TEST BANK
,Fortinash: Psychiatric Mental Health Nursing, 5th Edition
Chapter 01: Psychiatric Nursing: Theory, Principles, and Trends
MULTIPLE CHOICE
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 risk for 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
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
,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. “When you can provide the court with enough evidence to show that
he is not able to care for himself safely.”
b. “It is not likely that someone his age would be determined to be
incompetent regardless of his mental condition.”
c. “He would have to engage in behavior that would result in harm to
himself or to someone else; like you or his siblings.”
d. “If the illness becomes so severe that his judgment is impaired to the
point whe the decisions he makes are harmful to himself or to others.” 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. A chronically abused woman is assessed for anxiety.
b. A manic patient is taken to the gym to use the exercise equipment.
c. The older adult diagnosed with depression is monitored for suicidal
ideations.
s.
d. A teenager who refuses to obey the unit’s rules is not allow to play
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
interventions that are appropriate for the mental disorder.
DIF: Cognitive Level: Application REF: Page 6
7. What reason does the nurse give the patient for the emphasis and attention
being
, paid to the recovery phase of their treatment plan?
a.Recovery care, even when intensive, is less expensive than acute
psychiatric care.
b. Effective recovery care is likely to result in fewer relapses and subsequent
hospitalizations.
c. Planning for recovery care is time consuming and involves dealing with many
complicated details.
d. Recovery care is usually done on an outpatient basis and so is generally
better accepted by patients.
ANS: B
Much attention is paid to recovery care since effective recovery care helps improve
patient outcomes and thus minimize subsequent hospitalizations. Recovery care is
not necessarily less expensive than acute care. Although effective recovery
care planning may be time consuming and detail oriented, that is not the
reason for implementing it. Recovery care is not necessarily well accepted by
patients.
DIF: Cognitive Level: Application REF: Page 7
8. The nurse is attending a neighborhood meeting where a half-way house
is being proposed for the neighborhood when a member of the community
states, “We don’twant the facility; we especially don’t want violent people
living near us.” The response by the nurse that best addresses the public’s
concern is:
a. “In truth, most individuals with psychiatric disorder are passive and
withdrawn and pose little threat to those around them.”
b. “The mentally ill seldom behave in the manner they are portrayed by
movies; they are people just like the rest of us.”
c. “Patients with psychiatric disorder are so well medicated that they do not
displa violent behaviors.” y
d. “The mentally ill deserve a safe, comfortable place to live among
people who truly care for them.”
ANS: A
A major reason for the existence of the stigma placed on persons with mental
illness is lack of knowledge. The main fear is of violence, although only a small
percentage of patients with mental illness display this behavior. Providing the
public with accurate information can help reduce stigma. The remaining options do
not directly address the concerns stated.
DIF: Cognitive Level: Application REF: Pages 13-14
9. Which activity shows that a therapeutic alliance has been established
between thenurse and patient?
a. The nurse respects the patient’s right to privacy when visitors are e
spending tim with the patient.
b. The patient is eagerly attending all group sessions and working n
independently oidentifying their personal stressors.
c. The patient is freely describing their feelings related to the physical
and emotional trauma they experienced as a child with the nurse.
d. The nurse dutifully administers the patient’s medications on time and with
appropriate knowledge of the potential side effects.
ANS: C
A primary aspect of working with patients in any setting and particularly in the
,Fortinash: Psychiatric Mental Health Nursing, 5th Edition
Chapter 01: Psychiatric Nursing: Theory, Principles, and Trends
MULTIPLE CHOICE
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 risk for 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
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
,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. “When you can provide the court with enough evidence to show that
he is not able to care for himself safely.”
b. “It is not likely that someone his age would be determined to be
incompetent regardless of his mental condition.”
c. “He would have to engage in behavior that would result in harm to
himself or to someone else; like you or his siblings.”
d. “If the illness becomes so severe that his judgment is impaired to the
point whe the decisions he makes are harmful to himself or to others.” 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. A chronically abused woman is assessed for anxiety.
b. A manic patient is taken to the gym to use the exercise equipment.
c. The older adult diagnosed with depression is monitored for suicidal
ideations.
s.
d. A teenager who refuses to obey the unit’s rules is not allow to play
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
interventions that are appropriate for the mental disorder.
DIF: Cognitive Level: Application REF: Page 6
7. What reason does the nurse give the patient for the emphasis and attention
being
, paid to the recovery phase of their treatment plan?
a.Recovery care, even when intensive, is less expensive than acute
psychiatric care.
b. Effective recovery care is likely to result in fewer relapses and subsequent
hospitalizations.
c. Planning for recovery care is time consuming and involves dealing with many
complicated details.
d. Recovery care is usually done on an outpatient basis and so is generally
better accepted by patients.
ANS: B
Much attention is paid to recovery care since effective recovery care helps improve
patient outcomes and thus minimize subsequent hospitalizations. Recovery care is
not necessarily less expensive than acute care. Although effective recovery
care planning may be time consuming and detail oriented, that is not the
reason for implementing it. Recovery care is not necessarily well accepted by
patients.
DIF: Cognitive Level: Application REF: Page 7
8. The nurse is attending a neighborhood meeting where a half-way house
is being proposed for the neighborhood when a member of the community
states, “We don’twant the facility; we especially don’t want violent people
living near us.” The response by the nurse that best addresses the public’s
concern is:
a. “In truth, most individuals with psychiatric disorder are passive and
withdrawn and pose little threat to those around them.”
b. “The mentally ill seldom behave in the manner they are portrayed by
movies; they are people just like the rest of us.”
c. “Patients with psychiatric disorder are so well medicated that they do not
displa violent behaviors.” y
d. “The mentally ill deserve a safe, comfortable place to live among
people who truly care for them.”
ANS: A
A major reason for the existence of the stigma placed on persons with mental
illness is lack of knowledge. The main fear is of violence, although only a small
percentage of patients with mental illness display this behavior. Providing the
public with accurate information can help reduce stigma. The remaining options do
not directly address the concerns stated.
DIF: Cognitive Level: Application REF: Pages 13-14
9. Which activity shows that a therapeutic alliance has been established
between thenurse and patient?
a. The nurse respects the patient’s right to privacy when visitors are e
spending tim with the patient.
b. The patient is eagerly attending all group sessions and working n
independently oidentifying their personal stressors.
c. The patient is freely describing their feelings related to the physical
and emotional trauma they experienced as a child with the nurse.
d. The nurse dutifully administers the patient’s medications on time and with
appropriate knowledge of the potential side effects.
ANS: C
A primary aspect of working with patients in any setting and particularly in the
