Fortinash Psychiatric Mental Health Nursing TB 5th Edition

Fortinash Psychiatric Mental Health Nursing TB 5th Edition Fortinash: Psychiatric Mental Health Nursing, 5th Edition Chapter 01: Psychiatric Nursing: Theory, Principles, and Trends 1. Which understanding is the basis for the nursing actions focused on minimizing mental health promotion of families with chronically mentally ill members? 2. Which nursing activity shows the nurse actively engaged in the primary prevention of mental disorders? 3. Which intervention reflects attention being focused on the patient’s intentions regarding his diagnosis of severe depression? 5 4. When a patient’s family asks why their chronically mentally ill adult child is being discharged to a community-based living facility, the nurse responds: 5 5. What is the best explanation to offer when the mother of a chronically ill teenage patient asks, “Under what circumstances would he be considered incompetent?” 6. Which psychiatric nursing intervention shows an understanding of integrated care? 7. What reason does the nurse give the patient for the emphasis and attention being paid to the recovery phase of their treatment plan? 8. The nurse is attending a neighborhood meeting where a half-way house is being proposed for the neighborhood when a member of the community states, “We don’t want the facility; we especially don’t want violent people living near us.” The response by the nurse that best addresses the public’s concern is: 9. Which activity shows that a therapeutic alliance has been established between the nurse and patient? DIF: Cognitive Level: Application REF: Page 9 10. Mental health care reform has called for parity between psychiatric and medical diagnoses. Which is an example of such parity? 1. Which assessment findings suggest to the nurse that this patient has characteristics seen in an individual who has reached self-actualization? Select all that apply. 2. Which nursing activities represent the tertiary level of mental health care? Select all that apply. 3. Which nursing actions indicate an understanding of the priority issues currently facing psychiatric mental health nursing today? Select all that apply. 4. Which assessment findings describe risk factors that increase the potential risk for mental illness? Select all that apply. 5. Which nursing actions show a focus on the fundamental goals that guide psychiatric mental health nurses in providing patient care? Select all that apply. Chapter 02: Nursing Practice in the Clinical Setting 1. Which nursing action is a reflection of Hildegard Peplau’s theoretic framework regarding psychiatric mental health nursing? 2. The nurse is attempting to provide a safe environment for a patient at great risk for self-harm. Which intervention shows an understanding of evidence-based practice (EBP)? 3. Which statement by the patient reflects patient education that was based on the concept of integrated patient care? 4. The nurse demonstrates objective patient care when: 5. Which nursing intervention would be appropriately addressed during the orientation phase of the nurse–patient relationship? 6. Which action on the part of a novice psychiatric mental health nurse shows a need for future development of altruism? 7. The greatest negative outcome resulting from a nurse’s fear of a mentally ill patient is that the: 8. Which action on the part of a novice mental health nurse will best minimize fear related to effectively working with the psychotic patient? DIF: Cognitive Level: Analysis REF: Page 26 9. Which response by the nurse manager to a novice mental health nurse is most effective when the nurse asks, “How do I justify not keeping a patient’s secret?” 10. The nurse is effectively facilitating the nurse-patient relationship when: 11. An often expressed intrinsic reward of psychiatric mental health nursing is: 12. Which statement is an example of an inference? 1. Which interactions are likely outcomes of a well-established therapeutic alliance? Select all that apply. 2. Which nursing interventions are directly related to the principles on which a therapeutic alliance is based? Select all that apply. 3. The nurse is attempting to minimize the group’s display of resistance during a therapy session. Which patients are at risk for displaying such behavior? Select all that apply Chapter 03: The Nursing Process and Standards of Practice 1. The patient asks the nurse, “I’ve heard the student nurses talk about the nursing process. Why is there so much emphasis on using the nursing process?” The response that explains the need for nurses to understand and use the nursing process is: 2. When preparing to conduct a nursing history and assessment on a patient transferred from the emergency department (ED) whose family believes the patient to be a questionable historian due to cognitive impairment, the nurse initially begins the interview by: 3. The nurse shows the ability to effectively state a nursing diagnosis reflective of the implications of depression on a patient’s life processes when stating in the patient’s plan of care that: 4. When engaging in outcomes identification, the nurse: 5. While discussing assessment of suicidal patients, a novice nurse mentions, “I was taught to always base my care on concrete, evidence-based scientific reasoning and never to rely on intuition.” Which response by the experienced nurse shows understanding of intuitive reasoning? 6. A nurse shows effective critical thinking skills directed towards nursing care of a cognitively impaired patient who continues to socially isolate by: 7. A depressed patient shares with the nurse that he, “has been thinking about ending it all”. Based on NANDA recommendations, the nurse: ………………………………………..CONTINUED…………………………………………….