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TEST BANK FOR m m
FORTINASH PSYCHIATRIC MENTAL HEALTH
m m m m
NURSING 6TH EDITION
m
m
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mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
Fortin as h: m P s yc hiatr ic m M e n tal m He alt h m N ur sin g
Chap te r m 0 1: m P s yc hia tr ic m N ur sin g: m The or y, m P rin c iple s, m an d m Tr e n ds
1. Whichm understand ing m ism them basism form them nursing mac tionsm focusedm onm minimizin
g mmental m healthm promotionm ofmfamiliesmw ith m chronically m mentallym illm memb ers?
a. Familym membersm arem atm anm increasedm risk m for m mental m illness.
b. Them mentalm healthm carem systemm ism notm preparedm tom dealm w ithm familym crises.
c. Familym membersm arem seldomm preparedm tom copem w ithm am chronicallym ill m individual.
d. Them chronicallym mentallym illm receivem carem bestm whenm deliveredm inm am formalm settin
g.
ANS:m A
Whenm familiesm livem w ithm am d ominantm memberm w hom hasm am p ersistentm and m severem men
talmdisorderm themou tcom esmarem oftenm ex pressed masm fam ilym m embersm w ho marem atm increase
dmrisk mform physical mandm m ental m illnesses. mT hem remaining m optionsmarem notm necessarilym true
.
DIF: Cognitivem Level:m Application REF:m m Pagem 3
2. Whichm nursing m activitym showsm them nursem activelym engag edm inm them primarym prevention
m ofmmental mdisorders?
a. Providing m am patient,m whosem depressionm ism w ellm manag ed, m w ithm medicationm onm ti
me
b. Making m regularm follow-upmvisitsm tom am new m motherm atm risk m form post-
partummdepression
c. Providing m them familym ofm ampatient,m diag nosedmw ithm depression, m information m onms
uicidem prevention
d. Assisting m am patientm w hom hasm obsessivem compulsivem tendenciesm preparem andm prac
ticemformamjobm interview
ANS:m B
Primarym preventionm helpsm tom reducem them occurrencem ofm mentalm disordersm bym staying minvo
lvedm withm am patient.m Providing m medicationm and m informationm onm ex isting m illnessesm aremex a
mplesm ofm secondarym preventionm whichm helpsm tom reducem them prevalencem ofm mentalmdisord
ers.m Assisting m ammentallym illm patientm w ithmpreparationm formamjobm interview m ism tertiarym preven
tionmsincem itm involvesmrehabilitation.
DIF: Cognitivem Level:m Application REF:m m Pagem 4
3. Whichminterventionmreflectsm attentionm being m focused m onm them patient’sm intention
smregarding mhism diag nosism ofmseveremdepression?
a. Being m placed m onm suicidem precautions
b. Encourag ing m visitsm by m hism familym members
c. Receiving m a m combinationm of m medicationsm tom addressm hism emotionalm needs
d. Being m askedm tom decidem w herem hem w illm attendm hism prescribedm therapym sessions
ANS: m D
Am primarym factorm inm patientm treatmentm includesm considerationm ofm them patient’sm intention
smregarding m hism orm her m ownm care.m Patientsm arem centralm tom them processm thatm determinesm t
heirmcarem asm theirm abilitiesm allow.m Underm them guidancem ofm PMH m nursesm and m otherm mental
m healthmpersonnel, m patientsm arem encouragedm tom mak em decisionsm andm tom activelym engag em
inm theirm ow nm treatmentm plansm tom meetm theirm needs.m T hem remaining m optionsm arem focusedm
onm specificsmofm themdeterminedm planmofmcare.
