Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
z z z z z z z z
z Edition.
Fortinash:zz Psychiatriczz Mentalzz Healthzz Nursing,zz 5thzz Edition
Chapterz 01:z Psychiatricz Nursing:z Theory,z Principles,z andz Trends
1. Whichz understandingz isz thez basisz forz thez nursingz actionsz focusedz onz minimizingzm
entalz healthz promotionz ofz familiesz withz chronicallyz mentallyz illz members?
a. Familyz membersz arez atz anz increasedz riskz forz mentalz illness.
b. Thez mentalz healthz carez systemz isz notz preparedz toz dealz withz familyz crises.
c. Familyz membersz arez seldomz preparedz toz copez withz az chronicallyz illz individual.
d. Thez chronicallyz mentallyz illz receivez carez bestz whenz deliveredz inz az formalz setting.
ANS:zz A
Whenz families z livez withz az dominantz memberz whoz hasz az persistentz andz severez mentalzdisorderz
thez outcomesz arez oftenz expressedz asz familyz membersz whoz arez atz increasedz riskiforzphysicalzandzme
ntalzillnesses.zThezremainingzoptionszareznotznecessarilyztrue.
DIF: Cognitivez Level:z Application REF: Pagez 3
2. Whichz nursingz activityz showsz thez nursez activelyz engagedz inz thez primaryz preventionzofmental
zdisorders?
a. Providingz az patient,z whosez depressionz isz wellz managed,z withz medicationz onz tim
b. Makingz regularz follow-upz visitsztoz az newz motherz atz riskz forz post-
partumzdepression
c. Providingzthezfamilyzofzazpatient,zdiagnosedzwithzdepression,zinformationz onzsuici
dezprevention
d. Assistingzazpatientzwhozhaszobsessivezcompulsiveztendencieszpreparezandzpracticez
forzazjobzinterview
ANS: B
Primaryzpreventionz helpsz tozreducez thez occurrencezofz mentalz disorderszzzbyzstayingzinvolvedz
withzazpatient.z Providingz medicationz andz informationz onz existingz illnessesz arezexampleszofzseco
ndaryzpreventionzwhichzhelpsztozreducez thez prevalencez ofz mentalzdisorders.zAssistingzazment
allyzillzpatientzwithzpreparationzforzazjobzinterviewzisztertiaryzpreventionz sincez itz involvesz rehabi
litation.
DIF: Cognitivez Level:z Application REF: Pagez 4
3. Whichzinterventionz reflectsz attentionz beingzfocusedz onz thezpatient‘szintentionszregardi
ngz hisz diagnosisz ofz severez depression?
a. Beingz placedz onz suicidez precautions
b. Encouragingz visitsz byz hisz familyz members
c. Receivingz az combinationz ofz medicationsz toz addressz hisz emotionalz needs
d. Beingz askedz toz decidez wherez hez willz attendz hisz prescribedz therapyz sessions
ANS:z D
Azprimaryzfactorzinzpatientztreatmentzincludeszconsiderationzofzthezpatient‘szintentionszregarding
z hisz orz herz ownz care.z Patientsz arez centralz toz thez processz thatz determinesz theirzcarez asz the
irz abilitiesz allow.z Underz thez guidancez ofz PMHz nursesz andz otherz mentalz healthzpersonnel,zpa
tientsz arez encouragedz toz makez decisionsz andz toz activelyz engagez inz theirzownztreatmentz pl
ansz tozmeetztheirz needs.z Thezremainingz optionsz arezfocusedzzzonzspecificsofzthez determinedz pl
anzofz care.
DIF: Cognitivez Level:z Application REF: Pagez 5
Pagez1
, Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
z z z z z z z z
z Edition.
