1
Fortinash: iPsychiatric iMental iHealth iNursing, i5th
iEdition
Chapter i01: iPsychiatric iNursing: iTheory, iPrinciples, iand iTrends
1. Which iunderstanding iis ithe ibasis ifor ithe inursing iactions ifocused ion iminimizing imental ihealth
ipromotion iof ifamilies iwith ichronically imentally iill imembers?
a.
Family imembers iare iat ian iincreased irisk ifor imental iillness.
b. The imental ihealth icare isystem iis inot iprepared ito ideal iwith ifamily icrises.
c. Family members are seldom prepared to cope with a chronically ill individual.
i i i i i i i i i i i
d. The ichronically imentally iill ireceive icare ibest iwhen idelivered iin ia iformal isetting.
ANS: i iA
When ifamilies ilive iwith ia idominant imember iwho ihas ia ipersistent iand isevere imental idisorder ithe
ioutcomes iare ioften iexpressed ias ifamily imembers iwho iare iat iincreased iriskfori iphysical iand imental
iillnesses. iThe iremaining ioptions iare inot inecessarily itrue. DIF: Cognitive iLevel: iApplication REF:
Page i3
2. Which inursing iactivity ishows ithe inurse iactively iengaged iin ithe iprimary iprevention iofi mental
idisorders?
a. Providing ia ipatient, iwhose idepression iis iwell imanaged, iwith imedication ion itime
b. Making iregular ifollow-up ivisits ito ia inew imother iat irisk ifor ipost-partum depressioni
c. Providing ithe ifamily iof ia ipatient, idiagnosed iwith idepression, iinformation ion suicidei
iprevention
d. Assisting ia ipatient iwho ihas iobsessive i compulsive itendencies iprepare i and practicei ifor ia
ijob iinterview
ANS: i B
Primary iprevention ihelps ito ireduce ithe ioccurrence iof imental idisorders iby istaying iinvolved iwith
ia ipatient. iProviding imedication iand iinformation ion iexisting iillnesses iare iexamples iof isecondary
iprevention iwhich ihelps ito ireduce ithe iprevalence iof imental idisorders. iAssisting ia imentally iill
ipatient iwith ipreparation ifor ia ijob iinterview iis itertiary preventioni isince iit iinvolves
irehabilitation.
DIF: Cognitive iLevel: iApplication REF: Page i4
3. Which iintervention ireflects iattention ibeing ifocused ion ithe ipatient’s iintentions regardingi ihis
idiagnosis iof isevere idepression?
a.
Being iplaced ion isuicide iprecautions
b.
Encouraging ivisits iby ihis ifamily imembers
Page 1 of 296
,2
c.
Receiving ia icombination iof imedications ito iaddress ihis iemotional ineeds
d.
Being iasked ito idecide iwhere ihe iwill iattend ihis iprescribed itherapy isessions
ANS: i iD
A iprimary ifactor iin ipatient itreatment iincludes iconsideration iof ithe ipatient’s iintentions iregarding
ihis ior iher iown icare. iPatients iare icentral ito ithe iprocess ithat idetermines itheir icare ias itheir
iabilities iallow. iUnder ithe iguidance iof iPMH inurses iand iother imental ihealth ipersonnel, ipatients
iare iencouraged ito imake idecisions iand ito iactively iengage iin itheir iown itreatment iplans ito imeet
itheir ineeds. iThe iremaining ioptions iare ifocused ion ispecificsofi ithe idetermined iplan iof icare.
DIF: Cognitive iLevel: iApplication REF: Page i5
4. When ia ipatient’s ifamily iasks iwhy itheir ichronically imentally iill iadult ichild iis ibeing dischargedi
ito ia icommunity-based iliving ifacility, ithe inurse iresponds:
a.
“It iis ia iway ito imeet ithe ineed ifor isocial isupport.”
b.
“It iis itoo iexpensive ito ikeep istabilized ipatients iin iacute icare isettings.”
c. “This itype iof ifacility iwill iprovide ithe ispecialized icare ithat iis ineeded.”
d.
“Being iout iin ithe icommunity iwill ihelp iprovide ihope iand ipurpose ifor iliving.”
