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Chapter 01: Psychiatric-Mental Health Nursing and Evidence-BasedPractice
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1. A group of nursing students are reviewing information about the evolutio
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n of mental health care and arediscussing the recommendations of the fina
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l report of the Joint Commission on Mental Illness and Health. The stude
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nts demonstrate understanding of this information when they identify th
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at the reportrecommended an increase in which of the following?
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A) Numbers of mental health hospitals g g g g
B) State funding for mental health care
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C) Clinics supplemented by general hospital units g g g g g
D) Use of psychotherapy by psychiatrists
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2. A nurse is reviewing the American Nurses Association’s Statement on Ps
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ychiatric Nursing Practice published in 1967, which sanctioned the invo
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lvement of psychiatricmental health nurses in the provision of holistic n
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ursing care. Integrating knowledge of the various theories and views of
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mentalhealth and illness, the nurse identifies which of the following as m
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ost strongly linked to this holistic approach?
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A) Sigmund Freud’s psychoanalytic theory g g g
B) Florence Nightingale’s Notes on Nursing g g g g
C) Hildegarde
D) Clifford Beers’ A Mind That Found Itself g g g g g g
E) Peplau’s Interpersonal Relations in Nursing g g g g
3. A nursing instructor is preparing a presentation about key events and pe
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ople that influenced the development of contemporary mental health and i
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llness care. When describing the effects of World WarII, which of the follo
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wing would the instructor include?
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A) People began to view mental illness as more commonplace and acceptabl
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e.
B) The biologic understanding of mental illness was almost fully developed.
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C) Deinstitutionalization occurred in response to the community health mo g g g g g g g g
vement.
D) Mental illnesses became categorized as psychoses or neuroses.
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4. A nursing student is presenting a discussion of the history of psychiatric
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mental health nursing and itsplace within nursing history. Which of the
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following would be most appropriate to include?
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A) Certification for the psychiatricmental health nursing specialty wa
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s first emphasized by MaryAdelaide Nutting.
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B) Psychiatric nurses played a part in seeing that all deinstitutionaliz
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ed patients got treatment atcommunity mental health centers.
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C) There is a historical link between the first nursing program to admi
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t male students and the firsttraining school for psychiatric nursing.
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D) The first graduate program in psychiatric nurses was established in r
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esponse to the publication ofpsychiatric nursing specialty journals.
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5. Two nursing students are discussing psychiatricmental health nursin
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g and the role it has played innursing’s overall history. Which stateme
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nt is most accurate?
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A) The importance of using therapeutic communication was stressed by Nig
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htingale.
B) The use of self-
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care to enhance the immune system was taught by Dorothea Dix.
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C) The moral treatment of mental illness was a primary focus of deinstitutio
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nalization.
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D) Peplau was the first nurse to stress the importance of therapeutic commu
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nication.
6. When reviewing the evolution of mental health and illness care, which eve
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nt is associated with mentaldisorders beginning to be viewed as illnesses
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requiring treatment?
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A) Establishment of Pennsylvania Hospital in Philadelphia
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B) Quaker establishment of asylums
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C) Creation of the state hospital system g g g g g
D) Freud’s views on the causes of mental illnesses
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7. A psychiatricmental health nurse is working on a committee that is develo
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ping programs that integrate the objectives for mental health and mental
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disorders as identified in Healthy People 2020. Which type of program wo
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uld be least appropriate?
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A) Single substance abuse treatment programs
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B) Depression screening programs for primary care providers
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C) Mental health programs for the homeless population
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D) Employment programs for those with serious mental illness g g g g g g g
8. A nursing instructor is describing the concept of evidence-
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based practice in psychiatricmental healthnursing. Which of the followi
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ng would the instructor include as being important? Select all that apply.
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A) Research findings g
B) Expert opinion g
C) Clinical experiences g
D) Patient data g
E) Established routines g
9. The following events are important in the development of psychiatricme
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ntal health nursing practice.Which event occurred first?
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A) Publication of Standards of Psychiatric- g g g g
Mental Health Nursing by the ANA
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