Test your knowledge and understanding on NR547 Diagnosis and Treatment of Mental Disorders Across the Lifespan using this exam questions. The answers are provided for each and every question.
The field of psychiatric-mental health nursing - began in the late 19th century when there was a
societal shift in the perception of the purpose of mental asylums from custodial care to medical
and social treatment for mental illness.
In the 1950s, Rutgers University - awarded the first graduate degree in psychiatric-mental health
nursing. The psychiatric mental health clinical nurse specialist was the first master's prepared
advanced practice nursing role.
The role of the psychiatric and mental health nurse practitioner (PMHNP) - was introduced in
the 1990s and has evolved over time to incorporate a person-centered, biopsychosocial model
of care.
Late 19th Century - In the late 19th century, reform movements led to changes in beliefs about
the role of mental asylums in the treatment of mental illness. Focus shifted from restrictive
custodial care to treatment. Dr. Edward Cowles created the first organized training school within
a hospital for the insane in 1882.
Early 20th Century - Early psychiatric nurses were trained by physicians; however, in 1913, Effie
Jane Taylor developed the first nurse-organized training course for psychiatric nursing at Johns
Hopkins Hospital.
WWI - The World Wars expanded awareness of mental health disorders and the need for
specialized nursing care. Following WWI, the National League for Nursing Education added
"nursing in nervous and mental diseases" to curriculum guides.
WWII, - many potential military recruits deemed unfit for service due to psychiatric concerns,
while many veterans experienced combat-related neuropsychiatric conditions. Laura
Fitzsimmons recommended standards of training for psychiatric nurses, which led to improved
education and standards of care.
1946 - With the passage of the National Mental Health Act (NMHA) of 1946, psychiatric nursing
was recognized as one of the four core disciplines in psychiatric care and treatment (American
Nursing Association [ANA], 2014). The act increased funding for psychiatric nursing education
programs and contributed to a growth in university-based nursing education.
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