C HAPTER 04: T REATMENT S ETTINGS
Varcarolis’ Foundations of Psychiatric -Mental Health Nursing: 8th Edition
MULTIPLE CHOICE
1. Select the example of primary prevention.
a. Assisting a person diagnosed with a serious mental illness to fill a
pill-minder
b. Helping school -age children identify and describe normal emotions
c. Leading a psychoeducational group in a communit y care home
d. Medicating an acutely ill patient who assaulted a staff person
ANS: B
Primary preventions are directed at healthy populations with a goal of
preventing health problems from occurring. Helping school -age
children describe normal emotions people experience promotes coping,
a skill that is needed throughout life. Assisting a person with serious
and persistent mental illness to fill a pi ll-minder is an example of
tertiary prevention. Medicating an acutely ill patient who assaulted a
staff person is a secondary prevention. Leading a psychoeducational
group in a community care home is an example of tertiary prevention.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
REF: 67 TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
,2. Which level of prevention activities would a nurse in an emergency
department employ most often?
a. Primary
b. Secondary
c. Tertiary
ANS: B
An emergency department nurse would generall y see patients in crisis
or with acute illness, so secondary prevention is used. Primary
prevention involves preventing a health problem from developing, and
tertiary prevention applies to rehabilitativ e activities.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 67 TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
3. The nurse assigned to assertive community treatment (ACT) should
explain the programs treatment goal as:
a. assisting patients to maintain abstinence from alcohol and other
substances of abuse.
b. providing structure and a therapeutic milieu for mentall y ill patients
whose symptoms require stabilization.
c. maintaining medications and stable psyc hiatric status for
incarcerated inmates who have a history of mental illness.
d. providing services for mentall y ill individuals who require intensive
treatment to continue to live in the communit y.
ANS: D
, An assertive communit y treatment (ACT) program prov ides intensive
communit y services to persons with serious, persistent mental illness
who live in the communit y but require aggressive services to prevent
repeated hospitalizations.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 66 TOP: Nursing Process: Planning MSC:
Client Needs: Safe, Effective Care Environment
4. Which scenario best depicts a behavioral crisis? A patient is:
a. waving fists, cursing, and shouting threats at a nurse.
b. curled up in a corner of the bathroom, wrapped in a towel.
c. crying hystericall y after receiving a phone call from a famil y
member.
d. performing push-ups in the middle of the hall, forcing others to
walk around.
ANS: A
This behavior constitutes a behavioral crisis because the patient is
threatening harm to another i ndividual. Intervention is called for to
defuse the situation. The other options speak of behaviors that may
require intervention of a less urgent nature because the patients in
question are not threatening harm to self or others.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
REF: 70 TOP: Nursing Process: Assessment MSC:
Client Needs: Psychosocial Integrit y
Varcarolis’ Foundations of Psychiatric -Mental Health Nursing: 8th Edition
MULTIPLE CHOICE
1. Select the example of primary prevention.
a. Assisting a person diagnosed with a serious mental illness to fill a
pill-minder
b. Helping school -age children identify and describe normal emotions
c. Leading a psychoeducational group in a communit y care home
d. Medicating an acutely ill patient who assaulted a staff person
ANS: B
Primary preventions are directed at healthy populations with a goal of
preventing health problems from occurring. Helping school -age
children describe normal emotions people experience promotes coping,
a skill that is needed throughout life. Assisting a person with serious
and persistent mental illness to fill a pi ll-minder is an example of
tertiary prevention. Medicating an acutely ill patient who assaulted a
staff person is a secondary prevention. Leading a psychoeducational
group in a community care home is an example of tertiary prevention.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
REF: 67 TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
,2. Which level of prevention activities would a nurse in an emergency
department employ most often?
a. Primary
b. Secondary
c. Tertiary
ANS: B
An emergency department nurse would generall y see patients in crisis
or with acute illness, so secondary prevention is used. Primary
prevention involves preventing a health problem from developing, and
tertiary prevention applies to rehabilitativ e activities.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 67 TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
3. The nurse assigned to assertive community treatment (ACT) should
explain the programs treatment goal as:
a. assisting patients to maintain abstinence from alcohol and other
substances of abuse.
b. providing structure and a therapeutic milieu for mentall y ill patients
whose symptoms require stabilization.
c. maintaining medications and stable psyc hiatric status for
incarcerated inmates who have a history of mental illness.
d. providing services for mentall y ill individuals who require intensive
treatment to continue to live in the communit y.
ANS: D
, An assertive communit y treatment (ACT) program prov ides intensive
communit y services to persons with serious, persistent mental illness
who live in the communit y but require aggressive services to prevent
repeated hospitalizations.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 66 TOP: Nursing Process: Planning MSC:
Client Needs: Safe, Effective Care Environment
4. Which scenario best depicts a behavioral crisis? A patient is:
a. waving fists, cursing, and shouting threats at a nurse.
b. curled up in a corner of the bathroom, wrapped in a towel.
c. crying hystericall y after receiving a phone call from a famil y
member.
d. performing push-ups in the middle of the hall, forcing others to
walk around.
ANS: A
This behavior constitutes a behavioral crisis because the patient is
threatening harm to another i ndividual. Intervention is called for to
defuse the situation. The other options speak of behaviors that may
require intervention of a less urgent nature because the patients in
question are not threatening harm to self or others.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
REF: 70 TOP: Nursing Process: Assessment MSC:
Client Needs: Psychosocial Integrit y
