,Fortinash: vPsychiatric vMental v Health v Nursing, v5th vEdition
Chapter v01: vPsychiatric vNursing: vTheory, vPrinciples, vand vTrends
1. Which vunderstanding vis vthe vbasis vfor vthe vnursing vactions vfocused von
vminimizing vmental vhealth vpromotion vof vfamilies vwith vchronically vmentally
vill vmembers?
a. Family vmembers vare vat van vincreased vrisk vfor vmental villness.
b. The vmental vhealth vcare vsystem vis vnot vprepared vto vdeal vwith vfamily
vcrises.
c. Family vmembers vare vseldom vprepared vto vcope vwith va vchronically vill
vindividual.
d. The vchronically vmentally vill vreceive vcare vbest vwhen vdelivered vin va vformal
vsetting.
ANS: v v A
When vfamilies vlive vwith va vdominant vmember vwho vhas va vpersistent vand vsevere
vmental vdisorder vthe voutcomes vare voften vexpressed vas vfamily vmembers vwho vare vat
vincreased vriskvfor vphysical vand vmental villnesses. vThe vremaining voptions vare vnot
vnecessarily vtrue.
DIF: Cognitive vLevel: vApplication REF: Page v 3
2. Which v nursing v activity v shows v the v nurse v actively v engaged v in v the v primary
v prevention v ofvmental vdisorders?
a. Providing va vpatient, v whose v depression vis v well vmanaged, v with vmedication
von vtime
b. Making vregular v follow-up vvisits vto va vnew vmother v at vrisk vfor vpost-partum
vdepression
c. Providing vthe vfamily vof va vpatient, vdiagnosed vwith vdepression, vinformation
vonvsuicide vprevention
d. Assisting v a v patient v who v has v obsessive v compulsive v tendencies v prepare
v andvpractice vfor va vjob vinterview
ANS: v B
Primary vprevention v helps v to vreduce vthe voccurrence vof vmental vdisorders vby
vstaying vinvolved vwith va vpatient. vProviding v medication vand vinformation von
vexisting villnesses vare vexamples vof vsecondary vprevention vwhich vhelps vto vreduce
vthe v prevalence v of v mental vdisorders. vAssisting va vmentally vill vpatient vwith
vpreparation vfor va vjob vinterview vis vtertiaryvprevention vsince vit vinvolves
vrehabilitation.
DIF: Cognitive vLevel: vApplication REF: Page v 4
3. Which vintervention vreflects vattention vbeing vfocused von vthe vpatient‘s
vintentionsvregarding vhis vdiagnosis vof vsevere vdepression?
a. Being vplaced von vsuicide vprecautions
b. Encouraging vvisits vby vhis vfamily vmembers
c. Receiving v a v combination v of v medications v to v address v his v emotional v needs
d. Being v asked v to v decide v where v he v will v attend v his v prescribed v therapy
v sessions
ANS: v vD
A vprimary vfactor vin vpatient vtreatment vincludes vconsideration vof vthe vpatient‘s
vintentions vregarding vhis vor vher vown vcare. vPatients vare vcentral vto vthe vprocess
1
,vthat vdetermines vtheir vcare vas vtheir vabilities vallow. vUnder vthe vguidance vof vPMH
vnurses vand vother vmental vhealth vpersonnel, v patients v are v encouraged v to v make
v decisions v and v to v actively v engage v in v their vown vtreatment v plans v to v meet vtheir
vneeds. v The v remaining voptions v are vfocused v on vspecificsvof vthe vdetermined vplan vof
vcare.
