Fortin as h: n P s yc hiatr ic n Me n tal n He alth n N u r sin g , n 5 th n Ed ition
Chap te r n 0 1: n Ps yc hiatric n N ur sin g : n The o r y, n P rin c iples , n an d n Tre n d s
1. Whichnund erstanding nisnthenbasisnforn then nursing n actionsnfocusedn onnminimizing n
mentaln healthn promotionnofnfamiliesn w ithn chronically n mentallyn illn members?
a. Familyn membersn are n atn ann increasedn risk n forn mentaln illness.
b. Then mentaln healthn caren systemn isn notn preparedn ton dealn w ithn familyn crises.
c. Familyn membersn aren seldomn preparedn ton copen w ithn an chronicallyn illn individual.
d. Then chronicallyn mentallyn illn receiven caren bestn w henn deliveredn inn an formaln setting.
ANS:n n A
Whennfamiliesn liven w ithna n dominantn memb er n w hon hasna n persistent n and n severen men taln d isord
ernthenoutcomesnarenoftenn ex pressednasnfamilynmem bersn w honarenatnincreasednrisk iforn physicalna
ndnmentaln illnesses.n T henremaining n optionsn aren notn necessarilyn true.
DIF: Cognitiven Level:n A pplication REF:n n Pagen 3
2. Whichn nursing n activityn show sn then nursen activelyn eng agedn inn then primaryn preventionno
fmentalndisorders?
a. Providing n an patient, n w hosen depressionn isn w elln manag ed, n w ithn medicationn onn tim
b. Making n regularn follow-upn visitsn ton an new n mothern atn risk n forn post-
partumndepression
c. Providing n then familynofn anpatient,n diag nosedn w ithn depression, n informationn onn suici
denprevention
d. Assisting n an patientn w hon hasn obsessiven compulsiven tendenciesn preparen andnpracti
cenfornanjobninterview
ANS: B
Primaryn preventionn helpsn ton reducen then occurrencen ofn mentaln disordersn byn staying ninvolv
edn withn an patient.n Providing n medicationn andn informationn onn ex isting n illnessesn arenex ampl
esn ofn secondaryn preventionn w hichn helpsn ton reducen then prevalencen ofn mentaln disorders.nA s
sisting nanmentallynillnpatientnw ithn preparationnfornanjobn interview n isn tertiaryn preventionnsincen i
tninvolvesnrehabilitation.
DIF: Cognitiven Level:n A pplication REF:n n Pagen 4
3. Whichninterventionnreflectsn attentionnbeing nfocusednonn then patient’snintentionsn re
garding nhisn diag nosisnofn severen depression?
a. Being nplac ednonnsuic idenprecautions
b. Encourag ing n visitsn by nhis nfamilyn members
c. Receiving n an combination n ofn medicationsn ton address n hisn emotionaln needs
d. Being n askedn ton deciden w heren hen w illn attendn hisn prescribedn therapyn sessions
ANS: n D
An primaryn factorn inn patientn treatmentn includesn considerationn ofn then patient’sn intentionsn r
egarding n hisn orn hernow nn care.n Patientsn aren centraln ton then processn thatn determinesn theirn ca
ren asn theirn abilitiesn allow.n Undern then g uidancen ofn PMH n nursesn andn othern mentaln healthn per
sonnel,n patientsn aren encouragedn ton mak en decisionsn andn ton activelyn engag en inn theirnow nn
treatmentn plansn ton meetn theirn needs.n T hen remaining n optionsn aren focusedn onnspecificsofn t
hendeterminednplannofn care.
DIF: Cognitiven Level:n A pplication REF:n n Pagen 5
1
,4. Whennan patient’sn familyn ask sn w hyn theirn chronicallyn mentally n illn adultn child n isn being n
dischargedn ton an community-basedn living n facility,n then nursen responds:
a. “Itnisn anwayn ton meetn then need nforn socialn support.”
b. “Itn isn toon expensiven ton k eepn stabilizedn patientsn inn acuten caren setting s.”
c. “Thisntypenofn facilitynw ill nproviden then specializedn care n thatn is nneeded.”
d. “Being n outn inn then communityn w illn help n providen hopen andn purposen forn living.”
