chapter 1 Flashcards

(34 cards)

1
Q

The primary purpose of the community mental health center act of 1963 was to

A

move patients to their home communities for treatment

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2
Q

Managed care is designed to

A

maintain a balance between the quality of costs and care

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3
Q

hospitals established by Dorothea Dix were designed to provide

A

asylum

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4
Q

Hildegard Peplau is best known for her writing about

A

therapeutic nurse-client relationship

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5
Q

mental health parity laws ensure

A

equality in insurance coverage for mental illness

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6
Q

the nurse is assessing the factors contributing to the well being of a newly admitted client. which of the following would the nurse identify as having a positive impact on the individual’s mental health?

A

the ability to effectively manage stress

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7
Q

which of the following statements about mental illness are true? select all that apply.

A

-mental illness can cause significant distress, impaired functioning, or both

-individuals suffering from mental illness are usually able to cope effectively with daily life

-individuals suffering from mental illness may experience dissatisfaction with relationships and self

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8
Q

which of the following are true regarding mental health and mental illness?

A

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

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9
Q

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 are not mentally ill. this is an expected reaction to the loss you have experienced

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10
Q

the nurse consults the DSM for which of the following purposes?

A

to serve as a guide for client assessment

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11
Q

which would be a reason for a student nurse to use the DSM?

A

understand the reason for the admission and the nature of psychiatric illnesses

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12
Q

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

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13
Q

which of the following is a result of federal legislation?

A

making it more difficult to commit people for mental health treatment against their will

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14
Q

the goal of the 1963 community mental health centers act was to

A

deinstitutionalize state hospitals

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15
Q

the creation of asylums in the 1800s was meant to

A

provide food and shelter for the mentally ill

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16
Q

the major problems with large state institutions are: select all that apply.

A

-attendants were accused of abusing the residents

-clients were geographically isolated from family and community

17
Q

a significant change in the treatment of people with mental illness occurred in the 1950s when

A

psychotropic dugs became available for use

18
Q

before the period of the enlightenment, treatment of the mentally ill included

A

placing the mentally ill on display for public amusement

19
Q

the first training of nurses to work with persons with mental illness was in 1882 in which state?

A

massachusetts

20
Q

what is meant by the term revolving door effect in mental health care?

A

shorter and more frequent hospital stays for persons with severe and persistent mental illness

21
Q

which of the following statements is true of treatment of people with mental illness in the united states today?

A

only 25% of people needing mental health services are receiving those services

22
Q

which of the following is the priority of the healthy people 2030 objectives for mental health?

A

treatment of mental illness

23
Q

which is a positive aspect of treating clients with mental illness in a community based care

A

you will be able to live in your own home while you still see a therapist regularly

24
Q

one of the unforeseen effects of the movement toward community mental health services is

A

an increased number of admissions to available hospital services

25
which is included in the healthy people 2030 objectives?
to increase the number of people who are identified, diagnosed, treated, and helped to live healthier lives
26
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
medical management of symptoms
27
which of the following is defined as an advanced level function in the practice area of psychiatric mental health nursing
evaluation
28
psychiatric nursing became a requirement in nursing education in which year?
1950
29
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
using effective communication skills
30
which of the following is one of the american nurses association standards of practice for psychiatric mental health nursing
some aspects of standard 5: implementation may only be carried out my advanced practice nurses
31
which of the following is a standard of professional performance?
education
32
which of the following is a standard of practice
outcome identification
33
a student appears very nervous on the first day of clinical in a psychiatric setting. the student reviews the instructors guidelines and appropriately takes which of the following actions? select all that apply
-discusses the anxious feeling with the instructor -builds rapport with the patient before asking personal questions -consults the instructor if a shocking situation arises
34
the appropriate action for a student nurse who says the wrong thing is to
restate it by saying, “that didn’t come out right. what I meant was…”