Quiz 1 - Chapter 1

Which is a difference between counseling and psychotherapy?

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

Freud's personality theory was based on what?

Drives

Which is a clinical activity of only the advanced practice registered nurse?

Psychotherapy

Maintaining a therapeutic environment and promoting growth through role modeling are components of which basic level function?

milieu therapy

The Substance Abuse and Mental Health Services Administration (SAMSHA)estimates that more than what percentage of Americans aged 18 years and older has a diagnosable mental disorder?

18.6%

What percentage of adults requiring mental health services get the care they need?

25%

Approximately what percentage of homeless people suffer from a severe psychiatric illness of a chronic substance use disorder?

42%

Deinstitutionalization has reduced the number of public hospital beds by what percentage?

80%

How can a nurse best assure the management of personal long-term self-reflection that is associated with professional interaction with clients?

Engage in regular discussions with a formal clinical supervisor

Who was the first to introduce the concept of interpersonal relations and the therapeutic relationship?

Hildegard Peplau

How should the nurse best explain the purpose of the DSM-5 to the client recently diagnosed with bipolar disorder?

"It is used to assist in identifying the underlying causes of your disorder."

A nurse is providing community education about the prevention of mental illness. In response to the question, "What does it mean to be mentally healthy?" which is the nurse's best response?

"Mental health is marked by productivity, fulfilling relationships, and adaptability."

Which is a result of deinstitutionalization?

A "revolving door" of repetitive hospital admissions

A psychiatric-mental health nurse is preparing a presentation about the historical evolution of current psychiatric-mental health treatment. When describing the impact of Sigmund Freud's work on care, which information would the nurse most likely include? Select all that apply.

A disturbance in personality development as an underlying issue. Use of psychoanalysis to address the underlying injury.

In the 1970s, state mental hospitals came under increasing scrutiny and many were closed. What was the end result of this trend?

A lack of suitable housing for persons with mental illness

Which individual has experienced the consequences of deinstitutionalization?

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

Chlorpromazine is a drug in which classification?

Antipsychotic

When discussing instutionalization, which issue would most likely be considered a major problem associated with large state institutions? Select all that apply.

Attendants were accused of torturing female residents. Clients were isolated from family and community. Clients were not given proper nutrition or clothed properly.

When comparing the theories of mental illness popular in ancient Greece with those popular in the Middle Ages, which is more applicable to the Middle Ages?

Belief in demonic possession and exorcism was common.

The major goal of the Community Mental Health Act of 1963 was what?

Build mental health centers that would provide mental health care within the local community.

The psychiatric mental health nurse is planning the care of a client. What action best addresses the client's needs in the social domain?

Collaborating with the client's family to organize support

The nursing instructor asks the student to perform an assessment of a mentally ill client. What should the student do when executing this task?

Collect comprehensive data

Which activity is a function solely of the advanced practice psychiatric-mental health nurse?

Conducting individual psychotherapy

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?

Psychopharmacology

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?

Demonic control

In early Christian times, what was thought to cause mental illness?

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?

Descriptions of the responsibilities for which nurses are accountable

The nurse recognizes that public education is needed to erode stigma to prevent what?

Discrimination

When reviewing the evolution of mental health care in the United States, a psychiatric-mental health nurse reads about the creation of state hospitals for mental health care. The nurse would attribute this concept of care as the idea supported by:

Dorothea Dix

Who was responsible for much of the reform of the mental health care system in the 19th century?

Dorothea Dix

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?

Effie Taylor

What is the primary benefit of the DSM-5 to the student nurse's practice with the mentally ill population?

Encourages the building of a knowledge base about the nature of psychiatric illnesses.

The advanced practice registered nurse is planning interventions for clients in a mental health practice. Which are considered basic level?

Ensuring a therapeutic environment. Improving client function and health.

Which skill is in the psychiatric-mental health registered nurse's scope of practice?

Evaluating the effectiveness of psychiatric medications

In terms of causing disability among people aged 15 to 44 years of age in North America, where does mental illness rank?

First

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?

Hildegard Peplau

Which provides the best definition for mental illness?

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

Which is the most influencing factor that complicates the treatment of people with mental illness in the Unites States?

Insurers' reimbursement decisions

What are the standards of professional performance that a nurse should implement when caring for a mentally ill client? Select all that apply.

Integration of research. Collegial interaction. Collaboration with clients and their families.

