Chapter 1: History of Mental Health Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The act of developing a clean environment is a factor in providing effective health care as demonstrated by:
A. Nightingale.
B. Benner.
C. Swanson.
D. King.
____ 2. What is the name of the publication written by Florence Nightingale?
A. Nursing Sanitation Notes
B. Nursing 101
C. Notes on Nursing
D. Nursing Notes
____ 3. A long-term goal for in-patient mental health treatment is generally to:
A. Return the patient to the community.
B. Locate a facility for long term care.
C. Be arrested and placed in prison.
D. Be completely cured of the disorder.
____ 4. The mentally ill were once housed in mental institutions known as:
A. Hospitals.
B. Long-term care facilities.
C. Asylums.
D. Free-standing treatment centers.
____ 5. Which nursing theorists promoted the interpersonal theory between the nurse and the patient?
A. Hildegard Peplau
B. Hattie Bessent
C. Mary Mahoney
D. Linda Richards
Completion
Complete each statement.
6. Phenothiazines were discovered in what year? _______1955________________.
7. The first psychiatric program of study was established by which nursing leader? ____Effie Jane Taylor__ _______ _________
8. Who was the nurse theorist who was the first American-trained nurse credited with teaching how to provide care for people with mental
illness? ______Linda Richards_________________
9. The greatest advance in the early years of mental health care was the introduction of ____Phenothiazines_______________.
10. The legislation that provided funding for improving the care of the mentally ill is known as the National Mental Health Act of what year?
_1946_____.
11. Which nursing organization established the first certification of psychiatric nursing? _____ ANA________________________
12. One of the goals of the American Nurses Association (ANA) is to promote ____Standardization____________ of nursing care in the United
States.
13. ______________ ____________ has always been called the founder of nursing.
14. A schoolteacher by the name of ______dorothy dix_______ _________established asylums and a psychiatric hospital for the mentally ill.
15. Special facilities designed to care for the mentally ill in the past were known as ______________.
16. The first psychotropic drug category was known as _Phentozians___________________.
,17. Each state adopts its own set of rules and guidelines that govern the nurses performance. These rules are known as the ______nurse_____
Practice Act.
18. The first major federal law to address mental illness was called the ___mental health_________ Act.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 19. What trends contributed to the deinstitutionalization of mental health facilities to outpatient care (select all that apply):
A. Cost of the facilities.
B. The increased use of phenothiazines.
C. Staff cost.
D. Establishment of Outpatient clinics.
Chapter 2: Basics of Communications
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which question by the nurse would gain the most information from a patient experiencing a marital crisis?
A. Do you hate your spouse?
B. Do you get along with your in-laws?
C. Do you talk out your problems with your spouse?
D. What is it like at home with your spouse?
____ 2. Mrs. R., the mother of a young schizophrenic patient, seeks you out and begins to cry. She expresses concern over her daughters
behavior. Your best response to this woman is:
A. What is it that concerns you the most, Mrs. R.?
B. Well, you know, that is part of the illness.
C. Here is a book on schizophrenia. This will help you.
D. Are you afraid your daughter will always be like this?
____ 3. Linda is pacing the floor and appears extremely anxious. The day shift nurse approaches Linda in an attempt to lessen her anxiety. The
most therapeutic statement by the nurse would be:
A. How about watching a football game?
B. Tell me how you are feeling today.
C. What do you have to be upset about now?
D. Ignore the client.
____ 4. A patient states, I dont know what the pills are for or why I am taking them, so I dont want them. What therapeutic communication
would help this patient?
A. Ask for what you need
B. Silence
C. Using general leads
D. Giving information
____ 5. To practice effectively in mental health, the nurse should be able to:
A. Solve his or her own personal problems without assistance from others.
B. Comfortably point out the patient shortcomings and provide advice about how to improve.
C. Bring patients and coworkers into compliance with societal rules and norms.
,D. Demonstrate therapeutic communication.
Completion
Complete each statement.
6. The nurse plans to have a therapeutic communication with the client. To begin that therapeutic communication the nurse must first establish
____silence_____________ with the client.
7. Communication has three parts: the sender, the message, and the ____recipient_________.
8. When appropriate, the nurse can use _____silence________________ as part of an interaction when there is no talking. This can
communicate support.
9. A theory of communication that emphasizes the three ways to communicate hearing, seeing, and touching is called ___neurolinguistic
programming______________________
10. Expressive, receptive, and global are types of ____Aphasia___________.
11. Advising, asking closed-ended questions, and changing the subject are examples of ________________ to therapeutic communication.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 12. A nurse is working with a patient and attempts to communicate effectively with him or her. Techniques the nurse can use to help
communication include (select all that apply):
A. Clarifying terms.
B. Remaining silent.
C. Asking open-ended questions.
D. Offering false reassurance
E. Discouraging the person from expressing feelings that are unacceptable.
____ 13. The nurse may find that patients from other countries use different terminology than the nurse born in the United States. The
difference in terminology may seem harmless to us but offensive to the foreign patient. Differences noted between different cultures are (select
all that apply):
A. Eye contact.
B. Slang terms.
C. Hand gestures.
D. Gender references.
____ 14. The three components of communication are (select all that apply):
A. Impairment.
B. Message.
C. Sender.
D. Receiver.
____ 15. Nurses understand that when caring for patients with mental illnesses, a nurses communication is (select all that apply):
A. An active process that includes participating and listening and speaking.
B. A complex activity.
C. Exchanging information.
D. Verbal and nonverbal.
E. A one way path from nurse to patient.
F. Advising.
____ 16. The patient is concerned about his doctor and what the doctor has prescribed. The nurse making rounds notices the patient sitting on
the side of the bed in deep thought. The nurse comes into the room and the patient begins to tell her his concerns about a new order. The nurse
advises the patient, If I were you, I would find another doctor.
