Linda M. Gorman
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, Gorman, Mental Health Nursing 6e 1
Test Bank, Ch01
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:
1. Nightingale.
2. Benner.
3. Swanson.
4. King.
____ 2. What is the name of the publication written by Florence Nightingale?
1. Nursing Sanitation Notes
2. Nursing 101
3. Notes on Nursing
4. Nursing Notes
____ 3. Which describes the long-term goal for inpatient mental health treatment?
1. Return the patient to the community.
2. Locate a facility for long-term care.
3. Be arrested and placed in prison.
4. Be completely cured of the disorder.
____ 4. The mentally ill were once housed in mental institutions known as:
1. Hospitals.
2. Long-term care facilities.
3. Asylums.
4. Free-standing treatment centers.
____ 5. Which nursing theorist promoted the interpersonal theory between the nurse and the patient?
1. Hildegard Peplau
2. Hattie Bessent
3. Mary Mahoney
4. Linda Richards
____ 6. Which described Harriot Bailey’s contribution to psychiatric nursing?
1. Harriot
worked to
, Gorman, Mental Health Nursing 6e 2
Test Bank, Ch01
upgrade
nursing
education.
2. Harriot
wrote the
first
textbook on
psychiatric
nursing.
3. Harriot
promoted the
acceptance
of African
Americans
in nursing.
4. Harriot
lobbied for
the
improvement
of care
standards.
____ 7. Which describes the contribution to nursing by Euphemia (Effie) Jane Taylor?
1. Assisted soldiers in learning how to write with their mouths and, in some cases,
their feet.
2. Responsible for the development of asylums or psychiatric hospitals.
3. Initiated the first psychiatric program of study for nurses.
4. Developed and directed a master’s and doctorate program for minority nurses.
____ 8. Which statement can be applied to the early asylums?
1. There was inadequate funding to run them.
2. The clients were heavily medicated.
3. Custodial care was absent.
4. Clients often volunteered for experiments.
____ 9. Which law protects people with mental illness who lack insurance coverage and live below the poverty
line from being turned away for care?
1. Patient Bill of Rights
2. Affordable Care Act
3. Hill-Burton Act
4. National Mental Health Act of 1946
, Gorman, Mental Health Nursing 6e 3
Test Bank, Ch01
____ 10. According to Hildegard Peplau, which describes the nurse as a “resource” person?
1. Provides the client information.
2. Coordinates professional services.
3. Helps the client explore their current thoughts and feelings.
4. Role plays to help the client identify their feelings from the past.
____ 11. According to Hildegard Peplau, which stage of the nurse-client relationship focuses on the client
developing self-responsibility and showing personal growth?
1. Orientation
2. Identification
3. Exploration
4. Resolution
____ 12. Which factor contributed to deinstitutionalization?
1. Decline in mental illness.
2. Development of phenothiazines.
3. Increase in incarceration.
4. Development of free-standing treatment centers.
____ 13. Which act recognized the needs of people with mental health challenges and established mental health
care as an essential part of complete health coverage?
1. Hill-Burton Act
2. Patient Bill of Rights
3. Affordable Care Act
4. Community Mental Health Centers Act of 1963
____ 14. Which classification of medication was the first to revolutionize the treatment of clients with mental
illness?
1. Antianxiety agents
2. Mood stabilizers
3. Phenothiazines
4. Tricyclic antidepressants
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 15. What trends contributed to the deinstitutionalization of mental health facilities to outpatient care (select
all that apply)?
1. Cost of the facilities.
,Gorman, Mental Health Nursing 6e 4
Test Bank, Ch01
2. The increased use of antidepressants.
3. Staff cost.
4. Establishment of outpatient clinics.
5. Development of the Patient Bill of Rights.
, Gorman, Mental Health Nursing 6e 5
Test Bank, Ch01
Chapter 1. History of Mental Health Nursing
Answer Section
MULTIPLE CHOICE
1. ANS: 1
Page: 1
Integrated Processes: Teaching/Learning
Heading: Florence Nightingale
Cognitive Level: Application
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Chapter 1: History of Mental Health Nursing
Concept: Clinical Judgment; Health Promotion
Feedback
1. The relationship between sanitary conditions and healing became known and
accepted due to Nightingale’s observations and diligence. Her commitment to
improved outcomes at a military hospital was directly related to introducing
sanitation methods.
2. Benner did not emphasize developing a clean environment as a factor in
providing effective health care.
3. Swanson did not emphasize developing a clean environment as a factor in
providing effective health care.
4. King did not emphasize developing a clean environment as a factor in providing
effective health care.
2. ANS: 3
Page: 2
Integrated Processes: Teaching/Learning
Heading: Florence Nightingale
Cognitive Level: Knowledge
Client Need: Health Promotion and Maintenance
Chapter 1: History of Mental Health Nursing
Concept: Health Promotion
Feedback
1. Although Florence Nightingale did write a book on the relationship of sanitary
techniques to medical facilities, it was called Notes on Hospitals, not Nursing
Sanitation Notes.
2. Florence Nightingale did not write Nursing 101.
3. Florence Nightingale wrote the book Notes on Nursing, which was the most
respected nursing textbook of its day.
