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
Correct Answer: C
Rationale: The National Mental Health Act of 1946 led to the establishment of the National Institute of Mental Health (NIMH), which funded research and training to improve mental health care, marking a significant post-World War II advancement.
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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
Correct Answer: A
Rationale: Healthy People 2020 emphasizes integrated, comprehensive mental health care. Single substance abuse treatment programs, which focus narrowly on one issue without addressing co-occurring mental health disorders, are less aligned with the holistic, integrated objectives of Healthy People 2020 compared to the other options.
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.
Correct Answer: A
Rationale: World War II increased awareness of mental health issues due to the high incidence of psychiatric casualties among soldiers, leading to a broader societal view of mental illness as more commonplace and acceptable, reducing stigma and prompting improvements in care.
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
Correct Answer: B
Rationale: The New Freedom Commission on Mental Health (2003) is the most recent, followed by *Mental Health: A Report of the Surgeon General* (1999), *Action for Mental Health* (1961), and the *Mental Retardation Facilities and Community Mental Health Centers Construction Act* (1963).
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.
Correct Answer: B
Rationale: Psychiatric nurses were instrumental in the deinstitutionalization movement, particularly following the 1960s, by ensuring that patients released from large institutions received treatment in community mental health centers, aligning with the shift toward community-based care.
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
Correct Answer: C
Rationale: The primary goal of mental health services, as emphasized in modern mental health policy (e.g., New Freedom Commission on Mental Health), is recovery from mental illness, focusing on enabling individuals to live fulfilling lives despite mental health challenges.
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