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Which of the following is a standard of practice?
- A. Quality of care
- B. Outcome identification
- C. Collegiality
- D. Performance appraisal
Correct Answer: B
Rationale: Standards of practice include assessment, diagnosis, outcomes identification, planning, implementation, coordination of care, health teaching and health promotion, and milieu therapy. The standards of professional performance include quality of practice, education, professional practice evaluation, collegiality, collaboration, ethics, research, resource utilization, and leadership.
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One of the unforeseen effects of the movement toward community mental health services is
- A. Fewer clients suffering from persistent mental illnesses.
- B. An increased number of hospital beds available for clients seeking treatment.
- C. An increased number of admissions to available hospital services.
- D. Longer hospital stays for people needing mental health services.
Correct Answer: C
Rationale: Although people with severe and persistent mental illness have shorter hospital stays, they are admitted to hospitals more frequently. Although deinstitutionalization reduced the number of public hospital beds by 80%, the number of admissions to those beds correspondingly increased by 90%.
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.
Which is a positive aspect of treating clients with mental illness in a community-based care?
- A. You will not be allowed to go out with your friends while in the program.
- B. You will have to have supervision when you want to go anywhere else in the community.
- C. You will be able to live in your own home while you still see a therapist regularly.
- D. You will have someone in your home at all times to ask questions if you have any concerns.
Correct Answer: C
Rationale: Clients can remain in their communities, maintain contact with family and friends, and enjoy personal freedom that is not possible in an institution. Full-time home care is not included in community-based programs.
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.
Which is included in Healthy People 2020 objectives?
- A. To decrease the incidence of mental illness
- B. To increase the number of people who are identified, diagnosed, treated, and helped to live healthier lives
- C. To provide mental health services only in the community
- D. To decrease the numbers of people who are being treated for mental illness
Correct Answer: B
Rationale: One of the Healthy People 2020 objectives is to increase the number of people who are identified, diagnosed, treated, and helped to live healthier lives. It may not be possible to decrease the incidence of mental illness or to provide services only in the community.