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 nursing instructor is describing the concept of evidence-based practice in psychiatric-mental health nursing. Which of the following would the instructor include as being important?
- A. Research findings
- B. Expert opinion
- C. Clinical experiences
- D. Patient data
- E. Established routines
Correct Answer: A,B,C,D
Rationale: Evidence-based practice in psychiatric-mental health nursing integrates research findings, expert opinion, clinical experiences, and patient data to inform care decisions. Established routines are not necessarily evidence-based and may not reflect current best practices.
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.
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 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 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.
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