Psychiatric Nursing 8th Edition Test
Bank
Boyd & Luebbert – Mental Health Nursing Practice Questions & Answers
Chapter 01: History and Evolution of Mental Health
Care
Questions
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
C) Clinics supplemented by general hospital units
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 psychiatric-mental 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
B) Florence Nightingale’s Notes on Nursing
C) Hildegarde Peplau
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?
A) People began to view mental illness as more commonplace and acceptable
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
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4. A nursing student is presenting a discussion of the history of psychiatric-mental health
nursing and its place within nursing history. Which of the following would be most
appropriate to include?
A) Certification for the psychiatric-mental health nursing specialty was first emphasized by
Mary Adelaide Nutting
B) Psychiatric nurses ensured that all deinstitutionalized patients received treatment at
community mental health centers
C) There is a historical link between the first nursing program to admit male students and the
first training school for psychiatric nursing
D) The first graduate program in psychiatric nursing was established in response to the
publication of psychiatric nursing specialty journals
5. Two nursing students are discussing psychiatric-mental 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
B) Quaker establishment of asylums
C) Creation of the state hospital system
D) Freud’s views on the causes of mental illness
7. A psychiatric-mental 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?
A) Single substance abuse treatment programs
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
psychiatric-mental health nursing. Which of the following would the instructor include as
being important? (Select all that apply)
A) Research findings
B) Expert opinion
C) Clinical experience
D) Patient data
E) Established routines
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9. The following events are important in the development of psychiatric-mental 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 most reflective of this status?
A) Mental health care in the United States is equally accessible to all individuals
B) Mental illness ranks second in terms of causing disability
C) Mental health care primarily focuses on curing 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 when they identify which goal?
A) Mental health is one component of overall health
B) Consumers and families are the driving forces of mental health care
C) Screening is more important than assessment and referral
D) Disparities in services are decreased
12. The following are important legislative and policy efforts influencing current mental health
care. Which 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, which individual would be described as playing a
major role in the development of specialty training programs for psychiatric nurses?
A) Mary Adelaide Nutting
B) Hildegarde Peplau
C) Harriet Bailey
D) Linda Richards
14. Which would the nurse emphasize as the primary goal of mental health services?
A) Access to affordable care
B) Removal of exclusions
C) Recovery from mental illness
D) Effective treatment
15. Evidence-based practice begins with:
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A) Conducting research
B) Identifying a clinical question
C) Determining outcomes
D) Collaborating with the patient
16. After World War II, which resulted from the National Mental Health Act?
A) Discovery of psychopharmacology
B) Hill-Burton Act
C) Establishment of the National Institute of Mental Health
D) Development of community mental health centers
17. Therapeutic use of self is based on the work of:
A) Hildegarde Peplau
B) Florence Nightingale
C) Dorothea Dix
D) Sigmund Freud
18. During the medieval period, a common belief about mental illness was:
A) Caused by demon possession
B) Removal from contaminated environments
C) Use of exorcisms
D) Focus on moral treatment
Answer Key (Chapter 01)
1. C
2. B
3. A
4. C
5. A
6. A
7. A
8. A, B, C, D
9. D
10. D
11. B
12. A
13. B
14. C
15. B
16. C
17. A
18. B
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