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Test Bank - Psychiatric Nursing: Contemporary Practice, 7th Edition (Ann Boyd, 2022), Chapter 1-43 | All Chapters $7.99
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Test Bank - Psychiatric Nursing: Contemporary Practice, 7th Edition (Ann Boyd, 2022), Chapter 1-43 | All Chapters

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Test Bank - Psychiatric Nursing: Contemporary Practice, 7th Edition (Ann Boyd, 2022), Chapter 1-43 | All Chapters

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Chapter 1, Psychiatric-Mental Health Nursing and Evidence-Based Practice


MULTIPLE CHOICE
1. A group of nurses are reviewing information about the evolution of mental
health care and discussing the recommendations of the final report of the
Joint Commission on Mental Illness and Health. The nurses demonstrate an
understanding of this information when they identify that the report
recommended an increase in what?

a. Number of mental health hospitals
b. Institutionalization of clients with mental health problems
c. Number of clinics supplemented by general hospital units
d. Use of psychotherapy by psychiatrists
ANS: C
The final report of the Joint Commission on Mental Illness and Health
called Action for Mental Health, recommended increased numbers of
community clinics supplemented by general hospital units for mental
illness care. The ideas in the report shifted responsibility for mental
health care to the federal, state and local governments.
2. A nurse is reviewing literature that sanctions the involvement of psychiatric-
mental health nurses in the provision of holistic nursing care. Integrating
knowledge of the various theories and views of mentals health and illness,
the nurse identifies which as most strongly linked to this holistic approach?

a. Sigmund Freud’s psychoanalytic theory
b. Florence Nightingale’s Notes on nursing
c. Lavinia Lloyd Dock’s Materia Medica for Nurses
d. Clifford Beers’ A Mind That Found Itself

ANS:B
The American Nurses Association’s Statement on psychiatric Nursing
Practice (1967)

, Officially sanctioned a holistic approach to nursing care for the first time.
The roots of this contemporary psychiatric-mental health nursing
thoughts can be traced to Florence Nightingale’s Notes on Nursing,
which presented a holistic view of the patient, with the view of the
patient as living within a family and community. Freud’s psychoanalytic
theory focused on personality development and unconscious
motivations for drives. Beers’ autobiography described the inhumane
treatment used for mental Ilness, which led to the formation of a
National Committee for Mental Hygiene.

3. A psychiatric-mental health nurse is preparing a presentation about key
events and people that influenced the development of contemporary
mental health and illness care. When describing the effect of world war 2,
which would the nurse most likely include?

a. People began to view mental illness as more commonplace and
acceptable.
b. The biologic understanding of mental illness was almost fully developed.
c. Deinstitutionalization occurred in response to the community health
moment.
d. Mental health become categorized as psychoses or neuroses.

ANS: A
During World War 2, mental illness was beginning to be seen as a
problem that could happen to anyone. Many “normal” people who
volunteered for service were disqualified on the grounds that they
psychologically unfit to serve. Others who had already served a tour of
duty developed psychiatric and emotional problems related to their
wartime experiences. The biologic understanding of mental illness
continues to evolve Deinstitutionalization and the community mental
health movement occurred during the 1960s. in the early 20th century,
Freud categorized mental health as either a psychosis or neurosis

,4. A nurse is presenting a discussion of the history of psychiatric-mental health
nursing and its place within nursing history. Which would be most
appropriate to include?

a. Certification for the psychiatric-mental health nursing specialty was first
emphasized by Mary Adelaide Nutting.
b. Psychiatric nurses played a part in seeing that all deinstitutionalized
clients got treatment at community mental health centers.
c. There is a historical link between the first nursing program to admit male
students and the first training school for psychiatric nursing.
d. The first graduate program in psychiatric nursing was established in
response to the publication of psychiatric nursing specialty journals.

ANS: C

In 1882, the first training school for psychiatric nursing was established
at the mclean Asylum by E. Cowles; this was also the first nursing
program to admit men. Nutting emphasized psychiatric-mental nursing
role development. Unfortunately, deinstitutionalization failed. Hildegrad
E Peplau was responsible for established the first graduate program in
psychiatric-mental health nursing. In 1954. Publication of journals soon
followed, beginning in the 1960s.

5. When reviewing the evolution of mental health and illness care, which
event is associated with mental disorders beginning to be viewed as
illnesses requiring treatment?

a. Establishment of Pennsylvania Hospital in Philadelphia
b. Quaker establishment of asylums
c. Creation of the state hospital system
d. Freud’s views on the causes of mental illnesses

ANS: A

, Mental disorders began to be viewed as illnesses with the establishment
of Pennsylvania Hospital, the first institution in the United States to
receive those with mental disorders for treatment and cure. The Quaker
establishment of asylums reflected the impetus toward moral treatment.
Dorothea L. Dix advocated for the humane treatment of clients with
mental illness with the creation of state hospitals. Freud believed that
the primary causes of mental illnesses were psychological and a result of
disturbed personality development and faulty parenting.

6. A psychiatric-mental health nurse is working on a committee that is
developing programs that integrate the objectives for mental health and
mental disorders, as identified in Healthy people 2030. Which type of
program would be least appropriate?

a. Single substance abuse treatment programs
b. Depression-screening programs for primary care providers
c. Mental health programs for the homeless population
d. Employment programs for those with serious mental illness

ANS: A
The objectives of Healthy People 2030 identify the need to increase the
proportion of persons with co-occuring substance abuse and mental
disorders receiving treatment for both disorders. Thus, single substance
abuse treatment programs would be least beneficial. The objective call
for an increase in depression screening by primary care providers, an
increase in the proportion of homeless adults with mental health
problems who receive mental health treatment, and an increase in the
proportion of persons with serious mental illness who are employed.
7. The following events are important in the development of psychiatric-
mental health nursing practice. Which event occurred first?

a. Publication of Standards of Psychiatric-Mental Health Nursing by the
ANA
b. Publication of Standards of Child and Adolescent Psychiatric and Mental
Health Nursing Practice

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