TEST BANK FOR
FORTINASH PSYCHIATRIC
MENTAL HEALTH
NURSING 5TH EDITION
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Fortinash:qPsychiatric qMentalq HealthqNursing,q5thqEdition
Chapterq01:qPsychiatricqNursing:qTheory,qPrinciples,qandqTrends
1. Whichqunderstandingqisqtheqbasisqforqtheqnursingqactionsqfocusedqonqminimizingqm
entalqhealthqpromotionqofqfamiliesqwithqchronicallyqmentallyqillqmembers?
a. Familyqmembersqareqatqanqincreasedqriskqforqmentalqillness.
b. Theqmentalqhealthqcareqsystemqisqnotqpreparedqtoqdealqwithqfamilyqcrises.
c. Familyqmembersqareqseldomqpreparedqtoqcopeqwithqaqchronically qillqindividual.
d. Theqchronically qmentally qillqreceiveqcareqbestqwhenqdeliveredqinqaqformalqsetting.
ANS:q A
Whenqfamiliesqliveqwithqaqdominantqmemberqwhoqhasqaqpersistentqandqsevereqmentalqdisor
derqtheqoutcomesqareqoftenqexpressedqasqfamilyqmembersqwhoqareqatqincreasedqriskqforqph
ysicalqandqmentalqillnesses.qTheqremainingqoptionsqareqnotqnecessarilyqtrue.
DIF: CognitiveqLevel:qApplication REF: Pageq 3
2. Whichqnursingqactivityqshowsqtheqnurseqactivelyqengagedqinqtheqprimaryqpreventionqofqm
entalqdisorders?
a. Providingqaqpatient,qwhoseqdepressionqisqwellqmanaged,qwithqmedicationqonqtime
b. Makingqregularqfollow-upqvisitsqtoqaqnewqmotherqatqriskqforqpost-
partumqdepression
c. Providingqtheqfamily qofqaqpatient,qdiagnosedqwithqdepression,qinformationqonqsuic
ideqprevention
d. Assistingqaqpatientqwhoqhasqobsessiveqcompulsiveqtendenciesqprepareqandqpractic
eqforqaqjobqinterview
ANS:q B
Primaryqpreventionqhelpsqtoqreduceqtheqoccurrenceqofqmentalqdisorders qbyqstayingqinvolv
edqwithqaqpatient.qProvidingqmedicationqandqinformationqonqexistingqillnesses qareqexampl
esqofqsecondaryqpreventionqwhichqhelpsqtoqreduceqtheqprevalenceqofqmentalqdisorders.qAs
sistingqaqmentallyqillqpatientqwithqpreparationqforqaqjobqinterviewqisqtertiaryqpreventionqsi
nceqitqinvolvesqrehabilitation.
DIF: CognitiveqLevel:qApplication REF: Pageq 4
3. Whichqinterventionqreflectsqattentionqbeingqfocusedqonqtheqpatient‘sqintentionsq
regardingqhisqdiagnosisqofqsevereqdepression?
a. Beingq placedq onq suicideq precautions
b. Encouraging qvisitsqbyqhisqfamilyqmembers
c. Receivingq aqcombinationq ofq medicationsq toq addressq hisq emotionalq needs
d. Beingqaskedqtoqdecideqwhereqheqwillqattendqhisqprescribedqtherapyqsessions
ANS:q D
Aqprimaryqfactorqinqpatientqtreatmentqincludesqconsiderationqofqtheqpatient‘sqintentionsqre
gardingqhisqorqherqownqcare.qPatientsqareqcentralqtoqtheqprocessqthatqdeterminesqtheirqcare
q asq theirq abilities q allow. q Under qtheq guidance q ofq PMHq nurses q and q otherq mentalq healthq person
nel,q patientsq areq encouragedq toq makeq decisionsq andq toq activelyq engageq inq theirqownqtrea
tmentqplansqtoqmeetqtheirqneeds.qTheqremainingqoptionsqareqfocusedqonqspecificsqofqtheqde
terminedqplanqofqcare.
DIF: CognitiveqLevel:qApplication REF: Pageq 5
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4. Whenqaqpatient‘sqfamilyqasksqwhyqtheirqchronicallyqmentallyqillqadultqchildqisqbeingq
dischargedqtoqaqcommunity-basedqlivingqfacility,qtheqnurseqresponds:
a. ―Itqisqaqwayqtoqmeetqtheqneedqforqsocialqsupport.‖
b. ―Itqisqtooqexpensiveqtoqkeepqstabilizedqpatientsqinqacuteqcareqsettings.‖
c. ―Thisqtypeqofqfacility qwillqprovideqtheqspecializedqcareqthatqisqneeded.‖
d. ―Beingqoutqinqtheqcommunity qwillqhelpqprovideqhopeqandqpurposeqforqliving.‖
ANS:q D
Hospitalizationqmayqbeqnecessary qforqacuteqcare,qbut,qwhenqpatientsqareqstabilized,qtheyq
moveqintoqcommunity-based,qpatient-
centeredqsettingsqorqareqdischargedqhomeqwithqcontinuedqoutpatientqtreatment qinqtheqco
mmunity.qConcentratedqeffortsqareqmadeqtoqreduceqtheqpatient‘s qsickqroleqbyqprovidingqo
pportunitiesqforqtheqdevelopmentqofqaqpurposefulqlifeqandqinstillingqhopeqforqeachqpatient‘
sqfuture.qAlthoughqsocialqsupportqisqimportant,qsuchqaqlivingqarrangement qisqnotqtheqonlyqw
ayqtoqachieveqit.qAlthoughqacuteqcareqisqexpensive,qitqisqnotqtheqmajorqconcernqwhenqdete
rminingqlong-termqcareqoptions.qCommunity-
basedqfacilitiesqareqnotqtheqonlyqoptionqforqspecializedqcare.