4. Florence Nightingale did not write Nursing Notes.
, Gorman, Mental Health Nursing 6e 6
Test Bank, Ch01
3. ANS: 1
Page: 7
Integrated Processes: Teaching and Learning
Heading: Deinstitutionalization
Cognitive Level: Comprehension
Client Need: Safe and Effective Care Environment: Coordinated Care
Chapter 1: History of Mental Health Nursing
Concept: Clinical Judgment; Health Promotion
Feedback
1. People who had formerly required long hospital stays were now able to leave
the institutions and return to their communities due to appropriate medications
and deinstitutionalization.
2. Locating a facility for long-term care is not a long-term goal for inpatient mental
health treatment.
3. Being arrested and placed in prison is not a long-term goal for inpatient mental
health treatment.
4. The long-term goal is not to be completely cured of the disorder but control
unwanted behaviors.
4. ANS: 3
Pages: 5
Integrated Processes: Teaching/Learning
Heading: Asylums
Cognitive Level: Comprehension
Client Need: Safe and Effective Care Environment; Coordinated Care
Chapter 1: History of Mental Health Nursing
Concept: Clinical Judgment; Health Promotion
Feedback
1. Hospitals are not mental institutions but can handle patients with psychological
needs according to the size of the hospital and its resources.
2. Long-term care facilities are not mental institutions.
3. Early on, these special facilities were called asylums, which Webster’s online
dictionary defines as “an institution for the care of the needy or sick and
especially of the insane.”
4. Free-standing treatment centers are not mental institutions but can handle
patients who need detoxification (detox centers) or help managing a crisis (crisis
centers).
5. ANS: 1
Pages: 4
, Gorman, Mental Health Nursing 6e 7
Test Bank, Ch01
Integrated Processes: Communication and Documentation
Heading: Hildegard Peplau
Cognitive Level: Knowledge
Client Need: Safe and Effective Care Environment: Coordinated Care
Chapter 1: History of Mental Health Nursing
Concept: Clinical Judgment; Health Promotion
Feedback
1. In her book Interpersonal Relations in Nursing (1952), Peplau brought together
interpersonal theories from psychiatry and melded them with theories of nursing
and communication.
2. Dr. Hattie Bessent is credited with the development and directorship of a grant
that researched minority nurses who were choosing to upgrade to master’s and
doctorate levels of practice.
3. Mary Mahoney is considered to be America’s first African American
professional nurse.
4. Linda Richards worked to upgrade nursing education, opened a nursing school,
and taught the care of the mentally ill.
6. ANS: 2
Page: 3
Integrated Processes: Teaching/Learning
Heading: Harriet Bailey
Cognitive Level: Knowledge
Client Need: Safe and Effective Care Environment: Coordinated Care
Chapter 1: History of Mental Health Nursing
Concept: Clinical Judgment; Health Promotion
Feedback
1. Linda Richards worked to upgrade nursing education.
2. The first textbook focusing on psychiatric nursing was written in 1920 by
Harriet Bailey. It included guidelines for nurses who provided care for those
with a mental illness.
3. Mary Mahoney promoted the acceptance of African Americans in nursing.
4. Dorothea Dix lobbied in the United States and Canada for the improvement of
care standards.
7. ANS: 3
Page: 3
Integrated Processes: Teaching/Learning
Heading: Effie Jane Taylor
Cognitive Level: Knowledge
Client Need: Safe and Effective Care Environment: Coordinated Care
, Gorman, Mental Health Nursing 6e 8
Test Bank, Ch01
Chapter 1: History of Mental Health Nursing
Concept: Clinical Judgment; Health Promotion
Feedback
1. Bessie Blount Griffin was a practical nurse, physical therapist, and forensic
scientist specializing in handwriting, and assisted soldiers who lost limbs to
learn how to write with their mouths and, in some cases, their feet.
2. Dorothea Dix was responsible for the development of asylums or psychiatric
hospitals.
3. Euphemia (Effie) Jane Taylor initiated the first psychiatric program of study for
nurses in 1913.
4. In the early 1980s, the National Institute of Mental Health (NIMH) granted
money to be used for the education and research of minority nurses who were
choosing to upgrade to master’s and doctorate levels of practice. Dr. Hattie
Bessent is credited with the development and directorship of that program.
8. ANS: 2
Pages: 5
Integrated Processes: Teaching/Learning
Heading: Asylums
Cognitive Level: Knowledge
Client Need: Physiological Integrity: Pharmacological Therapies
Chapter 1: History of Mental Health Nursing
Concept: Clinical Judgment; Health Promotion
Feedback
1. Lack of funding is not an issue identified for asylums.
2. Patients were often heavily medicated in asylums.
3. Custodial care was provided to the clients in asylums, but the physical and
nutritional care was minimal.
4. The clients did not volunteer for experiments, they were volunteered.
9. ANS: 3
Page: 9
Integrated Processes: Teaching/Learning
Heading: Hill-Burton Act
Cognitive Level: Knowledge
Client Need: Psychosocial Integrity
Chapter 1: History of Mental Health Nursing
Concept: Clinical Judgment; Health Promotion
Feedback
1. The Patient Bill of Rights protects the rights of all patients, including those who