ANS: n D
Hospitalizationn may n ben necessaryn forn acuten care,n but,n w henn patientsn aren stabilized, n theyn
moven inton community-based,n patient-
centeredn settingsn orn aren discharg edn homen withncontinuedn outpatientn treatmentn inn then co
mmunity.n Concentratedn effortsn aren maden tonreducen then patient’sn sick n rolen byn providing no
pportunitiesn forn then developmentn ofnan purposefuln lifen andn instilling n hopen forn eachn patient’
sn future.n Althoughn socialn supportn isnimportant,n suchn an living n arrang ementn isn notn then onlyn
wayn ton achieven it.n Althoughn acuten caren isnex pensive, n itn isn notn then majorn concernn w henn de
termining n long -termn caren options.nCommunity-
basednfacilitiesn aren notn then onlyn optionn forn specializedn care.
DIF: Cognitiven Level:n A pplication REF:n n Pagen 5
5. Whatnisn then bestn ex planation n tonoffer n w henn then mothernofn anchronicallyn illn teenag enp
atientn ask s,n “Undern whatn circumstancesn w ouldn hen ben consideredn incompetent?”
a. “Whenn youn cann providen then courtn w ithn enoug hn evidencen ton show n thatn hen isn notna
blentoncarenfornhimselfn safely.”
b. “Itn isn notn likely n thatn someonen hisn agen wouldn ben determinedn ton ben incompetentnre
gardlessnofnhisn mentaln condition.”
c. “Hen wouldn haven ton engag en inn behaviorn thatn wouldn resultn inn harmn ton himselfn orn tons
omeonenelse;nliken younornhisn sibling s.”
d. “Ifn then illnessn becomesn son severen thatn hisn judg mentn isn impairedn ton then pointn w hen t re
hendecisionsn hen mak esnarenharmfuln tonhimselfnorn ton others.”
ANS: n D
Whenn an personn isn unablen ton cog nitivelyn processn informationn orn ton mak en decisionsn aboutn
hisn orn hern ow nn welfare,n the n personn mayn ben determinedn ton ben mentallyn incompetent.
Providing n self-
caren isn notn then onlyn criterian considered. n Ag en isn notn an factorn considered. n Thendecisionnisnoftenn bas
ednonnthen potentialn fornsuchn behavior.
DIF: Cognitiven Level:n A pplication REF:n n Pagen 6
6. Whichnpsyc hiatricn nursing ninterventionnshow snannunderstand ing nofninteg ratedncare?
a. An chronicallyn abusedn womann isn assessedn forn anx iety.
b. An manicn patientn isn takenn ton then gymn ton usen then ex ercisen equipment.
c. Then oldern adultn diag nosedn w ithn depressionn isn monitoredn forn suicidaln ideations.
d. An teenagern whon refusesn ton obeyn then unit’sn rulesn isn notn allow n to n playn videon game s.
ANS:n n A
Then majorityn ofn healthn disciplinesn now n recog nizen thatn mentaln disordersn andn physical
illnessesn aren closelyn link ed.n Then presence n ofn an mentaln disordern increases n then risk n forn then
developmentn ofn physicaln illnessesn andn vicen versa.n A ssessing n an chronicallyn abusedn individua
ln forn anxietyn calln shouldn attentionn ton then psychiatricn disordern thatn couldn developnfromn the
n abuse. n Then remaining n optionsn show n interventionsn thatn aren appropriaten forn then mental ndis
order.
