Nokea
A new graduate nurse has accepted a staff position at an inpatient mental health facility. The graduate nurse can expect to be responsible for basic-level functions, including
- A. Providing clinical supervision.
- B. Using effective communication skills.
- C. Adjusting client medications
- D. Directing program development.
Correct Answer: B
Rationale: Basic-level functions include counseling, milieu therapy, self-care activities, psychobiologic interventions, health teaching, case management, and health promotion and maintenance. Advanced-level functions include psychotherapy, prescriptive authority for drugs, consultation and liaison, evaluation, program development and management, and clinical supervision.
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Which is a positive aspect of treating clients with mental illness in a community-based care?
- A. You will not be allowed to go out with your friends while in the program.
- B. You will have to have supervision when you want to go anywhere else in the community.
- C. You will be able to live in your own home while you still see a therapist regularly.
- D. You will have someone in your home at all times to ask questions if you have any concerns.
Correct Answer: C
Rationale: Clients can remain in their communities, maintain contact with family and friends, and enjoy personal freedom that is not possible in an institution. Full-time home care is not included in community-based programs.
Which one of the following 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.
Correct Answer: 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.
The goal of the 1963 Community Mental Health Centers Act was to
- A. Ensure patients' rights for the mentally ill.
- B. Deinstitutionalize state hospitals.
- C. Provide funds to build hospitals with psychiatric units.
Correct Answer: 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.
The legislation enacted in 1963 was largely responsible for which of the following shifts in care for the mentally ill?
- A. The widespread use of community-based services
- B. The advancement in pharmacotherapies
- C. Improved rights for clients in long-term institutional care
Correct Answer: A
Rationale: 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 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.
Correct Answer: B
Rationale: The asylum was meant to be a safe haven with food, shelter, and humane treatment for the mentally ill.