4. Whenzazpatient‘szfamilyzaskszwhyztheirzchronicallyzmentallyzillzadultzchildziszbeingzdischarg
edz toz az community-basedz livingz facility,z thez nursez responds:
a. ―Itz isz az wayz toz meetz thez needz forz socialz support.‖
b. ―Itz isz tooz expensivez toz keepz stabilizedz patientsz inz acutez carez settings.‖
c. ―Thisz typez ofz facilityz willz providez thez specializedz carez thatz isz needed.‖
d. ―Beingz outz inz thez communityz willz helpz providez hopez andz purposez forz living.‖
ANS:z D
Hospitalizationzmayzbeznecessaryzforzacutezcare,zbut,z whenz patientsz arez stabilized,z theyzmovezi
ntozcommunity-based,zpatient-
centeredzsettingszorz arez dischargedz homez withzcontinuedzoutpatientz treatmentzinzthez commu
nity.z Concentratedz effortszarez madezzztozreducezthezpatient‘szsickz rolez byzprovidingz opportunit
iesz forzthez developmentz ofz azpurposefulzlifezandzinstillingzhopezforzeachzpatient‘szfuture.zAlthou
ghzsocialzsupportziszimportant,zsuchz azlivingz arrangementz isznotzthez onlyz wayztozachievezzzit.zAlt
houghzzzacutezcareziszexpensive,zitzisznotzthezmajorzconcernzwhenzdeterminingzlong-
termzcarezoptions.zCommunity-basedz facilitiesz arez notz thez onlyz optionz forz specializedz care.
DIF: Cognitivez Level:z Application REF: Pagez 5
5. Whatz isz thez bestz explanationz toz offerz whenz thez motherz ofz az chronicallyz illz teenagezpa
tientz asks,z ―Underz whatz circumstancesz wouldz hez bez consideredz incompetent?‖
a. ―Whenzyouzcanzprovidezthezcourtzwithzenoughzevidenceztozshowzthatzhezisz notzabl
eztozcarezforzhimselfzsafely.‖
b. ―Itz isz notz likelyz thatz someonez hisz agez wouldz bez determinedz toz bez incompetentzrega
rdlesszofz hisz mentalz condition.‖
c. ―Hez wouldz havez toz engagez inz behaviorz thatz wouldz resultz inz harmz toz himselfz orz tozso
meonez else;z likez youzorzhisz siblings.‖
d. ―Ifz thez illnessz becomesz soz severez thatz hisz judgmentz isz impairedz toz thez pointz whezth re
ez decisionsz hez makesz arez harmfulz toz himselfz orz toz others.‖
ANS:z D
Whenzaz personz isz unablez toz cognitivelyz processz informationz orz toz makez decisionsz aboutzhi
sz orz herz ownz welfare,z thez personz mayz bez determinedz toz bez mentallyz incompetent.
Providingz self-
carez isz notz thez onlyz criteriaz considered.z Agez isz notz az factorz considered.z Thezdecisionzisz oftenz basedz
onz thez potentialz forz suchz behavior.
DIF: Cognitivez Level:z Application REF: Pagez 6
6. Whichz psychiatricz nursingz interventionz showsz anz understandingz ofz integratedz care?
a. Az chronicallyz abusedz womanz isz assessedz forz anxiety.
b. Az manicz patientz isz takenz toz thez gymz toz usez thez exercisez equipment.
c. Thez olderz adultz diagnosedz withz depressionz isz monitoredz forz suicidalz ideations.
d. Az teenagerz whoz refusesz toz obeyz thez unit‘sz rulesz isz notz allowz toz playz videoz game s.
ANS:zz A
Thez majorityz ofz healthz disciplinesz nowz recognizez thatz mentalz disordersz andz physical
illnessesz arez closelyz linked.z Thez presencez ofz az mentalz disorderz increasesz thez riskz forz thezd
evelopmentzofzphysicalz illnesseszzzandzvicezzzversa.zzzAssessingzzzazchronicallyzzzabusedzindividualz f
orz anxietyz callz shouldz attentionz toz thez psychiatricz disorderz thatzcouldz developzfromzthezabus
e.zThez remainingzoptionsz showzinterventionsz thatz arezappropriatez forzthezmentalzdisorder.
