Chapter 1 Introduction to Development of the Science, Education, and Credentialing for
Psychiatric-Mental Health Advanced Practice Nursing
MULTIPLE CHOICE
1. Which understanding is the basis for the nursing actions focused on minimizing mental
health promotion of families with chronically mentally ill members?
a. Family members are at an increased risk for mental illness.
b. The mental health care system is not prepared to deal with family crises.
c. Family members are seldom prepared to cope with a chronically ill individual.
d. The chronically mentally ill receive care best when delivered in a formal setting. ANS: A
When families live with a dominant member who has a persistent and severe mental disorder
the
outcomes are often expressed as family members who are at increased risk for physical and
mental illnesses. The remaining options are not necessarily true.
2. Which nursing activity shows the nurse actively engaged in the primary prevention of
mental disorders?
a. Providing a patient, whose depression is well managed, with medication on time b.
Making regular follow-up visits to a new mother at risk for post-partum
depression
c. Providing the family of a patient, diagnosed with depression, information on suicide
prevention
d. Assisting a patient who has obsessive compulsive tendencies prepare and practice for a job
interview
ANS: B
, Primary prevention helps to reduce the occurrence of mental disorders by staying involved
with a patient. Providing medication and information on existing illnesses are examples of
secondary prevention which helps to reduce the prevalence of mental disorders. Assisting a
mentally ill patient with preparation for a job interview is tertiary prevention since it involves
rehabilitation.
3. Which intervention reflects attention being focused on the patients intentions regarding his
diagnosis of severe depression?
a. Being placed on suicide precautions
b. Encouraging visits by his family members
c. Receiving a combination of medications to address his emotional needs
d. Being asked to decide where he will attend his prescribed therapy sessions
ANS: D
A primary factor in patient treatment includes consideration of the patients intentions
regarding his or her own care. Patients are central to the process that determines their care as
their abilities allow. Under the guidance of PMH nurses and other mental health personnel,
patients are encouraged to make decisions and to actively engage in their own treatment plans
to meet their needs. The remaining options are focused on specifics of the determined plan of
care.
4. When a patients family asks why their chronically mentally ill adult child is being
discharged to a community-based living facility, the nurse responds:
a. It is a way to meet the need for social support.
b. It is too expensive to keep stabilized patients in acute care settings. c. This type of
facility will provide the specialized care that is needed.
d. Being out in the community will help provide hope and purpose for living. ANS: D
Hospitalization may be necessary for acute care, but, when patients are stabilized, they move
into
community-based, patient-centered settings or are discharged home with continued outpatient
treatment in the community. Concentrated efforts are made to reduce the patients sick role by
Psychiatric-Mental Health Advanced Practice Nursing
MULTIPLE CHOICE
1. Which understanding is the basis for the nursing actions focused on minimizing mental
health promotion of families with chronically mentally ill members?
a. Family members are at an increased risk for mental illness.
b. The mental health care system is not prepared to deal with family crises.
c. Family members are seldom prepared to cope with a chronically ill individual.
d. The chronically mentally ill receive care best when delivered in a formal setting. ANS: A
When families live with a dominant member who has a persistent and severe mental disorder
the
outcomes are often expressed as family members who are at increased risk for physical and
mental illnesses. The remaining options are not necessarily true.
2. Which nursing activity shows the nurse actively engaged in the primary prevention of
mental disorders?
a. Providing a patient, whose depression is well managed, with medication on time b.
Making regular follow-up visits to a new mother at risk for post-partum
depression
c. Providing the family of a patient, diagnosed with depression, information on suicide
prevention
d. Assisting a patient who has obsessive compulsive tendencies prepare and practice for a job
interview
ANS: B
, Primary prevention helps to reduce the occurrence of mental disorders by staying involved
with a patient. Providing medication and information on existing illnesses are examples of
secondary prevention which helps to reduce the prevalence of mental disorders. Assisting a
mentally ill patient with preparation for a job interview is tertiary prevention since it involves
rehabilitation.
3. Which intervention reflects attention being focused on the patients intentions regarding his
diagnosis of severe depression?
a. Being placed on suicide precautions
b. Encouraging visits by his family members
c. Receiving a combination of medications to address his emotional needs
d. Being asked to decide where he will attend his prescribed therapy sessions
ANS: D
A primary factor in patient treatment includes consideration of the patients intentions
regarding his or her own care. Patients are central to the process that determines their care as
their abilities allow. Under the guidance of PMH nurses and other mental health personnel,
patients are encouraged to make decisions and to actively engage in their own treatment plans
to meet their needs. The remaining options are focused on specifics of the determined plan of
care.
4. When a patients family asks why their chronically mentally ill adult child is being
discharged to a community-based living facility, the nurse responds:
a. It is a way to meet the need for social support.
b. It is too expensive to keep stabilized patients in acute care settings. c. This type of
facility will provide the specialized care that is needed.
d. Being out in the community will help provide hope and purpose for living. ANS: D
Hospitalization may be necessary for acute care, but, when patients are stabilized, they move
into
community-based, patient-centered settings or are discharged home with continued outpatient
treatment in the community. Concentrated efforts are made to reduce the patients sick role by