DIF: Cognitive vLevel: vApplication REF: Page v 5
2
, 4. When va vpatient‘s vfamily vasks vwhy vtheir vchronically vmentally vill vadult vchild
vis vbeingvdischarged vto va vcommunity-based vliving vfacility, vthe vnurse
vresponds:
a. ―It vis va vway vto vmeet vthe vneed vfor vsocial vsupport.‖
b. ―It vis vtoo vexpensive vto vkeep vstabilized vpatients vin vacute vcare vsettings.‖
c. ―This vtype vof vfacility vwill vprovide vthe vspecialized vcare vthat vis vneeded.‖
d. ―Being vout vin vthe vcommunity vwill vhelp vprovide vhope vand vpurpose vfor
vliving.‖
ANS: v vD
Hospitalization vmay vbe vnecessary vfor vacute vcare, vbut, vwhen vpatients vare
vstabilized, vtheyvmove vinto v community-based, vpatient-centered v settings v or vare
v discharged vhome v with vcontinued voutpatient vtreatment vin vthe vcommunity.
vConcentrated vefforts vare vmade vto vreduce vthe vpatient‘s vsick vrole vby vproviding
vopportunities vfor vthe vdevelopment vof va vpurposeful vlife vand vinstilling vhope vfor
veach vpatient‘s vfuture. vAlthough vsocial vsupport vis vimportant, vsuch v a vliving
varrangement vis vnot vthe vonly vway vto vachieve vit. vAlthough v acute vcare vis
vexpensive, vit vis vnot vthe vmajor vconcern vwhen vdetermining vlong-term vcare
voptions. vCommunity-based vfacilities vare vnot vthe vonly voption vfor vspecialized vcare.
DIF: Cognitive vLevel: vApplication REF: Page v 5
5. What vis vthe vbest vexplanation vto voffer vwhen vthe vmother vof va vchronically
vill vteenagevpatient v asks, v ―Under v what v circumstances v would v he v be
v considered v incompetent?‖
a. ―When vyou v can v provide vthe v court v with venough v evidence v to v show v that
vhe v is v notvable vto vcare vfor vhimself vsafely.‖
b. ―It vis vnot vlikely vthat vsomeone vhis vage vwould vbe vdetermined vto vbe
vincompetentvregardless vof vhis vmental vcondition.‖
c. ―He vwould vhave vto vengage vin vbehavior vthat vwould vresult vin vharm vto
vhimself vor vtovsomeone velse; vlike vyou vor vhis vsiblings.‖
d. ―If vthe villness vbecomes vso vsevere vthat vhis vjudgment vis vimpaired vto vthe
vpoint vwhevthe vdecisions vhe vmakes vare vharmful vto vhimself vor vto vothers.‖ re
ANS: v vD
When v a v person v is v unable v to v cognitively v process v information v or v to v make
v decisions v aboutvhis vor vher vown vwelfare, vthe vperson vmay vbe vdetermined vto vbe
vmentally vincompetent.
Providing vself-care vis vnot vthe vonly vcriteria vconsidered. vAge vis vnot va vfactor
vconsidered. vThevdecision vis voften vbased von vthe vpotential vfor vsuch vbehavior.
DIF: Cognitive vLevel: vApplication REF: Page v 6
6. Which vpsychiatric vnursing vintervention vshows van vunderstanding vof vintegrated
vcare?
a. A v chronically v abused v woman v is v assessed v for v anxiety.
b. A vmanic v patient vis vtaken vto vthe v gym vto vuse vthe vexercise vequipment.
c. The v older vadult v diagnosed vwith vdepression vis vmonitored vfor vsuicidal
videations.
s.
d. A vvteenager
ANS: vA v who v refuses v to v obey vthe v unit‘s vrules v is vnot v allow vto v play
Thevvvideo v game
majority vof vhealth vdisciplines vnow vrecognize vthat vmental vdisorders vand
vphysical villnesses vare vclosely vlinked. vThe vpresence vof va vmental vdisorder
vincreases vthe vrisk vfor vthe vdevelopment v of v physical v illnesses v and v vice v versa.
