MENTAL HEALTH NURSING 6TH EDITION TEST
BANK – GORMAN & ANWAR, COMPREHENSIVE
CHAPTERS 1-22, INTERMEDIATE TO ADVANCED
EXAMINATION
SECTION 1: HISTORY OF MENTAL HEALTH NURSING (CHAPTER 1)
1. The mentally ill were once housed in institutions known as:
A. Hospitals
B. Long-term care facilities
C. Asylums
D. Free-standing treatment centers
Answer: C
Rationale: Before psychotropic drugs and reform, individuals with mental illness were
confined in asylums, which focused on custodial care rather than active treatment. These
facilities were designed to house and care for individuals with mental illness but often
lacked therapeutic interventions .
2. A clean environment and proper sanitation as essential to healing is a contribution
from:
A. Benner
B. Swanson
C. Nightingale
D. King
,Answer: C
Rationale: Florence Nightingale emphasized the impact of environment on health
outcomes, founding modern infection control and holistic care. Her environmental theory
established sanitation and cleanliness as foundational to patient recovery .
3. Who was the first American-trained psychiatric nurse credited with teaching how to
provide care for people with mental illness?
A. Hildegard Peplau
B. Linda Richards
C. Dorothea Dix
D. Florence Nightingale
Answer: B
Rationale: Linda Richards was the first American-trained psychiatric nurse, establishing
nursing education programs for mental health care. She pioneered psychiatric nursing
education in the United States .
4. A significant change in the treatment of people with mental illness occurred in the
1950s when:
A. Community support services were established
B. Legislation dramatically changed civil commitment procedures
C. The Patient's Bill of Rights was enacted
D. Psychotropic drugs became available for use
Answer: D
Rationale: The development of psychotropic drugs began in the 1950s, revolutionizing
mental health treatment and enabling deinstitutionalization. Phenothiazines were so
effective that state hospitals saw a large decline in population .
5. Before the period of enlightenment, treatment of the mentally ill included:
A. Creating large institutions to provide custodial care
B. Focusing on religious education to improve their souls
C. Placing the mentally ill on display for the public's amusement
D. Providing a safe refuge or haven offering protection
Answer: C
Rationale: In 1775, visitors at St. Mary's of Bethlehem (Bedlam) were charged a fee for
viewing and ridiculing the mentally ill, who were seen as animals. This practice reflected
the dehumanizing treatment of the era .
6. Which nursing organization established the first certification of psychiatric nursing?
A. National Association for Practical Nurse Education and Service (NAPNES)
,B. American Nurses Association (ANA)
C. National League for Nursing (NLN)
D. National Federation of Licensed Practical Nurses (NFLPN)
Answer: B
Rationale: The ANA promotes high-quality nursing care through professional standards,
ethics, and advocacy. They established the first certification in psychiatric nursing to
recognize specialized competency .
7. The first psychiatric program of study was established by which nursing leader?
A. Hildegard Peplau
B. Linda Richards
C. Florence Nightingale
D. Dorothea Dix
Answer: B
Rationale: Linda Richards established the first psychiatric nursing education program,
training nurses specifically for mental health care. This marked the formalization of
psychiatric nursing as a specialty .
8. Dorothea Dix is best known for her contributions to:
A. Psychiatric nursing education
B. Mental health reform and establishing asylums
C. Development of psychotropic medications
D. Community mental health movement
Answer: B
Rationale: Dorothea Dix was a schoolteacher who became a leading advocate for mental
health reform, establishing asylums and psychiatric hospitals across the United States and
Europe in the 19th century .
9. The 1999 Olmstead decision by the Supreme Court decreed that:
A. States must provide inpatient psychiatric care
B. Keeping people in psychiatric hospitals constitutes "unjustified isolation"
C. Psychotropic medications must be available to all patients
D. Mental health parity must be achieved
Answer: B
Rationale: The Olmstead decision established that keeping people in psychiatric hospitals
constitutes "unjustified isolation," leading to the expansion of community-based care
options .
, 10. The long-term goal for inpatient mental health treatment is generally to:
A. Return the patient to the community
B. Locate a facility for long-term care
C. Be arrested and placed in prison
D. Be completely cured of the disorder
Answer: A
Rationale: The primary long-term goal of inpatient mental health treatment is stabilization
and successful reintegration into the community, not complete cure or institutionalization .
