Chapter 1 Foundations of Psychiatric
Mental Health
1. The goal of the 1963 Community Mental Health Centers Act was to?
A) Ensure patients' rights for the mentally ill
B) Deinstitutionalize state hospitals
C) Provide funds to build hospitals with psychiatric units
D) Treat people with mental illness in a humane fashion - ANSB
The creation of asylums during the 1800s was meant to?
A) Improve treatment of mental disorders
B) Provide food and shelter for the mentally ill
C) Punish people with mental illness who were believed to be possessed
D) Remove dangerous people with mentally illness from the community - ANSB
A major problem with large state institutions was that they?
A) Could not find enough qualified staff for therapy programs
B) Had difficulty providing treatment to all who needed it
C) Kept clients geographically isolated from family and community
D) Used clients as research subjects to develop neuroleptic drugs - ANSC
A significant change in the treatment of people with mental illness occurred in the 1950s when?
A) Community support services were established
B) Legislation dramatically changed civil commitment procedures
C) The Patient's Bill of Rights was enacted
D) Psychotropic drugs became available for use - ANSD
The "revolving-door" concept in mental health care has evolved primarily due to?
A) Disinterest in caring for people with mental illness
B) Lack of funding for adequate community services
C) Outpatient treatment becoming more effective
D) The disintegration of supportive nuclear families in the United States - ANSB
Which of the following statements is true of mental health care in the United States today?
A) At least 75% of the homeless population has a severe and persistent mental illness.
B) Managed care has effectively reduced the cost of mental health treatment by one third.
C) Only 25% of people needing mental health services are receiving those services.
D) One fourth of people who are incarcerated have a major mental illness. - ANSC
Before the period of the Enlightenment, treatment of the mentally ill included?
A) Creating large institutions to provide custodial care
, B) Focusing on religious education to improve their souls
C) Placing the mentally ill on display for the public's amusement
D) Studying the mentally ill in early research projects - ANSC
Which of the following is the priority of the Healthy People 2010 objectives for mental health?
A) Improved inpatient care
B) Primary prevention of emotional problems
C) Stress reduction and management
D) Treatment of mental illness - ANSD
The Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision
(DSM-IV-TR) classifies mental illness based on which of the following?
A) Descriptive symptomatology
B) Qualitative research methods
C) Research-based scientific studies
D) Subjective symptomatology - ANSA
Which of the following is defined as an advanced-level function in the practice area of
psychiatric mental health nursing?
A) Case management
B) Counseling
C) Evaluation
D) Psychobiologic interventions - ANSC
The nurse is assessing factors contributing to the well-being of a newly admitted patient. Which
of the following would the nurse identify as having a positive impact on the individual's mental
health?
A) Not needing others for companionship
B) The ability to effectively manage stress
C) A family history of mental illness
D) Seeking approval from others - ANSB
A patient grieving the recent loss of her husband asks of she is becoming mentally ill because
she is so sad. The nurse's best response would be,
A) "You may have a temporary mental illness because you are experiencing so much pain."
B) "You are not mentally ill. This is an expected reaction to the loss you have experienced."
C) "Were you generally dissatisfied with your relationship before your husband's death?"
D) "Try not to worry about that right now. You never know what the future brings." - ANSB
The nurse consults the DSM-IV-TR for which of the following purposes?
A) To devise a plan of care for a newly admitted patient
B) To predict the patient's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the patient's medical record
D) To serve as a guide for patient assessment - ANSD
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