v Assessing v a v chronically v abused vindividual vfor vanxiety vcall vshould vattention vto vthe
vpsychiatric vdisorder vthat vcould vdevelopvfrom vthe vabuse. vThe vremaining voptions
3
Chapter v01: vPsychiatric vNursing: vTheory, vPrinciples, vand vTrends
1. Which vunderstanding vis vthe vbasis vfor vthe vnursing vactions vfocused von
vminimizing vmental vhealth vpromotion vof vfamilies vwith vchronically vmentally
vill vmembers?
a. Family vmembers vare vat van vincreased vrisk vfor vmental villness.
b. The vmental vhealth vcare vsystem vis vnot vprepared vto vdeal vwith vfamily
vcrises.
c. Family vmembers vare vseldom vprepared vto vcope vwith va vchronically vill
vindividual.
d. The vchronically vmentally vill vreceive vcare vbest vwhen vdelivered vin va vformal
vsetting.
ANS: v v A
When vfamilies vlive vwith va vdominant vmember vwho vhas va vpersistent vand vsevere
vmental vdisorder vthe voutcomes vare voften vexpressed vas vfamily vmembers vwho vare vat
vincreased vriskvfor vphysical vand vmental villnesses. vThe vremaining voptions vare vnot
vnecessarily vtrue.
DIF: Cognitive vLevel: vApplication REF: Page v 3
2. Which v nursing v activity v shows v the v nurse v actively v engaged v in v the v primary
v prevention v ofvmental vdisorders?
a. Providing va vpatient, v whose v depression vis v well vmanaged, v with vmedication
von vtime
b. Making vregular v follow-up vvisits vto va vnew vmother v at vrisk vfor vpost-partum
vdepression
c. Providing vthe vfamily vof va vpatient, vdiagnosed vwith vdepression, vinformation
vonvsuicide vprevention
d. Assisting v a v patient v who v has v obsessive v compulsive v tendencies v prepare
v andvpractice vfor va vjob vinterview
ANS: v B
Primary vprevention v helps v to vreduce vthe voccurrence vof vmental vdisorders vby
vstaying vinvolved vwith va vpatient. vProviding v medication vand vinformation von
vexisting villnesses vare vexamples vof vsecondary vprevention vwhich vhelps vto vreduce
vthe v prevalence v of v mental vdisorders. vAssisting va vmentally vill vpatient vwith
vpreparation vfor va vjob vinterview vis vtertiaryvprevention vsince vit vinvolves
vrehabilitation.
DIF: Cognitive vLevel: vApplication REF: Page v 4
3. Which vintervention vreflects vattention vbeing vfocused von vthe vpatient‘s
vintentionsvregarding vhis vdiagnosis vof vsevere vdepression?
a. Being vplaced von vsuicide vprecautions
b. Encouraging vvisits vby vhis vfamily vmembers
c. Receiving v a v combination v of v medications v to v address v his v emotional v needs
d. Being v asked v to v decide v where v he v will v attend v his v prescribed v therapy
v sessions
ANS: v vD
A vprimary vfactor vin vpatient vtreatment vincludes vconsideration vof vthe vpatient‘s
vintentions vregarding vhis vor vher vown vcare. vPatients vare vcentral vto vthe vprocess
1
,vthat vdetermines vtheir vcare vas vtheir vabilities vallow. vUnder vthe vguidance vof vPMH
vnurses vand vother vmental vhealth vpersonnel, v patients v are v encouraged v to v make
v decisions v and v to v actively v engage v in v their vown vtreatment v plans v to v meet vtheir
vneeds. v The v remaining voptions v are vfocused v on vspecificsvof vthe vdetermined vplan vof
vcare.
