ar ar ar ar ar ar ar a r
Edition.
Fortinash: a r Psychiatric ar Mental a r Health a r Nursing, a r 5th
ar Edition a r Chapter a r 01: a r Psychiatric a r Nursing: a r Theory,
ar Principles, a r and a r Trends
1. Which arunderstanding aris arthe arbasis arfor arthe arnursing aractions arfocused a r on
arminimizing armental a r health a r promotion a r of a r families a r with a r chronically
a r mentally a r ill a r members?
a. Family a r members a r are a r at a r an a r increased a r risk a r for a r mental a r illness.
b. The a r mental a r health a r care a r system ar is a r not a r prepared a r to a r deal a r with
a r family a r crises.
c. Family a r members a r are ar seldom a r prepared a r to a r cope a r with a r a a r chronically
a r ill a r individual.
d. The a r chronically a r mentally a r ill a r receive a r care a r best a r when a r delivered a r in a r a
a r formal a r setting.
ANS: a r a r A
When a r families a r live a r with a r a a r dominant a r member a r who a r has a r a a r persistent a r and
a r severe a r mental ardisorder a r the a r outcomes a r are a r often a r expressed a r as a r family a r members
a r who a r are a r at a r increased a r riskifor arphysical arand armental arillnesses. arThe arremaining aroptions
arare arnot arnecessarily artrue.
DIF: Cognitive a r Level: a r Application REF: Page a r 3
2. Which a r nursing a r activity a r shows a r the a r nurse a r actively a r engaged a r in a r the
a r primary a r prevention arofmental ardisorders?
a. Providing a r a a r patient, a r whose a r depression a r is a r well a r managed, a r with
a r medication a r on a r tim
b. Making a r regular a r follow-up a r visits a r to a r a a r new a r mother a r at a r risk ar for
a r post-partum ardepression
c. Providing a r the a r family a r of a r a a r patient, a r diagnosed a r with a r depression,
a r information a r on arsuicide arprevention
d. Assisting a r a a r patient a r who a r has a r obsessive a r compulsive a r tendencies
a r prepare a r and arpractice arfor ara arjob arinterview
ANS: B
Primary a r prevention a r helps a r to a r reduce a r the a r occurrence a r of a r mental a r disorders
a r by a r staying arinvolved a r with a r a a r patient. a r Providing a r medication a r and a r information
a r on a r existing a r illnesses a r are arexamples a r of a r secondary a r prevention a r which a r helps
a r to a r reduce a r the a r prevalence a r of a r mental ardisorders. a r Assisting a r a a r mentally a r ill
a r patient a r with a r preparation a r for a r a a r job a r interview a r is a r tertiary arprevention arsince arit
arinvolves arrehabilitation.
DIF: Cognitive a r Level: a r Application REF: Page a r 4
3. Which a r intervention a r reflects a r attention a r being a r focused a r on ar the a r patient‘s
a r intentions arregarding arhis a r diagnosis a r of arsevere a r depression?
a. Being a r placed a r on arsuicide a r precautions
b. Encouraging ar visits ar by a r his a r family ar members
c. Receiving a r a a r combination a r of a r medications a r to a r address a r his
a r emotional a r needs
d. Being a r asked a r to a r decide a r where a r he a r will a r attend a r his a r prescribed
Page ar1
, a r therapy a r sessions
ANS: a r D
A a r primary a r factor a r in a r patient a r treatment a r includes a r consideration a r of a r the
a r patient‘s a r intentions arregarding a r his a r or a r her a r own a r care. a r Patients a r are a r central
a r to a r the a r process a r that a r determines a r their arcare a r as a r their a r abilities a r allow. a r Under
a r the a r guidance a r of a r PMH a r nurses a r and a r other a r mental a r health arpersonnel, a r patients
a r are a r encouraged a r to a r make a r decisions a r and a r to a r actively a r engage a r in
a r their arown a r treatment a r plans a r to a r meet a r their a r needs. a r The a r remaining a r options
a r are a r focused a r on arspecificsof arthe ardetermined arplan arof arcare.
DIF: Cognitive a r Level: a r Application REF: Page a r 5
Page ar2
, Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
ar ar ar ar ar ar ar a r
Edition.
