RNSG 2213 MH Module 2- Concepts of Mental Health Nursing Exam Questions and Answers
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Course
RNSG 2213
Institution
RNSG 2213
Benchmark I—Period of enlightenment (1790s) Key people/developments include Pinel and Tuke. Pinel believed that by treating pts w/ care/concern, they could improve. Changes included insane no longer treated as less than human; human dignity upheld. Result was asylum movement developed. Concept of...
RNSG 2213 MH Module 2- Concepts of
Mental Health Nursing Exam Questions
and Answers
Benchmark I—Period of enlightenment (1790s) ✅Key people/developments include
Pinel and Tuke. Pinel believed that by treating pts w/ care/concern, they could improve.
Changes included insane no longer treated as less than human; human dignity upheld.
Result was asylum movement developed. Concept of "moral care" and "Asylum" (a safe
place); mentally ill persons can improve with humane treatment; mental illness worsens
with stress. Dorthea Dix helps open 32 state hospitals to serve populations that did not
have funds/support for mental health care.
Dorothea Dix ✅U.S. nurse and mental health reformer during Period of Enlightenment.
Direct role in opening 32 state hospitals that served populations that did not have
funds/support systems to access mental health care/accommodations/services. State
hospitals usually located in rural/scenic areas, stately in appearance, separated by
gender, full of light.
Asylum ✅can mean protection, social support, or sanctuary from stresses of life;
currently, most often provokes image of mistreatment and neglect.
Benchmark II—Scientific Study (1870s) ✅Key people/developments include Freud,
Kraepelin, Bleuler. Change in thinking—mental illness could be studied. Resulted in
study of the mind and treatment approaches to psychiatric conditions flourished.
Benchmark III—Psychotropic Drugs (1950s) ✅development of Lithium, antipsychotic
meds, MAOIs, Haloperidol, Tricyclic antidepressants, and benzos. Significant change in
thinking—if some mental disorders are caused by chemical imbalances, then chemicals
could restore the balance & people would no longer need to be confined. Resulted in
destigmatization of mental illness; parents and others not to blame; term least restrictive
environment evolved from this discovery. Hope for improvement of previously
"incurable" serious mental illnesses and enhanced quality of life Psychotropic therapy
often had sedative effect—would control behavior rather than improve symptoms.
Benchmark IV—Community Mental Health (1960s) ✅Response to overcrowding and
bureaucracy of public mental hospitals (Chronically mentally ill "warehoused,"
sometimes abused and neglected). Fueled by civil rights movement, concept that
patients will be treated better, cheaper in community. Result—massive de-
institutionalization & closure of many state hospitals, leading to increased acuity and
strain on emergency services, increased number of homeless mentally ill. Key
development included Community Mental Health Centers Act. Significant change in
thinking—individuals do not need to be hospitalized away from family/community;
, people have the right to the treated in their own community. Resulted in advantage that
intervention in familiar surroundings has helped many people; less expensive.
Disadvantage in homelessness linked to deinstitutionalization; many people "slip
through cracks" of system.
Benchmark V—Decade of the brain (1990s) ✅Key development was congressional
mandate encouraging advances in brain research, imaging & focus on biological basis
of mental disorders. Significant change in thinking—"if we can understand the brain, we
can help millions of people suffering from mental disorders." Resulted in increase in
funding for brain research leading to new tx strategies; has increased our understanding
of mental disorders.
C. "A seamless continuity of care for the mentally ill individual is favorable."
Providing care for those seeking services for mental illness should serve to support
independence and autonomy and be delivered with the least amount of restriction. This
is the goal of mental health care. ✅In teaching colleagues regarding the concept of
"least restrictive environment," the nurse will state:
A. "The greatest challenge is to work with the 'worried well.'"
B. "Homelessness is the root of all mental illness."
C. "A seamless continuity of care for the mentally ill individual is favorable."
D. "It is better to wait for a crisis to occur first before intervening with the mentally ill
individual."
B. "There is an opening in the intensive day treatment program tomorrow."
Transition the individual to the next level of care with least restrictive environment in
mind; will require close monitoring/follow-up postdischarge ✅In providing continuity of
care for the mentally ill individual preparing for discharge from an inpatient unit at a
state hospital, the nurse would say to the patient and family:
A. "Here is an appointment scheduled with the outpatient therapist."
B. "There is an opening in the intensive day treatment program tomorrow."
C. "Please have your family member report to the local emergency department if
needed."
D. "Who is your psychiatrist?"
A. "Mental health assessments and initiatives for providing services would greatly serve
this group." Correct
Begins the assessment process and focuses on money and services needed in the
community ✅How should the nurse respond when a community leader asks, "These
street people are really a problem. What can we do? Many of them seem mentally ill."
A. "Mental health assessments and initiatives for providing services would greatly serve
this group."
B. "The homeless shelter should serve basic needs; that is adequate."
C. "Law enforcement is responsible for intervening when there is a problem."
D. "If they could just get jobs, it would help a great deal."
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