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TEST BANK FOR VARCAROLI’S
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FOUNDATION OF PSYCHIATRIC-MENTAL
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HEALTH NURSING 9th EDITION
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Chapter 1
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1. Which of the following statements about mental illness are true? Select all that
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apply. A) Mental illness can cause significant distress, impaired functioning,
or both.
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B) Mental illness is only due to social/cultural factors.
C) Social/cultural factors that relate to mental illness include excessive dependency
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on or withdrawal from relationships.
D) Individuals suffering from mental illness are usually able to cope effectively with
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daily life.
E) Individuals suffering from mental illness may experience dissatisfaction with
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relationships and self. Ans: A, D, E
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Feedback:
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Mental illness can cause significant distress, impaired functioning, or both. Mental
illness may be related to individual, interpersonal, or social/cultural factors. Excessive
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dependency on or withdrawal from relationships are interpersonal factors that relate to
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mental illness. Individuals suffering from mental illness can feel overwhelmed with
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daily life. Individuals suffering from mental illness may experience dissatisfaction with
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relationships and self.
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Page 1
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2. Which of the following are true regarding mental health and mental illness?
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A) Behavior that may be viewed as acceptable in one culture is always unacceptable
in other cultures.
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B) It is easy to determine if a person is mentally healthy or mentally ill.
C) In most cases, mental health is a state of emotional, psychological, and social
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wellness evidenced by satisfying interpersonal relationships, effective behavior
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and coping, positive self-concept, and emotional stability. D) Persons who
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engage in fantasies are mentally ill. Ans: C
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Feedback:
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What one society may view as acceptable and appropriate behavior, another society
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may see that as maladaptive, and inappropriate. Mental health and mental illness are
difficult to define precisely. In most cases, mental health is a state of emotional,
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psychological, and social wellness evidenced by satisfying interpersonal relationships,
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effective behavior and coping, positive self-concept, and emotional stability. Persons
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who engage in fantasies may be mentally healthy, but the inability to distinguish reality
from fantasy is an individual factor that may contribute to mental illness.
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Sp
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3. A client grieving the recent loss of her husband asks if she is becoming mentally ill
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because she is so sad. The nurse's best response would be,
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A) ìYou may have a temporary mental illness because you are experiencing so much
pain.î
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B) ìYou are not mentally ill. This is an expected reaction to the loss you have
experienced.î la
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C) ìWere you generally dissatisfied with your relationship before your husband's
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death?î
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D) ìTry not to worry about that right now. You never know what the future brings.î
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Ans: B
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Feedback:
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Mental illness includes general dissatisfaction with self, ineffective relationships,
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ineffective coping, and lack of personal growth. Additionally the behavior must not be
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culturally expected. Acute grief reactions are expected and therefore not considered
mental illness. False reassurance or overanalysis does not accurately address the client's
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concerns.
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4. The nurse consults the DSM for which of the following purposes?
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A) To devise a plan of care for a newly admitted client
B) To predict the client's prognosis of treatment outcomes
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C) To document the appropriate diagnostic code in the client's medical record D) To
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serve as a guide for client assessment
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Ans: D
Feedback:
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The DSM provides standard nomenclature, presents defining characteristics, and
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identifies underlying causes of mental disorders. It does not provide care plans or
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prognostic outcomes of treatment. Diagnosis of mental illness is not within the
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generalist RN's scope of practice, so documenting the code in the medical record would
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be inappropriate.
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5. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
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D) Understand the reason for the admission and the nature of psychiatric illnesses.
Ans: D
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Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
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helpful resource to understand the reason for the admission and to begin building
knowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
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treating, and evaluating treatments are not a part of the nursing process.
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6. The legislation enacted in 1963 was largely responsible for which of the following
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shifts in care for the mentally ill?
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A) The widespread use of community-based services
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B) The advancement in pharmacotherapies
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C) Increased access to hospitalization
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D) Improved rights for clients in long-term institutional care
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Ans: A
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Feedback:
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The Community Mental Health Centers Construction Act of 1963 accomplished the
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release of individuals from long-term stays in state institutions, the decrease in
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admissions to hospitals, and the development of community-based services as an
alternative to hospital care.
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7. Which one of the following is a result of federal legislation?
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A) Making it easier to commit people for mental health treatment against their will.
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B) Making it more difficult to commit people for mental health treatment against
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their will.
