Test Bank - Psychiatric Nursing: Contemporary Practice, 7th Edition (Ann Boyd, 2022), Chapter 1-43 | All Chapters updated 2024|2025
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Psychiatric Nursing Contemporary Practice 7th Edition by Ann Boyd Test Bank Chapter 01: Psychiatric –Mental Health Nursing and Evidence -Based Practice 1. A group of nurses 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 nurses demonstrate an understanding of this information when they identify that the report recommended an increase in what? A) Number of mental health hospitals B) Institutionalization of clients with mental health problems C) Number of clinics supplemented by general hospital units D) Use of psychotherapy by psychiatrists ANS: C Feedback: The final report of the Joint Commission on Mental Illness and Health, called Action for Mental Health, recommended increased numbers of community clinics supplemented by general hospital units for mental illness care. The ideas in the report shifted responsibility for mental health care to the federal, st ate, and local governments. PTS: 1 REF: 9, A New National Objective: Community Treatment OBJ: 5 NAT: Client Needs: Psychosocial Integrity KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Remember NOT: Multiple Choice 2. A nurse is reviewing literature that sanctions 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 a s most strongly linked to this holistic approach? A) Sigmund Freud’s psychoanalytic theory B) Florence Nightingale’s Notes on Nursing C) Lavinia Lloyd Dock’s Materia Medica for Nurses D) Clifford Beers’ A Mind That Found Itself ANS: B Feedback: The American Nurses Association’s Statement on Psychiatric Nursing Practice (1967) officially sanctioned a holistic approach to nursing care for the first time. The roots of this contemporary psychiatric –mental health nursing thought can be traced to Flore nce Nightingale’s Notes on Nursing , which presented a holistic view of the patient, with the view of the patient as living within a family and community. Freud’s psychoanalytic theory focused on personality development and unconscious motivations for drive s. Beers’ autobiography described the inhumane treatments used for mental illness, which led to the formation of a National Committee for Mental Hygiene. PTS: 1 REF: 2–3, Emergence of Modern Nursing Perspectives OBJ: 2 NAT: Client Needs: Psychosocial Inte grity KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Analyze NOT: Multiple Choice 3. A psychiatric –mental health nurse 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 would the nurse most likely 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. ANS: A Feedback: During World War II, mental illness was beginning to be seen as a problem that could happen to anyone. Many “normal” people who volunteered for service were disqualified on the grounds that they were psychologically unfit to serve. Others who had already served a tour of duty developed psychiatric and emotional problems related to their wartime experiences. The biologic understanding of mental illness continues to evolve. Deinstitutionalizati on and the community mental health movement occurred during the 1960s. In the early 20th century, Freud categorized mental illness as either a psychosis or neurosis. PTS: 1 REF: 8, National Action OBJ: 4 NAT: Client Needs: Health Promotion and Maintenanc e KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Apply NOT: Multiple Choice 4. A nurse is presenting a discussion of the history of psychiatric –mental health nursing and its place within nursing history. Which 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 clients got treatment at community ment al 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 nursing was established in response to the publication of psychiatric nursing specialty journals. ANS: C Feedback: In 1882, the first training school for psychiatric nursing was established at the McLean Asylum by E. Cowles; this was also the first nursing program to admit men. Nutting emphasize d psychiatric –mental health nursing role development. Unfortunately, deinstitutionalization failed. Hildegard E. Peplau was responsible for establishing the first graduate program in psychiatric –mental health nursing, in 1954. Publication of journals soon followed, beginning in the 1960s. PTS: 1 REF: 3, Box 1.2 History of Psychiatric –Mental Health Nursing OBJ: 2 NAT: Client Needs: Psychosocial Integrity KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Analyze NOT: Multiple Choice 5. 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 a sylums C) Creation of the state hospital system D) Freud’s views on the causes of mental illnesses ANS: A Feedback: Mental disorders began to be viewed as illnesses with the establishment of Pennsylvania Hospital, the first institution in the United States to receive those with mental disorders for treatment and cure. The Quaker establishment of asylums reflected the impetus toward moral treatment. Dorothea L. Dix advocated for the humane treatment of clients with mental illness with the creation of s tate hospitals. Freud believed that the primary causes of mental illnesses were psychological and a result of disturbed personality development and faulty parenting. PTS: 1 REF: 5, Table 1.1 Premoral Treatment Era OBJ: 2 NAT: Client Needs: Psychosocial Integrity KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Apply NOT: Multiple Choice 6. 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 2030. 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 ANS: A Feedback: The objectives of Healthy People 2030 identify the need to increase the proportion of persons with co -occurring substance abuse and mental disorders receiving treatment for both disorders. Thus, single substance abuse treatment programs would be least beneficial. The objectives call for an increase in depression screening by primary care providers, an increase in the proportion of homeless adults with mental hea lth problems who receive mental health treatment, and an increase in the proportion of persons with serious mental illness who are employed. PTS: 1 REF: 10, National Mental Health Objectives OBJ: 5 NAT: Client Needs: Psychosocial Integrity KEY: Integra ted Process: Nursing Process BLM: Cognitive Level: Analyze NOT: Multiple Choice 7. 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 Bailey ANS: D Feedback: In 1920, the first psychiatric nursing text was published. In 1954, the first graduate program in psychiatric nursing was established. In 1967, the ANA published the Standards of Psychiatric -Mental Health Nursing . In 1985, the Standards of Child and Adoles cent Psychiatric and Mental Health Nursing Practice was published. PTS: 1 REF: 2, Early Founders OBJ: 2 NAT: Client Needs: Safe, Effective Care Environment: Management of Care KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Remember NOT: Multiple Choice
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