gt gt gt gt gt gt gt g t
Edition.
Fortinash: gt Psychiatric gt Mental gt Health gt Nursing, gt 5th
gt Edition gt Chapter gt 01: gt Psychiatric gt Nursing: gt Theory,
gt Principles, gt and gt Trends
1. Which gtunderstanding gtis gtthe gtbasis gtfor gtthe gtnursing gtactions gtfocused g t on
gt minimizing gt mental g t health g t promotion g t of g t families g t with g t chronically
g t mentally g t ill g t members?
a. Family g t members g t are g t at g t an g t increased g t risk g t for g t mental g t illness.
b. The g t mental g t health g t care g t system gt is g t not g t prepared g t to g t deal g t with
g t family g t crises.
c. Family g t members g t are gt seldom g t prepared g t to g t cope g t with gt a gt chronically
g t ill g t individual.
d. The g t chronically g t mentally g t ill g t receive g t care g t best g t when g t delivered g t in g t a
g t formal g t setting.
ANS: g t g t A
When g t families g t live g t with g t a g t dominant g t member g t who g t has g t a g t persistent g t and
g t severe g t mental gtdisorder g t the g t outcomes g t are g t often g t expressed g t as g t family g t members
g t who g t are g t at g t increased g t riskifor gtphysical gtand gtmental gtillnesses. gtThe gtremaining gtoptions
gtare gtnot gtnecessarily gttrue.
DIF: Cognitive g t Level: g t Application REF: Page g t 3
2. Which g t nursing g t activity g t shows g t the g t nurse g t actively g t engaged g t in g t the
g t primary g t prevention gtofmental gtdisorders?
a. Providing g t a g t patient, g t whose g t depression g t is g t well g t managed, g t with
g t medication g t on g t tim
b. Making g t regular g t follow-up g t visits gt to g t a gt new gt mother g t at gt risk gt for
g t post-partum gtdepression
c. Providing g t the g t family g t of g t a g t patient, g t diagnosed g t with gt depression,
g t information g t on gtsuicide gtprevention
d. Assisting g t a g t patient g t who g t has g t obsessive g t compulsive g t tendencies
g t prepare g t and gtpractice gtfor gta gtjob gtinterview
ANS: B
Primary g t prevention g t helps g t to g t reduce g t the g t occurrence g t of g t mental g t disorders
g t by g t staying gtinvolved g t with g t a g t patient. g t Providing g t medication g t and g t information
g t on g t existing g t illnesses g t are gtexamples g t of g t secondary g t prevention g t which g t helps
g t to g t reduce g t the g t prevalence g t of g t mental gtdisorders. g t Assisting g t a g t mentally g t ill
g t patient g t with g t preparation g t for g t a g t job g t interview g t is g t tertiary gtprevention gtsince gtit
gtinvolves gtrehabilitation.
DIF: Cognitive g t Level: g t Application REF: Page g t 4
3. Which g t intervention g t reflects g t attention g t being g t focused g t on gt the gt patient‘s
g t intentions gtregarding gthis g t diagnosis g t of gtsevere g t depression?
a. Being g t placed g t on gtsuicide g t precautions
b. Encouraging gt visits gt by g t his g t family gt members
c. Receiving g t a g t combination g t of g t medications g t to g t address g t his
g t emotional g t needs
d. Being g t asked g t to g t decide g t where g t he g t will g t attend g t his g t prescribed
Page gt1
, g t therapy g t sessions
ANS: g t D
A g t primary g t factor g t in g t patient g t treatment g t includes g t consideration g t of g t the
g t patient‘s g t intentions gtregarding g t his g t or g t her g t own g t care. g t Patients g t are g t central
g t to g t the g t process g t that g t determines g t their gtcare g t as g t their g t abilities g t allow. g t Under
g t the g t guidance g t of g t PMH g t nurses g t and g t other g t mental g t health gtpersonnel, g t patients
g t are g t encouraged g t to g t make g t decisions g t and g t to g t actively g t engage g t in
g t their gtown g t treatment g t plans g t to g t meet g t their g t needs. g t The g t remaining g t options
g t are g t focused g t on gtspecificsof gtthe gtdetermined gtplan gtof gtcare.
DIF: Cognitive g t Level: g t Application REF: Page g t 5
Page gt2
, Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
gt gt gt gt gt gt gt g t
Edition.
