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

Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
te te te te te te te t e


Edition.

Fortinash: te Psychiatric te Mental te Health te Nursing, te 5th


te Edition te Chapter te 01: te Psychiatric te Nursing: te Theory,


te Principles, te and te Trends

1. Which teunderstanding teis tethe tebasis tefor tethe tenursing teactions tefocused t e on
teminimizing temental t e health t e promotion t e of t e families t e with t e chronically

t e mentally t e ill t e members?


a. Family t e members t e are t e at t e an t e increased t e risk t e for t e mental t e illness.
b. The t e mental t e health t e care t e system te is t e not t e prepared t e to t e deal t e with
t e family t e crises.


c. Family t e members t e are te seldom t e prepared t e to t e cope t e with t e a t e chronically
t e ill t e individual.


d. The t e chronically t e mentally t e ill t e receive t e care t e best t e when t e delivered t e in t e a
t e formal t e setting.

ANS: t e t e A
When t e families t e live t e with t e a t e dominant t e member t e who t e has t e a t e persistent t e and
t e severe t e mental tedisorder t e the t e outcomes t e are t e often t e expressed t e as t e family t e members

t e who t e are t e at t e increased t e riskifor tephysical teand temental teillnesses. teThe teremaining teoptions

teare tenot tenecessarily tetrue.

DIF: Cognitive t e Level: t e Application REF: Page t e 3

2. Which t e nursing t e activity t e shows t e the t e nurse t e actively t e engaged t e in t e the
t e primary t e prevention teofmental tedisorders?


a. Providing t e a t e patient, t e whose t e depression t e is t e well t e managed, t e with
t e medication t e on t e tim
b. Making t e regular t e follow-up t e visits te to te a t e new t e mother t e at te risk te for
t e post-partum tedepression


c. Providing t e the t e family t e of t e a t e patient, te diagnosed t e with t e depression,
t e information t e on tesuicide teprevention


d. Assisting t e a t e patient t e who t e has t e obsessive t e compulsive t e tendencies
t e prepare t e and tepractice tefor tea tejob teinterview

ANS: B
Primary t e prevention t e helps t e to t e reduce t e the t e occurrence t e of t e mental t e disorders
t e by t e staying teinvolved t e with t e a t e patient. t e Providing t e medication t e and t e information

t e on t e existing t e illnesses t e are teexamples t e of t e secondary t e prevention t e which t e helps

t e to t e reduce t e the t e prevalence t e of t e mental tedisorders. t e Assisting t e a t e mentally t e ill

t e patient t e with t e preparation t e for t e a t e job t e interview t e is t e tertiary teprevention tesince teit

teinvolves terehabilitation.

DIF: Cognitive t e Level: t e Application REF: Page t e 4

3. Which t e intervention t e reflects t e attention t e being t e focused t e on t e the t e patient‘s
t e intentions teregarding tehis t e diagnosis t e of tesevere t e depression?


a. Being t e placed t e on tesuicide t e precautions
b. Encouraging te visits te by t e his t e family te members
c. Receiving t e a t e combination t e of t e medications t e to t e address t e his
t e emotional t e needs


d. Being t e asked t e to t e decide t e where t e he t e will t e attend t e his t e prescribed
Page te1

, t e therapy t e sessions
ANS: t e D
A t e primary t e factor t e in t e patient t e treatment t e includes t e consideration t e of t e the
t e patient‘s t e intentions teregarding t e his t e or t e her t e own t e care. t e Patients t e are t e central

t e to t e the t e process t e that t e determines t e their tecare t e as t e their t e abilities t e allow. t e Under

t e the t e guidance t e of t e PMH t e nurses t e and t e other t e mental t e health tepersonnel, t e patients

t e are t e encouraged t e to t e make t e decisions t e and t e to t e actively t e engage t e in

t e their teown t e treatment t e plans t e to t e meet t e their t e needs. t e The t e remaining t e options

t e are t e focused t e on tespecificsof tethe tedetermined teplan teof tecare.

DIF: Cognitive t e Level: t e Application REF: Page t e 5




Page te2

, Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
te te te te te te te t e


Edition.

