chapter 1: foundations of psychiatric mental health nursing

Question 1

The primary purpose of the Community Mental Health Center Act of 1963 was to

a.get better treatment in
larger, more urban areas.

b.move patients to their home communities for treatment.

c.provide former patients with employment opportunities.

d.remove the stigma of living in an institution.

Answer 1

B

Question 2

Managed care is designed to

a.control health care costs by limiting access to care.

b.keep health care costs from increasing over time.

c.limit the amount of money paid to physicians and hospitals.

d.maintain a balance between the quality and costs of health care

Answer 2

D

Question 3

Hospitals established by Dorothea Dix were designed to provide

a.asylum.

b.confinement.

c.therapeutic milieu.

d.public safety.

Answer 3

A

Question 4

Hildegard Peplau is best known for her writing about

a.community-based care.

b.humane treatment.

c.psychopharmacology.

d.therapeutic nurse–client relationship

Answer 4

D

Question 5

Mental health parity laws ensure

a.better quality mental health treatment.

b.equality in insurance coverage for mental illness.

c.mental health treatment without stigma.

d.that persons receiving treatment really need it

Answer 5

B

Question 6

first American psych nurse

Answer 6

Linda Richards

Question 7

pushed for moral treatment of the mentally ill

Answer 7

Dorthea Dix

Question 8

who said it was important to have a therapeutic nurse-client relationship?

Answer 8

Hildegard Peplau

Question 9

who turned asylums into a safe refuge?

Answer 9

William Dukes

Question 10

who decided to classify mental disorders according to symptoms?

Answer 10

Emil Kraepelin

Question 11

Who began a crusade in US to reform treatment of mental illness?

Answer 11

Dorthea Dix

Question 12

what was the deliberate shift from institutional care in state hospitals to community facilities called?

Answer 12

deinstitutionalization

Question 13

Who began classifying mental illnesses according to symptoms?

Answer 13

Emil Kraepelin

Question 14

who coined the term schizophrenia?

Answer 14

Eugen Bleulor

Question 15

_________ and _________ were the first psych drugs to be developed

Answer 15

lithium
thorazine

Question 16

who was the first American psych nurse?

Answer 16

Linda Richards

Question 17

who described the therapeutic nurse-client relationship with its phases?

Answer 17

Hildegard Peplau

Question 18

her work “Nursing Therapy” describes her approach of focusing on the pts psychosocial needs and strengths

Answer 18

June Mellow

Question 19

A charge nurse is discussing mental status exams w a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of teaching? Select all that apply.

A. “To assess cognitive ability, I should ask the client to count backwards by sevens”
B. “To assess affect, I should observe the clients facial expression”
C. “To assess language ability, I should instruct the client to write a sentence”
D. “To assess remote memory, I should have the client repeat a list of objects”
E. “To assess the clients abstract thinking, I should ask the client to identify our most recent presidents

Answer 19

A
B
C

Question 20

A nurse is planning care for a client who has a mental health disorder. Which of the following actions should the nurse include as a psychobiological intervention?

A. assist the client w systematic desensitization therapy
B. teach the client appropriate coping mechanisms
C. assess the client for comorbid health conditions
D. monitor the client for adverse effects of meds

Answer 20

D

Question 21

A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. when conducting the interview, which of the following actions should the nurse identify as the priority?

A. coordinate holistic care with social services
B. identify the clients perception of their mental health status
C. include the clients family in the interview
D. teach the client about their current mental health disorder

Answer 21

B- provides important info on clients psychosocial history, part of assessment

Question 22

a nurse is planning a peer group discussion about the DSM-5. which of the following info is appropriate to include in the discussion? select all that apply.

A. the DSM-5 includes client education handouts for mental health disorders
B. the DSM-5 establishes diagnostic criteria for individual mental health disorders
C. the DSM-5 indicates recommended pharmacological treatments for mental health disorders
D. the DSM-5 assists nurses in planning care for clients who have mental health disorders
E. the DSM-5 indicates expected assessment findings of mental health disorders

Answer 22

B
C
E

Question 23

Which statement best reflects the current state of mental health and mental illness?
A. Mental health care costs exceed the costs for cancer care.
B. Most adults and children receive adequate mental health care.
C. Community resources for the homeless with mental illness are adequate.
D. Deinstitutionalization has reduced the revolving door effect.

Answer 23

A

Question 24

where was the site of the first training for nurses to work w pts with mental illnesses?

Answer 24

McLean Hospital

Question 25

True or False:

The National League for Nursing required schools to include a psychiatric nursing experience before the first nursing school included a psychiatric nursing course in its curriculum.

Answer 25

False

Question 26

what year was the first psych nursing textbook published?

Answer 26

1920

Question 27

what was the first school of nursing to include a psych nursing course?

Answer 27

Johns Hopkins

Question 28

what year did the national league of nursing require schools to include an experience in psych nursing?

Answer 28

1950

Question 29

what type of memory:

asking the pt to repeat a series of numbers or a list of objects

Answer 29

immediate memory

Question 30

what type of memory:

asking the pt to recall recent events or the purpose of the current appt or admission

Answer 30

recent memory

Question 31

what type of memory:

asking the pt their birthday

Answer 31

remote memory

Question 32

with a ____, the pt has all the same rights as every other pt

Answer 32

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