Exam (elaborations)
Psychiatric Mental Health Chapters 1 & 2
Psychiatric Mental Health Chapters 1 & 2
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Psychiatric Mental Health Chapters 1 & 2A psychiatric-mental health nurse is describing the various programs offered by the
local community mental health center. When explaining how these programs work, the
nurse would emphasize which concept?
paternalistic decision-making
complete autonomy
autocratic leadership
collaboration - ANS-collaboration
The nurse has been unsuccessful in the psychiatric clinical placement and will be
obliged to repeat it next semester. The criteria for passing or failing were based on the
Psychiatric-Mental Health Nursing Scope and Standards of Practice, which are?
Future goals for the nursing profession as a whole
Descriptions of the responsibilities for which nurses are accountable
Explanations of the ideal character of the psychiatric or mental health nurse
The legal documents that allow a nurse to practice - ANS-Descriptions of the
responsibilities for which nurses are accountable
Which mental health service is an advanced-level function?
Self-care activities
Psychotherapy
Counseling
Milieu therapy - ANS-psychotherapy
Which is a difference between counseling and psychotherapy?
Counseling may be used in the care of acutely psychotic clients, but psychotherapy is
contraindicated.
Transference and countertransference are significant obstacles in psychotherapy that
can be avoided in a counseling mode.
Psychotherapy is reserved for clients who have a documented history of failing to
respond to counseling.
Generalist psychiatric nurses may perform counseling interventions, but psychotherapy
is an advanced practice role. - ANS-Generalist psychiatric nurses may perform
counseling interventions, but psychotherapy is an advanced practice role.
,When reviewing the evolution of mental health care in the United States, a
psychiatric-mental health nurse reads about the creation of state hospitals for mental
health care. The nurse would attribute this concept of care as the idea supported by:
Clifford Beers.
Sigmund Freud.
Dorothea Dix.
Horace Mann. - ANS-Dorothea Dix
Which is a true statement regarding Medicaid?
It covers people with certain disabilities.
It covers people 65 years of age and older.
It covers people with permanent kidney failure.
It covers individuals and families with low incomes. - ANS-low income
When comparing the theories of mental illness popular in ancient Greece with those
popular in the Middle Ages, which is more applicable to the Middle Ages?
Mental illness was considered a disturbance of the four body fluids, or "humors."
Emotional disorders were believed to be an organic dysfunction.
Belief in demonic possession and exorcism was common.
Treatment included sedation, good nutrition and hygiene, and music and recreation. -
ANS-Belief in demonic possession and exorcism was common.
A nurse is providing community education about the prevention of mental illness. In
response to the question, "What does it mean to be mentally healthy?" which is the
nurse's best response?
"Mental health is defined as behavior accepted as normal by the major cultural group."
"Mental health is the absence of mental illness."
"Mental health is difficult to define and depends on cultural norms."
"Mental health is marked by productivity, fulfilling relationships, and adaptability." -
ANS-"Mental health is marked by productivity, fulfilling relationships, and adaptability."
During the mid-20th century, the focus of treatment centered on treating
neurotransmitter dysfunction in the brain. As a result hospital stays were shortened due
to the introduction of which?
, Psychopharmacology
Hydrotherapy
Insulin shock therapy
Psychosurgery - ANS-Psychopharmacology
Who was the first to introduce the concept of interpersonal relations and the therapeutic
relationship?
Florence Nightingale
Hildegard Peplau
Linda Richards
Mary Nutting - ANS-Hildegard Peplau
The major goal of the Community Mental Health Act of 1963 was what?
Develop centers in which biopsychiatric research could take place within the community.
Attract more health care providers into local psychiatric clinics.
Build mental health centers that would provide mental health care within the local
community.
Facilitate the integration of biology with the psychosocial components of treatment. -
ANS-Build mental health centers that would provide mental health care within the local
community.
An OB nurse is floated to the behavioral health unit to assist the staff with an overflow of
newly admitted clients. When assisting with an admission, a client becomes agitated
and physically aggressive with another nurse. Which is the priority action by the OB
nurse?
Inform the client that they will be put in a seclusion unit if the behavior does not stop.
Place your hand on the client to distract them so the nurse can get away from the
altercation.
Step between the client and nurse to avoid the nurse from becoming harmed.
Step away from the client and allow the specially trained staff to take over. - ANS-Step
away from the client and allow the specially trained staff to take over.
The nurse has been unsuccessful in the psychiatric clinical placement and will be
obliged to repeat it next semester. The criteria for passing or failing were based on the
Psychiatric-Mental Health Nursing Scope and Standards of Practice, which are?
The legal documents that allow a nurse to practice
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