DIF: Cognitive vLevel: vApplication REF: Page v 5
2
, 4. When va vpatient‘s vfamily vasks vwhy vtheir vchronically vmentally vill vadult vchild
vis vbeingvdischarged vto va vcommunity-based vliving vfacility, vthe vnurse
vresponds:
a. ―It vis va vway vto vmeet vthe vneed vfor vsocial vsupport.‖
b. ―It vis vtoo vexpensive vto vkeep vstabilized vpatients vin vacute vcare vsettings.‖
c. ―This vtype vof vfacility vwill vprovide vthe vspecialized vcare vthat vis vneeded.‖
d. ―Being vout vin vthe vcommunity vwill vhelp vprovide vhope vand vpurpose vfor
vliving.‖
ANS: v vD
Hospitalization vmay vbe vnecessary vfor vacute vcare, vbut, vwhen vpatients vare
vstabilized, vtheyvmove vinto v community-based, vpatient-centered v settings v or vare
v discharged vhome v with vcontinued voutpatient vtreatment vin vthe vcommunity.
vConcentrated vefforts vare vmade vto vreduce vthe vpatient‘s vsick vrole vby vproviding
vopportunities vfor vthe vdevelopment vof va vpurposeful vlife vand vinstilling vhope vfor
veach vpatient‘s vfuture. vAlthough vsocial vsupport vis vimportant, vsuch v a vliving
varrangement vis vnot vthe vonly vway vto vachieve vit. vAlthough v acute vcare vis
vexpensive, vit vis vnot vthe vmajor vconcern vwhen vdetermining vlong-term vcare
voptions. vCommunity-based vfacilities vare vnot vthe vonly voption vfor vspecialized vcare.
DIF: Cognitive vLevel: vApplication REF: Page v 5
5. What vis vthe vbest vexplanation vto voffer vwhen vthe vmother vof va vchronically
vill vteenagevpatient v asks, v ―Under v what v circumstances v would v he v be
v considered v incompetent?‖
a. ―When vyou v can v provide vthe v court v with venough v evidence v to v show v that
vhe v is v notvable vto vcare vfor vhimself vsafely.‖
b. ―It vis vnot vlikely vthat vsomeone vhis vage vwould vbe vdetermined vto vbe
vincompetentvregardless vof vhis vmental vcondition.‖
c. ―He vwould vhave vto vengage vin vbehavior vthat vwould vresult vin vharm vto
vhimself vor vtovsomeone velse; vlike vyou vor vhis vsiblings.‖
d. ―If vthe villness vbecomes vso vsevere vthat vhis vjudgment vis vimpaired vto vthe
vpoint vwhevthe vdecisions vhe vmakes vare vharmful vto vhimself vor vto vothers.‖ re
ANS: v vD
When v a v person v is v unable v to v cognitively v process v information v or v to v make
v decisions v aboutvhis vor vher vown vwelfare, vthe vperson vmay vbe vdetermined vto vbe
vmentally vincompetent.
Providing vself-care vis vnot vthe vonly vcriteria vconsidered. vAge vis vnot va vfactor
vconsidered. vThevdecision vis voften vbased von vthe vpotential vfor vsuch vbehavior.
DIF: Cognitive vLevel: vApplication REF: Page v 6
6. Which vpsychiatric vnursing vintervention vshows van vunderstanding vof vintegrated
vcare?
a. A v chronically v abused v woman v is v assessed v for v anxiety.
b. A vmanic v patient vis vtaken vto vthe v gym vto vuse vthe vexercise vequipment.
c. The v older vadult v diagnosed vwith vdepression vis vmonitored vfor vsuicidal
videations.
s.
d. A vvteenager
ANS: vA v who v refuses v to v obey vthe v unit‘s vrules v is vnot v allow vto v play
Thevvvideo v game
majority vof vhealth vdisciplines vnow vrecognize vthat vmental vdisorders vand
vphysical villnesses vare vclosely vlinked. vThe vpresence vof va vmental vdisorder
vincreases vthe vrisk vfor vthe vdevelopment v of v physical v illnesses v and v vice v versa.
v Assessing v a v chronically v abused vindividual vfor vanxiety vcall vshould vattention vto vthe
vpsychiatric vdisorder vthat vcould vdevelopvfrom vthe vabuse. vThe vremaining voptions
3
