CHAPTERS CONTENTS:

PART I: FOUNDATIONS FOR PSYCHIATRIC MENTAL HEALTH NURSING

1. Psychiatric Nursing: Theory, Principles, and Trends

2. Nursing Practice in the Clinical Setting

3. The Nursing Process and Standards of Care

4. Therapeutic Communication: Interviews and Interventions

PART II: BIOLOGIC AND PSYCHOSOCIAL PRINCIPLES FOR MENTAL HEALTH NURSING

5. Adaptation to Stress

6. Neurobiology in Mental Health and Mental Disorder

7. Human Development Across the Life Span

8. Culture, Ethnicity, and Spirituality: A Global Perspective

9. Legal and Ethical Aspects in Clinical Practice

PART III: PSYCHIATRIC DISORDERS

10. Anxiety and Related Disorders

11. Somatoform, Factitious, and Dissociative Disorders

12. Mood Disorders: Depression, Bipolar, and Adjustment Disorders

13. Schizophrenia and Other Psychotic Disorders

14. Personality Disorders

15. Substance Related Disorders and Addictive Behaviors

16. Cognitive Disorders: Delirium, Dementia, and Amnestic Disorders

17. Disorders of Infancy, Childhood, and Adolescence

18. Eating Disorders: Anorexia Nervosa and Bulimia Nervosa

19. Sleep Disorders: Dyssomnias and Parasomnias

20. Sexual Disorders: Sexual Dysfunctions and Paraphilias

PART IV: CRISIS AND PSYCHIATRIC EMERGENCIES

21. Crisis: Theory and Intervention

22. Suicide: Prevention and Intervention

23. Violence: Anger, Abuse, and Aggression

24. Forensic Nursing in Clinical Practice

PART V: THERAPEUTIC INTERVENTIONS

25. Psychopharmacology

26. Therapies: Theory and Clinical Practice

27. Complementary and Alternative Therapies

PART VI: NURSING INTERVENTIONS WITH SPECIAL POPULATIONS

28. Grief in Loss and Death

29. Emotional and Mental Responses to Medical Illness

PART VII: NURSING INTERVENTIONS IN THE HOME AND COMMUNITY

30. Community Mental Health Nursing for Patients with Severe and Persistent Mental Illness

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 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 of

mental disorders?

a. Providing a patient, whose depression is well managed, with medication on time

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 specifics

of the determined plan of care.

DIF: Cognitive Level: Application REF: Page 5

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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 where

the decisions he makes are harmful to himself or to others.”

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.

d. A teenager who refuses to obey the unit’s rules is not allow to play video games.

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