The Evolution of Mental Health Care and Psychiatric Nursing, Exams of Nursing

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TEST BANK FOR PSYCHIATRIC

NURSING CONTEMPORARY

PRACTICE, 5TH EDITION, MARY

ANN BOYD

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.

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 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 D) Effective treatment for mental health care needs
15. A psychiatric–mental health nurse is implementing evidence-based practice. The nurse understands that this approach is developed by doing which of the following first? A) Conducting research B) Identifying a clinical question C) Determining outcomes D) Collaborating with the patient
16. A group of students are reviewing information about mental health care after World War II. The students demonstrate understanding of this information when they identify which of the following as a result of the National Mental Health Act? A) Discovery of psychopharmacology B) Passage of the Hill-Burton Act C) Establishment of the National Institute of Mental Health D) Development of community mental health centers
17. When providing care to a patient, the psychiatric–mental health nurse is implementing the therapeutic use of self. The nurse is applying the concepts based on the work of which individual? A) Hildegarde Peplau

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