How does this statement by the nurse block communication (select all that apply)?
, A. It tells the patient that his concerns are not valid.
B. It gives the idea that the nurses values are the correct ones.
C. It puts words in the patients mouth.
D. It hurts the nurses credibility if the solution doesnt help the patient.
E. It discourages yes or no answers.
F. It inhibits the patient from telling you what his concerns are.
____ 17. The following types of patients require adaptive communication techniques (select all that apply):
A. A patient who is blind.
B. A patient who has dysphasia.
C. A patient who is schizophrenic.
D. A patient who is elderly.
E. A patient with dysphagia.
F. A patient who has language differences from the staff.
____ 18. Which of the following are characteristics of assertive communication (select all that apply)?
A. Statements begin with the word you.
B. Statements deal with thoughts and feelings.
C. It is a form of blaming.
D. It puts responsibility for the interaction on the other person.
E. It is a technique of personal empowerment.
F. It is self-responsible.
Chapter 3: Ethics and Law
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A patient is expressing anger when the nurse attempts to make him take a medication that he is refusing. If the nurse pushes to give the
medication against his will, the nurse is:
A. Violating the patients rights.
B. Achieving a treatment goal to get the medication in the patient any way possible.
C. Supporting the familys demand that he take the medication.
D. Following orders from the charge nurse.
____ 2. A mental health nurse bumps into a member of her church, who begins questioning her about a former neighbor. The woman from the
church asks the nurse, How is Rachael? We have been friends for over 20 years and I have seen her come out of your clinic a few times. Is she
seeing one of the psychiatrists? The nurses response is:
A. The HIPAA law prevents me from disclosing any information about any patient.
B. All I can say is she is seeing Dr. Leone.
C. Rachael is seeing Dr. Leone because she is concerned about feeling extremely happy sometimes and about feeling
extremely depressed other times.
D. Rachael was only there to renew her medication.
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The act of developing a clean environment is a factor in providing effective health care as demonstrated by:
A. Nightingale.
B. Benner.
C. Swanson.
D. King.
____ 2. What is the name of the publication written by Florence Nightingale?
A. Nursing Sanitation Notes
B. Nursing 101
C. Notes on Nursing
D. Nursing Notes
____ 3. A long-term goal for in-patient mental health treatment is generally to:
A. Return the patient to the community.
B. Locate a facility for long term care.
C. Be arrested and placed in prison.
D. Be completely cured of the disorder.
____ 4. The mentally ill were once housed in mental institutions known as:
A. Hospitals.
B. Long-term care facilities.
C. Asylums.
D. Free-standing treatment centers.
____ 5. Which nursing theorists promoted the interpersonal theory between the nurse and the patient?
A. Hildegard Peplau
B. Hattie Bessent
C. Mary Mahoney
D. Linda Richards
Completion
Complete each statement.
6. Phenothiazines were discovered in what year? _______1955________________.
7. The first psychiatric program of study was established by which nursing leader? ____Effie Jane Taylor__ _______ _________
8. Who was the nurse theorist who was the first American-trained nurse credited with teaching how to provide care for people with mental
illness? ______Linda Richards_________________
9. The greatest advance in the early years of mental health care was the introduction of ____Phenothiazines_______________.
10. The legislation that provided funding for improving the care of the mentally ill is known as the National Mental Health Act of what year?
_1946_____.
11. Which nursing organization established the first certification of psychiatric nursing? _____ ANA________________________
12. One of the goals of the American Nurses Association (ANA) is to promote ____Standardization____________ of nursing care in the United
States.
13. ______________ ____________ has always been called the founder of nursing.
14. A schoolteacher by the name of ______dorothy dix_______ _________established asylums and a psychiatric hospital for the mentally ill.
15. Special facilities designed to care for the mentally ill in the past were known as ______________.
16. The first psychotropic drug category was known as _Phentozians___________________.
,17. Each state adopts its own set of rules and guidelines that govern the nurses performance. These rules are known as the ______nurse_____
Practice Act.
18. The first major federal law to address mental illness was called the ___mental health_________ Act.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 19. What trends contributed to the deinstitutionalization of mental health facilities to outpatient care (select all that apply):
A. Cost of the facilities.
B. The increased use of phenothiazines.
C. Staff cost.
D. Establishment of Outpatient clinics.
Chapter 2: Basics of Communications
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which question by the nurse would gain the most information from a patient experiencing a marital crisis?
