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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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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.
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 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 implementing evidence-based practice. The nurse understands that this approach is developed by doing which of the following first?
- A. Conducting research
- B. Identifying a clinical question
- C. Determining outcomes
- D. Collaborating with the patient
Correct Answer: B
Rationale: Evidence-based practice begins with identifying a clinical question, often using the PICO (Population, Intervention, Comparison, Outcome) framework, to guide the search for and application of evidence to improve patient 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).