Nokea
The first training of nurses to work with persons with mental illness was in 1882 in which state?
- A. California
- B. Illinois
- C. Massachusetts
- D. New York
Correct Answer: C
Rationale: The first training for nurses to work with persons with mental illness was in 1882 at McLean Hospital in Belmont, Massachusetts.
You may also like to solve these questions
Which of the following are true regarding mental health and mental illness?
- A. Behavior that may be viewed as acceptable in one culture is always unacceptable in other cultures.
- B. It is easy to determine if a person is mentally healthy or mentally ill.
- C. In most cases, mental health is a state of emotional, psychological, and social wellness evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability.
- D. Persons who engage in fantasies are mentally ill.
Correct Answer: C
Rationale: What one society may view as acceptable and appropriate behavior, another society may see that as maladaptive, and inappropriate. Mental health and mental illness are difficult to define precisely. In most cases, mental health is a state of emotional, psychological, and social wellness evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability. Persons who engage in fantasies may be mentally healthy, but the inability to distinguish reality from fantasy is an individual factor that may contribute to mental illness.
Which of the following is defined as an advanced-level function in the practice area of psychiatric mental health nursing?
- A. Case management
- B. Counseling
- C. Evaluation
- D. Health teaching
Correct Answer: C
Rationale: Advanced-level functions are psychotherapy, prescriptive authority, consultation and liaison, evaluation, and program development and management. Case management, counseling, and health teaching are basic-level functions in the practice area of psychiatric mental health nursing.
The major problems with large state institutions are:
- A. Attendants were accused of abusing the residents.
- B. Stigma associated with residence in an insane asylum.
- C. Clients were geographically isolated from family and community.
- D. Increasing financial costs to individual residents.
Correct Answer: A,C
Rationale: Clients were often far removed from the local community, family, and friends because state institutions were usually in rural or remote settings. Stigma and financial costs were not identified as major problems.
A significant change in the treatment of people with mental illness occurred in the 1950s when
- A. Community support services were established.
- B. Legislation dramatically changed civil commitment procedures.
- C. The Patient's Bill of Rights was enacted.
- D. Psychotropic drugs became available for use.
Correct Answer: D
Rationale: The development of psychotropic drugs, or drugs used to treat mental illness, began in the 1950s.
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.