continued outpatient treatment in the community. Concentrated efforts are
d f df df df df d f d f d f d f d f
made to reduce the patient’s sick role by providing opportunities for the
d f d f df df df df d f d f df d f d f df
development of a purposeful life and instilling hope for each patient’s future.
d f d f d f df df df df df df df df df
Although social support is important, such a living arrangement is not the only
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way to achieve
d f df it. Although
df acute care is expensive, it is not the major concern
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when determining long-term care options.
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Community-based facilities are not the only option for specialized df df df df df df df df
care. DIF:
df df Cognitive Level: d f
Application
d f REF: Page 5 d f
5. What is the best explanation to offer when the mother of a
d f d f d f d f d f d f d f d f d f d f d f
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.”
df d f df df df df df df
b. “It is not likely that someone his age would
d f d f d f d f d f d f d f d f d f be d f determined d f to d f be
incompetent regardless of his mental condition.”
d f df df df df df
c. “He would have to engage in behavior that would
d f d f d f d f d f d f d f d f d f result d f in d f harm d f to
himself or to someone else; like you or his siblings.”
d f d f d f df df df df df df df
d. “If the illness becomes so severe that his judgment is impaired to
d f d f d f d f d f d f d f d f d f d f d f
the point whe the decisions he makes are harmful to himself or to others.”
d f d f d f df df df df df df df df df df df re
ANS: D d f
When a person is unable
df df to cognitively process information or to
df make
d f d f d f d f d f d f d f d f
d fdecisions about his or her own welfare, the person may be determined
d f df d f d f d f d f d f d f d f d f d f
to be mentally incompetent.
d f d f d f d f
Providing self-care is not the only criteria considered. Age is not a factor
d f d f d f d f d f d f d f d f d f d f d f d f
considered. The decision is often based on the potential for such behavior.
d f d f df df df df df df df df df df
DIF: Cognitive Level: Application REF: Page 6 d f d f d f
6. Which psychiatric d f d f nursing d f intervention d f shows d f an d f understanding d f of d f integrated
care?
d f
a. A d f chronically d f abused d f woman d f is d f assessed d f for d f anxiety.
b. A manic patient
d f d f d f is takend f d f to d f the d f gym d f to d f use d f the d f exercise
d f equipment.
c. The older adult diagnosed with depression is monitored for suicidal
d f d f d f d f d f d f d f d f d f
ideations.
d f
s.
ANS: A df d f
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
d f d f d f d f d f d f d f d f d f d f d f d f
d f d f d f d f d f d f d f d f d f d f
d f
play video game
physical
d f d f d f
illnesses are closely linked. The presence of a mental disorder increases
d f d f d f d f d f d f d f d f d f d f
the risk for the development of physical
d f d f d f illnesses and vice versa.
d f df df df d f d f df d f
d Assessing
f a chronically abused individual for anxiety call should attention
d f df d f df d f d f d f d f d f
to the psychiatric disorder that could develop from the abuse. The remaining
d f d f d f d f d f df d f df df df df d f
options show interventions that are appropriate for the mental disorder.
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DIF: Cognitive Level: Application REF: Page 6 d f d f d f
7. What d f reason d f does d f the d f nurse d f give d f the d f patient d f for d f the d f emphasis d f and
df
,Fortinash: Psychiatric Mental Health Nursing, 5th Edition df df df df df df
Chapter 01: Psychiatric Nursing: Theory, Principles, and
df df df df df df df
Trends
df
MULTIPLE CHOICE df
1. Which understanding is the basis for the nursing actions focused on
df df df df d f df df d f df d f
minimizing mental health promotion of families with chronically
df df d f d f d f d f d f d f
mentally ill members?
d f d f d f
a. Family d f members d f are d f at d f an d f increased d f risk d f for d f mental d f illness.
b. The mental d f d f health d f care d f system is d f d f not d f prepared d f to d f deal d f with d f family
crises. d f
c. Family members d f d f are d f seldom d f prepared d f to d f cope d f with d f a d f chronically d f ill
individual. d f
d. The chronically mentally ill receive care best when delivered in a
d f d f d f df d f d f d f df d f d f
formal setting.
df d f
ANS: A df d f
When families live with a dominant member who has a persistent and
d f d f d f d f d f d f d f d f d f d f d f
severe mental disorder the outcomes are often expressed as family members who are
d f d f df df df df df df df df df df df
at increased risk for physical and mental illnesses. The remaining options are not
df df df df df df df df df df df df df
necessarily true.
df df
DIF: Cognitive Level: Application REF: Page 3 d f d f d f
2. Which nursing activity shows the nurse actively engaged in the primary
df df df df df df df df df df
prevention ofmental disorders?
df df df
a. Providing a d f d f patient, d f whose d f depression d f is d f well d f managed, d f with
medication
d f d f on tim d f
b. Making regular follow-up d f d f d f visits to df d f a d f new d f mother d f at d f risk d f for
post-partum depression
d f df
c. Providing the family of a patient, diagnosed with depression, information
df df df df df df df df df
on suicide prevention
d f df df
d. Assisting a patient who has obsessive compulsive tendencies prepare and
df df df df df df df df df
practice for a job interview
df df df df df
ANS: B
Primary prevention helps to reduce the occurrence of mental disorders
df by d f d f df d f d f df d f d f d f
staying involved with a patient. Providing medication and information on existing
df df df df df df df df d f df d f
illnesses are examples of secondary prevention which helps to reduce the
df df df df df df df df df df d f
d fprevalence of mental disorders. Assisting a mentally ill patient with preparation for
d f d f df df df df df df df df df
a job interview is tertiary prevention since it involves rehabilitation.
