PSY 160: Chapter 1: Foundations of Psychiatric-Mental Health Nursing - ML5

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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." Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 2

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

80% Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 4

Which is a result of deinstitutionalization?

A "revolving door" of repetitive hospital admissions. Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 4

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. Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 5

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. Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 4

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

Advance directive

Chlorpromazine is a drug in which classification?

Antipsychotic Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 23

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. Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 3

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. Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 4

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

Conducting individual psychotherapy Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 9

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

Demonic control Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 3

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 Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 3

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. Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 3

Freud's personality theory was based on what?

Drives Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 4

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 Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 9

Which is a difference between counseling and psychotherapy?

Generalist psychiatric nurses may perform counseling interventions, but psychotherapy is an advanced practice role. Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 9

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 Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 7

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

Hildegard Peplau Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 7

Which provides the best definition for mental illness?

Inability to function in a manner that manages both external and internal stressors effectively. Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 2

Which is a true statement regarding Medicaid?

It covers individuals and families with low incomes. Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 7

Which is an inaccurate depiction of self-awareness?

It involves changing one's values or beliefs. Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 10

Who was the first trained nurse in the United States?

Linda Richards Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 7

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

Milieu therapy Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 9

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

Promoting symptom management Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 8

Which sets professional standards of care?

Professional nursing organizations Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 8

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 Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 4

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

Psychotherapy Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 9

Which mental health service is an advanced-level function?

Psychotherapy Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 9

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. Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 8

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 re-enforced with the client. Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 9

Which is a criterion for mental health?

Satisfaction with personal relationships and self Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 2

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. Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 8

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 Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 3

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 Chapter 1: Foundations of Psychiatric-Mental Health Nursing - Page 7-8


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