exam 1 - chapter 1

During the mid-20th century, the focus of treatment centered on treating neurotransmitter dysfunction in the brain. As a result hospital stays were shortened due to the introduction of which? 1. Psychopharmacology 2. Insulin shock therapy 3. Psychosurgery 4. Hydrotherapy

Psychopharmacology

In the 1970s, state mental hospitals came under increasing scrutiny and many were closed. What was the end result of this trend? 1. A lack of suitable housing for persons with mental illness 2. Higher employment rates among previously institutionalized people 3. Increased numbers of for-profit institutions for the mentally ill 4. Increased numbers of training programs for the mentally ill

A lack of suitable housing for persons with mental illness

Which individual has experienced the consequences of deinstitutionalization? 1. A man who was denied inpatient psychiatric treatment by his health maintenance organization (HMO) 2. A woman who was transferred from a psychiatric hospital to the community because of the hospital's impending closure 3. A man who has been unable to obtain health insurance but who receives Medicare benefits 4. A woman who has been the frequent object of stigma due to her history of psychiatric illness

A woman who was transferred from a psychiatric hospital to the community because of the hospital's impending closure

Which is the most influencing factor that complicates the treatment of people with mental illness in the Unites States? 1. Insurers' reimbursement decisions 2. Increased responsibility for care by state mental hospitals 3. Overuse of the well-coordinated mental health care system 4. Lack of effective treatments

Insurers' reimbursement decisions

The psychiatric mental health nurse is planning the care of a client. What action best addresses the client's needs in the social domain? 1. Collaborating with the client's family to organize support 2. Teaching the client skills for identifying behavioral triggers 3. Administering a scheduled dose of an atypical antipsychotic 4. Dialoguing with a client about the client's feelings around a traumatic event

Collaborating with the client's family to organize support

When describing the historical aspects of psychiatric-mental health care, the nurse addresses the changes in thought about the cause of mental illness from 0 to 1000 CE. Which cause would the nurse most likely identify as the belief during this period? 1. Demonic control 2.Personal failure 3.Physical illness 4. Contaminated environments

Demonic control

The nurse has been unsuccessful in the psychiatric clinical placement and will be obliged to repeat it next semester. The criteria for passing or failing were based on the Psychiatric-Mental Health Nursing Scope and Standards of Practice, which are? 1. Future goals for the nursing profession as a whole 2. The legal documents that allow a nurse to practice 3. Descriptions of the responsibilities for which nurses are accountable 4. Explanations of the ideal character of the psychiatric or mental health nurse

Descriptions of the responsibilities for which nurses are accountable

A nurse is reading a journal article about the evolution of psychiatric-mental health nursing. Which individual would the nurse identify as being the first to address the education of psychiatric nursing? 1. Effie Taylor 2. Linda Richards 3. Harriet Bailey 4. Hildegarde Peplau

Effie Taylor

Which skill is in the psychiatric-mental health registered nurse's scope of practice? 1. Prescribing psychiatric medications 2. Conducting individual psychoanalysis 3. Evaluating the effectiveness of psychiatric medications 4. Diagnosing psychiatric-mental health conditions

Evaluating the effectiveness of psychiatric medications

Which is a difference between counseling and psychotherapy? 1. Psychotherapy is reserved for clients who have a documented history of failing to respond to counseling. 2. Generalist psychiatric nurses may perform counseling interventions, but psychotherapy is an advanced practice role. 3. Transference and countertransference are significant obstacles in psychotherapy that can be avoided in a counseling mode. 4. Counseling may be used in the care of acutely psychotic clients, but psychotherapy is contraindicated.

Generalist psychiatric nurses may perform counseling interventions, but psychotherapy is an advanced practice role.

When providing care to a client, 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? 1. Hildegard Peplau 2. Florence Nightingale 3. Dorothea Dix 4.Sigmund Freud

Hildegard Peplau

Who was the first to introduce the concept of interpersonal relations and the therapeutic relationship? 1. Mary Nutting 2. Florence Nightingale 3. Hildegard Peplau 4. Linda Richards

Hildegard Peplau

Which provides the best definition for mental illness? 1. Inability to function in a manner that manages both external and internal stressors effectively 2. Existence of cognitive dysfunction resulting in a lack of autonomy 3. Manifestation of altered sensory perceptions 4. Result of genetic or environmental alterations resulting in mental dysfunction

Inability to function in a manner that manages both external and internal stressors effectively

Which is a true statement regarding Medicaid? 1. It covers individuals and families with low incomes. 2.It covers people 65 years of age and older. 3. It covers people with permanent kidney failure. 4. It covers people with certain disabilities.