ANS: i iD
Hospitalization imay ibe inecessary ifor iacute icare, ibut, iwhen ipatients iare istabilized, ithey imove iinto
icommunity-based, ipatient-centered isettings ior iare idischarged ihome iwith icontinued ioutpatient
itreatment iin ithe icommunity. iConcentrated iefforts iare imade ito ireduce ithe ipatient’s isick irole iby
iproviding iopportunities ifor ithe idevelopment iof ia ipurposeful ilife iand iinstilling ihope ifor ieach
ipatient’s ifuture. iAlthough isocial isupport iis iimportant, isuch ia iliving iarrangement iis inot ithe ionly
iway ito iachieve iit. iAlthough iacute icare iis iexpensive, iit iis inot ithe imajor iconcern iwhen idetermining
ilong-term icare ioptions.
iCommunity-based ifacilities iare inot ithe ionly ioption ifor ispecialized icare. DIF:
Cognitive iLevel: iApplication REF: Page i5
5. What iis ithe ibest iexplanation ito ioffer iwhen ithe imother iof ia ichronically iill iteenage patienti iasks,
“When iyou ican iprovide ithe icourt iwith ienough ievidence ito ishow ithat ihe iis inot ablei ito
a. icare ifor ihimself isafely.”
b. “It iis inot ilikely ithat isomeone ihis iage iwould ibe idetermined ito ibe iincompetent regardlessi
iof ihis imental icondition.”
“He iwould ihave ito iengage iin ibehavior ithat iwould iresult iin iharm ito ihimself ior ito someonei
c. ielse; ilike iyou ior ihis isiblings.”
d. “If ithe iillness ibecomes iso isevere ithat ihis ijudgment iis iimpaired ito ithe ipoint iwhe thei
idecisions ihe imakes iare iharmful ito ihimself ior ito iothers.”
i “Under iwhat icircumstances iwould ihe ibe iconsidered iincompetent?”
Page 2 of 296
,3
re
ANS: i iD
When ia iperson iis iunable ito icognitively iprocess iinformation ior ito imake idecisions iabout hisi ior iher
iown iwelfare, ithe iperson imay ibe idetermined ito ibe imentally iincompetent. Providing iself-care iis inot
ithe ionly icriteria iconsidered. iAge iis inot ia ifactor iconsidered. iThe deci ision iis ioften ibased ion ithe
ipotential ifor isuch ibehavior. DIF: Cognitive iLevel: iApplication REF: Page i6
a. A chronically abused woman is assessed for anxiety.
i i i i i i i
b.
A imanic ipatient iis itaken ito ithe igym ito iuse ithe iexercise iequipment.
c. The iolder iadult idiagnosed iwith idepression iis imonitored ifor isuicidal iideations.
d.
A iteenager iwho irefuses ito iobey ithe iunit’s irules iis inot iallow ito iplay ivideo igame
6. Which ipsychiatric inursing iintervention ishows ian iunderstanding iof iintegrated icare?
s.
ANS: i iA
The imajority iof ihealth idisciplines inow irecognize ithat imental idisorders iand iphysical iillnesses iare
iclosely ilinked. iThe ipresence iof ia imental idisorder iincreases ithe irisk ifor ithe idevelopment iof
iphysical iillnesses iand ivice iversa. iAssessing ia ichronically iabused iindividual ifor ianxiety icall ishould
iattention ito ithe ipsychiatric idisorder ithat icould idevelop fromi ithe iabuse. iThe iremaining ioptions
ishow iinterventions ithat iare iappropriate ifor ithe imental idisorder.
DIF: Cognitive iLevel: iApplication REF: Page i6
7. What ireason idoes ithe inurse igive ithe ipatient ifor ithe iemphasis iand iattention ibeing paid ito ithe
irecovery iphase iof itheir itreatment iplan?
a. Recovery icare, ieven iwhen iintensive, iis iless iexpensive ithan iacute ipsychiatric care.i
b. Effective irecovery icare iis ilikely ito iresult iin ifewer irelapses iand isubsequent
hospitalizations.i
Planning ifor irecovery icare iis itime iconsuming iand iinvolves idealing iwith imany complicatedi
c. idetails.
d. Recovery icare iis iusually idone ion ian ioutpatient ibasis iand iso iis igenerally ibetter acceptedi
iby ipatients.
ANS: i B
Much iattention iis ipaid ito irecovery icare isince ieffective irecovery icare ihelps iimprove ipatient
ioutcomes iand ithus iminimize isubsequent ihospitalizations. iRecovery icare iis inot inecessarily iless
Page 3 of 296
, 4
i expensive ithan iacute icare. iAlthough ieffective irecovery icare iplanning imay ibe itime iconsuming iand
i detail ioriented, ithat iis inot ithe ireason ifor iimplementing iit.
Recoveryi icare iis inot inecessarily iwell iaccepted iby ipatients.
