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Test Bank - Mental Health Nursing, 6th Edition (Gorman, 2023), Chapter 1-22 | 9781719645607 | With Rationals
Test Bank - Mental Health Nursing, 6th Edition (Gorman, 2023), Chapter 1-22 | 9781719645607 | With Rationals
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TEST BANKMental Health Nursing
Linda M. Gorman, and Robynn Anwar
6th Edition
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Table of Contents
Chapter 01 History of Mental Health Nursing 1
Chapter 02 Basics of Communication 10
Chapter 03 Ethics, Evidence-Based Practice and Regulations 19
Chapter 04 Developmental Psychology Throughout the Life Span 28
Chapter 05 Sociocultural Influences on Mental Health 37
Chapter 06 Nursing Process in Mental Health 46
Chapter 07 Stress, Coping, and Defense Mechanisms 55
Chapter 08 Medications and Other Therapies 64
Chapter 09 Complementary and Alternative Treatment Modalities 73
Chapter 10 Anxiety, Somatic Symptom Disorders, and Post-Traumatic Stress Disorder 82
Chapter 11 Depressive Disorders 91
Chapter 12 Bipolar Disorders 99
Chapter 13 Suicide 108
Chapter 14 Personality Disorders 117
Chapter 15 Schizophrenia Spectrum and Other Psychotic Disorders 126
Chapter 16 Neurocognitive Disorders-Delirium and Dementia 135
Chapter 17 Substance Use and Addictive Disorders 144
Chapter 18 Eating Disorders 152
Chapter 19 Childhood and Adolescent Mental Health Issues 160
Chapter 20 Postpartum Issues in Mental Health 169
Chapter 21 Aging Population 178
Chapter 22 Abuse and Violence 186Stuvia.com - The Marketplace to Buy and Sell your Study Material
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Chapter 1. History of Mental Health Nursing MULTIPLE CHOICE 1. The act of developing a clean environment is a factor in providing effective health care as demonstrated by: a. Nightingale. b. Benner. c. Swanson. d. King. ANS: A Page: 1 Integrated Processes: Teaching/Learning Heading: Florence Nightingale Cognitive Level: Application Client Need: Safe and Effective Care Environment: Sa fety and Infection Control Chapter 1: History of Mental Health Nursing Concept: Clinical Judgment; Health Promotion Feedback A The relationship between sanitary conditions and hea ling became known and accepted due to Nightingale’s observations and dilig ence. Her commitment to improved outcomes at a military hospital was direct ly related to introducing sanitation methods. B Benner did not emphasize developing a clean environ ment as a factor in providing effective health care. C Swanson did not emphasize developing a clean enviro nment as a factor in providing effective health care. D King did not emphasize developing a clean environme nt as a factor in providing effective health care. 2. What is the name of the publication written by F lorence Nightingale? a. Nursing Sanitation Notes b. Nursing 101 c. Notes on Nursing d. Nursing Notes ANS: C Page: 2 Integrated Processes: Teaching/Learning Heading: Florence Nightingale Cognitive Level: Knowledge Client Need: Health Promotion and Maintenance Chapter 1: History of Mental Health Nursing Concept: Health Promotion Feedback A Although Florence Nightingale did write a book on the relationship of sanitary ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Mental Health Nursing, 6th Edition (Gorman, 2023)
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techniques to medical facilities, it was called Note s on Hospitals, not Nursing Sanitation Notes. B Florence Nightingale did not write Nursing 101. C Florence Nightingale wrote the book Notes on Nursing, which was the most respected nursing textbook of its day. D Florence Nightingale did not write Nursing Notes. 3. Which describes the long-term goal for inpatien t mental health treatment? a. Return the patient to the community. b. Locate a facility for long -term care. c. Be arrested and placed in prison. d. Be completely cured of the disorder. ANS: A Page: 7 Integrated Processes: Teaching and Learning Heading: Deinstitutionalization Cognitive Level: Comprehension Client Need: Safe and Effective Care Environment: Co ordinated Care Chapter 1: History of Mental Health Nursing Concept: Clinical Judgment; Health Promotion Feedback A People who had formerly required long hospital stay s were now able to leave the institutions and return to their communities due to appropriate medications and deinstitutionalization. B Locating a facility for long-term care is not a lon g-term goal for inpatient mental health treatment. C Being arrested and placed in prison is not a long-ter m goal for inpatient mental health treatment. D The long-term goal is not to be completely cured of the disorder but control unwanted behaviors. 4. The mentally ill were once housed in mental ins titutions known as: a. Hospitals. b. Long -term care facilities. c. Asylums. d. Free-standing treatment centers. ANS: C Pages: 5 Integrated Processes: Teaching/Learning Heading: Asylums Cognitive Level: Comprehension Client Need: Safe and Effective Care Environment; Co ordinated Care Chapter 1: History of Mental Health Nursing Concept: Clinical Judgment; Health Promotion Feedback ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Mental Health Nursing, 6th Edition (Gorman, 2023)