DIF: Cognitivem Level:m Application REF:m m Pagem 5
1
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4. Whenm am patient’sm familym ask sm w hym theirm chronicallym mentallym illm adultm childm ism bei
ng mdischarg edm tom am community-basedm living m facility,m them nursem responds:
a. “Itm ism am waym tom meetm them needm form socialm support.”
b. “Itm ism toom ex pensivem to m keepm stabilizedm patientsm inm acutem carem settings.”
c. “Thism typem ofm facilitym w illm providem them specializedm carem thatm ism needed.”
d. “Being m outm inm them communitym w illm helpm providem hopem andm purposem form living.”
ANS: m D
Hospitalizationm maym bem necessarym form acutem care,m but,m w henm patientsm arem stabilized, m the
ymmovem intom community-based,m patient-
centeredm settingsm orm arem discharg edm homem w ithmcontinuedm outpatientm treatmentm inm them
community.m Concentratedm effortsm arem madem tomreducem them patient’sm sick m rolem bym provid
ing m opportunitiesm form them developmentm ofm a
purposefulmlifem andm instilling m hopem form eachm patient’sm future.m Althoug hm socialm supportm
ismimportant,m suchm am living m arrang ementm ism notm them onlym waym tom achieve m it.m Althoug hm
acutemcarem ism ex pensive, m itm ism notm them majorm concernm whenm determining m long-
termm carem options.mCommunity-
basedm facilitiesm arem notm them onlym optionm form specializedm care.
DIF: Cognitivem Level:m Application REF:m m Pagem 5
5. Whatmism them bestm ex planationm tomofferm whenm them motherm ofmam chronicallym ill m teena
gempatientm asks,m “Underm whatm circumstancesm wouldm hem bem consideredm incompete
nt?”
a. “Whenm youm canm providem them courtm w ithm enoug hm evidencem tom show m thatm hem ism n
otmablemtomcaremformhimselfm safely.”
b. “Itm ism notm likelym thatm someonem hism agem w ouldm bem determinedm tom bem incompeten
tmregardlessmofmhismmentalmcondition.”
c. “Hem wouldm havem tom engagem inm behaviorm thatm w ouldm resultm inm harmm tom himselfm or
m tomsomeonem else; mlikem youmormhism sibling s.”
d. “Ifm them illnessm becomesm som severem thatm hism judg mentm ism impairedm tom them pointm
whemthem decisionsm hem makesm arem harmfulm tom himselfm orm to m others.” re
ANS: m D
Whenm am personm ism unablem tom cognitivelym processm informationm orm tom makem decisionsm abo
utmhism orm herm ownm w elfare,m them person m maym bem determinedm tom bem mentallym incompete
nt.
Providing m self-
carem ism notm them onlym criteriam considered.m Ag em ism notm am factorm considered. m Them decisionm ism of
tenm basedm onm them potentialm form suchm behavior.
DIF: Cognitivem Level:m Application REF:m m Pagem 6
6. Whichm psy chiatricm nursing m interventionm show sm anm understanding m ofm integ ratedm care?
a. Am chronicallym abusedm w oman m ism assessedm form anx iety.
b. Am manicm patientm is m takenm tom them g ymm tom usem them ex ercise m equipment.
c. Them olderm adultm diag nosedm w ithm depressionm ism monitoredm form suicidalm ideations.
d. Am teenagerm w hom refusesm to m obeym them unit’sm rulesm ism notm allow m tom playm videom ga s.
ANS:me
m A
Them majoritym ofm healthm disciplinesm now m recognizem thatm mentalm disordersm andm physical
illnessesm arem closelym link ed.m T hem presencem ofm am mentalm disorderm increasesm them risk m form
themdevelopmentm ofm physicalm illnessesm andm vicem versa.m Assessing m am chronicallym abusedm i
ndividualm form anx ietym callm shouldm attentionm tom them psychiatricm disorderm thatm couldm devel
opmfromm them abuse.m Them remaining m optionsm show m interventionsm thatm arem appropriatem fo
rm themmentalm disorder.
