C HAPTER 04: T REATMENT S ETTINGS
Halter: Varcarolis’ Foundations of Psychiatric -Mental Health Nursing: A
Clinical Approach, 9th Edition
MULTIPLE CHOICE
1. What is an example of primary prevention?
a. Assisting a person diagnosed with a serious mental illness to fill a
pill-minder
b. Helping school -age children identify an d describe normal emotions
c. Leading a psychoeducational group in a communit y care home
d. Medicating an acutely ill client who assaulted a staff person
ANS: B
Primary preventions are directed at healthy populations with a goal of
preventing health problems f rom occurring. Helping school -age
children describe normal emotions people experience promotes coping,
a skill that is needed throughout life. Assisting a person with serious
and persistent mental illness to fill a pill -minder is an example of
tertiary prevention. Medicating an acutely ill client who assaulted a
staff person is a secondary prevention. Leading a psychoeducational
group in a community care home is an example of tertiary prevention.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
TOP: Nursing Process: Implementation MSC: Client
Needs: Health Promotion and Maintenance
,2. Which level of prevention activities would a nurse in an emergency
department employ most often?
a. Primary
b. Secondary
c. Tertiary
ANS: B
An emergency department nurse would gen erall y see clients in crisis or
with acute illness, so secondary prevention is used. Primary prevention
involves preventing a health problem from developing, and tertiary
prevention applies to rehabilitative activities.
PTS: 1 DIF: Cognitive Level: Und erstand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client
Needs: Health Promotion and Maintenance
3. How would the nurse assigned to ACT best explain the program’s
treatment goal?
a. assisting clients to maintain abstinence from alcohol and oth er
substances of abuse.
b. providing structure and a therapeutic milieu for mentall y ill clients
whose symptoms require stabilization.
c. maintaining medications and stable psychiatric status for
incarcerated inmates who have a history of mental illness.
d. providing services for mentall y ill individuals who require intensive
treatment to continue to live in the communit y.
ANS: D
, An ACT program provides intensive communit y services to persons
with serious, persistent mental illness who live in the communit y but
require aggressive services to prevent repeated hospitalizations.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Planning MSC: Client Needs:
Safe, Effective Care Environment
4. Which scenario best depicts a behavioral crisi s?
a. A client is waving fists, cursing, and shouting threats at a nurse.
b. A client is curled up in a corner of the bathroom, wrapped in a
towel.
c. A client is crying hystericall y after receiving a phone call from a
famil y member.
d. A client is performing push -ups in the middle of the hall, forcing
others to walk around.
ANS: A
This behavior constitutes a behavioral crisis because the client is
threatening harm to another individual. Intervention is called for to
defuse the situation. The other options speak of b ehaviors that may
require intervention of a less urgent nature because the clients in
question are not threatening harm to self or others.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
TOP: Nursing Process: Assessment MSC: Client Needs:
Psychosoci al Integrity
Halter: Varcarolis’ Foundations of Psychiatric -Mental Health Nursing: A
Clinical Approach, 9th Edition
MULTIPLE CHOICE
1. What is an example of primary prevention?
a. Assisting a person diagnosed with a serious mental illness to fill a
pill-minder
b. Helping school -age children identify an d describe normal emotions
c. Leading a psychoeducational group in a communit y care home
d. Medicating an acutely ill client who assaulted a staff person
ANS: B
Primary preventions are directed at healthy populations with a goal of
preventing health problems f rom occurring. Helping school -age
children describe normal emotions people experience promotes coping,
a skill that is needed throughout life. Assisting a person with serious
and persistent mental illness to fill a pill -minder is an example of
tertiary prevention. Medicating an acutely ill client who assaulted a
staff person is a secondary prevention. Leading a psychoeducational
group in a community care home is an example of tertiary prevention.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
TOP: Nursing Process: Implementation MSC: Client
Needs: Health Promotion and Maintenance
,2. Which level of prevention activities would a nurse in an emergency
department employ most often?
a. Primary
b. Secondary
c. Tertiary
ANS: B
An emergency department nurse would gen erall y see clients in crisis or
with acute illness, so secondary prevention is used. Primary prevention
involves preventing a health problem from developing, and tertiary
prevention applies to rehabilitative activities.
PTS: 1 DIF: Cognitive Level: Und erstand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client
Needs: Health Promotion and Maintenance
3. How would the nurse assigned to ACT best explain the program’s
treatment goal?
a. assisting clients to maintain abstinence from alcohol and oth er
substances of abuse.
b. providing structure and a therapeutic milieu for mentall y ill clients
whose symptoms require stabilization.
c. maintaining medications and stable psychiatric status for
incarcerated inmates who have a history of mental illness.
d. providing services for mentall y ill individuals who require intensive
treatment to continue to live in the communit y.
ANS: D
, An ACT program provides intensive communit y services to persons
with serious, persistent mental illness who live in the communit y but
require aggressive services to prevent repeated hospitalizations.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Planning MSC: Client Needs:
Safe, Effective Care Environment
4. Which scenario best depicts a behavioral crisi s?
a. A client is waving fists, cursing, and shouting threats at a nurse.
b. A client is curled up in a corner of the bathroom, wrapped in a
towel.
c. A client is crying hystericall y after receiving a phone call from a
famil y member.
d. A client is performing push -ups in the middle of the hall, forcing
others to walk around.
ANS: A
This behavior constitutes a behavioral crisis because the client is
threatening harm to another individual. Intervention is called for to
defuse the situation. The other options speak of b ehaviors that may
require intervention of a less urgent nature because the clients in
question are not threatening harm to self or others.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
TOP: Nursing Process: Assessment MSC: Client Needs:
Psychosoci al Integrity