DIF: Cognitiven Level:n A pplication REF:n n Pagen 6
7. Whatn reasonn doesn then nursen given then patientn forn then emphasisn andn attentionn being
2
, paidn ton then recoveryn phasen ofn theirn treatmentn plan?
a. Recoveryn care,n evenn w henn intensive,n isn lessn ex pensiven thann acuten psychiatricn car
e.
b. Effectiven recoveryn caren isn lik elyn ton resultn inn few ern relapsesn andnsubsequentnhospit
alizations.
c. Planning n forn recoveryn caren isn timen consuming n andn involvesn dealing n w ithn manyn co
mplicatedndetails.
d. Recoveryncarenisnusuallyndone nonnannoutpatientnbasisnandnsonisng enerally nbettern acc
eptedn by n patients.
ANS: B
Muchn attentionn isn paidn ton recoveryn caren sincen effectiven recoveryn caren helpsn improven pati
entn outcomesn andn thusn minimizen subsequentn hospitalizations. n Recoveryn caren isn notnnecess
arilyn lessn expensiven thann acuten care.n Althoug hn effectiven recoveryn caren planning n mayn ben ti
men consuming n andn detailn oriented, n thatn isn notn then reasonn forn implementing n it.nRecoveryn c
aren isnnotn necessarilynw ellnacceptednbyn patients.
DIF: Cognitiven Level:n A pplication REF:n n Pagen 7
8. Then nursen isnattending n an neig hborhood n meeting n w herenan half-
wayn housen isn b eing n proposednforn then neig hborhoodn w henn an membern ofn then comm uni
tynstates,n“W e
don’tw antn thenfacility;n w enespec ially ndon’tn w antnviolentnpeoplenliving n nearnus.”nT hen re
sponsen byn then nursen thatn bestn addressesn then p ublic’sn concernn is:
a. “Inn truth,n mostn individualsn w ithn psychiatricn disordern aren passiven andn w ithdraw nna
ndnposenlittlen threatn ton thosen aroundn them.”
b. “Then mentallyn ill n seldomn behaven inn then mannern theyn aren portrayedn byn movies;n th
eynarenpeoplenjustnlik en thenrestn ofnus.”
c. “Patientsn w ithnpsychiatricn disordern arenson welln medicatedn thatn theyn don notn displan vi y
olentnbehaviors.”
d. “Then mentallyn illn deserven ansafe,n comfortablen placen ton liven among n peoplen w hon trul
yncarenfornthem.”
ANS:n n A
An majorn reasonn forn then ex istencen ofn then stigman placedn onn personsn w ithn mentaln illnessn isnla
ck n ofn knowledg e.n Then mainn fear n isn ofn violence, n althoug hnonlyn ansmalln percentagen ofn patien
tsn withn mentaln illnessn displayn thisn behavior.n Providing n then publicn w ithn accuraten informatio
nn cann helpn reducen stig ma.n T hen remaining n optionsn don notn directlyn addressn then concernsn sta
ted.
DIF: Cognitiven Level:n A pplication REF:n n Pagesn 13-14
9. Whichn activityn show sn thatn an therapeuticn alliancen hasn beenn establishedn betw eenn
thenursenandn patient?
a. Then nursen respectsn then patient’sn rig htn ton privacy n w henn visitorsn aren spending n timn en
withnthen patient.
b. Then patientn isn eag erlyn attending n alln groupn sessionsn andn w ork ing n independentlynoi n
dentifying n theirn personaln stressors.
c. Thenpatientn isnfreelyn describing n theirnfeeling snrelatedn ton then physicaln andn emotio
naln trauman theyn ex periencedn asn an childnw ithn then nurse.
d. Then nursen dutifullyn administersn then patient’sn medicationsn onn timen andn w ithnappro
priatenknowledgen ofn thenpotentialnsideneffects.
