, 1. A group of nursing students are reviewing information about the evolution of
mental health care and are discussing the recommendations of the final report of
the Joint Commission on Mental Illness and Health. The students demonstrate
understanding of this information when they identify that the report
recommended an increase in which of the following?
A) Numbers of mental health hospitals
B) State funding for mental health care
C) Clinics supplemented by general hospital units
D) Use of psychotherapy by psychiatrists
2. A nurse is reviewing the American Nurses Association's Statement on Psychiatric
Nursing Practice published in 1967, which sanctioned the involvement of
psychiatric–mental health nurses in the provision of holistic nursing care.
Integrating knowledge of the various theories and views of mental health and
illness, the nurse identifies which of the following as most strongly linked to this
holistic approach?
A) Sigmund Freud's psychoanalytic theory
B) Florence Nightingale's Notes on Nursing
C) Hildegarde
D) Clifford Beers' A Mind That Found Itself
E) Peplau's Interpersonal Relations in Nursing
3. A nursing instructor is preparing a presentation about key events and people that
influenced the development of contemporary mental health and illness care.
When describing the effects of World War II, which of the following would the
instructor 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 movement.
D) Mental illnesses became categorized as psychoses or neuroses.
4. A nursing student is presenting a discussion of the history of psychiatric–mental
health nursing and its place within nursing history. Which of the following 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 patients 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 nurses was established in response to the
publication of psychiatric nursing specialty journals.
Page 1
, 5. Two nursing students are discussing psychiatric–mental health nursing and the
role it has played in nursing's overall history. Which statement is most accurate?
A) The importance of using therapeutic communication was stressed by Nightingale.
B) The use of self-care to enhance the immune system was taught by Dorothea Dix.
C) The moral treatment of mental illness was a primary focus of deinstitutionalization.
D) Peplau was the first nurse to stress the importance of therapeutic communication.
6. 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
7. 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 2020. 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
8. A nursing instructor is describing the concept of evidence-based practice in
psychiatric–mental health nursing. Which of the following would the instructor
include as being important? Select all that apply.
A) Research findings
B) Expert opinion
C) Clinical experiences
D) Patient data
E) Established routines
9. 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
C) Establishment of the first graduate program in psychiatric nursing at Rutgers
University
D) Publication of the first psychiatric nursing text, Nursing Mental Disease, by Harriet
Page 2
, Bailey
10. A nurse is preparing a presentation about the current status of mental health
services in the United States. Which statement would the nurse include as the
most reflective of this status?
A) “Mental health care in the United States is equally accessible to individuals.”
B) “Mental illness ranks second in terms of causing disability in comparison.”
C) “Mental health care primarily focuses on the cure of mental illness.”
D) “Mental health care services are inadequate and fragmented.”
11. A group of students are reviewing the goals identified by the New Freedom
Commission on Mental Health. The students demonstrate understanding of this
report when they identify which of the following as a goal?
A) Mental health is viewed as one component of overall health.
B) The consumer and family are the driving forces for mental health care.
C) Screening is of greater importance than assessment and referral for services.
D) Disparities in mental health services are decreased.
12. The following are important legislative and policy efforts influencing current
mental health care. Which of the following is the most recent?
A) Mental Health: A Report of the Surgeon General
B) New Freedom Commission on Mental Health
C) Action for Mental Health
D) Mental Retardation Facilities and Community Mental Health Centers Construction
Act
13. As part of a career day presentation to a group of nursing students, a psychiatric–
mental health nurse plans to describe how this specialty developed. Which
individual would the nurse describe as playing a major role in the development of
specialty training programs for psychiatric nurses?
A) Mary Adelaide Nutting
B) Hildegarde Peplau
C) Harriet Bailey
D) Linda Richards
14. A psychiatric–mental health nurse is asked to be a guest speaker at a community
fund-raising event for mental health services. Which of the following would the
nurse emphasize as the primary goal of mental health services?
A) Access to affordable mental health care
B) Removal of exclusions because of preexisting conditions
C) Recovery from mental illness
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