Chapter 1

1. 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.

Ans: A

Feedback:

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.

2. 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

Ans: C

Feedback:

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.

3. Psychiatric nursing became a requirement in nursing education in which year?

A) 1930

B) 1940

C) 1950

D) 1960

Ans: C

Feedback:

It was not until 1950 that the National League for Nursing, which accredits nursing

programs, required schools to include an experience in psychiatric nursing.

4. A new graduate nurse has accepted a staff position at an inpatient mental health facility.

The graduate nurse can expect to be responsible for basic-level functions, including

A) providing clinical supervision.

B) using effective communication skills.

C) adjusting client medications.

D) directing program development.

Ans: B

Feedback:

Basic-level functions include counseling, milieu therapy, self-care activities,

psychobiologic interventions, health teaching, case management, and health promotion

and maintenance. Advanced-level functions include psychotherapy, prescriptive

authority for drugs, consultation and liaison, evaluation, program development and

management, and clinical supervision.

5. Which one of the following is one of the American Nurses Association standards of

practice for psychiatricñmental health nursing?

A) Prescriptive authority is granted to psychiatricñmental health registered nurses.

B) All aspects of Standard 5: Implementation may be carried out by

psychiatricñmental health registered nurses.

C) Some aspects of Standard 5: Implementation may only be carried out by

psychiatricñmental health advanced practice nurses.

D) Psychiatricñmental health advanced practice nurses are the only ones who may

provide milieu therapy.

Ans: C

Feedback:

Prescriptive authority is used by psychiatricñmental health advanced practice registered

nurses in accordance with state and federal laws and regulations. Standards 5DñG are

advanced practice interventions and may be performed only by the psychiatricñmental

health advanced practice registered nurse. Psychiatricñmental health registered nurses

may provide milieu therapy according to Standard 5C. This is not restricted to

psychiatricñmental health advanced practice nurses.

6. Which of the following is a standard of professional performance?

A) Assessment

B) Education

C) Planning

D) Implementation

Ans: B

Feedback:

Education is a standard of professional performance. Other standards of professional

performance include the quality of practice, professional practice evaluation,

collegiality, collaboration, ethics, research, resource utilization, and leadership.

Assessment, planning, and implementation are components of the nursing process, not

standards of professional performance.

7. Which of the following is a standard of practice?

A) Quality of care

B) Outcome identification

C) Collegiality

D) Performance appraisal

Ans: B

Feedback:

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.