4. When g t a g t patient‘s g t family g t asks g t why g t their g t chronically g t mentally g t ill g t adult
g t child g t is g t being gtdischarged g t to g t a g t community-based g t living g t facility, g t the
g t nurse g t responds:
a. ―It g t is g t a g t way g t to g t meet g t the g t need g t for g t social g t support.‖
b. ―It g t is g t too gt expensive g t to gt keep gt stabilized gt patients g t in gt acute gt care
g t settings.‖
c. ―This g t type g t of g t facility gt will g t provide g t the g t specialized gt care g t that g t is g t needed.‖
d. ―Being g t out g t in g t the g t community g t will g t help g t provide g t hope g t and g t purpose
g t for g t living.‖
ANS: g t D
Hospitalization g t may g t be g t necessary g t for g t acute g t care, g t but, g t when g t patients g t are
g t stabilized, g t they g t move g t into g t community-based, g t patient-centered g t settings g t or g t are
g t discharged g t home g t with gtcontinued g t outpatient g t treatment g t in g t the g t community.
g t Concentrated g t efforts g t are g t made g t to gtreduce g t the g t patient‘s g t sick g t role g t by
g t providing g t opportunities g t for g t the g t development g t of g t a gtpurposeful g t life g t and
gtinstilling g t hope g t for g t each g t patient‘s g t future. g t Although gtsocial g t support g t is gtimportant,
g t such g t a g t living g t arrangement g t is g t not g t the g t only g t way g t to g t achieve g t it. g t Although
g t acute gtcare g t is g t expensive, g t it g t is g t not g t the g t major g t concern g t when g t determining
g t long-term g t care g t options. gtCommunity-based g t facilities g t are g t not g t the g t only g t option
g t for g t specialized g t care.
DIF: Cognitive g t Level: g t Application REF: Page g t 5
5. What g t is g t the g t best g t explanation g t to g t offer g t when g t the g t mother g t of g t a
g t chronically g t ill g t teenage gtpatient g t asks, g t ―Under g t what g t circumstances
g t would g t he g t be g t considered g t incompetent?‖
a. ―When gtyou g t can gtprovide gtthe g t court gtwith gtenough gtevidence g t to gtshow gtthat gthe
g t is g t not gtable gtto gtcare gtfor gthimself gtsafely.‖
b. ―It g t is g t not g t likely g t that g t someone g t his g t age g t would g t be gt determined g t to
g t be g t incompetent gtregardless gtof gthis gtmental gtcondition.‖
c. ―He g t would g t have g t to g t engage g t in g t behavior g t that g t would g t result gt in gt harm
g t to g t himself g t or g t to gtsomeone gtelse; gtlike gtyou gtor gthis gtsiblings.‖
d. ―If g t the g t illness g t becomes g t so g t severe g t that g t his g t judgment g t is g t impaired g t to
g t the g t point g t whe gtthe g t decisions g t he g t makes g t are gtharmful g t to gthimself gtor gtto re
gtothers.‖
ANS: g t D
When g t a g t person g t is g t unable g t to g t cognitively g t process g t information g t or g t to
g t make g t decisions g t about gthis g t or g t her g t own g t welfare, g t the g t person g t may g t be
g t determined g t to g t be g t mentally g t incompetent.
Providing g t self-care g t is g t not g t the g t only g t criteria g t considered. g t Age g t is g t not g t a
g t factor g t considered. g t The gtdecision gtis g t often g t based g t on g t the g t potential g t for g t such
g t behavior.
DIF: Cognitive g t Level: g t Application REF: Page g t 6
6. Which g t psychiatric gt nursing g t intervention g t shows g t an gt understanding gt of g t integrated gt care?
a. A g t chronically g t abused g t woman g t is g t assessed g t for g t anxiety.
b. A gtmanic g t patient g t is gt taken gt to g t the g t gym g t to g t use g t the g t exercise
g t equipment.
c. The g t older g t adult g t diagnosed g t with g t depression g t is g t monitored g t for
g t suicidal g t ideations.
s.
ANS: g t g t A
d. Ag tg majority
The t teenager g t who g t refuses g t to g t obey g t the g t unit‘s g t rules g t is g t not g t allow
g t of g t health g t disciplines g t now g t recognize g t that g t mental g t disorders g t and
g t to g t play g t video g t game
g t physical
illnesses g t are g t closely g t linked. g t The g t presence g t of g t a g t mental g t disorder g t increases
g t the g t risk g t for g t the gtdevelopment g t of g t physical g t illnesses g t and g t vice g t versa.
g t Assessing g t a g t chronically g t abused gtindividual g t for g t anxiety g t call g t should
Page gt3
, Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
gt gt gt gt gt gt gt g t
Edition.
attention g t to g t the g t psychiatric g t disorder g t that g t could g t develop gtfrom g t the g t abuse.
g t
The g t remaining g t options g t show g t interventions g t that g t are g t appropriate g t for g t the
g t
gtmental gtdisorder.
DIF: Cognitive g t Level: g t Application REF: Page g t 6
7. What g t reason g t does g t the g t nurse g t give g t the g t patient g t for g t the g t emphasis g t and
g t attention g t being
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