Nokea
Psychiatric nursing became a requirement in nursing education in which year?
- A. 1930
- B. 1940
- C. 1950
- D. 1960
Correct Answer: C
Rationale: It was not until 1950 that the National League for Nursing, which accredits nursing programs, required schools to include an experience in psychiatric nursing.
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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.
A client grieving the recent loss of her husband asks if she is becoming mentally ill because she is so sad. The nurse's best response would be,
- A. You may have a temporary mental illness because you are experiencing so much pain.
- B. You are not mentally ill. This is an expected reaction to the loss you have experienced.
- C. Were you generally dissatisfied with your relationship before your husband's death?
- D. Try not to worry about that right now. You never know what the future brings.
Correct Answer: B
Rationale: Mental illness includes general dissatisfaction with self, ineffective relationships, ineffective coping, and lack of personal growth. Additionally the behavior must not be culturally expected. Acute grief reactions are expected and therefore not considered mental illness. False reassurance or overanalysis does not accurately address the client's concerns.
A client diagnosed with a mild anxiety disorder has been referred to treatment in a community mental health center. Treatment most likely provided at the center includes
- A. Medical management of symptoms.
- B. Daily psychotherapy.
- C. Constant staff supervision.
- D. Psychological stabilization.
Correct Answer: A
Rationale: Community mental health centers focus on rehabilitation, vocational needs, education, and socialization, as well as on management of symptoms and medication. Daily therapies, constant supervision, and stabilization require a more acute care inpatient setting.
The nurse consults the DSM for which of the following purposes?
- A. To devise a plan of care for a newly admitted client
- B. To predict the client's prognosis of treatment outcomes
- C. To document the appropriate diagnostic code in the client's medical record
- D. To serve as a guide for client assessment
Correct Answer: D
Rationale: The DSM provides standard nomenclature, presents defining characteristics, and identifies underlying causes of mental disorders. It does not provide care plans or prognostic outcomes of treatment. Diagnosis of mental illness is not within the generalist RN's scope of practice, so documenting the code in the medical record would be inappropriate.