DIF: Cognitivez Level:z Application REF: Pagez 6
7. Whatz reasonzzdoesz thezznursez givez thez patientz forz thez emphasisz andz attentionz being
Pagez2
, Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
z z z z z z z z
z Edition.
paidz toz thez recoveryz phasez ofz theirz treatmentz plan?
a. Recoveryz care,z evenz whenz intensive,z isz lessz expensivez thanz acutez psychiatriczca
re.
b. Effectivezrecoveryzcareziszlikelyztozresultzinzfewerzrelapseszandzsubsequentzhospitalization
s.
c. Planningz forz recoveryz carez isz timez consumingz andz involvesz dealingz withz manyzcomplicat
edzdetails.
d. Recoveryz carezisz usuallyz donez onz anz outpatientz basisz andz soz isz generallyz betterzaccep
tedzbyzpatients.
ANS: B
Muchzattentionziszpaidztoz recoveryzcarezsincezeffectivez recoveryzzzcarezzzhelpszzzimprovezpatientz
outcomeszandzthuszminimizezsubsequentzhospitalizations.zRecoveryzcarezisznotznecessarilyzlesszex
pensivezthanzacutezzzcare.zzzAlthoughzeffectivezzzrecoveryzzzcarezzzplanningzmayz bez timez consumin
gz andz detailz oriented,z thatz isz notz thez reasonz forz implementingz it.zRecoveryz carez isz notz nece
ssarilyz wellz acceptedz byz patients.
DIF: Cognitivez Level:z Application REF: Pagez 7
8. Thez nursez isz attendingz az neighborhoodz meetingz wherez az half-
wayz housez isz beingzproposedzforzthezneighborhood zwhenzazmemberzofzthezcommunityzs
tates,z―Wezdon‘twantz thez facility;z wez especiallyz don‘tz wantz violentz peoplez livingz near
z us.‖ z Thezresponse zbyzthe znurse zthat zbest zaddresses zthe zpublic‘szconcern zis:
a. ―Inz truth,zmostz individualsz withz psychiatricz disorderz arez passivez andz withdrawnzan
dzposez littlez threatz toz thosez aroundz them.‖
b. ―Thezmentallyzillzseldomzbehavezinzthez mannerz theyz arez portrayedz byz movies;zthe
yz arez peoplez justz likez thez restzofzus.‖
c. ―Patientsz withz psychiatricz disorderz arez soz wellz medicatedz thatz theyz doz notz displazvi y
olentzbehaviors.‖
d. ―Thezmentallyzillzdeservezazsafe,zcomfortablezplaceztoz livez amongz peoplez whoztrulyz
carez forzthem.‖
ANS:zz A
Az majorz reasonz forz thez existencezofz thez stigmaz placedz onz personszzwithz mentalz illnessz iszlac
kz ofz knowledge.z Thezmainzfearziszofz violence,z althoughzonlyz azsmallzpercentagezofzpatientszwit
hzmentalzillnesszdisplayzthiszbehavior.zProvidingzthezpubliczwithz accuratezinformationzcanzhelpzre
ducezstigma.zThezremainingzoptionszdoznotz directlyzaddressz thezconcernszstated.
DIF: Cognitivez Level:z Application REF: Pagesz 13-14
9. Whichz activityz showsz thatz az therapeuticz alliancez hasz beenzestablishedz betweenzthenurs
ezandz patient?
a. Theznursezrespectsz thez patient‘sz rightz toz privacyz whenz visitorsz arez spendingz timzwithz ez
thezpatient.
b. Thez patientz isz eagerlyz attendingz allz groupz sessionsz andz workingz independentlyzoidentifyi n
ngz theirz personalz stressors.
c. Thez patientz isz freelyz describingz theirz feelingsz relatedz toz thez physicalz andzemotionalz
traumaz theyz experiencedz asz az childz withz thez nurse.
d. Theznursez dutifullyzadministerszthez patient‘szmedicationszonz timez andz withzappropriate
z knowledgez ofz thez potentialz sidez effects.
