Chapter 01: Psychiatric-Mental Health Nursing and Evidence-Based Practice

1. A group of nursing students are reviewing information about the evolution of mental health care and are

discussing the recommendations of the final report of the Joint Commission on Mental Illness and

Health. The students demonstrate understanding of this information when they identify that the report

recommended an increase in which of the following?

A) Numbers of mental health hospitals

B) State funding for mental health care

C) Clinics supplemented by general hospital units

D) Use of psychotherapy by psychiatrists

C) Clinics supplemented by general hospital units

2. A nurse is reviewing the American Nurses Association's Statement on Psychiatric Nursing Practice

published in 1967, which sanctioned the involvement of psychiatric mental health nurses in the

provision of holistic nursing care. Integrating knowledge of the various theories and views of mental

health and illness, the nurse identifies which of the following as most strongly linked to this holistic

approach?

A) Sigmund Freud's psychoanalytic theory

B) Florence Nightingale's Notes on Nursing

C) Hildegarde

D) Clifford Beers' A Mind That Found Itself

E) Peplau's Interpersonal Relations in Nursing

B) Florence Nightingale's Notes on Nursing

3. A nursing instructor is preparing a presentation about key events and people that influenced the

development of contemporary mental health and illness care. When describing the effects of World War

II, which of the following would the instructor include?

A) People began to view mental illness as more commonplace and acceptable.

B) The biologic understanding of mental illness was almost fully developed.

C) Deinstitutionalization occurred in response to the community health movement.

D) Mental illnesses became categorized as psychoses or neuroses.

A) People began to view mental illness as more commonplace and acceptable.

4. A nursing student is presenting a discussion of the history of psychiatric mental health nursing and its

place within nursing history. Which of the following would be most appropriate to include?

A) Certification for the psychiatric mental health nursing specialty was first emphasized by Mary

Adelaide Nutting.

B) Psychiatric nurses played a part in seeing that all deinstitutionalized patients got treatment at

community mental health centers.

C) There is a historical link between the first nursing program to admit male students and the first

training school for psychiatric nursing.

D) The first graduate program in psychiatric nurses was established in response to the publication of

psychiatric nursing specialty journals.

C) There is a historical link between the first nursing program to admit male students and the first

training school for psychiatric nursing.

5. Two nursing students are discussing psychiatric mental health nursing and the role it has played in

nursing's overall history. Which statement is most accurate?

A) The importance of using therapeutic communication was stressed by Nightingale.

B) The use of self-care to enhance the immune system was taught by Dorothea Dix.

C) The moral treatment of mental illness was a primary focus of deinstitutionalization.

D) Peplau was the first nurse to stress the importance of therapeutic communication.

A) The importance of using therapeutic communication was stressed by Nightingale.

6. When reviewing the evolution of mental health and illness care, which event is associated with mental

disorders beginning to be viewed as illnesses requiring treatment?

A) Establishment of Pennsylvania Hospital in Philadelphia

Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition by Boyd) 2

B) Quaker establishment of asylums

C) Creation of the state hospital system

D) Freud's views on the causes of mental illnesses

A) Establishment of Pennsylvania Hospital in Philadelphia

7. A psychiatric mental health nurse is working on a committee that is developing programs that integrate

the objectives for mental health and mental disorders as identified in Healthy People 2020. Which type

of program would be least appropriate?

A) Single substance abuse treatment programs

B) Depression screening programs for primary care providers

C) Mental health programs for the homeless population

D) Employment programs for those with serious mental illness

A) Single substance abuse treatment programs

8. A nursing instructor is describing the concept of evidence-based practice in psychiatric mental health

nursing. Which of the following would the instructor include as being important? Select all that apply.

A) Research findings

B) Expert opinion

C) Clinical experiences

D) Patient data

E) Established routines

A) Research findings

B) Expert opinion

C) Clinical experiences

D) Patient data

9. The following events are important in the development of psychiatric mental health nursing practice.

Which event occurred first?

A) Publication of Standards of Psychiatric-Mental Health Nursing by the ANA

B) Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice

C) Establishment of the first graduate program in psychiatric nursing at Rutgers University

D) Publication of the first psychiatric nursing text, Nursing Mental Disease, by Harriet Bailey

D) Publication of the first psychiatric nursing text, Nursing Mental Disease, by Harriet Bailey

10. A nurse is preparing a presentation about the current status of mental health services in the United

States. Which statement would the nurse include as the most reflective of this status?

A) Mental health care in the United States is equally accessible to individuals.

B) Mental illness ranks second in terms of causing disability in comparison.

C) Mental health care primarily focuses on the cure of mental illness.

D) Mental health care services are inadequate and fragmented.

D) Mental health care services are inadequate and fragmented.

11. A group of students are reviewing the goals identified by the New Freedom Commission on Mental

Health. The students demonstrate understanding of this report when they identify which of the

following as a goal?

A) Mental health is viewed as one component of overall health.

B) The consumer and family are the driving forces for mental health care.

C) Screening is of greater importance than assessment and referral for services.

D) Disparities in mental health services are decreased.

B) The consumer and family are the driving forces for mental health care.

12. The following are important legislative and policy efforts influencing current mental health care. Which

of the following is the most recent?

A) Mental Health: A Report of the Surgeon General

B) New Freedom Commission on Mental Health

C) Action for Mental Health

D) Mental Retardation Facilities and Community Mental Health Centers Construction Act

A) Mental Health: A Report of the Surgeon General

13. As part of a career day presentation to a group of nursing students, a psychiatric mental health nurse

plans to describe how this specialty developed. Which individual would the nurse describe as playing a

major role in the development of specialty training programs for psychiatric nurses?

A) Mary Adelaide Nutting

B) Hildegarde Peplau

C) Harriet Bailey

D) Linda Richards

B) Hildegarde Peplau

14. A psychiatric mental health nurse is asked to be a guest speaker at a community fund-raising event for

mental health services. Which of the following would the nurse emphasize as the primary goal of

mental health services?

A) Access to affordable mental health care

B) Removal of exclusions because of preexisting conditions

C) Recovery from mental illness

D) Effective treatment for mental health care needs

C) Recovery from mental illness

15. A psychiatric mental health nurse is implementing evidence-based practice. The nurse understands that

this approach is developed by doing which of the following first?

A) Conducting research

B) Identifying a clinical question

C) Determining outcomes

D) Collaborating with the patient

B) Identifying a clinical question

16. A group of students are reviewing information about mental health care after World War II. The

students demonstrate understanding of this information when they identify which of the following as a

result of the National Mental Health Act?

A) Discovery of psychopharmacology

B) Passage of the Hill-Burton Act

C) Establishment of the National Institute of Mental Health

D) Development of community mental health centers

C) Establishment of the National Institute of Mental Health

17. When providing care to a patient, the psychiatric mental health nurse is implementing the therapeutic use

of self. The nurse is applying the concepts based on the work of which individual?

A) Hildegarde Peplau

B) Florence Nightingale

C) Dorothea Dix

D) Sigmund Freud

A) Hildegarde Peplau

18. After teaching a class to a group of nursing students about the historical perspectives of mental health

care, the instructor determines that the group has understood the information when they identify which

of the following as a common belief about mental illness during the medieval period?

A) Mental illness in an individual was the result of being possessed by demons.

B) A person was removed from a contaminated environment to protect him or her.

C) Exorcisms were used as primary mode of treatment to cleanse the person of his or her sins.

D) The focus was on moral treatment to promote the individual's safety and comfort.

B) A person was removed from a contaminated environment to protect him or her.