DIF: CognitiveqLevel:qApplication REF: Pageq 5
5. Whatqisqtheqbestqexplanationqtoqofferqwhenqtheqmotherqofqaqchronicallyqillqteenageq
patientqasks,q―Underqwhatqcircumstances qwouldqheqbeqconsideredqincompetent?‖
a.
b.
c.
d. re
ANS:q D
Whenqaqpersonqisqunableqtoqcognitively qprocessqinformationqorqtoqmakeqdecisionsqaboutqhi
sqorqherqownqwelfare,qtheqpersonqmayqbeqdeterminedqtoqbeqmentallyqincompetent.
Providingqself-
careqisqnotqtheqonlyqcriteriaqconsidered.qAgeqisqnotqaqfactorqconsidered.qTheqdecisionqisqoftenq
basedqonqtheqpotentialqforqsuchqbehavior.
DIF: CognitiveqLevel:qApplication REF: Pageq 6
6. Whichq psychiatricq nursingq interventionq showsq anq understandingq ofq integratedq care?
a.
b.
c.
d. s.
ANS:q A
Theqmajorityqofqhealthqdisciplinesqnowqrecognizeqthatqmentalqdisordersqandqphysicalqillnes
sesqareqcloselyqlinked.qTheqpresenceqofqaqmentalqdisorderqincreasesqtheqriskqforqtheqdevelo
pmentqofqphysicalqillnesses qandqviceqversa.qAssessingqaqchronically qabusedqindividualqforqa
nxietyqcallqshouldqattentionqtoqtheqpsychiatricqdisorderqthatqcouldqdevelopqfromqtheqabuse
.qTheqremainingqoptions qshowqinterventionsqthatqareqappropriateqforqtheqmentalqdisorder.
DIF: CognitiveqLevel:qApplication REF: Pageq 6
7. Whatqreasonqdoesqtheq nurseq giveqtheq patientqforqtheq emphasisq andq attentionq being
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paidqtoqtheqrecoveryqphaseqofqtheirqtreatmentqplan?
a. Recoveryqcare,qevenqwhenqintensive,qisqlessqexpensiveqthanqacuteqpsychiatric qcar
e.
b. Effectiveqrecoveryqcareqisqlikelyqtoqresultqinqfewerqrelapsesqandqsubsequentqhospi
talizations.
c. Planningqforqrecoveryqcareqisqtimeqconsumingqandqinvolvesqdealingqwithqmanyqco
mplicatedqdetails.
d. Recoveryqcareqisqusuallyqdoneqonqanqoutpatient qbasisqandqsoqisqgenerallyqbetterq
acceptedqbyqpatients.
ANS:q B
Muchqattentionqisqpaidqtoqrecovery qcareqsinceqeffectiveqrecoveryqcareqhelpsqimproveqpatie
ntqoutcomesqandqthusqminimizeqsubsequentqhospitalizations.qRecoveryqcareqisqnotqnecessa
rilyqlessqexpensiveqthanqacuteqcare.qAlthoughqeffectiveqrecoveryqcareqplanningqmayqbeqtim
eqconsumingqandqdetailqoriented,qthatqisqnotqtheqreasonqforqimplementingqit.qRecoveryqcar
eqisqnotqnecessarilyqwellqacceptedqbyqpatients.
DIF: CognitiveqLevel:qApplication REF: Pageq 7
8. Theqnurseqisqattendingqaqneighborhoodqmeetingqwhereqaqhalf-
wayqhouseqisqbeingqproposedqforqtheqneighborhoodqwhenqaqmemberqofqtheqcommunityq
states,q―Weqdon‘tqwantqtheqfacility;qweqespecially qdon‘tqwantqviolentqpeopleqlivingqne
arqus.‖qTheqresponseqbyqtheqnurseqthatqbestqaddresses qtheqpublic‘sqconcernqis:
a.
b.
c. y
d.
ANS:q A
Aqmajorqreasonqforqtheqexistenceqofqtheqstigmaqplacedqonqpersonsqwithqmentalqillnessqisql
ackqofqknowledge.qTheqmainqfearqisqofqviolence,qalthoughqonlyqaqsmallqpercentageqofqpati
entsqwithqmentalqillness qdisplayqthisqbehavior.qProvidingqtheqpublicqwithqaccurateqinform
ationqcanqhelpqreduceqstigma.qTheqremainingqoptionsqdoqnotqdirectly qaddressqtheqconcern
sqstated.
DIF: CognitiveqLevel:qApplication REF: Pagesq 13-14
9. Whichqactivityqshowsqthatqaqtherapeutic qallianceqhasqbeenqestablishedqbetweenqtheqn
urseqandqpatient?
a. eq
b. n
c.
d.
ANS:q C
Aqprimaryqaspectqofqworkingqwithqpatientsqinqanyqsettingqandqparticularly qinqthe
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