ANS:zz C
Az primaryz aspectz ofz workingz withz patientsz inz anyz settingz andz particularlyz inz the
Pagez3
, Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
z z z z z z z z
z Edition.
psychiatriczsettingziszthezdevelopmentzofzaztherapeuticzalliancezwithzthezpatient.zSuchz anzallian
cez iszestablishedz onztrust.zItzisz azprofessionalzzzbondz betweenzzzthezzznursezzzandzthezpatientztha
tzserveszasz az vehiclez forz patientsz toz freelyz discussz theirz needsz andzproblemszinthezabsencez
ofztheznurse‘szcriticismz orzzzjudgment.zzzAnyznursezzzhaszzzanzzzobligationzzztozrespectzthezpatient‘sz
rightszandzadministerzcarezeffectively.zThezpatient‘szwillingnessztozparticipatez inzthez planz ofzcar
ez reflectszselfz motivation.
DIF: Cognitivez Level:z Application REF: Pagez 9
10. Mentalzhealthzcarezreformzhaszcalledzforzparityzbetweenzpsychiatriczandzmedicalzdiagnose
s.z Whichz isz anz examplez ofz suchz parity?
a. Depressionz treatmentz isz notz paidz forz asz readilyz asz isz treatmentz forz asthma.
b. Thez mentallyz illz patientz willz bez protectedz byz lawz againstz socialz stigma.
c. Medicalz practitionersz arez trainedz toz bez proficientz atz treatingz mentalz disorders.
d. Psychiatricz servicez reimbursementz willz bez equivalentz toz thatz ofz medicalz services .
ANS:z D
Theztermzparityzaszusedzherezrefersztozpaymentszforz mentalzhealthzservicesz thatz equalzpayment
z schedulesz forz medicalz orz surgicalz conditions.z Thez remainingz options(Bz andz C)zdonotz relatez t
oz financialz reimbursementzorz fundszallocatedz forz mentalz healthz carez beingzequalztoz thosez ofz
medicalz diagnoses.
DIF: Cognitivez Level:z Application REF: Pagez 15
1. Whichz assessmentz findingsz suggestz toz thez nursez thatz thisz patientz haszcharacteristicsseen
z inz anz individualz whoz hasz reachedzself-actualization? z Selectz allzthatz apply.
a. Reportsz toz have,z ―foundz peacez andz securityz inz myz religiousz faith‖
b. Effectivelyz ―changedz occupations‖ z whenz az chronicz visionz problemz worsened
c. Hasz consistentlyz earnedz az six-figurez salaryz asz anz architectz forz thez lastz 10z years
d. Haszbeenzinzazsupportive,zlovingzrelationshipzwithz thez samez individualz forz 15zye
ars
e. Provideszfreezliteracyztutoringzhelpzatzthezlocalz homelessz shelterz 3z eveningsz azweek
ANS: A,z B,z D,z E
Characteristicszofzselfzactualizationzwouldzinclude:zspiritualzwell-
being,zopenzandzflexible,zrelationallyzfulfilled,zandzgenerosityztowardzothers.zSalaryzdoesn‘tznecessa
rilyzreflectzself-zactualization.
DIF:zzzzzz Cognitivez Level:z Applicationzzzzzzzzzz REF:zzzz Pagez 4
2. Whichz nursingz activitiesz representz thez tertiaryz levelz ofz mentalz healthz care?z Selectz allzth
atzapply.
a. Providingz az depressionz screeningz atz az localz college
b. Helpingz az mental-challengedz patientz learnz toz makez correctz change
c. Reportingz anz incidencez ofz possiblez elderz abusez toz thez appropriatez legalz agency
d. Regularlyz assessingz az patient‘sz understandingz ofz theirz prescribedz antidepressan tsz
e. Providingz az 6-weekz parentingz classz toz teenagez parentsz throughz az localz high ol
ANS:zzz B,zD
Tertiaryz preventionz reducesz thez residualz effectsz ofz thez disorderz suchz asz depressionz andzm
entalzretardation. zTherezisznozquaternaryzlevelzofzprevention. zPrimaryzpreventionzreducesz o
ccurrencesz ofz mentalz disorders z suchz asz screeningsz andz parentingz classes,z andzsecondaryz p
reventionz reducesz thez prevalence z ofz disordersz asz evidencedz byz assessing
Pagez4
z z z z z z z z
z Edition.
