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Test Bank - Psychiatric Nursing: Contemporary Practice, 7th Edition (Ann Boyd, 2022), Chapter 1-43 | All Chapters $14.99   Add to cart
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Test Bank - Psychiatric Nursing: Contemporary Practice, 7th Edition (Ann Boyd, 2022), Chapter 1-43 | All Chapters

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Test Bank - Psychiatric Nursing: Contemporary Practice, 7th Edition (Ann Boyd, 2022), Chapter 1-43 | All Chapters

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  • June 9, 2024
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Chapter 1, Psychiatric -Mental Health Nursing and Evidence -Based Practice MULTIPLE CHOICE 1. A group of nurse s are reviewing information about the evolution o f ment al heal th ca re and discussing the recommendations of the final repo rt of the Joint Comm ission on M ental Illness and H ealth. T he nurses demonstrate an understanding of this inf ormation when they identify that the report recommended an increase in what? a. Number of ment al health hospitals b. Insti tutionalization of clients with mental health problems c. Number of clin ics supplemented by gene ral hospital units d. Use of psychotherapy by psychiatrists ANS: C The final report of the J oint C ommission on Mental Illness and Heal th called Ac tion for Mental Heal th, recommended increased numbers of community clinics supplemented by general hospital units for mental illness care. The ideas in the report shifted responsibi lity for mental health c are to t he federal , state and local governments. 2. A nurse is reviewing literature that s anctions the involvem ent of psych iatric -
mental health nurses in the prov ision of holistic nu rsing care. Integrating knowledge of the various theories and views of mentals health and ill ness , the nurse identi fies w hich as most strongl y linked to this holistic app roach? a. Sigmund Freud ’s psychoanalytic theory b. Florence Nighti ngale ’s Notes on nursing c. Lavinia Lloyd Dock ’s Materia Medica for Nurses d. Cliffor d Beers ’ A Mind That Found Itself ANS:B The American Nurses Association ’s Statement on psychiatric Nursing Practice (1967) Officially sanctioned a holistic approach to nursing care fo r the first time . The roots of this contemporary psychiatric -mental health nursing thoughts can be traced to Floren ce Ni ghtingale ’s Notes on Nursing , which presented a holistic view of the pati ent, with the view of the patien t as living within a family and community. Freud ’s psychoanalytic theory focu sed on personality development and unconscious motivations for d rives. B eers ’ autob iography de scribed the inhumane treatment used f or mental Ilness, which led to the form ation of a National Committee for Mental Hygiene. 3. A psychiatric -mental health nurse is preparin g a presentation about key events and people that influen ced the development of contempora ry ment al health and illness care. When describing the effect of world war 2, which would the nurse most li kely in clude? a. People began to view mental ill ness as more commonplace and accepta ble. b. The biologic un derstanding of me ntal illness was almost f ully developed. c. Deinstitutionalization occurred in res ponse to the community health moment. d. Mental health become categorized as psychos es or neu roses. ANS: A During World War 2, mental ill ness was beginning to be seen as a problem t hat could happen to anyone . Many “normal ” people who volunteered for se rvice were disqualified on the grounds that they psycho logically unfit to serve. Others who ha d alr eady served a tour of duty developed psychiatric and emotional problems related to their wartime experiences. The biologic understanding of mental illness continues to ev olve Deinstitutionalization and the community mental health movement occurred during the 19 60s. in the early 20th century , Freud cate gorized ment al health as either a psychosis or neurosis 4. A nurse is presentin g a discussion of the his tory of psychiatric -ment al health nursing and its place within nursing his tory. Which would be most appropriate to include? a. Certifi cation for the psychiatric -mental health nursing specialty was first emphas ized by Mary Adelaide Nutting. b. Psychiatric nurs es played a part in seeing that all deinstit utionalized clients got treatment at community mental h ealth cent ers. c. There is a historical link bet ween th e first nursing program to admit ma le students and the fi rst train ing s chool for psychiatr ic nursing. d. The first graduate program in psychiatric nursing was established in response to the publication o f psychiatric nursing specialty jou rnals. ANS: C In 1882 , the first tra ining s chool for psychiatric nursing was established at the m clean Asylum by E. Cowles; this was also the first nursing program to admit men. Nutting emphas ized psychiatric -mental nursing role devel opment. Unfortunately , deinstitutionalization fa iled. H ildegrad E Peplau was respo nsible for e stablished the first gra duate program in psychiatric -mental health nursing . In 1954. Publication of journals soon followed, beg inning in the 1960s. 5. When reviewin g the evolution of mental health and illness care, which event is associated with mental disorders beginnin g to be viewed as illnesses requiring tr eatment? a. Establishment of Pennsylvania Hospital in Philadelphia b. Quaker establishment of asylums c. Creation of the state hos pital system d. Freud ’s views on the cause s of mental illnesses ANS: A Mental disorders began to be view ed as illnesses with t he establ ishment of Pennsylvania Ho spital, the first instituti on in the United States to recei ve those with mental disorders for treatme nt and cure. The Quaker establish ment of asyl ums reflected the i mpetus towar d moral treatment . Dorothea L. Dix advocated for the hu mane treatment of clients with mental illness with the creation of state hospit als. Freud b elieved that the pr imary causes of mental ill nesses were psychological and a result of disturbed personality development and faulty parenting. 6. A psychiatric -mental health nurse is working on a committee that is developing programs that integra te the objectives for mental health a nd mental di sorders, as identified in Healthy people 2 030. Which type of progr am would be least appropriate? a. Single substance abus e treatment programs b. Depression -screeni ng programs for primary care provi ders c. Mental health pro grams for the homeless popu lation d. Employment programs for those with serious mental illness ANS: A The objectives of Healthy Peo ple 2030 id entify the need to increa se the proportion of persons w ith co -occuring substance abuse and mental disorders receiving treatment for both disorders . Thus, single substance abuse treatment programs would be least beneficial. The objective call for an increase in depres sion s creening by pr imary care p roviders, an increase in the proportion of homeless adults with mental health problems who receive mental health treatment , and an increase in the proportion of persons with serio us mental illness w ho are employed. 7. The following events are important in the de velopment of psychiatric -
mental health nursing p ractice. Which event occurred first? a. Publication of Standard s of Psychiatric -Mental Health Nursing by th e ANA b. Publication of Standards of Ch ild and Adolescent Psychiatric and M ental Health Nursing Practice

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