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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
Correct Answer: E
Rationale: The 1967 ANA Statement on Psychiatric Nursing Practice emphasized holistic care, which was strongly influenced by Hildegard Peplau?s Interpersonal Relations in Nursing (1952). Peplau?s work focused on the therapeutic nurse-patient relationship, aligning with the holistic approach of addressing physical, emotional, and social needs.
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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 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.
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.
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
Correct Answer: C
Rationale: The Joint Commission on Mental Illness and Health (1961) recommended increasing community-based mental health services, including clinics supplemented by general hospital units, to shift care from large state institutions to more accessible, community-oriented settings.