It covers individuals and families with low incomes.

Which is an inaccurate depiction of self-awareness? 1. It involves changing one's values or beliefs. 2. The nurse gains recognition of his or her feelings and beliefs. 3. There is an understanding that a nurse's belief may conflict with the client's. 4. It involves self-reflection.

It involves changing one's values or beliefs.

Maintaining a therapeutic environment and promoting growth through role modeling are components of which basic level function? 1. Milieu therapy 2. Counseling 3. Health teaching 4. Case management

Milieu therapy

Which sets professional standards of care? 1.States 2. Provinces 3.Professional nursing organizations 4. Hospitals

Professional nursing organizations

Which intervention is appropriate for a psychiatric-mental health nurse at the basic level of practice? 1.Promoting symptom management 2. Managing psychotropic medications 3.Conducting family therapy 4. Interpreting laboratory tests

Promoting symptom management

Which is a clinical activity of only the advanced practice registered nurse? 1. Milieu therapy 2. Psychotherapy 3. Crisis intervention 4. Triage

Psychotherapy

Which mental health service is an advanced-level function? 1. Psychotherapy 2.Milieu therapy 3.Counseling 4.Self-care activities

Psychotherapy

The following events are important in the development of psychiatric-mental health nursing practice. Which event occurred first? 1.Publication of Standards of Psychiatric-Mental Health Nursing by the ANA 2. Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice 3. Establishment of the first graduate program in psychiatric nursing at Rutgers University 4.Publication of the first psychiatric nursing text, Nursing Mental Disease, by Harriet Bailey

Publication of the first psychiatric nursing text, Nursing Mental Disease, by Harriet Bailey

What nursing action demonstrates the intended impact of the American Nurses Association (ANA) standards of care on mental health nursing care? 1. Using the standards to determine if a nurse's action is considered criminally negligent. 2. Referring to the standards to determine if a particularly prescribed treatment falls within the scope of a nurse's practice. 3.Using the standards as a guide to identify advanced level nursing functions. 4.Citing the standards as a guide for determining the delegation of care.

Referring to the standards to determine if a particularly prescribed treatment falls within the scope of a nurse's practice.

A client demonstrates sexually inappropriate behavior toward a student nurse. What is an effective way for the student to respond while protecting and respecting the client? 1. Ignore the behavior at the time it occurs but report it to staff before leaving clinicals for the day. 2. Immediately inform the client that the behavior is unacceptable and will be reported to staff. 3. Report the incident to staff and the clinical instructor so boundaries can be reenforced with the client. 4. React to the incident with a sense of humor at the time but minimize contact with the client in the future.

Report the incident to staff and the clinical instructor so boundaries can be reenforced with the client.

Which is a criterion for mental health? 1.Satisfaction with personal relationships and self 2. Absence of mental health disorders 3.Absence of sadness or anger 4.No observable demonstration of deviant behavior

Satisfaction with personal relationships and self

Which is necessary as a defining feature in mental illness? 1. The individual must have difficulties in functioning that cause distress and/or impairment of some type. 2. The individual must need medications in order for the diagnosis to be of psychiatric origin. 3.The individual must acknowledge that he or she is having difficulties in functioning. 4.The individual must have physiological symptoms that match with behaviors that are impaired.

The individual must have difficulties in functioning that cause distress and/or impairment of some type.

During the moral treatment period, clients were routinely placed into which environment? 1. asylums 2. community mental health centers 3. psychosocial rehabilitation centers 4. group homes

asylums

A psychiatric-mental health nurse is describing the various programs offered by the local community mental health center. When explaining how these programs work, the nurse would emphasize which concept? 1. autocratic leadership 2. paternalistic decision-making 3. complete autonomy 4. collaboration

collaboration

In terms of causing disability among people aged 15 to 44 years of age in North America, where does mental illness rank? 1. first 2. second 3. third 4. fourth

first