C) State mental institutions being the primary source of care for mentally ill persons.
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D) Improved care for mentally ill persons. Ans: B
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Feedback:
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Commitment laws changed in the early 1970s, making it more difficult to commit
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people for mental health treatment against their will. Deinstitutionalization
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accomplished the release of individuals from long-term stays in state institutions.
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Deinstitutionalization also had negative effects in that some mentally ill persons are
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subjected to the revolving door effect, which may limit care for mentally ill persons.
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8. The goal of the 1963 Community Mental Health Centers Act was to A) ensure
patients' rights for the mentally ill.
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B) deinstitutionalize state hospitals.
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C) provide funds to build hospitals with psychiatric units.
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D) treat people with mental illness in a humane fashion. Ans: B
Feedback:
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The 1963 Community Mental Health Centers Act intimated the movement toward
treating those with mental illness in a less restrictive environment. This legislation
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resulted in the shift of clients with mental illness from large state institutions to care
based in the community. Answer choices A, C, and D were not purposes of the 1963
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Community Mental Health Centers Act.
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9. The creation of asylums during the 1800s was meant to A) improve treatment of
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mental disorders.
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B) provide food and shelter for the mentally ill.
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C) punish people with mental illness who were believed to be possessed.
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D) remove dangerous people with mental illness from the community. Ans: B
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Feedback:
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The asylum was meant to be a safe haven with food, shelter, and humane treatment for
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the mentally ill. Asylums were not used to improve treatment of mental disorders or to
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punish mentally ill people who were believed to be possessed. The asylum was not
created to remove the dangerously mentally ill from the community.
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Sp
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Sp
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Page 5
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Sp
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TEST BANK FOR VARCAROLI’S
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FOUNDATION OF PSYCHIATRIC-MENTAL
la
tz
sh
HEALTH NURSING 9th EDITION
Sp
ne
la
Chapter 1
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Sp
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1. Which of the following statements about mental illness are true? Select all that
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apply. A) Mental illness can cause significant distress, impaired functioning,
or both.
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Sp
B) Mental illness is only due to social/cultural factors.
C) Social/cultural factors that relate to mental illness include excessive dependency
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on or withdrawal from relationships.
D) Individuals suffering from mental illness are usually able to cope effectively with
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Sp
daily life.
E) Individuals suffering from mental illness may experience dissatisfaction with
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relationships and self. Ans: A, D, E
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Feedback:
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Sp
Mental illness can cause significant distress, impaired functioning, or both. Mental
illness may be related to individual, interpersonal, or social/cultural factors. Excessive
ne
dependency on or withdrawal from relationships are interpersonal factors that relate to
la
mental illness. Individuals suffering from mental illness can feel overwhelmed with
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daily life. Individuals suffering from mental illness may experience dissatisfaction with
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Sp
relationships and self.
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la
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sh
Sp
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la
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Sp
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la
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Sp
Page 1
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Sp
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Sp
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, t
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2. Which of the following are true regarding mental health and mental illness?
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A) Behavior that may be viewed as acceptable in one culture is always unacceptable
in other cultures.
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Sp
B) It is easy to determine if a person is mentally healthy or mentally ill.
C) In most cases, mental health is a state of emotional, psychological, and social
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wellness evidenced by satisfying interpersonal relationships, effective behavior
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and coping, positive self-concept, and emotional stability. D) Persons who
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engage in fantasies are mentally ill. Ans: C
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Sp
Feedback:
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What one society may view as acceptable and appropriate behavior, another society
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may see that as maladaptive, and inappropriate. Mental health and mental illness are
difficult to define precisely. In most cases, mental health is a state of emotional,
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sh
Sp
psychological, and social wellness evidenced by satisfying interpersonal relationships,
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effective behavior and coping, positive self-concept, and emotional stability. Persons
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who engage in fantasies may be mentally healthy, but the inability to distinguish reality
from fantasy is an individual factor that may contribute to mental illness.
tz
sh
Sp
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3. A client grieving the recent loss of her husband asks if she is becoming mentally ill
la
because she is so sad. The nurse's best response would be,
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sh
Sp
A) ìYou may have a temporary mental illness because you are experiencing so much
pain.î
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B) ìYou are not mentally ill. This is an expected reaction to the loss you have
experienced.î la
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C) ìWere you generally dissatisfied with your relationship before your husband's
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death?î
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D) ìTry not to worry about that right now. You never know what the future brings.î
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Ans: B
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Feedback:
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Sp
Mental illness includes general dissatisfaction with self, ineffective relationships,
ne
ineffective coping, and lack of personal growth. Additionally the behavior must not be
la
culturally expected. Acute grief reactions are expected and therefore not considered
mental illness. False reassurance or overanalysis does not accurately address the client's
tz
sh
Sp
concerns.