ANS:n n C
An primaryn aspectn ofn work ing n w ithn patientsn inn anyn setting n andn particularlyn inn the
3
, psychiatricn setting n isn then developmentn ofn an therapeuticn alliancen w ithn then patient.n Suchn anna
lliancen isn establishedn onn trust.n I tn isn an professionaln bondn betw eenn then nursen andn then patient
n thatn servesn asn an vehiclen forn patientsn ton freelyn discussn theirn needsn andn problemsninthen abs
encen ofn then nurse’sn criticismn orn judgment. n A nyn nursen hasn ann obligationn ton respectn then pati
ent’sn rightsn andn administern caren effectively. n Then patient’sn w illingnessn tonparticipaten inn then
plannofncarenreflectsnselfnmotivation.
DIF: Cognitiven Level:n A pplication REF:n n Pagen 9
1 0 . Mentaln healthn caren reformn hasn calledn forn parityn betw eenn psychiatricn andn medicaln
diagnoses.n Whichn isnannex amplenofn suchn parity?
a. Depressionn treatmentn isn notn paidn forn asn readilyn asn isn treatmentn forn asthma.
b. Then mentallyn illn patientn w illn ben protectedn byn lawn againstn socialn stig ma.
c. Medicaln practitionersn aren trainedn ton ben proficientn atn treating n mentaln disorders.
d. Psychiatricn servicen reimbursementn w illn ben equivalentn ton thatn ofn medicaln services .
ANS: n D
Then termn parityn asn usedn heren refersn ton paymentsn forn mental n healthnservicesn thatn equaln p
aymentn schedulesn forn medicaln orn surg icaln conditions. n Then remaining n options(Bn andn C)ndo
notn relaten ton financialn reimbursementn orn fundsn allocatedn forn mentaln healthn caren being n eq
ualntonthosenofn medicalndiagnoses.
DIF: Cognitiven Level:n A pplication REF:n n Pagen 15
1. Whichn assessmentn findingsn sugg estn ton then nursen thatn thisn patientn hasn characteristi
csseenninnann individual n w ho n hasn reachednself-actualization? n Selectnalln thatnapply.
a. Reportsn ton have,n “foundn peacen andn securityn inn my n relig iousn faith”
b. Effectivelyn “chang edn occupations” n whenn an chronicn visionn problemn worsened
c. Hasn consistently n earnedn an six-fig uren salaryn asn ann architectn forn then lastn 10n years
d. Hasn beenn inn an supportive, n loving n relationshipn w ithn then samen individualn forn 15nyea
rs
e. Providesn freen literacyn tutoring n helpn atn then localn homelessn sheltern 3n evening sn anw
eek
ANS:n n A,n B,nD,n E
Characteristicsn ofn selfn actualizationnw ouldn include:nspiritualn well-
being,n opennandnflex ible,nrelationallynfulfilled,nandngenerosityn towardn others.nSalaryndoesn’tn ne
cessarilynreflectn self-nactualization.
DIF:n n CognitivenL evel:n A pplicationn n n n R EF:n n Pagen 4
2. Whichn nursing n activitiesn representn then tertiaryn leveln ofn mentaln healthn care?n Selectn alln
thatnapply.
a. Providing n a n depressionn screening n atn an localn college
b. Helping n an mental-challeng edn patientn learnn ton mak en correctn change
c. Reporting n ann incidencen ofn possiblen eldern abusen to n then appropriaten legaln agency
d. Regularlynassessing nanpatient’sn understanding nof ntheir nprescrib ednantidepressan tsn
e. Providing n an 6-w eek n parenting n classn ton teenag en parentsn throughn an localn hig h ol
ANS:n n B,nD
Tertiaryn prev ention nreduc esn then residualn effectsn ofn then disordern suchn asn depressionn andn m
entaln retardation. nT heren isn non quaternaryn leveln ofn prevention. n Primaryn prev entionn reduc e
snoccurrencesn ofn mentaln disordersn suchn asnscreening sn andn parenting n classes,n andn secondar
ynpreventionn reducesn then prevalencen ofn disordersn asn evid encedn byn assessing
4
Chap te r n 0 1: n Ps yc hiatric n N ur sin g : n The o r y, n P rin c iples , n an d n Tre n d s
1. Whichnund erstanding nisnthenbasisnforn then nursing n actionsnfocusedn onnminimizing n
mentaln healthn promotionnofnfamiliesn w ithn chronically n mentallyn illn members?