Fortinash:zz Psychiatriczz Mentalzz Healthzz Nursing,zz 5thzz Edition
Chapterz 01:z Psychiatricz Nursing:z Theory,z Principles,z andz Trends
1. Whichz understandingz isz thez basisz forz thez nursingz actionsz focusedz onz minimizingzm
entalz healthz promotionz ofz familiesz withz chronicallyz mentallyz illz members?
a. Familyz membersz arez atz anz increasedz riskz forz mentalz illness.
b. Thez mentalz healthz carez systemz isz notz preparedz toz dealz withz familyz crises.
c. Familyz membersz arez seldomz preparedz toz copez withz az chronicallyz illz individual.
d. Thez chronicallyz mentallyz illz receivez carez bestz whenz deliveredz inz az formalz setting.
ANS:zz A
Whenz families z livez withz az dominantz memberz whoz hasz az persistentz andz severez mentalzdisorderz
thez outcomesz arez oftenz expressedz asz familyz membersz whoz arez atz increasedz riskiforzphysicalzandzme
ntalzillnesses.zThezremainingzoptionszareznotznecessarilyztrue.
DIF: Cognitivez Level:z Application REF: Pagez 3
2. Whichz nursingz activityz showsz thez nursez activelyz engagedz inz thez primaryz preventionzofmental
zdisorders?
a. Providingz az patient,z whosez depressionz isz wellz managed,z withz medicationz onz tim
b. Makingz regularz follow-upz visitsztoz az newz motherz atz riskz forz post-
partumzdepression
c. Providingzthezfamilyzofzazpatient,zdiagnosedzwithzdepression,zinformationz onzsuici
dezprevention
d. Assistingzazpatientzwhozhaszobsessivezcompulsiveztendencieszpreparezandzpracticez
forzazjobzinterview
ANS: B
Primaryzpreventionz helpsz tozreducez thez occurrencezofz mentalz disorderszzzbyzstayingzinvolvedz
withzazpatient.z Providingz medicationz andz informationz onz existingz illnessesz arezexampleszofzseco
ndaryzpreventionzwhichzhelpsztozreducez thez prevalencez ofz mentalzdisorders.zAssistingzazment
allyzillzpatientzwithzpreparationzforzazjobzinterviewzisztertiaryzpreventionz sincez itz involvesz rehabi
litation.
DIF: Cognitivez Level:z Application REF: Pagez 4
3. Whichzinterventionz reflectsz attentionz beingzfocusedz onz thezpatient‘szintentionszregardi
ngz hisz diagnosisz ofz severez depression?
a. Beingz placedz onz suicidez precautions
b. Encouragingz visitsz byz hisz familyz members
c. Receivingz az combinationz ofz medicationsz toz addressz hisz emotionalz needs
d. Beingz askedz toz decidez wherez hez willz attendz hisz prescribedz therapyz sessions
ANS:z D
Azprimaryzfactorzinzpatientztreatmentzincludeszconsiderationzofzthezpatient‘szintentionszregarding
z hisz orz herz ownz care.z Patientsz arez centralz toz thez processz thatz determinesz theirzcarez asz the
irz abilitiesz allow.z Underz thez guidancez ofz PMHz nursesz andz otherz mentalz healthzpersonnel,zpa
tientsz arez encouragedz toz makez decisionsz andz toz activelyz engagez inz theirzownztreatmentz pl
ansz tozmeetztheirz needs.z Thezremainingz optionsz arezfocusedzzzonzspecificsofzthez determinedz pl
anzofz care.
DIF: Cognitivez Level:z Application REF: Pagez 5
Pagez1
, Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
z z z z z z z z
z Edition.
