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PSYCH 203 Mental Health FINAL REVIEW.

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During the latter part of the eighteenth century, psychiatry became a separate branch of medicine, and inhumane treatment was greatly diminished by the French hospital director: a. Dix b. Beers c. Pinel d. Carter ____ 2. In 1841, _______________ surveyed asylums, jails, and almshouses throughout the United States, Canada, and Scotland and is credited with bringing about public awareness and reform for the care of the mentally ill. a. Sigmund Freud b. John Cade c. Florence Nightingale d. Dorothea Dix ____ 3. In 1937, Congress passed the Hill-Burton Act, which was significant for the treatment of mental health because it funded: a. Research on drugs for the treatment of mental health disorders b. Training of mental health professionals c. Construction of psychiatric units in facilities throughout North America d. Development of community mental health clinics ____ 4. Which of the following best describes the disorder that was first recognized in veterans following the Korean and Vietnam Wars? a. Depression b. Bipolar disorder c. Post-traumatic stress disorder d. Paranoid schizophrenic disorder ____ 5. In 1949, an Australian physician discovered which therapy to be an effective treatment for bipolar (manic-depressive) illness? a. Insulin therapy b. Water/ice therapy c. Lithium carbonate therapy d. Electroconvulsive therapy ____ 6. The Omnibus Budget Reform Act (OBRA) of 1987 prevented the housing of people with chronic mental illness in: a. Nursing homes b. State mental health facilities c. Residential treatment centers d. Homeless shelters ____ 7. The psychiatrist asks the nurse to perform a procedure that she is not familiar with, and the nurse is unsure whether this is something within the scope of practice. Where can the nurse find the answer to her question? a. National nurse practice act b. State nurse practice act c. Regional nurse practice act d. Community nurse practice act ____ 8. Standards of nursing practice for mental health can best be described as helping to ensure: a. That certain clients receive care b. Quality and effectiveness of care c. Proper documentation d. Proper medication administration ____ 9. If a client is involuntarily committed to a mental health care facility indefinitely, the law requires that the case must be reviewed every: a. 3 months b. 6 months c. 12 months d. 15 months ____ 10. Which of the following circumstances, when it occurs on an inpatient mental health unit, would be considered false imprisonment? a. An alert and oriented client is confined to his room after being loud and argumentative with another client in the recreation area. b. Restraints are placed on a client who has been admitted in a lethargic state because of misuse of medications and who has fallen three times since admission. c. A client is housed in a private room with visual monitors after attempting suicide at home on the previous day. d. An alert and oriented client who was admitted for a 72-hour involuntary commitment is prevented from leaving the facility 2 days after admission. ____ 11. The nurse often assists in the process of obtaining informed consent from the client for treatment and/or procedures. Who has the responsibility of providing information to the client so he can give informed consent? a. Social worker b. Nurse c. Physician d. Facility’s legal representative ____ 12. The nurse encounters a client crying in her room. Upon talking to the client it is discovered that she is upset because a new nursing assistant made her go out for a walk with the group even though the client informed her that she waits for her daughter to go for her walk. This is a potential violation of which ethical principle? a. Beneficence b. Autonomy c. Confidentiality d. Nonmaleficence

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