A psychiatric-mental health nurse is working a booth at a local community college job fair. One of the participants comes to the booth and asks the nurse about the different types of conditions for which psychiatric-mental health nurses provide care. Which condition would the nurse most likely include in the response? (Select all that apply.)

Issues involving self-mutilation Self-esteem issues related to loss of a limb Problems associated with family or group isolation Substance use disorders

Which is a true statement regarding Medicaid?

It covers individuals and families with low incomes.

Which is an inaccurate depiction of self-awareness?

It involves changing one's values or beliefs

A client diagnosed with schizophrenia has recently become divorced and is living in public housing. How would the DSM-5 best help in planning this client's care?

It is used by the mental health team to identify the psychosocial and environmental factors currently affecting the client.

Medical insurance coverage for medical illnesses is greater than for psychiatric illnesses. What term best describes this discrepancy?

Lack of parity

A nurse is reviewing the historical trends impacting the practice of psychiatric-mental health nursing practice. The nurse demonstrate understanding of the information by identifying which individual as being resonsible for opening the first training school for nurses in 1882?

Linda Richards

Who was the first trained nurse in the United States?

Linda Richards

A client refuses to interact with a student nurse during a clinical session. Which would be the mosthelpful in the immediate situation? Select all that apply.

Listen to the client. Show genuine interest in the client's situation.

Which federal law prevents insurance companies from enforcing annual or lifetime dollar amounts to be paid for mental health care?

Mental Health Parity Act

A nurse is conducting a review class for a group of psychiatric-mental health nurses about the changes in psychiatric care that have occurred through the years related to legislation and policy initiatives. The nurse determines that the teaching was successful when the group identifies that supporters of the Community Mental Health Centers Construction Act (1963) believed that institutionalization was contributing to what?

Mental Illness

The application of psychiatric mental health nursing theory to promote holistic client care in the therapeutic relationship is grounded in the work of which historical figure?

Peplau

The nurse is busy preparing a client for a procedure. The nurse may obtain a clients' signature on a form, but obtaining informed consent for the procedure is the responsibility of the

Physician

Which sets professional standards of care?

Professional nursing organizations

Which intervention is appropriate for a psychiatric-mental health nurse at the basic level of practice?

Promoting symptom management

Which mental health service is an advanced-level function?

Psychotherapy

The following events are important in the development of psychiatric-mental health nursing practice. Which event occurred first?

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

A psychiatric-mental health nurse is asked to be a guest speaker at a community fund-raising event for mental health services. Which would the nurse emphasize as the primary focus of the current consumer movement and mental health services?

Recovery from mental illness as a realistic goal

What nursing action demonstrates the intended impact of the American Nurses Association (ANA) standards of care on mental health nursing 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?

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

A psychiatric-mental health registered nurse is studying the impact of factors like safety, effectiveness, and cost on the practice and delivery of nursing services. What is this process called?

Resource utilization

Which is a criterion for mental health?

Satisfaction with personal relationships and self

A nurse can accurately identify which personal characteristics that contribute to mental health? Select all that apply.

Sense responsibility for one's own actions. Personal self-awareness. Relatively worry free. Generally happy with life.

A client with mental illness expresses interest in having a date with the nurse. Which would be the nurse's best response in this situation?

Set boundaries of a professional relationship.

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 2020. Which type of program would be least appropriate?

Single substance abuse treatment

Dorothea Dix's solution to gain humane treatment for the mentally ill population included what?

State Hospitals

A client with mental illness has come to an outpatient mental health clinical for a counselling session with the community mental health nurse. Which areas should be the focus of counselling for this client? Select all that apply.

Stress management. Behavior modification. Communication skills.

Which is necessary as a defining feature in mental illness?

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

Which is the greatest barrier to an individual's ability to obtain the most effective and safest psychiatric medication?

These medications are often not covered by the managed care system because they are expensive.

The nurse attempts to speak to a client; however, the client shows no interest in talking. What should the nurse do in this situation?

Understand the client may require the use of silence

The nurse knows the written instructions for healthcare when a person is incapacitated is called

advance directive

A nurse is reading a journal article about practices involved during the moral treatment movement in psychiatric-mental health care. Which practice would most likely be included as being used during this time?

asylums

During the moral treatment period, clients were routinely placed into which environment?

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?

collaboration

One of the primary reforms accomplished by Dorothea Lynde Dix was the ...

establishment or enlargement of state hospitals.

During the 1800s, Pinel believed that the cure for mental illness was ...

moral treatment