4. Whenzazpatient‘szfamilyzaskszwhyztheirzchronicallyzmentallyzillzadultzchildziszbeingzdischarg
edz toz az community-basedz livingz facility,z thez nursez responds:
a. ―Itz isz az wayz toz meetz thez needz forz socialz support.‖
b. ―Itz isz tooz expensivez toz keepz stabilizedz patientsz inz acutez carez settings.‖
c. ―Thisz typez ofz facilityz willz providez thez specializedz carez thatz isz needed.‖
d. ―Beingz outz inz thez communityz willz helpz providez hopez andz purposez forz living.‖
ANS:z D
Hospitalizationzmayzbeznecessaryzforzacutezcare,zbut,z whenz patientsz arez stabilized,z theyzmovezi
ntozcommunity-based,zpatient-
centeredzsettingszorz arez dischargedz homez withzcontinuedzoutpatientz treatmentzinzthez commu
nity.z Concentratedz effortszarez madezzztozreducezthezpatient‘szsickz rolez byzprovidingz opportunit
iesz forzthez developmentz ofz azpurposefulzlifezandzinstillingzhopezforzeachzpatient‘szfuture.zAlthou
ghzsocialzsupportziszimportant,zsuchz azlivingz arrangementz isznotzthez onlyz wayztozachievezzzit.zAlt
houghzzzacutezcareziszexpensive,zitzisznotzthezmajorzconcernzwhenzdeterminingzlong-
termzcarezoptions.zCommunity-basedz facilitiesz arez notz thez onlyz optionz forz specializedz care.
DIF: Cognitivez Level:z Application REF: Pagez 5
5. Whatz isz thez bestz explanationz toz offerz whenz thez motherz ofz az chronicallyz illz teenagezpa
tientz asks,z ―Underz whatz circumstancesz wouldz hez bez consideredz incompetent?‖
a. ―Whenzyouzcanzprovidezthezcourtzwithzenoughzevidenceztozshowzthatzhezisz notzabl
eztozcarezforzhimselfzsafely.‖
b. ―Itz isz notz likelyz thatz someonez hisz agez wouldz bez determinedz toz bez incompetentzrega
rdlesszofz hisz mentalz condition.‖
c. ―Hez wouldz havez toz engagez inz behaviorz thatz wouldz resultz inz harmz toz himselfz orz tozso
meonez else;z likez youzorzhisz siblings.‖
d. ―Ifz thez illnessz becomesz soz severez thatz hisz judgmentz isz impairedz toz thez pointz whezth re
ez decisionsz hez makesz arez harmfulz toz himselfz orz toz others.‖
ANS:z D
Whenzaz personz isz unablez toz cognitivelyz processz informationz orz toz makez decisionsz aboutzhi
sz orz herz ownz welfare,z thez personz mayz bez determinedz toz bez mentallyz incompetent.
Providingz self-
carez isz notz thez onlyz criteriaz considered.z Agez isz notz az factorz considered.z Thezdecisionzisz oftenz basedz
onz thez potentialz forz suchz behavior.
DIF: Cognitivez Level:z Application REF: Pagez 6
6. Whichz psychiatricz nursingz interventionz showsz anz understandingz ofz integratedz care?
a. Az chronicallyz abusedz womanz isz assessedz forz anxiety.
b. Az manicz patientz isz takenz toz thez gymz toz usez thez exercisez equipment.
c. Thez olderz adultz diagnosedz withz depressionz isz monitoredz forz suicidalz ideations.
d. Az teenagerz whoz refusesz toz obeyz thez unit‘sz rulesz isz notz allowz toz playz videoz game s.
ANS:zz A
Thez majorityz ofz healthz disciplinesz nowz recognizez thatz mentalz disordersz andz physical
illnessesz arez closelyz linked.z Thez presencez ofz az mentalz disorderz increasesz thez riskz forz thezd
evelopmentzofzphysicalz illnesseszzzandzvicezzzversa.zzzAssessingzzzazchronicallyzzzabusedzindividualz f
orz anxietyz callz shouldz attentionz toz thez psychiatricz disorderz thatzcouldz developzfromzthezabus
e.zThez remainingzoptionsz showzinterventionsz thatz arezappropriatez forzthezmentalzdisorder.
