Mental Health Unit 1 Chapter 1 PrepU

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.

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

Promoting symptom management.

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%

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

80%

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

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

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.

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

Advance directive.

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.

In the early Christian period, who treated clients thought to be possessed by demons causing their mental illness?

Clergyman (a male priest, minister, or religious leader, especially a Christian one.)

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 (Working together with others).

Psychiatric-Mental Health Nursing Scope and Standards of Practice

Descriptions of the responsibilities for which nurses are accountable

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

Dorothea Dix

Freud's personality theory was based on what?

Drives.

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.

Which is a difference between counseling and psychotherapy?

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?

Hildegard Peplau

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

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.

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.

Until the onset of the Renaissance, the general population held which belief regarding the presence of sickness?

It was punishment for sins and wrongdoing.

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

Lack of parity( Parity means equal treatment of mental health conditions and substance use disorders in insurance plans. Means equal, not always GOOD.)

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

Mental Health Parity Act.

Supporters of the Community Mental Health Centers Construction Act (1963) believed that institutionalization was contributing to what?

Mental illness.

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

Milieu therapy (psychotherapy in which the patient's social environment is controlled or manipulated with a view to preventing self-destructive behavior.)

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

Moral Treatment.

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

Which sets professional standards of care?

Professional nursing organizations

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.

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.

Which is a criterion for mental health?

Satisfaction with personal relationships and self

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

State Hospitals.

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.

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

establishment or enlargement of state hospitals.

Deinstitutionalization

moving people with psychological or developmental disabilities from highly structured institutions to home- or community-based settings