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la
tz
sh
Sp
ne
la
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sh
Sp
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la
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Sp
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, t
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4. The nurse consults the DSM for which of the following purposes?
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sh
Sp
A) To devise a plan of care for a newly admitted client
B) To predict the client's prognosis of treatment outcomes
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C) To document the appropriate diagnostic code in the client's medical record D) To
la
serve as a guide for client assessment
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Sp
Ans: D
Feedback:
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The DSM provides standard nomenclature, presents defining characteristics, and
la
identifies underlying causes of mental disorders. It does not provide care plans or
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prognostic outcomes of treatment. Diagnosis of mental illness is not within the
sh
Sp
generalist RN's scope of practice, so documenting the code in the medical record would
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be inappropriate.
la
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sh
Sp
5. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
la
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sh
Sp
D) Understand the reason for the admission and the nature of psychiatric illnesses.
Ans: D
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la
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
tz
sh
Sp
helpful resource to understand the reason for the admission and to begin building
knowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
ne
treating, and evaluating treatments are not a part of the nursing process.
la
tz
sh
Sp
6. The legislation enacted in 1963 was largely responsible for which of the following
ne
shifts in care for the mentally ill?
la
A) The widespread use of community-based services
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B) The advancement in pharmacotherapies
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Sp
C) Increased access to hospitalization
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D) Improved rights for clients in long-term institutional care
la
Ans: A
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Feedback:
sh
Sp
The Community Mental Health Centers Construction Act of 1963 accomplished the
ne
release of individuals from long-term stays in state institutions, the decrease in
la
admissions to hospitals, and the development of community-based services as an
alternative to hospital care.
tz
sh
Sp
ne
la
sh
Sp
la
, t
ne
tz
sh
7. Which one of the following is a result of federal legislation?
ne
A) Making it easier to commit people for mental health treatment against their will.
la
B) Making it more difficult to commit people for mental health treatment against
tz
sh
Sp
their will.
C) State mental institutions being the primary source of care for mentally ill persons.
ne
D) Improved care for mentally ill persons. Ans: B
la
Feedback:
tz
sh
Commitment laws changed in the early 1970s, making it more difficult to commit
Sp
people for mental health treatment against their will. Deinstitutionalization
ne
accomplished the release of individuals from long-term stays in state institutions.
la
Deinstitutionalization also had negative effects in that some mentally ill persons are
tz
subjected to the revolving door effect, which may limit care for mentally ill persons.
sh
Sp
ne
la
8. The goal of the 1963 Community Mental Health Centers Act was to A) ensure
patients' rights for the mentally ill.
tz
sh
Sp
B) deinstitutionalize state hospitals.
ne
C) provide funds to build hospitals with psychiatric units.
la
D) treat people with mental illness in a humane fashion. Ans: B
Feedback:
tz
sh
Sp
The 1963 Community Mental Health Centers Act intimated the movement toward
treating those with mental illness in a less restrictive environment. This legislation
ne
la
resulted in the shift of clients with mental illness from large state institutions to care
based in the community. Answer choices A, C, and D were not purposes of the 1963
tz
sh
Sp
Community Mental Health Centers Act.
ne
la
9. The creation of asylums during the 1800s was meant to A) improve treatment of
tz
sh
mental disorders.
Sp
B) provide food and shelter for the mentally ill.
ne
C) punish people with mental illness who were believed to be possessed.
la
D) remove dangerous people with mental illness from the community. Ans: B
tz
Feedback:
sh
Sp
The asylum was meant to be a safe haven with food, shelter, and humane treatment for
ne
the mentally ill. Asylums were not used to improve treatment of mental disorders or to
la
punish mentally ill people who were believed to be possessed. The asylum was not
created to remove the dangerously mentally ill from the community.
tz
sh
Sp
ne
la
tz
sh
Sp
ne
la
tz
Page 5
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