DIF: Cognitivez Level:z Application REF: Pagez 6
7. Whatz reasonzzdoesz thezznursez givez thez patientz forz thez emphasisz andz attentionz being
Pagez2
, Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
z z z z z z z z
z Edition.
paidz toz thez recoveryz phasez ofz theirz treatmentz plan?
a. Recoveryz care,z evenz whenz intensive,z isz lessz expensivez thanz acutez psychiatriczca
re.
b. Effectivezrecoveryzcareziszlikelyztozresultzinzfewerzrelapseszandzsubsequentzhospitalization
s.
c. Planningz forz recoveryz carez isz timez consumingz andz involvesz dealingz withz manyzcomplicat
edzdetails.
d. Recoveryz carezisz usuallyz donez onz anz outpatientz basisz andz soz isz generallyz betterzaccep
tedzbyzpatients.
ANS: B
Muchzattentionziszpaidztoz recoveryzcarezsincezeffectivez recoveryzzzcarezzzhelpszzzimprovezpatientz
outcomeszandzthuszminimizezsubsequentzhospitalizations.zRecoveryzcarezisznotznecessarilyzlesszex
pensivezthanzacutezzzcare.zzzAlthoughzeffectivezzzrecoveryzzzcarezzzplanningzmayz bez timez consumin
gz andz detailz oriented,z thatz isz notz thez reasonz forz implementingz it.zRecoveryz carez isz notz nece
ssarilyz wellz acceptedz byz patients.
DIF: Cognitivez Level:z Application REF: Pagez 7
8. Thez nursez isz attendingz az neighborhoodz meetingz wherez az half-
wayz housez isz beingzproposedzforzthezneighborhood zwhenzazmemberzofzthezcommunityzs
tates,z―Wezdon‘twantz thez facility;z wez especiallyz don‘tz wantz violentz peoplez livingz near
z us.‖ z Thezresponse zbyzthe znurse zthat zbest zaddresses zthe zpublic‘szconcern zis:
a. ―Inz truth,zmostz individualsz withz psychiatricz disorderz arez passivez andz withdrawnzan
dzposez littlez threatz toz thosez aroundz them.‖
b. ―Thezmentallyzillzseldomzbehavezinzthez mannerz theyz arez portrayedz byz movies;zthe
yz arez peoplez justz likez thez restzofzus.‖
c. ―Patientsz withz psychiatricz disorderz arez soz wellz medicatedz thatz theyz doz notz displazvi y
olentzbehaviors.‖
d. ―Thezmentallyzillzdeservezazsafe,zcomfortablezplaceztoz livez amongz peoplez whoztrulyz
carez forzthem.‖
ANS:zz A
Az majorz reasonz forz thez existencezofz thez stigmaz placedz onz personszzwithz mentalz illnessz iszlac
kz ofz knowledge.z Thezmainzfearziszofz violence,z althoughzonlyz azsmallzpercentagezofzpatientszwit
hzmentalzillnesszdisplayzthiszbehavior.zProvidingzthezpubliczwithz accuratezinformationzcanzhelpzre
ducezstigma.zThezremainingzoptionszdoznotz directlyzaddressz thezconcernszstated.
DIF: Cognitivez Level:z Application REF: Pagesz 13-14
9. Whichz activityz showsz thatz az therapeuticz alliancez hasz beenzestablishedz betweenzthenurs
ezandz patient?
a. Theznursezrespectsz thez patient‘sz rightz toz privacyz whenz visitorsz arez spendingz timzwithz ez
thezpatient.
b. Thez patientz isz eagerlyz attendingz allz groupz sessionsz andz workingz independentlyzoidentifyi n
ngz theirz personalz stressors.
c. Thez patientz isz freelyz describingz theirz feelingsz relatedz toz thez physicalz andzemotionalz
traumaz theyz experiencedz asz az childz withz thez nurse.
d. Theznursez dutifullyzadministerszthez patient‘szmedicationszonz timez andz withzappropriate
z knowledgez ofz thez potentialz sidez effects.
