Chapter 01: Psychiatric-Mental Health Nursing and Evidence-Based Practice 1. 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 D) Use of psychotherapy by psychiatrists 2. A nurse is reviewing the American Nurses Association’s Statement on Psychiatric Nursing Practice published in 1967, which sanctioned the involvement of psychiatricmental health nurses in the provision of holistic nursing care. Integrating knowledge of the various theories and views of mental health and illness, the nurse identifies which of the following as most strongly linked to this holistic approach? A) Sigmund Freud’s psychoanalytic theory C) Hildegarde D) Clifford Beers’ A Mind That Found Itself E) Peplau’s Interpersonal Relations in Nursing 3. A nursing instructor is preparing a presentation about key events and people that influenced the development of contemporary mental health and illness care. When describing the effects of World War II, which of the following would the instructor include? B) The biologic understanding of mental illness was almost fully developed. C) Deinstitutionalization occurred in response to the community health movement. D) Mental illnesses became categorized as psychoses or neuroses. 4. A nursing student is presenting a discussion of the history of psychiatricmental health nursing and its place within nursing history. Which of the following would be most appropriate to include? A) Certification for the psychiatricmental health nursing specialty was first emphasized by Mary Adelaide Nutting. B) Psychiatric nurses played a part in seeing that all deinstitutionalized patients got treatment at community mental health centers. training school for psychiatric nursing. D) The first graduate program in psychiatric nurses was established in response to the publication of psychiatric nursing specialty journals. 5. Two nursing students are discussing psychiatricmental health nursing and the role it has played in nursing’s overall history. Which statement is most accurate? A) The importance of using therapeutic communication was stressed by Nightingale. B) The use of self-care to enhance the immune system was taught by Dorothea Dix. C) The moral treatment of mental illness was a primary focus of deinstitutionalization. D) Peplau was the first nurse to stress the importance of therapeutic communication. 6. When reviewing the evolution of mental health and illness care, which event is associated with mental disorders beginning to be viewed as illnesses requiring treatment? A) Establishment of Pennsylvania Hospital in Philadelphia A) Single substance abuse treatment programs A) Research findings 3 B) Quaker establishment of asylums C) Creation of the state hospital system D) Freud’s views on the causes of mental illnesses 7. A psychiatricmental health nurse is working on a committee that is developing programs that integrate the objectives for mental health and mental disorders as identified in Healthy People 2020. Which type of program would be least appropriate? B) Depression screening programs for primary care providers C) Mental health programs for the homeless population D) Employment programs for those with serious mental illness 8. A nursing instructor is describing the concept of evidence-based practice in psychiatricmental health nursing. Which of the following would the instructor include as being important? Select all that apply. C) Clinical experiences D) Patient data E) Established routines 9. The following events are important in the development of psychiatricmental health nursing practice. Which event occurred first? A) Publication of Standards of Psychiatric-Mental Health Nursing by the ANA B) Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice C) Establishment of the first graduate program in psychiatric nursing at Rutgers University D) Publication of the first psychiatric nursing text, Nursing Mental Disease, by Harriet Bailey 10. A nurse is preparing a presentation about the current status of mental health services in the United States. Which statement would the nurse include as the most reflective of this status? A) Mental health care in the United States is equally accessible to individuals. B) Mental illness ranks second in terms of causing disability in comparison. C) Mental health care primarily focuses on the cure of mental illness. D) Mental health care services are inadequate and fragmented. 11. 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. 12. The following are important legislative and policy efforts influencing current mental health care. Which of the following is the most recent? A) Mental Health: A Report of the Surgeon General B) New Freedom Commission on Mental Health C) Action for Mental Health D) Mental Retardation Facilities and Community Mental Health Centers Construction Act 13. As part of a career day presentation to a group of nursing students, a psychiatricmental health nurse plans to describe how this specialty developed. Which individual would the nurse describe as playing a major role in the development of specialty training programs for psychiatric nurses? A) Mary Adelaide Nutting B) Hildegarde Peplau