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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.
Correct Answer: D
Rationale: The New Freedom Commission on Mental Health (2003) aimed to transform mental health care, with a key goal of reducing disparities in mental health services to ensure equitable access across diverse populations.
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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
Correct Answer: A
Rationale: Hildegard Peplau?s work, particularly her book *Interpersonal Relations in Nursing* (1952), introduced the concept of the therapeutic use of self, emphasizing the nurse?s role in building therapeutic relationships with patients.
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 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.
Correct Answer: D
Rationale: Mental health services in the U.S. are widely recognized as inadequate and fragmented, with disparities in access, insufficient funding, and gaps in service delivery, as noted in reports like the New Freedom Commission on Mental Health (2003).
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
Correct Answer: D
Rationale: Harriet Bailey?s *Nursing Mental Disease* (1920) was the first psychiatric nursing text, predating the establishment of the first graduate program in psychiatric nursing at Rutgers University (1954), the ANA?s *Standards of Psychiatric-Mental Health Nursing* (1973), and the *Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice* (1985).
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).