a. Familyn membersn are n atn ann increasedn risk n forn mentaln illness.
b. Then mentaln healthn caren systemn isn notn preparedn ton dealn w ithn familyn crises.
c. Familyn membersn aren seldomn preparedn ton copen w ithn an chronicallyn illn individual.
d. Then chronicallyn mentallyn illn receiven caren bestn w henn deliveredn inn an formaln setting.
ANS:n n A
Whennfamiliesn liven w ithna n dominantn memb er n w hon hasna n persistent n and n severen men taln d isord
ernthenoutcomesnarenoftenn ex pressednasnfamilynmem bersn w honarenatnincreasednrisk iforn physicalna
ndnmentaln illnesses.n T henremaining n optionsn aren notn necessarilyn true.
DIF: Cognitiven Level:n A pplication REF:n n Pagen 3
2. Whichn nursing n activityn show sn then nursen activelyn eng agedn inn then primaryn preventionno
fmentalndisorders?
a. Providing n an patient, n w hosen depressionn isn w elln manag ed, n w ithn medicationn onn tim
b. Making n regularn follow-upn visitsn ton an new n mothern atn risk n forn post-
partumndepression
c. Providing n then familynofn anpatient,n diag nosedn w ithn depression, n informationn onn suici
denprevention
d. Assisting n an patientn w hon hasn obsessiven compulsiven tendenciesn preparen andnpracti
cenfornanjobninterview
ANS: B
Primaryn preventionn helpsn ton reducen then occurrencen ofn mentaln disordersn byn staying ninvolv
edn withn an patient.n Providing n medicationn andn informationn onn ex isting n illnessesn arenex ampl
esn ofn secondaryn preventionn w hichn helpsn ton reducen then prevalencen ofn mentaln disorders.nA s
sisting nanmentallynillnpatientnw ithn preparationnfornanjobn interview n isn tertiaryn preventionnsincen i
tninvolvesnrehabilitation.
DIF: Cognitiven Level:n A pplication REF:n n Pagen 4
3. Whichninterventionnreflectsn attentionnbeing nfocusednonn then patient’snintentionsn re
garding nhisn diag nosisnofn severen depression?
a. Being nplac ednonnsuic idenprecautions
b. Encourag ing n visitsn by nhis nfamilyn members
c. Receiving n an combination n ofn medicationsn ton address n hisn emotionaln needs
d. Being n askedn ton deciden w heren hen w illn attendn hisn prescribedn therapyn sessions
ANS: n D
An primaryn factorn inn patientn treatmentn includesn considerationn ofn then patient’sn intentionsn r
egarding n hisn orn hernow nn care.n Patientsn aren centraln ton then processn thatn determinesn theirn ca
ren asn theirn abilitiesn allow.n Undern then g uidancen ofn PMH n nursesn andn othern mentaln healthn per
sonnel,n patientsn aren encouragedn ton mak en decisionsn andn ton activelyn engag en inn theirnow nn
treatmentn plansn ton meetn theirn needs.n T hen remaining n optionsn aren focusedn onnspecificsofn t
hendeterminednplannofn care.
DIF: Cognitiven Level:n A pplication REF:n n Pagen 5
1
,4. Whennan patient’sn familyn ask sn w hyn theirn chronicallyn mentally n illn adultn child n isn being n
dischargedn ton an community-basedn living n facility,n then nursen responds:
a. “Itnisn anwayn ton meetn then need nforn socialn support.”
b. “Itn isn toon expensiven ton k eepn stabilizedn patientsn inn acuten caren setting s.”
c. “Thisntypenofn facilitynw ill nproviden then specializedn care n thatn is nneeded.”
d. “Being n outn inn then communityn w illn help n providen hopen andn purposen forn living.”
