Foundations-of-Psychiatric-Mental-Health-
Nursing
The nurse is assessing the factors contributing to the well-being of a newly admitted client.
Which would the nurse identify as having a positive impact on the individual's mental
health?
A. Not needing others for companionship
B. The ability to effectively manage stress
C. A family history of mental illness
D. Striving for total self-relianceRationale: The Community Mental Health Centers Construction
Act of 1963 accomplished
the release of individuals from long-term stays in state institutions, the decrease in
admissions to hospitals, and the development of community-based services as an alternative
to hospital care. The legislation did not lay out clients' rights or directly expand the use of
medication.
PTS: 1 REF: p. 4 OBJ: 3
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of Psychiatric-Mental Health Nursing
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Remember NOT: Multiple Choice
6. Which is a result of federal legislation?
A. Making it easier to commit people for mental health treatment against their will.
B. Making it more difficult to commit people for mental health treatment against their
will.
C. State mental institutions being the primary source of care for mentally ill persons.
D. Improved care for mentally ill persons.
ANS: B
Rationale: Commitment laws changed in the early 1970s, making it more difficult to commit
people for mental health treatment against their will. Deinstitutionalization accomplished the
release of individuals from long-term stays in state institutions. Deinstitutionalization also
, had negative effects in that some mentally ill persons are subjected to the revolving door
effect, which may limit care for mentally ill persons. Federal legislation has not been
identified as a direct cause of improved overall care.
PTS: 1 REF: p. 4 OBJ: 3
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of Psychiatric-Mental Health Nursing
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
7. The goal of the 1963 Community Mental Health Centers Act was to:
A. ensure clients' rights for the mentally ill.
B. deinstitutionalize state hospitals.
C. provide funds to build hospitals with psychiatric units.
D. treat people with mental illness in a humane fashion.
ANS: B
Rationale: The 1963 Community Mental Health Centers Act initiated the movement toward
treating those with mental illness in a less restrictive environment. This legislation resulted
in the shift of clients with mental illness from large state institutions to care based in the
community. This Act did not focus on clients' rights, funding for inpatient treatment, or
humane care.
PTS: 1 REF: p. 4 OBJ: 3
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of Psychiatric-Mental Health Nursing
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Understand NOT: Multiple Choice
8. The creation of asylums during the 1800s was meant to:
A. improve treatment of mental disorders.
B. provide food and shelter for the mentally ill.
C. punish people with mental illness who were believed to be possessed.
D. remove dangerous people with mental illness from the community.
ANS: B
Rationale: The asylum was meant to be a safe haven with food, shelter, and humane
Nursing
The nurse is assessing the factors contributing to the well-being of a newly admitted client.
Which would the nurse identify as having a positive impact on the individual's mental
health?
A. Not needing others for companionship
B. The ability to effectively manage stress
C. A family history of mental illness
D. Striving for total self-relianceRationale: The Community Mental Health Centers Construction
Act of 1963 accomplished
the release of individuals from long-term stays in state institutions, the decrease in
admissions to hospitals, and the development of community-based services as an alternative
to hospital care. The legislation did not lay out clients' rights or directly expand the use of
medication.
PTS: 1 REF: p. 4 OBJ: 3
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of Psychiatric-Mental Health Nursing
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Remember NOT: Multiple Choice
6. Which is a result of federal legislation?
A. Making it easier to commit people for mental health treatment against their will.
B. Making it more difficult to commit people for mental health treatment against their
will.
C. State mental institutions being the primary source of care for mentally ill persons.
D. Improved care for mentally ill persons.
ANS: B
Rationale: Commitment laws changed in the early 1970s, making it more difficult to commit
people for mental health treatment against their will. Deinstitutionalization accomplished the
release of individuals from long-term stays in state institutions. Deinstitutionalization also
, had negative effects in that some mentally ill persons are subjected to the revolving door
effect, which may limit care for mentally ill persons. Federal legislation has not been
identified as a direct cause of improved overall care.
PTS: 1 REF: p. 4 OBJ: 3
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of Psychiatric-Mental Health Nursing
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
7. The goal of the 1963 Community Mental Health Centers Act was to:
A. ensure clients' rights for the mentally ill.
B. deinstitutionalize state hospitals.
C. provide funds to build hospitals with psychiatric units.
D. treat people with mental illness in a humane fashion.
ANS: B
Rationale: The 1963 Community Mental Health Centers Act initiated the movement toward
treating those with mental illness in a less restrictive environment. This legislation resulted
in the shift of clients with mental illness from large state institutions to care based in the
community. This Act did not focus on clients' rights, funding for inpatient treatment, or
humane care.
PTS: 1 REF: p. 4 OBJ: 3
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of Psychiatric-Mental Health Nursing
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Understand NOT: Multiple Choice
8. The creation of asylums during the 1800s was meant to:
A. improve treatment of mental disorders.
B. provide food and shelter for the mentally ill.
C. punish people with mental illness who were believed to be possessed.
D. remove dangerous people with mental illness from the community.
ANS: B
Rationale: The asylum was meant to be a safe haven with food, shelter, and humane