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A Hospitals are not mental institutions but can handle patients with psychological needs according to the size of the hospital and its resources. B Long -term care facilities are not mental institutions. C Early on, these special facilities were called asyl ums, which Webster’s online dictionary defines as “an institution for the care of the needy or sick and especially of the insane.” D Free-standing treatment centers are not mental inst itutions but can handle patients who need detoxification (detox centers) or help managing a crisis (crisis centers). 5. Which nursing theorist promoted the interpersona l theory between the nurse and the patient? a. Hildegard Peplau b. Hattie Bessent c. Mary Mahoney d. Linda Richards ANS: A Pages: 4 Integrated Processes: Communication and Documentati on Heading: Hildegard Peplau Cognitive Level: Knowledge Client Need: Safe and Effective Care Environment: Co ordinated Care Chapter 1: History of Mental Health Nursing Concept: Clinical Judgment; Health Promotion Feedback A In her book Interpersonal Relations in Nursing (1952), Peplau brought together interpersonal theories from psychiatry and melded th em with theories of nursing and communication. B Dr. Hattie Bessent is credited with the development and directorship of a grant that researched minority nurses who were choosing t o upgrade to master’s and doctorate levels of practice. C Mary Mahoney is considered to be America’s first Afr ican American professional nurse. D Linda Richards worked to upgrade nursing education, opened a nursing school, and taught the care of the mentally ill. 6. Which described Harriot Bailey’s contribution t o psychiatric nursing? a. Harriot worked to upgrade nursing education. b. Harriot wrote the first textbook on psychiatric nurs ing. c. Harriot promoted the acceptance of African Americans in nursing. d. Harriot lobbied for the improvement of care standar ds. ANS: B Page: 3 Integrated Processes: Teaching/Learning Heading: Harriet Bailey Cognitive Level: Knowledge Client Need: Safe and Effective Care Environment: Co ordinated Care ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Mental Health Nursing, 6th Edition (Gorman, 2023)
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Chapter 1: History of Mental Health Nursing Concept: Clinical Judgment; Health Promotion Feedback A Linda Richards worked to upgrade nursing education. B The first textbook focusing on psychiatric nursing w as written in 1920 by Harriet Bailey. It included guidelines for nurses who provid ed care for those with a mental illness. C Mary Mahoney promoted the acceptance of African Amer icans in nursing. D Dorothea Dix lobbied in the United States and Canad a for the improvement of care standards. 7. Which describes the contribution to nursing by E uphemia (Effie) Jane Taylor? a. Assisted soldiers in learning how to write with their mouths and, in some cases, their feet. b. Responsible for the development of asylums or psychi atric hospitals. c. Initiated the first psychiatric program of study for nurses. d. Developed and directed a master’s and doctorate prog ram for minority nurses. ANS: C Page: 3 Integrated Processes: Teaching/Learning Heading: Effie Jane Taylor Cognitive Level: Knowledge Client Need: Safe and Effective Care Environment: Co ordinated Care Chapter 1: History of Mental Health Nursing Concept: Clinical Judgment; Health Promotion Feedback A Bessie Blount Griffin was a practical nurse, physical therapist, and forensic scientist specializing in handwriting, and assisted soldiers who lost limbs to learn how to write with their mouths and, in some cases, their feet. B Dorothea Dix was responsible for the development of asylums or psychiatric hospitals. C Euphemia (Effie) Jane Taylor initiated the first psy chiatric program of study for nurses in 1913. D In the early 1980s, the National Institute of Mental Health (NIMH) granted money to be used for the education and research of m inority nurses who were choosing to upgrade to master’s and doctorate level s of practice. Dr. Hattie Bessent is credited with the development and direct orship of that program. 8. Which statement can be applied to the early asyl ums? a. There was inadequate funding to run them. b. The clients were heavily medicated. c. Custodial care was absent. d. Clients often volunteered for experiments. ANS: B Pages: 5 Integrated Processes: Teaching/Learning ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Mental Health Nursing, 6th Edition (Gorman, 2023)