DIF: Cognitive iLevel: iApplication REF: Page i7
8. The inurse iis iattending ia ineighborhood imeeting iwhere ia ihalf-way ihouse iis ibeing iproposed ifor
ithe ineighborhood iwhen ia imember iof ithe icommunity istates, i“We idon’ti want ithe ifacility; iwe
iespecially idon’t iwant iviolent ipeople iliving inear ius.” iThe iresponse iby ithe inurse ithat ibest
a. “In itruth, imost iindividuals iwith ipsychiatric idisorder iare ipassive iand iwithdrawn andi ipose
ilittle ithreat ito ithose iaround ithem.”
b. “The imentally iill iseldom ibehave iin ithe imanner ithey iare iportrayed iby imovies; theyi iare
ipeople ijust ilike ithe irest iof ius.”
c. “Patients iwith ipsychiatric idisorder iare iso iwell imedicated ithat ithey ido inot idispla violenti
ibehaviors.”
d. “The imentally iill ideserve ia isafe, icomfortable iplace ito ilive iamong ipeople iwho trulyi icare
ifor ithem.”
i addresses ithe ipublic’s iconcern iis:
y
ANS: i iA
A imajor ireason ifor ithe iexistence iof ithe istigma iplaced ion ipersons iwith imental iillness iis lacki iof
iknowledge. iThe imain ifear iis iof iviolence, ialthough ionly ia ismall ipercentage iof ipatients iwith
imental iillness idisplay ithis ibehavior. iProviding ithe ipublic iwith iaccurate iinformation ican ihelp
ireduce istigma. iThe iremaining ioptions ido inot idirectly iaddress ithe iconcerns istated.
DIF: Cognitive iLevel: iApplication REF: Pages i 13-14
9. Which iactivity ishows ithat ia itherapeutic ialliance ihas ibeen iestablished ibetween ithei nurse iand
The inurse irespects ithe ipatient’s iright ito iprivacy iwhen ivisitors iare ispending itim withi ithe
a. ipatient.
b. The ipatient iis ieagerly iattending iall igroup isessions iand iworking iindependently
ioidentifyingi itheir ipersonal istressors.
c. The ipatient iis ifreely idescribing itheir ifeelings irelated ito ithe iphysical iand emotionali
itrauma ithey iexperienced ias ia ichild iwith ithe inurse.
The inurse idutifully iadministers ithe ipatient’s imedications ion itime iand iwith appropriatei
d. iknowledge iof ithe ipotential iside ieffects.
i patient?
Page 4 of 296
Fortinash: iPsychiatric iMental iHealth iNursing, i5th
iEdition
Chapter i01: iPsychiatric iNursing: iTheory, iPrinciples, iand iTrends
1. Which iunderstanding iis ithe ibasis ifor ithe inursing iactions ifocused ion iminimizing imental ihealth
ipromotion iof ifamilies iwith ichronically imentally iill imembers?
a.
Family imembers iare iat ian iincreased irisk ifor imental iillness.
b. The imental ihealth icare isystem iis inot iprepared ito ideal iwith ifamily icrises.
c. Family members are seldom prepared to cope with a chronically ill individual.
i i i i i i i i i i i
d. The ichronically imentally iill ireceive icare ibest iwhen idelivered iin ia iformal isetting.
ANS: i iA
When ifamilies ilive iwith ia idominant imember iwho ihas ia ipersistent iand isevere imental idisorder ithe
ioutcomes iare ioften iexpressed ias ifamily imembers iwho iare iat iincreased iriskfori iphysical iand imental
iillnesses. iThe iremaining ioptions iare inot inecessarily itrue. DIF: Cognitive iLevel: iApplication REF:
Page i3
2. Which inursing iactivity ishows ithe inurse iactively iengaged iin ithe iprimary iprevention iofi mental
idisorders?
a. Providing ia ipatient, iwhose idepression iis iwell imanaged, iwith imedication ion itime
b. Making iregular ifollow-up ivisits ito ia inew imother iat irisk ifor ipost-partum depressioni
c. Providing ithe ifamily iof ia ipatient, idiagnosed iwith idepression, iinformation ion suicidei
iprevention
d. Assisting ia ipatient iwho ihas iobsessive i compulsive itendencies iprepare i and practicei ifor ia
ijob iinterview
ANS: i B
Primary iprevention ihelps ito ireduce ithe ioccurrence iof imental idisorders iby istaying iinvolved iwith
ia ipatient. iProviding imedication iand iinformation ion iexisting iillnesses iare iexamples iof isecondary
iprevention iwhich ihelps ito ireduce ithe iprevalence iof imental idisorders. iAssisting ia imentally iill
ipatient iwith ipreparation ifor ia ijob iinterview iis itertiary preventioni isince iit iinvolves
irehabilitation.