DIF: Cognitivem Level:m Application REF:m m Pagem 6
7. Whatm reasonm doesm them nursem g ivem them patientm form them emphasis m andm attentionm being
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mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
TEST BANK FOR m m
FORTINASH PSYCHIATRIC MENTAL HEALTH
m m m m
NURSING 6TH EDITION
m
m
, Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
Fortin as h: m P s yc hiatr ic m M e n tal m He alt h m N ur sin g
Chap te r m 0 1: m P s yc hia tr ic m N ur sin g: m The or y, m P rin c iple s, m an d m Tr e n ds
1. Whichm understand ing m ism them basism form them nursing mac tionsm focusedm onm minimizin
g mmental m healthm promotionm ofmfamiliesmw ith m chronically m mentallym illm memb ers?
a. Familym membersm arem atm anm increasedm risk m for m mental m illness.
b. Them mentalm healthm carem systemm ism notm preparedm tom dealm w ithm familym crises.
c. Familym membersm arem seldomm preparedm tom copem w ithm am chronicallym ill m individual.
d. Them chronicallym mentallym illm receivem carem bestm whenm deliveredm inm am formalm settin
g.
ANS:m A
Whenm familiesm livem w ithm am d ominantm memberm w hom hasm am p ersistentm and m severem men
talmdisorderm themou tcom esmarem oftenm ex pressed masm fam ilym m embersm w ho marem atm increase
dmrisk mform physical mandm m ental m illnesses. mT hem remaining m optionsmarem notm necessarilym true
.
DIF: Cognitivem Level:m Application REF:m m Pagem 3
2. Whichm nursing m activitym showsm them nursem activelym engag edm inm them primarym prevention
m ofmmental mdisorders?
a. Providing m am patient,m whosem depressionm ism w ellm manag ed, m w ithm medicationm onm ti
me
b. Making m regularm follow-upmvisitsm tom am new m motherm atm risk m form post-
partummdepression
c. Providing m them familym ofm ampatient,m diag nosedmw ithm depression, m information m onms
uicidem prevention
d. Assisting m am patientm w hom hasm obsessivem compulsivem tendenciesm preparem andm prac
ticemformamjobm interview
ANS:m B
Primarym preventionm helpsm tom reducem them occurrencem ofm mentalm disordersm bym staying minvo
lvedm withm am patient.m Providing m medicationm and m informationm onm ex isting m illnessesm aremex a
mplesm ofm secondarym preventionm whichm helpsm tom reducem them prevalencem ofm mentalmdisord
ers.m Assisting m ammentallym illm patientm w ithmpreparationm formamjobm interview m ism tertiarym preven
tionmsincem itm involvesmrehabilitation.
DIF: Cognitivem Level:m Application REF:m m Pagem 4
3. Whichminterventionmreflectsm attentionm being m focused m onm them patient’sm intention
smregarding mhism diag nosism ofmseveremdepression?
a. Being m placed m onm suicidem precautions
b. Encourag ing m visitsm by m hism familym members
c. Receiving m a m combinationm of m medicationsm tom addressm hism emotionalm needs
d. Being m askedm tom decidem w herem hem w illm attendm hism prescribedm therapym sessions
ANS: m D
Am primarym factorm inm patientm treatmentm includesm considerationm ofm them patient’sm intention
smregarding m hism orm her m ownm care.m Patientsm arem centralm tom them processm thatm determinesm t
heirmcarem asm theirm abilitiesm allow.m Underm them guidancem ofm PMH m nursesm and m otherm mental
m healthmpersonnel, m patientsm arem encouragedm tom mak em decisionsm andm tom activelym engag em
inm theirm ow nm treatmentm plansm tom meetm theirm needs.m T hem remaining m optionsm arem focusedm
onm specificsmofm themdeterminedm planmofmcare.