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Heading: Asylums Cognitive Level: Knowledge Client Need: Physiological Integrity: Pharmacologica l Therapies Chapter 1: History of Mental Health Nursing Concept: Clinical Judgment; Health Promotion Feedback A Lack of funding is not an issue identified for asyl ums. B Patients were often heavily medicated in asylums. C Custodial care was provided to the clients in asylum s, but the physical and nutritional care was minimal. D The clients did not volunteer for experiments, they were volunteered. 9. Which law protects people with mental illness who lack insurance coverage and live below the poverty line from being turned away for care? a. Patient Bill of Rights b. Affordable Care Act c. Hill-Burton Act d. National Mental Health Act of 1946 ANS: C Page: 9 Integrated Processes: Teaching/Learning Heading: Hill-Burton Act Cognitive Level: Knowledge Client Need: Psychosocial Integrity Chapter 1: History of Mental Health Nursing Concept: Clinical Judgment; Health Promotion Feedback A The Patient Bill of Rights protects the rights of al l patients, including those who are vulnerable. B The Affordable Care Act recognized the needs of peo ple with mental health challenges and established mental health care as an essential part of complete health coverage. C Clients with mental illness who lack insurance cove rage and who live below the poverty level cannot be turned away because of financ ial difficulties; they are protected by the Hill -Burton Act. D The National Mental Health Act of 1946 provided money for nursing and several other disciplines for training and research in area s pertaining to improving treatment for people with mental illness. 10. According to Hildegard Peplau, which describes the nurse as a “resource” person? a. Provides the client information. b. Coordinates professional services. c. Helps the client explore their current thoughts and feelings. d. Role plays to help the client identify their feeling s from the past. ANS: A Page: 4 ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Mental Health Nursing, 6th Edition (Gorman, 2023)
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Integrated Processes: Teaching/Learning Heading: Hildegard Peplau Cognitive Level: Knowledge Client Need: Safe and Effective Care Management: Coo rdinated Care Chapter 1: History of Mental Health Nursing Concept: Clinical Judgment; Health Promotion Feedback A As a resource person, the nurse provides the client i nformation. B Technical support refers to coordinating professiona l services. C As a counselor, the nurse helps the client explore their current thoughts and feelings. D In the role of a surrogate, the nurse role plays, as well as uses other means to help the client identify their feelings from the pas t. 11. According to Hildegard Peplau, which stage of the nurse-client relationship focuses on the client developing self-responsibility and showing p ersonal growth? a. Orientation b. Identification c. Exploration d. Resolution ANS: D Page: 4 Integrated Processes: Teaching/Learning Heading: Hildegard Peplau Cognitive Level: Knowledge Client Need: Safe and Effective Care Environment: Co ordinated Care Chapter 1: History of Mental Health Nursing Concept: Clinical Judgment; Health Promotion Feedback A The first stage of the nurse-client relationship is the orientation stage in which the client feels a need and a will to seek out help . B The second stage of the nurse-client relationship i s the identification stage. During this stage, expectations and perceptions abou t the nurse-client relationship are identified. C The third stage of the nurse-client relationship is the exploration phase. During the exploration phase, the patient will begin to show motivation in the problem- solving process, but some testing behaviors may be seen ; patient may have a need to “test” the nurse’s commitment to their indi vidual situation. D The fourth stage of the nurse-client relationship, the resolution phase, focuses on the patient developing self -responsibility and showing personal growth. 12. Which factor contributed to deinstitutionaliza tion? a. Decline in mental illness. b. Development of phenothiazines. c. Increase in incarceration. d. Development of free -standing treatment centers. ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Mental Health Nursing, 6th Edition (Gorman, 2023)
