1
,Fortinash: . Psychiatric . Mental . Health . Nursing, . 5th . Edition
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 .riskifor .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 .ofmental .disorders?
a. Providing . a . patient, . whose . depression . is . well . managed, . with . medication
. on . tim
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
2
,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 .specificsof .the .determined .plan .of
.care.
DIF: Cognitive . Level: . Application REF: . . Page . 5
3
, 4. When .a . patient‘s . family . asks . why . their .chronically . mentally . ill . adult . child
. is . being .discharged . to . a . community-based . living . facility, . the . nurse
. responds:
a. ―It . is . a . way . to . meet . the . need . for . social . support.‖
b. ―It . is . too . expensive . to . keep . stabilized . patients . in . acute . care . settings.‖
c. ―This .type .of .facility . will . provide .the .specialized . care .that .is . needed.‖
d. ―Being . out . in . the . community . will . help . provide . hope . and . purpose . for
. living.‖
ANS: . D
Hospitalization . may . be . necessary . for . acute . care, . but, . when . patients . are
. stabilized, . they .move . into . community-based, . patient-centered . settings . or . are
. discharged . home . with .continued . outpatient . treatment . in .the . community.
. Concentrated . efforts . are . made . to .reduce . the . patient‘s . sick . role . by .providing
.opportunities . for .the . development . of .a .purposeful . life . and .instilling . hope . for
. each . patient‘s . future. . Although .social . support . is .important, . such . a . living
. arrangement . is . not . the . only . way . to . achieve . it. . Although . acute .care . is
.expensive, . it . is . not . the . major . concern . when . determining . long-term . care
. options. .Community-based .facilities . are . not . the . only . option . for . specialized
. care.
DIF: Cognitive . Level: . Application REF: . . Page . 5
5. What .is .the . best . explanation . to .offer . when . the . mother .of .a .chronically .ill
. teenage .patient . asks, . ―Under . what . circumstances . would . he . be
. considered . incompetent?‖
a.
b.
c.
d.
re
ANS: . D
When . a . person . is . unable . to . cognitively . process . information . or . to . make
. decisions . about .his . or . her . own . welfare, . the . person . may . be . determined . to
. be . mentally . incompetent.
Providing . self-care . is . not . the . only . criteria . considered. . Age . is . not . a . factor . considered.
. The .decision .is .often .based .on .the .potential . for .such . behavior.
DIF: Cognitive . Level: . Application REF: . . Page . 6
6. Which .psychiatric .nursing .intervention .shows .an .understanding .of .integrated .care?
a.
b.
c.
d. s.
ANS: . . A
The . majority . of . health . disciplines . now . recognize . that . mental . disorders . and . physical
illnesses . are . closely . linked. . The . presence . of . a . mental . disorder . increases . the
. risk . for . the .development . of . physical . illnesses . and . vice . versa. . Assessing . a
. chronically . abused .individual . for . anxiety . call . should . attention . to . the . psychiatric
. disorder . that . could . develop .from . the . abuse. . The . remaining . options . show
4
,Fortinash: . Psychiatric . Mental . Health . Nursing, . 5th . Edition
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 .riskifor .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 .ofmental .disorders?
a. Providing . a . patient, . whose . depression . is . well . managed, . with . medication
. on . tim
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
2
,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 .specificsof .the .determined .plan .of
.care.
DIF: Cognitive . Level: . Application REF: . . Page . 5
3
, 4. When .a . patient‘s . family . asks . why . their .chronically . mentally . ill . adult . child
. is . being .discharged . to . a . community-based . living . facility, . the . nurse
. responds:
a. ―It . is . a . way . to . meet . the . need . for . social . support.‖
b. ―It . is . too . expensive . to . keep . stabilized . patients . in . acute . care . settings.‖
c. ―This .type .of .facility . will . provide .the .specialized . care .that .is . needed.‖
d. ―Being . out . in . the . community . will . help . provide . hope . and . purpose . for
. living.‖
ANS: . D
Hospitalization . may . be . necessary . for . acute . care, . but, . when . patients . are
. stabilized, . they .move . into . community-based, . patient-centered . settings . or . are
. discharged . home . with .continued . outpatient . treatment . in .the . community.
. Concentrated . efforts . are . made . to .reduce . the . patient‘s . sick . role . by .providing
.opportunities . for .the . development . of .a .purposeful . life . and .instilling . hope . for
. each . patient‘s . future. . Although .social . support . is .important, . such . a . living
. arrangement . is . not . the . only . way . to . achieve . it. . Although . acute .care . is
.expensive, . it . is . not . the . major . concern . when . determining . long-term . care
. options. .Community-based .facilities . are . not . the . only . option . for . specialized
. care.
DIF: Cognitive . Level: . Application REF: . . Page . 5
5. What .is .the . best . explanation . to .offer . when . the . mother .of .a .chronically .ill
. teenage .patient . asks, . ―Under . what . circumstances . would . he . be
. considered . incompetent?‖
a.
b.
c.
d.
re
ANS: . D
When . a . person . is . unable . to . cognitively . process . information . or . to . make
. decisions . about .his . or . her . own . welfare, . the . person . may . be . determined . to
. be . mentally . incompetent.
Providing . self-care . is . not . the . only . criteria . considered. . Age . is . not . a . factor . considered.
. The .decision .is .often .based .on .the .potential . for .such . behavior.
DIF: Cognitive . Level: . Application REF: . . Page . 6
6. Which .psychiatric .nursing .intervention .shows .an .understanding .of .integrated .care?
a.
b.
c.
d. s.
ANS: . . A
The . majority . of . health . disciplines . now . recognize . that . mental . disorders . and . physical
illnesses . are . closely . linked. . The . presence . of . a . mental . disorder . increases . the
. risk . for . the .development . of . physical . illnesses . and . vice . versa. . Assessing . a
. chronically . abused .individual . for . anxiety . call . should . attention . to . the . psychiatric
. disorder . that . could . develop .from . the . abuse. . The . remaining . options . show
4