4. When t e a t e patient‘s t e family t e asks t e why t e their t e chronically t e mentally t e ill t e adult
t e child t e is t e being tedischarged t e to t e a t e community-based t e living t e facility, t e the

t e nurse t e responds:


a. ―It t e is t e a t e way t e to t e meet t e the t e need t e for t e social t e support.‖
b. ―It t e is t e too te expensive t e to te keep te stabilized te patients t e in te acute te care
t e settings.‖


c. ―This t e type t e of t e facility te will t e provide t e the t e specialized te care t e that t e is t e needed.‖
d. ―Being t e out t e in t e the t e community t e will t e help t e provide t e hope t e and t e purpose
t e for t e living.‖

ANS: t e D
Hospitalization t e may t e be t e necessary t e for t e acute t e care, t e but, t e when t e patients t e are
t e stabilized, t e they t e move t e into t e community-based, t e patient-centered t e settings t e or t e are

t e discharged t e home t e with tecontinued t e outpatient t e treatment t e in t e the t e community.

t e Concentrated t e efforts t e are t e made t e to tereduce t e the t e patient‘s t e sick t e role t e by

t e providing t e opportunities t e for t e the t e development t e of t e a tepurposeful t e life t e and

teinstilling t e hope t e for t e each t e patient‘s t e future. t e Although tesocial t e support t e is teimportant,

t e such t e a t e living t e arrangement t e is t e not t e the t e only t e way t e to t e achieve t e it. t e Although

t e acute tecare t e is t e expensive, t e it t e is t e not t e the t e major t e concern t e when t e determining

t e long-term t e care t e options. teCommunity-based t e facilities t e are t e not t e the t e only t e option

t e for t e specialized t e care.

DIF: Cognitive t e Level: t e Application REF: Page t e 5

5. What t e is t e the t e best t e explanation t e to t e offer t e when t e the t e mother t e of t e a
t e chronically t e ill t e teenage tepatient t e asks, t e ―Under t e what t e circumstances

t e would t e he t e be t e considered t e incompetent?‖
a. ―When teyou t e can teprovide tethe t e court tewith teenough teevidence t e to teshow tethat tehe
t e is t e not teable teto tecare tefor tehimself tesafely.‖


b. ―It t e is t e not t e likely t e that t e someone t e his t e age t e would te be te determined t e to
t e be t e incompetent teregardless teof tehis temental tecondition.‖


c. ―He t e would t e have t e to t e engage t e in t e behavior t e that t e would t e result te in t e harm
t e to t e himself t e or t e to tesomeone teelse; telike teyou teor tehis tesiblings.‖


d. ―If t e the t e illness t e becomes t e so t e severe t e that t e his t e judgment t e is t e impaired
t e to t e the t e point t e whe tethe t e decisions t e he t e makes t e are teharmful t e to tehimself teor re
teto teothers.‖

ANS: t e D
When t e a t e person t e is t e unable t e to t e cognitively t e process t e information t e or t e to
t e make t e decisions t e about tehis t e or t e her t e own t e welfare, t e the t e person t e may t e be

t e determined t e to t e be t e mentally t e incompetent.

Providing t e self-care t e is t e not t e the t e only t e criteria t e considered. t e Age t e is t e not t e a
t e factor t e considered. t e The tedecision teis t e often t e based t e on t e the t e potential t e for t e such

t e behavior.

DIF: Cognitive t e Level: t e Application REF: Page t e 6

6. Which t e psychiatric te nursing t e intervention t e shows t e an te understanding te of t e integrated te care?
a. A t e chronically t e abused t e woman t e is t e assessed t e for t e anxiety.
b. A temanic t e patient t e is te taken te to t e the t e gym t e to t e use t e the t e exercise
t e equipment.
c. The t e older t e adult t e diagnosed t e with t e depression t e is t e monitored t e for
t e suicidal t e ideations.
s.
ANS: t e t e A
d. At et majority
The e teenager t e who t e refuses t e to t e obey t e the t e unit‘s t e rules t e is t e not t e allow
t e of t e health t e disciplines t e now t e recognize t e that t e mental t e disorders t e and
t e to t e play t e video t e game
t e physical

illnesses t e are t e closely t e linked. t e The t e presence t e of t e a t e mental t e disorder t e increases
t e the t e risk t e for t e the tedevelopment t e of t e physical t e illnesses t e and t e vice t e versa.

t e Assessing t e a t e chronically t e abused teindividual t e for t e anxiety t e call t e should


Page te3

, Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
te te te te te te te t e


Edition.
attention t e to t e the t e psychiatric t e disorder t e that t e could t e develop tefrom t e the t e abuse.
t e

The t e remaining t e options t e show t e interventions t e that t e are t e appropriate t e for t e the
t e

temental tedisorder.

DIF: Cognitive t e Level: t e Application REF: Page t e 6

7. What t e reason t e does t e the t e nurse t e give t e the t e patient t e for t e the t e emphasis t e and
t e attention t e being




Page te4