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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.
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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.
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.
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.
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.
Correct Answer: D
Rationale: Hildegard Peplau, in her work Interpersonal Relations in Nursing (1952), was the first nurse to emphasize the importance of therapeutic communication, focusing on the nurse-patient relationship as a cornerstone of psychiatric nursing practice.
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).