A. Do you hate your spouse?
B. Do you get along with your in-laws?
C. Do you talk out your problems with your spouse?
D. What is it like at home with your spouse?
____ 2. Mrs. R., the mother of a young schizophrenic patient, seeks you out and begins to cry. She expresses concern over her daughters
behavior. Your best response to this woman is:
A. What is it that concerns you the most, Mrs. R.?
B. Well, you know, that is part of the illness.
C. Here is a book on schizophrenia. This will help you.
D. Are you afraid your daughter will always be like this?
____ 3. Linda is pacing the floor and appears extremely anxious. The day shift nurse approaches Linda in an attempt to lessen her anxiety. The
most therapeutic statement by the nurse would be:
A. How about watching a football game?
B. Tell me how you are feeling today.
C. What do you have to be upset about now?
D. Ignore the client.
____ 4. A patient states, I dont know what the pills are for or why I am taking them, so I dont want them. What therapeutic communication
would help this patient?
A. Ask for what you need
B. Silence
C. Using general leads
D. Giving information
____ 5. To practice effectively in mental health, the nurse should be able to:
A. Solve his or her own personal problems without assistance from others.
B. Comfortably point out the patient shortcomings and provide advice about how to improve.
C. Bring patients and coworkers into compliance with societal rules and norms.
,D. Demonstrate therapeutic communication.
Completion
Complete each statement.
6. The nurse plans to have a therapeutic communication with the client. To begin that therapeutic communication the nurse must first establish
____silence_____________ with the client.
7. Communication has three parts: the sender, the message, and the ____recipient_________.
8. When appropriate, the nurse can use _____silence________________ as part of an interaction when there is no talking. This can
communicate support.
9. A theory of communication that emphasizes the three ways to communicate hearing, seeing, and touching is called ___neurolinguistic
programming______________________
10. Expressive, receptive, and global are types of ____Aphasia___________.
11. Advising, asking closed-ended questions, and changing the subject are examples of ________________ to therapeutic communication.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 12. A nurse is working with a patient and attempts to communicate effectively with him or her. Techniques the nurse can use to help
communication include (select all that apply):
A. Clarifying terms.
B. Remaining silent.
C. Asking open-ended questions.
D. Offering false reassurance
E. Discouraging the person from expressing feelings that are unacceptable.
____ 13. The nurse may find that patients from other countries use different terminology than the nurse born in the United States. The
difference in terminology may seem harmless to us but offensive to the foreign patient. Differences noted between different cultures are (select
all that apply):
A. Eye contact.
B. Slang terms.
C. Hand gestures.
D. Gender references.
____ 14. The three components of communication are (select all that apply):
A. Impairment.
B. Message.
C. Sender.
D. Receiver.
____ 15. Nurses understand that when caring for patients with mental illnesses, a nurses communication is (select all that apply):
A. An active process that includes participating and listening and speaking.
B. A complex activity.
C. Exchanging information.
D. Verbal and nonverbal.
E. A one way path from nurse to patient.
F. Advising.
____ 16. The patient is concerned about his doctor and what the doctor has prescribed. The nurse making rounds notices the patient sitting on
the side of the bed in deep thought. The nurse comes into the room and the patient begins to tell her his concerns about a new order. The nurse
advises the patient, If I were you, I would find another doctor.
How does this statement by the nurse block communication (select all that apply)?
, A. It tells the patient that his concerns are not valid.
B. It gives the idea that the nurses values are the correct ones.
C. It puts words in the patients mouth.
D. It hurts the nurses credibility if the solution doesnt help the patient.
E. It discourages yes or no answers.
F. It inhibits the patient from telling you what his concerns are.
____ 17. The following types of patients require adaptive communication techniques (select all that apply):
A. A patient who is blind.
B. A patient who has dysphasia.
C. A patient who is schizophrenic.
D. A patient who is elderly.
E. A patient with dysphagia.
F. A patient who has language differences from the staff.
____ 18. Which of the following are characteristics of assertive communication (select all that apply)?
A. Statements begin with the word you.
B. Statements deal with thoughts and feelings.
C. It is a form of blaming.
D. It puts responsibility for the interaction on the other person.
E. It is a technique of personal empowerment.
F. It is self-responsible.
Chapter 3: Ethics and Law
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A patient is expressing anger when the nurse attempts to make him take a medication that he is refusing. If the nurse pushes to give the
medication against his will, the nurse is:
A. Violating the patients rights.
B. Achieving a treatment goal to get the medication in the patient any way possible.
C. Supporting the familys demand that he take the medication.
D. Following orders from the charge nurse.
____ 2. A mental health nurse bumps into a member of her church, who begins questioning her about a former neighbor. The woman from the
church asks the nurse, How is Rachael? We have been friends for over 20 years and I have seen her come out of your clinic a few times. Is she
seeing one of the psychiatrists? The nurses response is:
A. The HIPAA law prevents me from disclosing any information about any patient.
B. All I can say is she is seeing Dr. Leone.
C. Rachael is seeing Dr. Leone because she is concerned about feeling extremely happy sometimes and about feeling
extremely depressed other times.
D. Rachael was only there to renew her medication.
