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Test Bank for Psychiatric Mental Health Nursing 5th Edition by Katherine M. Fortinash ISBN:9780323075725 all chapters| Complete Guide A+

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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? 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. DIF: Cognitive Level: Application REF: Page 3 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. DIF: Cognitive Level: Application REF: Page 4 3. Which intervention reflects attention being focused on the patient‘s 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 patient‘s 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. DIF: Cognitive Level: Application REF: Page 5

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FORTINASH PSYCHIATRIC MENTAL HEALTH

Voorbeeld van de inhoud

Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
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




Page gt4

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