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ANS: B Page: 6 Integrated Processes: Teaching/Learning Heading: Psychotropic Medications Cognitive Level: Knowledge Client Need: Safe and Effective Care Environment: Co ordinated Care Chapter 1: History of Mental Health Nursing Concept: Clinical Judgment; Health Promotion Feedback A A decline in mental illness is not the reason for d einstitutionalization. B Phenothiazines were so effective that state hospita ls and other facilities dedicated to the care and treatment of people with m ental illness saw a large decline in population. In addition to the cost to ru n an institution and the changing laws, the movement of deinstitutionalizati on occurred. C An increase in incarceration is not the reason for deinstitutionalization. D The development of free-standing treatment centers did not contribute to deinstitutionalization. Free-standing treatment cen ters can provide crisis care to more traditional stays. 13. Which act recognized the needs of people with m ental health challenges and established mental health care as an essential part of complete health coverage? a. Hill-Burton Act b. Patient Bill of Rights c. Affordable Care Act d. Community Mental Health Centers Act of 1963 ANS: C Page: 9 Integrated Processes: Teaching/Learning Heading: Affordable Care Act Cognitive Level: Knowledge Client Need: Safe and Effective Care Environment: Co ordinated Care Chapter 1: History of Mental Health Nursing Concept: Clinical Judgment; Health Promotion Feedback A The Hill-Burton Act protects clients with mental ill ness who lack insurance coverage and who live below the poverty level ensurin g that they cannot be turned away because of financial difficulties. B The Patient Bill of Rights protects the rights of al l patients, including those who are vulnerable. C The Affordable Care Act recognized the needs of peo ple with mental health challenges and established mental health care as an essential part of complete health coverage. D The main purpose of the Community Mental Health Cent ers Act of 1963 was to provide a full set of services to people within a co mmunity. ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Mental Health Nursing, 6th Edition (Gorman, 2023)
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Distribution of this document is illegalWant to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material 14. Which classification of medication was the fir st to revolutionize the treatment of clients with mental illness? a. Antianxiety agents b. Mood stabilizers c. Phenothiazines d. Tricyclic antidepressants ANS: C Page: 6 Integrated Processes: Teaching/Learning Heading: Psychotropic Medications Cognitive Level: Knowledge Client Need: Safe and Effective Care Environment: Co ordinated Care Chapter 1: History of Mental Health Nursing Concept: Clinical Judgment; Health Promotion Feedback A Antianxiety agents were not the first classificatio n of medication to revolutionize the treatment of clients with mental illness. B Mood stabilizers were not the first classification of medication to revolutionize the treatment of clients with mental illness. C Phenothiazines were discovered in 1955 to have the effect of calming and tranquilizing people, thus being the first classifica tion of medication to help treat clients with mental illness. D Tricyclic antidepressants were not the first classi fication of medication to revolutionize the treatment of clients with mental illness. MULTIPLE RESPONSE 15. What trends contributed to the deinstitutional ization of mental health facilities to outpatient care (select all that apply)? a. Cost of the facilities. b. The increased use of antidepressants. c. Staff cost. d. Establishment of outpatient clinics. e. Development of the Patient Bill of Rights. ANS: A, C, D Pages: 7 Integrated Processes: Teaching/Learning Heading: Deinstitutionalization Cognitive Level: Analyzing Client Need: Safe and Effective Care Environment: Co ordinated Care Chapter 1: History of Mental Health Nursing Concept: Clinical Judgment; Health Promotion Feedback A Correct. It became costly to run these large building s even though the patient population was declining. ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Mental Health Nursing, 6th Edition (Gorman, 2023)
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