ANS: n D
Hospitalizationn may n ben necessaryn forn acuten care,n but,n w henn patientsn aren stabilized, n theyn
moven inton community-based,n patient-
centeredn settingsn orn aren discharg edn homen withncontinuedn outpatientn treatmentn inn then co
mmunity.n Concentratedn effortsn aren maden tonreducen then patient’sn sick n rolen byn providing no
pportunitiesn forn then developmentn ofnan purposefuln lifen andn instilling n hopen forn eachn patient’
sn future.n Althoughn socialn supportn isnimportant,n suchn an living n arrang ementn isn notn then onlyn
wayn ton achieven it.n Althoughn acuten caren isnex pensive, n itn isn notn then majorn concernn w henn de
termining n long -termn caren options.nCommunity-
basednfacilitiesn aren notn then onlyn optionn forn specializedn care.
DIF: Cognitiven Level:n A pplication REF:n n Pagen 5
5. Whatnisn then bestn ex planation n tonoffer n w henn then mothernofn anchronicallyn illn teenag enp
atientn ask s,n “Undern whatn circumstancesn w ouldn hen ben consideredn incompetent?”
a. “Whenn youn cann providen then courtn w ithn enoug hn evidencen ton show n thatn hen isn notna
blentoncarenfornhimselfn safely.”
b. “Itn isn notn likely n thatn someonen hisn agen wouldn ben determinedn ton ben incompetentnre
gardlessnofnhisn mentaln condition.”
c. “Hen wouldn haven ton engag en inn behaviorn thatn wouldn resultn inn harmn ton himselfn orn tons
omeonenelse;nliken younornhisn sibling s.”
d. “Ifn then illnessn becomesn son severen thatn hisn judg mentn isn impairedn ton then pointn w hen t re
hendecisionsn hen mak esnarenharmfuln tonhimselfnorn ton others.”
ANS: n D
Whenn an personn isn unablen ton cog nitivelyn processn informationn orn ton mak en decisionsn aboutn
hisn orn hern ow nn welfare,n the n personn mayn ben determinedn ton ben mentallyn incompetent.
Providing n self-
caren isn notn then onlyn criterian considered. n Ag en isn notn an factorn considered. n Thendecisionnisnoftenn bas
ednonnthen potentialn fornsuchn behavior.
DIF: Cognitiven Level:n A pplication REF:n n Pagen 6
6. Whichnpsyc hiatricn nursing ninterventionnshow snannunderstand ing nofninteg ratedncare?
a. An chronicallyn abusedn womann isn assessedn forn anx iety.
b. An manicn patientn isn takenn ton then gymn ton usen then ex ercisen equipment.
c. Then oldern adultn diag nosedn w ithn depressionn isn monitoredn forn suicidaln ideations.
d. An teenagern whon refusesn ton obeyn then unit’sn rulesn isn notn allow n to n playn videon game s.
ANS:n n A
Then majorityn ofn healthn disciplinesn now n recog nizen thatn mentaln disordersn andn physical
illnessesn aren closelyn link ed.n Then presence n ofn an mentaln disordern increases n then risk n forn then
developmentn ofn physicaln illnessesn andn vicen versa.n A ssessing n an chronicallyn abusedn individua
ln forn anxietyn calln shouldn attentionn ton then psychiatricn disordern thatn couldn developnfromn the
n abuse. n Then remaining n optionsn show n interventionsn thatn aren appropriaten forn then mental ndis
order.