DIF: Cognitive iLevel: iApplication REF: Page i4
3. Which iintervention ireflects iattention ibeing ifocused ion ithe ipatient’s iintentions regardingi ihis
idiagnosis iof isevere idepression?
a.
Being iplaced ion isuicide iprecautions
b.
Encouraging ivisits iby ihis ifamily imembers
Page 1 of 296
,2
c.
Receiving ia icombination iof imedications ito iaddress ihis iemotional ineeds
d.
Being iasked ito idecide iwhere ihe iwill iattend ihis iprescribed itherapy isessions
ANS: i iD
A iprimary ifactor iin ipatient itreatment iincludes iconsideration iof ithe ipatient’s iintentions iregarding
ihis ior iher iown icare. iPatients iare icentral ito ithe iprocess ithat idetermines itheir icare ias itheir
iabilities iallow. iUnder ithe iguidance iof iPMH inurses iand iother imental ihealth ipersonnel, ipatients
iare iencouraged ito imake idecisions iand ito iactively iengage iin itheir iown itreatment iplans ito imeet
itheir ineeds. iThe iremaining ioptions iare ifocused ion ispecificsofi ithe idetermined iplan iof icare.
DIF: Cognitive iLevel: iApplication REF: Page i5
4. When ia ipatient’s ifamily iasks iwhy itheir ichronically imentally iill iadult ichild iis ibeing dischargedi
ito ia icommunity-based iliving ifacility, ithe inurse iresponds:
a.
“It iis ia iway ito imeet ithe ineed ifor isocial isupport.”
b.
“It iis itoo iexpensive ito ikeep istabilized ipatients iin iacute icare isettings.”
c. “This itype iof ifacility iwill iprovide ithe ispecialized icare ithat iis ineeded.”
d.
“Being iout iin ithe icommunity iwill ihelp iprovide ihope iand ipurpose ifor iliving.”
ANS: i iD
Hospitalization imay ibe inecessary ifor iacute icare, ibut, iwhen ipatients iare istabilized, ithey imove iinto
icommunity-based, ipatient-centered isettings ior iare idischarged ihome iwith icontinued ioutpatient
itreatment iin ithe icommunity. iConcentrated iefforts iare imade ito ireduce ithe ipatient’s isick irole iby
iproviding iopportunities ifor ithe idevelopment iof ia ipurposeful ilife iand iinstilling ihope ifor ieach
ipatient’s ifuture. iAlthough isocial isupport iis iimportant, isuch ia iliving iarrangement iis inot ithe ionly
iway ito iachieve iit. iAlthough iacute icare iis iexpensive, iit iis inot ithe imajor iconcern iwhen idetermining
ilong-term icare ioptions.
iCommunity-based ifacilities iare inot ithe ionly ioption ifor ispecialized icare. DIF:
Cognitive iLevel: iApplication REF: Page i5
5. What iis ithe ibest iexplanation ito ioffer iwhen ithe imother iof ia ichronically iill iteenage patienti iasks,
“When iyou ican iprovide ithe icourt iwith ienough ievidence ito ishow ithat ihe iis inot ablei ito
a. icare ifor ihimself isafely.”
b. “It iis inot ilikely ithat isomeone ihis iage iwould ibe idetermined ito ibe iincompetent regardlessi
iof ihis imental icondition.”
“He iwould ihave ito iengage iin ibehavior ithat iwould iresult iin iharm ito ihimself ior ito someonei
c. ielse; ilike iyou ior ihis isiblings.”
d. “If ithe iillness ibecomes iso isevere ithat ihis ijudgment iis iimpaired ito ithe ipoint iwhe thei
idecisions ihe imakes iare iharmful ito ihimself ior ito iothers.”
i “Under iwhat icircumstances iwould ihe ibe iconsidered iincompetent?”
Page 2 of 296
,3
re
ANS: i iD
When ia iperson iis iunable ito icognitively iprocess iinformation ior ito imake idecisions iabout hisi ior iher
iown iwelfare, ithe iperson imay ibe idetermined ito ibe imentally iincompetent. Providing iself-care iis inot
ithe ionly icriteria iconsidered. iAge iis inot ia ifactor iconsidered. iThe deci ision iis ioften ibased ion ithe
ipotential ifor isuch ibehavior. DIF: Cognitive iLevel: iApplication REF: Page i6
a. A chronically abused woman is assessed for anxiety.
i i i i i i i
b.
A imanic ipatient iis itaken ito ithe igym ito iuse ithe iexercise iequipment.
c. The iolder iadult idiagnosed iwith idepression iis imonitored ifor isuicidal iideations.
d.