df df df df df df df df df df
DIF: Cognitive Level: Application REF: Page 4 d f d f d f
3. Which intervention reflects attention being focused on the patient’s
df df df df df df d f df
intentions regarding his diagnosis of severe depression?
df df df df df df df
a. Being d f placed d f on suicide df d f precautions
b. Encouraging d f visits d f by d f his d f family d f members
c. Receiving d f a d f combination d f of d f medications d f to d f address d f his d f emotional
needs d f
d. Being asked to decide where he will attend his prescribed
d f d f d f d f d f d f d f d f d f
therapy sessions
d f d f
ANS: D d f
A primary factor in patient treatment includes consideration of the patient’s intentions
df df df df df df df df df df df
regarding his or her own care. Patients are central to the process that
df d f d f d f d f d f d f d f d f d f d f d f d f
determines their care as their abilities allow. Under the guidance of PMH
d f d f df d f d f d f d f d f d f d f d f d f
nurses and other mental health personnel, patients
d f d f are encouraged
d f to d f d f df df d f d f d f
d fmake decisions and to actively
d f engage in their own treatment plans d f d f d f d f d f d f df df d f
d fto meet their dfneeds. The remaining options
df are focused on specificsof the
d f d f df d f d f df d f df df
determined plan of care.
df df df df
,DIF: Cognitive d f Level: d f Application REF: Page d f 5
, 4. When a patient’s family asks why their chronically mentally ill adult child is
df df df df df df df df df df df df
being discharged to a community-based living facility, the nurse
df df df d f df df d f d f d f
responds:
df
a. “It is a way to meet the need for social support.”
df df df df d f df df df df df
b. “It is too d f d f d f expensive d f to d f keep d f stabilized d f patients d f in d f acute d f care
settings.”
d f
c. “This type of facility will provide the specialized
df df df d f df df df d f care that is needed.” df df df
d. “Being out in the community will help provide hope and purpose
d f d f d f d f d f d f d f d f d f d f
for living.”
d f d f
ANS: D d f
Hospitalization may be necessary for acute care, but, when patients are stabilized,
df df df df df df df d f d f d f d f
they move into community-based, patient-centered settings or are discharged home
d f df df df df df df d f d f d f
with continued outpatient treatment in the community. Concentrated efforts are
d f df df df df d f d f d f d f d f
made to reduce the patient’s sick role by providing opportunities for the
d f d f df df df df d f d f df d f d f df
development of a purposeful life and instilling hope for each patient’s future.
d f d f d f df df df df df df df df df
Although social support is important, such a living arrangement is not the only
df df df d f df df d f df d f d f df df d f
way to achieve
d f df it. Although
df acute care is expensive, it is not the major concern
d f df d f df df df df df df df df df
when determining long-term care options.
df df df df df
Community-based facilities are not the only option for specialized df df df df df df df df
care. DIF:
df df Cognitive Level: d f
Application
d f REF: Page 5 d f
5. What is the best explanation to offer when the mother of a
d f d f d f d f d f d f d f d f d f d f d f
chronically ill teenage patient asks, “Under what circumstances would he be
d f d f d f df df df df df d f df df
considered incompetent?”
df df
a. “When you can provide the court with enough evidence to show that he
df df df df df df df df df df df df
is not able to care for himself safely.”
df d f df df df df df df
b. “It is not likely that someone his age would
d f d f d f d f d f d f d f d f d f be d f determined d f to d f be
incompetent regardless of his mental condition.”
d f df df df df df
c. “He would have to engage in behavior that would
d f d f d f d f d f d f d f d f d f result d f in d f harm d f to
himself or to someone else; like you or his siblings.”
d f d f d f df df df df df df df
d. “If the illness becomes so severe that his judgment is impaired to
d f d f d f d f d f d f d f d f d f d f d f
the point whe the decisions he makes are harmful to himself or to others.”
d f d f d f df df df df df df df df df df df re
ANS: D d f
When a person is unable
df df to cognitively process information or to
df make
d f d f d f d f d f d f d f d f
d fdecisions about his or her own welfare, the person may be determined
d f df d f d f d f d f d f d f d f d f d f
to be mentally incompetent.
d f d f d f d f
Providing self-care is not the only criteria considered. Age is not a factor
d f d f d f d f d f d f d f d f d f d f d f d f
considered. The decision is often based on the potential for such behavior.
d f d f df df df df df df df df df df
DIF: Cognitive Level: Application REF: Page 6 d f d f d f
6. Which psychiatric d f d f nursing d f intervention d f shows d f an d f understanding d f of d f integrated
care?
d f
a. A d f chronically d f abused d f woman d f is d f assessed d f for d f anxiety.
b. A manic patient
d f d f d f is takend f d f to d f the d f gym d f to d f use d f the d f exercise
d f equipment.
c. The older adult diagnosed with depression is monitored for suicidal
d f d f d f d f d f d f d f d f d f
ideations.
d f
s.
ANS: A df d f
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
d f d f d f d f d f d f d f d f d f d f d f d f
d f d f d f d f d f d f d f d f d f d f
d f
play video game
physical
d f d f d f
illnesses are closely linked. The presence of a mental disorder increases
d f d f d f d f d f d f d f d f d f d f
the risk for the development of physical
d f d f d f illnesses and vice versa.
d f df df df d f d f df d f
d Assessing
f a chronically abused individual for anxiety call should attention
d f df d f df d f d f d f d f d f
to the psychiatric disorder that could develop from the abuse. The remaining
d f d f d f d f d f df d f df df df df d f
options show interventions that are appropriate for the mental disorder.
df d f df d f d f df d f df df df
DIF: Cognitive Level: Application REF: Page 6 d f d f d f
7. What d f reason d f does d f the d f nurse d f give d f the d f patient d f for d f the d f emphasis d f and