DIF: Cognitiven Level:n A pplication REF:n n Pagen 6
7. Whatn reasonn doesn then nursen given then patientn forn then emphasisn andn attentionn being
2
, paidn ton then recoveryn phasen ofn theirn treatmentn plan?
a. Recoveryn care,n evenn w henn intensive,n isn lessn ex pensiven thann acuten psychiatricn car
e.
b. Effectiven recoveryn caren isn lik elyn ton resultn inn few ern relapsesn andnsubsequentnhospit
alizations.
c. Planning n forn recoveryn caren isn timen consuming n andn involvesn dealing n w ithn manyn co
mplicatedndetails.
d. Recoveryncarenisnusuallyndone nonnannoutpatientnbasisnandnsonisng enerally nbettern acc
eptedn by n patients.
ANS: B
Muchn attentionn isn paidn ton recoveryn caren sincen effectiven recoveryn caren helpsn improven pati
entn outcomesn andn thusn minimizen subsequentn hospitalizations. n Recoveryn caren isn notnnecess
arilyn lessn expensiven thann acuten care.n Althoug hn effectiven recoveryn caren planning n mayn ben ti
men consuming n andn detailn oriented, n thatn isn notn then reasonn forn implementing n it.nRecoveryn c
aren isnnotn necessarilynw ellnacceptednbyn patients.
DIF: Cognitiven Level:n A pplication REF:n n Pagen 7
8. Then nursen isnattending n an neig hborhood n meeting n w herenan half-
wayn housen isn b eing n proposednforn then neig hborhoodn w henn an membern ofn then comm uni
tynstates,n“W e
don’tw antn thenfacility;n w enespec ially ndon’tn w antnviolentnpeoplenliving n nearnus.”nT hen re
sponsen byn then nursen thatn bestn addressesn then p ublic’sn concernn is:
a. “Inn truth,n mostn individualsn w ithn psychiatricn disordern aren passiven andn w ithdraw nna
ndnposenlittlen threatn ton thosen aroundn them.”
b. “Then mentallyn ill n seldomn behaven inn then mannern theyn aren portrayedn byn movies;n th
eynarenpeoplenjustnlik en thenrestn ofnus.”
c. “Patientsn w ithnpsychiatricn disordern arenson welln medicatedn thatn theyn don notn displan vi y
olentnbehaviors.”
d. “Then mentallyn illn deserven ansafe,n comfortablen placen ton liven among n peoplen w hon trul
yncarenfornthem.”
ANS:n n A
An majorn reasonn forn then ex istencen ofn then stigman placedn onn personsn w ithn mentaln illnessn isnla
ck n ofn knowledg e.n Then mainn fear n isn ofn violence, n althoug hnonlyn ansmalln percentagen ofn patien
tsn withn mentaln illnessn displayn thisn behavior.n Providing n then publicn w ithn accuraten informatio
nn cann helpn reducen stig ma.n T hen remaining n optionsn don notn directlyn addressn then concernsn sta
ted.
DIF: Cognitiven Level:n A pplication REF:n n Pagesn 13-14
9. Whichn activityn show sn thatn an therapeuticn alliancen hasn beenn establishedn betw eenn
thenursenandn patient?
a. Then nursen respectsn then patient’sn rig htn ton privacy n w henn visitorsn aren spending n timn en
withnthen patient.
b. Then patientn isn eag erlyn attending n alln groupn sessionsn andn w ork ing n independentlynoi n
dentifying n theirn personaln stressors.
c. Thenpatientn isnfreelyn describing n theirnfeeling snrelatedn ton then physicaln andn emotio
naln trauman theyn ex periencedn asn an childnw ithn then nurse.
d. Then nursen dutifullyn administersn then patient’sn medicationsn onn timen andn w ithnappro
priatenknowledgen ofn thenpotentialnsideneffects.