ANS:zz C
Az primaryz aspectz ofz workingz withz patientsz inz anyz settingz andz particularlyz inz the
Pagez3
, Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
z z z z z z z z
z Edition.
psychiatriczsettingziszthezdevelopmentzofzaztherapeuticzalliancezwithzthezpatient.zSuchz anzallian
cez iszestablishedz onztrust.zItzisz azprofessionalzzzbondz betweenzzzthezzznursezzzandzthezpatientztha
tzserveszasz az vehiclez forz patientsz toz freelyz discussz theirz needsz andzproblemszinthezabsencez
ofztheznurse‘szcriticismz orzzzjudgment.zzzAnyznursezzzhaszzzanzzzobligationzzztozrespectzthezpatient‘sz
rightszandzadministerzcarezeffectively.zThezpatient‘szwillingnessztozparticipatez inzthez planz ofzcar
ez reflectszselfz motivation.
DIF: Cognitivez Level:z Application REF: Pagez 9
10. Mentalzhealthzcarezreformzhaszcalledzforzparityzbetweenzpsychiatriczandzmedicalzdiagnose
s.z Whichz isz anz examplez ofz suchz parity?
a. Depressionz treatmentz isz notz paidz forz asz readilyz asz isz treatmentz forz asthma.
b. Thez mentallyz illz patientz willz bez protectedz byz lawz againstz socialz stigma.
c. Medicalz practitionersz arez trainedz toz bez proficientz atz treatingz mentalz disorders.
d. Psychiatricz servicez reimbursementz willz bez equivalentz toz thatz ofz medicalz services .
ANS:z D
Theztermzparityzaszusedzherezrefersztozpaymentszforz mentalzhealthzservicesz thatz equalzpayment
z schedulesz forz medicalz orz surgicalz conditions.z Thez remainingz options(Bz andz C)zdonotz relatez t
oz financialz reimbursementzorz fundszallocatedz forz mentalz healthz carez beingzequalztoz thosez ofz
medicalz diagnoses.
DIF: Cognitivez Level:z Application REF: Pagez 15
1. Whichz assessmentz findingsz suggestz toz thez nursez thatz thisz patientz haszcharacteristicsseen
z inz anz individualz whoz hasz reachedzself-actualization? z Selectz allzthatz apply.
a. Reportsz toz have,z ―foundz peacez andz securityz inz myz religiousz faith‖
b. Effectivelyz ―changedz occupations‖ z whenz az chronicz visionz problemz worsened
c. Hasz consistentlyz earnedz az six-figurez salaryz asz anz architectz forz thez lastz 10z years
d. Haszbeenzinzazsupportive,zlovingzrelationshipzwithz thez samez individualz forz 15zye
ars
e. Provideszfreezliteracyztutoringzhelpzatzthezlocalz homelessz shelterz 3z eveningsz azweek
ANS: A,z B,z D,z E
Characteristicszofzselfzactualizationzwouldzinclude:zspiritualzwell-
being,zopenzandzflexible,zrelationallyzfulfilled,zandzgenerosityztowardzothers.zSalaryzdoesn‘tznecessa
rilyzreflectzself-zactualization.
DIF:zzzzzz Cognitivez Level:z Applicationzzzzzzzzzz REF:zzzz Pagez 4
2. Whichz nursingz activitiesz representz thez tertiaryz levelz ofz mentalz healthz care?z Selectz allzth
atzapply.
a. Providingz az depressionz screeningz atz az localz college
b. Helpingz az mental-challengedz patientz learnz toz makez correctz change
c. Reportingz anz incidencez ofz possiblez elderz abusez toz thez appropriatez legalz agency
d. Regularlyz assessingz az patient‘sz understandingz ofz theirz prescribedz antidepressan tsz
e. Providingz az 6-weekz parentingz classz toz teenagez parentsz throughz az localz high ol
ANS:zzz B,zD
Tertiaryz preventionz reducesz thez residualz effectsz ofz thez disorderz suchz asz depressionz andzm
entalzretardation. zTherezisznozquaternaryzlevelzofzprevention. zPrimaryzpreventionzreducesz o
ccurrencesz ofz mentalz disorders z suchz asz screeningsz andz parentingz classes,z andzsecondaryz p
reventionz reducesz thez prevalence z ofz disordersz asz evidencedz byz assessing
Pagez4