4. When a r a a r patient‘s a r family a r asks a r why a r their a r chronically a r mentally a r ill a r adult
a r child a r is a r being ardischarged a r to a r a a r community-based a r living a r facility, a r the
a r nurse a r responds:
a. ―It a r is a r a a r way a r to a r meet a r the a r need a r for a r social a r support.‖
b. ―It a r is a r too ar expensive a r to ar keep ar stabilized ar patients a r in ar acute a r care
a r settings.‖
c. ―This a r type a r of a r facility ar will a r provide a r the a r specialized ar care a r that a r is a r needed.‖
d. ―Being a r out a r in a r the a r community a r will a r help a r provide a r hope a r and a r purpose
a r for a r living.‖
ANS: a r D
Hospitalization a r may a r be a r necessary a r for a r acute a r care, a r but, a r when a r patients a r are
a r stabilized, a r they a r move a r into a r community-based, a r patient-centered a r settings a r or a r are
a r discharged a r home a r with arcontinued a r outpatient a r treatment a r in a r the a r community.
a r Concentrated a r efforts a r are a r made a r to arreduce a r the a r patient‘s a r sick a r role a r by
a r providing a r opportunities a r for a r the a r development a r of a r a arpurposeful a r life a r and
arinstilling a r hope a r for a r each a r patient‘s a r future. a r Although arsocial a r support a r is arimportant,
a r such a r a a r living a r arrangement a r is a r not a r the a r only a r way a r to a r achieve a r it. a r Although
a r acute arcare a r is a r expensive, a r it a r is a r not a r the a r major a r concern a r when a r determining
a r long-term a r care a r options. arCommunity-based a r facilities a r are a r not a r the a r only a r option
a r for a r specialized a r care.
DIF: Cognitive a r Level: a r Application REF: Page a r 5
5. What a r is a r the a r best a r explanation a r to a r offer a r when a r the a r mother a r of a r a
a r chronically a r ill a r teenage arpatient a r asks, a r ―Under a r what a r circumstances
a r would a r he a r be a r considered a r incompetent?‖
a. ―When aryou a r can arprovide arthe a r court arwith arenough arevidence a r to arshow arthat arhe
a r is a r not arable arto arcare arfor arhimself arsafely.‖
b. ―It a r is a r not a r likely a r that a r someone a r his a r age a r would a r be a r determined a r to
a r be a r incompetent arregardless arof arhis armental arcondition.‖
c. ―He a r would a r have a r to a r engage a r in a r behavior a r that a r would a r result ar in a r harm
a r to a r himself a r or a r to arsomeone arelse; arlike aryou aror arhis arsiblings.‖
d. ―If a r the a r illness a r becomes a r so a r severe a r that a r his a r judgment a r is a r impaired a r to
a r the a r point a r whe arthe a r decisions a r he a r makes a r are arharmful a r to arhimself aror arto re
arothers.‖
ANS: a r D
When a r a a r person a r is a r unable a r to a r cognitively a r process a r information a r or a r to
a r make a r decisions a r about arhis a r or a r her a r own a r welfare, a r the a r person a r may a r be
a r determined a r to a r be a r mentally a r incompetent.
Providing a r self-care a r is a r not a r the a r only a r criteria a r considered. a r Age a r is a r not a r a
a r factor a r considered. a r The ardecision aris a r often a r based a r on a r the a r potential a r for a r such
a r behavior.
DIF: Cognitive a r Level: a r Application REF: Page a r 6
6. Which a r psychiatric ar nursing a r intervention a r shows a r an ar understanding ar of a r integrated ar care?
a. A a r chronically a r abused a r woman a r is a r assessed a r for a r anxiety.
b. A manic a r patient
ar a r is ar taken ar to a r the a r gym a r to a r use a r the a r exercise
a r equipment.
c. The a r older a r adult a r diagnosed a r with a r depression a r is a r monitored a r for
a r suicidal a r ideations.
s.
ANS: a r a r A
d. Aa ra majority
The r teenager a r who a r refuses a r to a r obey a r the a r unit‘s a r rules a r is a r not a r allow
a r of a r health a r disciplines a r now a r recognize a r that a r mental a r disorders a r and
a r to a r play a r video a r game
a r physical
illnesses a r are a r closely a r linked. a r The a r presence a r of a r a a r mental a r disorder a r increases
a r the a r risk a r for a r the ardevelopment a r of a r physical a r illnesses a r and a r vice a r versa.
a r Assessing a r a a r chronically a r abused arindividual a r for a r anxiety a r call a r should
Page ar3
, Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
ar ar ar ar ar ar ar a r
Edition.
attention a r to a r the a r psychiatric a r disorder a r that a r could a r develop arfrom a r the a r abuse.
a r
The a r remaining a r options a r show a r interventions a r that a r are a r appropriate a r for a r the
a r
armental ardisorder.
DIF: Cognitive a r Level: a r Application REF: Page a r 6
7. What a r reason a r does a r the a r nurse a r give a r the a r patient a r for a r the a r emphasis a r and
a r attention a r being
Page ar4