DIF: Cognitivem Level:m Application REF:m m Pagem 5
1
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4. Whenm am patient’sm familym ask sm w hym theirm chronicallym mentallym illm adultm childm ism bei
ng mdischarg edm tom am community-basedm living m facility,m them nursem responds:
a. “Itm ism am waym tom meetm them needm form socialm support.”
b. “Itm ism toom ex pensivem to m keepm stabilizedm patientsm inm acutem carem settings.”
c. “Thism typem ofm facilitym w illm providem them specializedm carem thatm ism needed.”
d. “Being m outm inm them communitym w illm helpm providem hopem andm purposem form living.”
ANS: m D
Hospitalizationm maym bem necessarym form acutem care,m but,m w henm patientsm arem stabilized, m the
ymmovem intom community-based,m patient-
centeredm settingsm orm arem discharg edm homem w ithmcontinuedm outpatientm treatmentm inm them
community.m Concentratedm effortsm arem madem tomreducem them patient’sm sick m rolem bym provid
ing m opportunitiesm form them developmentm ofm a
purposefulmlifem andm instilling m hopem form eachm patient’sm future.m Althoug hm socialm supportm
ismimportant,m suchm am living m arrang ementm ism notm them onlym waym tom achieve m it.m Althoug hm
acutemcarem ism ex pensive, m itm ism notm them majorm concernm whenm determining m long-
termm carem options.mCommunity-
basedm facilitiesm arem notm them onlym optionm form specializedm care.
DIF: Cognitivem Level:m Application REF:m m Pagem 5
5. Whatmism them bestm ex planationm tomofferm whenm them motherm ofmam chronicallym ill m teena
gempatientm asks,m “Underm whatm circumstancesm wouldm hem bem consideredm incompete
nt?”
a. “Whenm youm canm providem them courtm w ithm enoug hm evidencem tom show m thatm hem ism n
otmablemtomcaremformhimselfm safely.”
b. “Itm ism notm likelym thatm someonem hism agem w ouldm bem determinedm tom bem incompeten
tmregardlessmofmhismmentalmcondition.”
c. “Hem wouldm havem tom engagem inm behaviorm thatm w ouldm resultm inm harmm tom himselfm or
m tomsomeonem else; mlikem youmormhism sibling s.”
d. “Ifm them illnessm becomesm som severem thatm hism judg mentm ism impairedm tom them pointm
whemthem decisionsm hem makesm arem harmfulm tom himselfm orm to m others.” re
ANS: m D
Whenm am personm ism unablem tom cognitivelym processm informationm orm tom makem decisionsm abo
utmhism orm herm ownm w elfare,m them person m maym bem determinedm tom bem mentallym incompete
nt.
Providing m self-
carem ism notm them onlym criteriam considered.m Ag em ism notm am factorm considered. m Them decisionm ism of
tenm basedm onm them potentialm form suchm behavior.
DIF: Cognitivem Level:m Application REF:m m Pagem 6
6. Whichm psy chiatricm nursing m interventionm show sm anm understanding m ofm integ ratedm care?
a. Am chronicallym abusedm w oman m ism assessedm form anx iety.
b. Am manicm patientm is m takenm tom them g ymm tom usem them ex ercise m equipment.
c. Them olderm adultm diag nosedm w ithm depressionm ism monitoredm form suicidalm ideations.
d. Am teenagerm w hom refusesm to m obeym them unit’sm rulesm ism notm allow m tom playm videom ga s.
ANS:me
m A
Them majoritym ofm healthm disciplinesm now m recognizem thatm mentalm disordersm andm physical
illnessesm arem closelym link ed.m T hem presencem ofm am mentalm disorderm increasesm them risk m form
themdevelopmentm ofm physicalm illnessesm andm vicem versa.m Assessing m am chronicallym abusedm i
ndividualm form anx ietym callm shouldm attentionm tom them psychiatricm disorderm thatm couldm devel
opmfromm them abuse.m Them remaining m optionsm show m interventionsm thatm arem appropriatem fo
rm themmentalm disorder.
DIF: Cognitivem Level:m Application REF:m m Pagem 6
7. Whatm reasonm doesm them nursem g ivem them patientm form them emphasis m andm attentionm being
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