,Psychiatric Nursing: Contemporary Practice, 5th
Edition
Test Bank by Mary Ann Boyd
Chapter 1: Introduction to Psychiatric-Mental Health
Nursing
(Questions 1-50)
,1. A group of nursing students are reviewing the recommendations of the final report of
the Joint Commission on Mental Illness and Health (1961). The students demonstrate
understanding of this historic report when they identify that it 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
Answer: C
Rationale: The 1961 Joint Commission report was a landmark document that
recommended a shift away from large, isolated state mental hospitals toward
community-based care. Its primary recommendation was for the development of
community mental health clinics that were supplemented by general hospital units. This
report laid the groundwork for the Community Mental Health Centers Act of 1963.
Options A and B represent the older model of institutionalization, while option D is not
a primary recommendation of this report.
Client Need: Psychosocial Integrity
Cognitive Level: Understand
Integrated Process: Teaching/Learning
, 2. A nurse is reviewing the American Nurses Association's Statement on Psychiatric
Nursing Practice (1967). The nurse understands that this historic document officially
sanctioned the involvement of psychiatric-mental health nurses in the provision of
holistic nursing care. Which individual's work is most strongly linked to the holistic
approach emphasized in this statement?
A) Sigmund Freud's psychoanalytic theory
B) Florence Nightingale's Notes on Nursing
C) Hildegard Peplau's Interpersonal Relations in Nursing
D) Clifford Beers' A Mind That Found Itself
Answer: C
Rationale: Hildegard Peplau's "Interpersonal Relations in Nursing" (1952) laid the
foundational framework for psychiatric-mental health nursing as a distinct specialty.
Peplau was the first nurse to articulate the concept of the therapeutic nurse-patient
relationship and the nurse's role in promoting mental health through interpersonal
processes. Her work revolutionized psychiatric nursing from a custodial role to a
therapeutic one. While Nightingale (B) focused on environmental factors and Beers (D)
was a mental health advocate, neither developed the nursing-specific, holistic
framework that Peplau did. Freud (A) was a psychiatrist, not a nurse.
Client Need: Psychosocial Integrity
Cognitive Level: Analyze
Integrated Process: Nursing Process: Evaluation
Edition
Test Bank by Mary Ann Boyd
Chapter 1: Introduction to Psychiatric-Mental Health
Nursing
(Questions 1-50)
,1. A group of nursing students are reviewing the recommendations of the final report of
the Joint Commission on Mental Illness and Health (1961). The students demonstrate
understanding of this historic report when they identify that it 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
Answer: C
Rationale: The 1961 Joint Commission report was a landmark document that
recommended a shift away from large, isolated state mental hospitals toward
community-based care. Its primary recommendation was for the development of
community mental health clinics that were supplemented by general hospital units. This
report laid the groundwork for the Community Mental Health Centers Act of 1963.
Options A and B represent the older model of institutionalization, while option D is not
a primary recommendation of this report.
Client Need: Psychosocial Integrity
Cognitive Level: Understand
Integrated Process: Teaching/Learning
, 2. A nurse is reviewing the American Nurses Association's Statement on Psychiatric
Nursing Practice (1967). The nurse understands that this historic document officially
sanctioned the involvement of psychiatric-mental health nurses in the provision of
holistic nursing care. Which individual's work is most strongly linked to the holistic
approach emphasized in this statement?
A) Sigmund Freud's psychoanalytic theory
B) Florence Nightingale's Notes on Nursing
C) Hildegard Peplau's Interpersonal Relations in Nursing
D) Clifford Beers' A Mind That Found Itself
Answer: C
Rationale: Hildegard Peplau's "Interpersonal Relations in Nursing" (1952) laid the
foundational framework for psychiatric-mental health nursing as a distinct specialty.
Peplau was the first nurse to articulate the concept of the therapeutic nurse-patient
relationship and the nurse's role in promoting mental health through interpersonal
processes. Her work revolutionized psychiatric nursing from a custodial role to a
therapeutic one. While Nightingale (B) focused on environmental factors and Beers (D)
was a mental health advocate, neither developed the nursing-specific, holistic
framework that Peplau did. Freud (A) was a psychiatrist, not a nurse.
Client Need: Psychosocial Integrity
Cognitive Level: Analyze
Integrated Process: Nursing Process: Evaluation