A iteenager iwho irefuses ito iobey ithe iunit’s irules iis inot iallow ito iplay ivideo igame
6. Which ipsychiatric inursing iintervention ishows ian iunderstanding iof iintegrated icare?
s.
ANS: i iA
The imajority iof ihealth idisciplines inow irecognize ithat imental idisorders iand iphysical iillnesses iare
iclosely ilinked. iThe ipresence iof ia imental idisorder iincreases ithe irisk ifor ithe idevelopment iof
iphysical iillnesses iand ivice iversa. iAssessing ia ichronically iabused iindividual ifor ianxiety icall ishould
iattention ito ithe ipsychiatric idisorder ithat icould idevelop fromi ithe iabuse. iThe iremaining ioptions
ishow iinterventions ithat iare iappropriate ifor ithe imental idisorder.
DIF: Cognitive iLevel: iApplication REF: Page i6
7. What ireason idoes ithe inurse igive ithe ipatient ifor ithe iemphasis iand iattention ibeing paid ito ithe
irecovery iphase iof itheir itreatment iplan?
a. Recovery icare, ieven iwhen iintensive, iis iless iexpensive ithan iacute ipsychiatric care.i
b. Effective irecovery icare iis ilikely ito iresult iin ifewer irelapses iand isubsequent
hospitalizations.i
Planning ifor irecovery icare iis itime iconsuming iand iinvolves idealing iwith imany complicatedi
c. idetails.
d. Recovery icare iis iusually idone ion ian ioutpatient ibasis iand iso iis igenerally ibetter acceptedi
iby ipatients.
ANS: i B
Much iattention iis ipaid ito irecovery icare isince ieffective irecovery icare ihelps iimprove ipatient
ioutcomes iand ithus iminimize isubsequent ihospitalizations. iRecovery icare iis inot inecessarily iless
Page 3 of 296
, 4
i expensive ithan iacute icare. iAlthough ieffective irecovery icare iplanning imay ibe itime iconsuming iand
i detail ioriented, ithat iis inot ithe ireason ifor iimplementing iit.
Recoveryi icare iis inot inecessarily iwell iaccepted iby ipatients.
DIF: Cognitive iLevel: iApplication REF: Page i7
8. The inurse iis iattending ia ineighborhood imeeting iwhere ia ihalf-way ihouse iis ibeing iproposed ifor
ithe ineighborhood iwhen ia imember iof ithe icommunity istates, i“We idon’ti want ithe ifacility; iwe
iespecially idon’t iwant iviolent ipeople iliving inear ius.” iThe iresponse iby ithe inurse ithat ibest
a. “In itruth, imost iindividuals iwith ipsychiatric idisorder iare ipassive iand iwithdrawn andi ipose
ilittle ithreat ito ithose iaround ithem.”
b. “The imentally iill iseldom ibehave iin ithe imanner ithey iare iportrayed iby imovies; theyi iare
ipeople ijust ilike ithe irest iof ius.”
c. “Patients iwith ipsychiatric idisorder iare iso iwell imedicated ithat ithey ido inot idispla violenti
ibehaviors.”
d. “The imentally iill ideserve ia isafe, icomfortable iplace ito ilive iamong ipeople iwho trulyi icare
ifor ithem.”
i addresses ithe ipublic’s iconcern iis:
y
ANS: i iA
A imajor ireason ifor ithe iexistence iof ithe istigma iplaced ion ipersons iwith imental iillness iis lacki iof
iknowledge. iThe imain ifear iis iof iviolence, ialthough ionly ia ismall ipercentage iof ipatients iwith
imental iillness idisplay ithis ibehavior. iProviding ithe ipublic iwith iaccurate iinformation ican ihelp
ireduce istigma. iThe iremaining ioptions ido inot idirectly iaddress ithe iconcerns istated.
DIF: Cognitive iLevel: iApplication REF: Pages i 13-14
9. Which iactivity ishows ithat ia itherapeutic ialliance ihas ibeen iestablished ibetween ithei nurse iand
The inurse irespects ithe ipatient’s iright ito iprivacy iwhen ivisitors iare ispending itim withi ithe
a. ipatient.
b. The ipatient iis ieagerly iattending iall igroup isessions iand iworking iindependently
ioidentifyingi itheir ipersonal istressors.
c. The ipatient iis ifreely idescribing itheir ifeelings irelated ito ithe iphysical iand emotionali
itrauma ithey iexperienced ias ia ichild iwith ithe inurse.
The inurse idutifully iadministers ithe ipatient’s imedications ion itime iand iwith appropriatei
d. iknowledge iof ithe ipotential iside ieffects.
i patient?
Page 4 of 296