ANS:n n C
An primaryn aspectn ofn work ing n w ithn patientsn inn anyn setting n andn particularlyn inn the
3
, psychiatricn setting n isn then developmentn ofn an therapeuticn alliancen w ithn then patient.n Suchn anna
lliancen isn establishedn onn trust.n I tn isn an professionaln bondn betw eenn then nursen andn then patient
n thatn servesn asn an vehiclen forn patientsn ton freelyn discussn theirn needsn andn problemsninthen abs
encen ofn then nurse’sn criticismn orn judgment. n A nyn nursen hasn ann obligationn ton respectn then pati
ent’sn rightsn andn administern caren effectively. n Then patient’sn w illingnessn tonparticipaten inn then
plannofncarenreflectsnselfnmotivation.
DIF: Cognitiven Level:n A pplication REF:n n Pagen 9
1 0 . Mentaln healthn caren reformn hasn calledn forn parityn betw eenn psychiatricn andn medicaln
diagnoses.n Whichn isnannex amplenofn suchn parity?
a. Depressionn treatmentn isn notn paidn forn asn readilyn asn isn treatmentn forn asthma.
b. Then mentallyn illn patientn w illn ben protectedn byn lawn againstn socialn stig ma.
c. Medicaln practitionersn aren trainedn ton ben proficientn atn treating n mentaln disorders.
d. Psychiatricn servicen reimbursementn w illn ben equivalentn ton thatn ofn medicaln services .
ANS: n D
Then termn parityn asn usedn heren refersn ton paymentsn forn mental n healthnservicesn thatn equaln p
aymentn schedulesn forn medicaln orn surg icaln conditions. n Then remaining n options(Bn andn C)ndo
notn relaten ton financialn reimbursementn orn fundsn allocatedn forn mentaln healthn caren being n eq
ualntonthosenofn medicalndiagnoses.
DIF: Cognitiven Level:n A pplication REF:n n Pagen 15
1. Whichn assessmentn findingsn sugg estn ton then nursen thatn thisn patientn hasn characteristi
csseenninnann individual n w ho n hasn reachednself-actualization? n Selectnalln thatnapply.
a. Reportsn ton have,n “foundn peacen andn securityn inn my n relig iousn faith”
b. Effectivelyn “chang edn occupations” n whenn an chronicn visionn problemn worsened
c. Hasn consistently n earnedn an six-fig uren salaryn asn ann architectn forn then lastn 10n years
d. Hasn beenn inn an supportive, n loving n relationshipn w ithn then samen individualn forn 15nyea
rs
e. Providesn freen literacyn tutoring n helpn atn then localn homelessn sheltern 3n evening sn anw
eek
ANS:n n A,n B,nD,n E
Characteristicsn ofn selfn actualizationnw ouldn include:nspiritualn well-
being,n opennandnflex ible,nrelationallynfulfilled,nandngenerosityn towardn others.nSalaryndoesn’tn ne
cessarilynreflectn self-nactualization.
DIF:n n CognitivenL evel:n A pplicationn n n n R EF:n n Pagen 4
2. Whichn nursing n activitiesn representn then tertiaryn leveln ofn mentaln healthn care?n Selectn alln
thatnapply.
a. Providing n a n depressionn screening n atn an localn college
b. Helping n an mental-challeng edn patientn learnn ton mak en correctn change
c. Reporting n ann incidencen ofn possiblen eldern abusen to n then appropriaten legaln agency
d. Regularlynassessing nanpatient’sn understanding nof ntheir nprescrib ednantidepressan tsn
e. Providing n an 6-w eek n parenting n classn ton teenag en parentsn throughn an localn hig h ol
ANS:n n B,nD
Tertiaryn prev ention nreduc esn then residualn effectsn ofn then disordern suchn asn depressionn andn m
entaln retardation. nT heren isn non quaternaryn leveln ofn prevention. n Primaryn prev entionn reduc e
snoccurrencesn ofn mentaln disordersn suchn asnscreening sn andn parenting n classes,n andn secondar
ynpreventionn reducesn then prevalencen ofn disordersn asn evid encedn byn assessing
4