11. The concept of "therapeutic milieu" refers to:
A. Medication administration protocols
B. The environment in which holistic treatment occurs
C. Outpatient counseling sessions
D. Family therapy interventions
Answer: B
Rationale: The therapeutic milieu is the environment in which holistic treatment occurs
and includes all members of the treatment team, a positive physical setting, interactions
between those who are hospitalized, and activities that promote recovery .
12. Social stigma related to mental illness most accurately refers to:
A. Mental illness is due to wrong thinking
B. Mental illness is a biological condition
C. Mental illness requires hospitalization
D. Mental illness is contagious
Answer: A
Rationale: Social stigma often manifests as the belief that mental illness is due to wrong
thinking or personal weakness, leading to discrimination and prejudice against individuals
with mental health conditions .
13. The Hill-Burton Act primarily addresses:
A. Insurance coverage for mental health
B. Protection for clients who lack insurance coverage and live below the poverty level
C. Involuntary commitment procedures
D. Psychiatric nursing education standards
Answer: B
Rationale: The Hill-Burton Act protects clients with mental illness who lack insurance
coverage and who live below the poverty level, ensuring that they cannot be turned away
because of financial difficulties .
BANK – GORMAN & ANWAR, COMPREHENSIVE
CHAPTERS 1-22, INTERMEDIATE TO ADVANCED
EXAMINATION
SECTION 1: HISTORY OF MENTAL HEALTH NURSING (CHAPTER 1)
1. The mentally ill were once housed in institutions known as:
A. Hospitals
B. Long-term care facilities
C. Asylums
D. Free-standing treatment centers
Answer: C
Rationale: Before psychotropic drugs and reform, individuals with mental illness were
confined in asylums, which focused on custodial care rather than active treatment. These
facilities were designed to house and care for individuals with mental illness but often
lacked therapeutic interventions .
2. A clean environment and proper sanitation as essential to healing is a contribution
from:
A. Benner
B. Swanson
C. Nightingale
D. King
,Answer: C
Rationale: Florence Nightingale emphasized the impact of environment on health
outcomes, founding modern infection control and holistic care. Her environmental theory
established sanitation and cleanliness as foundational to patient recovery .
3. Who was the first American-trained psychiatric nurse credited with teaching how to
provide care for people with mental illness?
A. Hildegard Peplau
B. Linda Richards
C. Dorothea Dix
D. Florence Nightingale
Answer: B
Rationale: Linda Richards was the first American-trained psychiatric nurse, establishing
nursing education programs for mental health care. She pioneered psychiatric nursing
education in the United States .
4. A significant change in the treatment of people with mental illness occurred in the
1950s when:
A. Community support services were established
B. Legislation dramatically changed civil commitment procedures
C. The Patient's Bill of Rights was enacted
D. Psychotropic drugs became available for use
Answer: D
Rationale: The development of psychotropic drugs began in the 1950s, revolutionizing
mental health treatment and enabling deinstitutionalization. Phenothiazines were so
effective that state hospitals saw a large decline in population .
5. Before the period of enlightenment, treatment of the mentally ill included:
A. Creating large institutions to provide custodial care
B. Focusing on religious education to improve their souls
C. Placing the mentally ill on display for the public's amusement
D. Providing a safe refuge or haven offering protection
Answer: C
Rationale: In 1775, visitors at St. Mary's of Bethlehem (Bedlam) were charged a fee for
viewing and ridiculing the mentally ill, who were seen as animals. This practice reflected
the dehumanizing treatment of the era .
6. Which nursing organization established the first certification of psychiatric nursing?
A. National Association for Practical Nurse Education and Service (NAPNES)
,B. American Nurses Association (ANA)
C. National League for Nursing (NLN)
D. National Federation of Licensed Practical Nurses (NFLPN)
Answer: B
Rationale: The ANA promotes high-quality nursing care through professional standards,
ethics, and advocacy. They established the first certification in psychiatric nursing to
recognize specialized competency .
7. The first psychiatric program of study was established by which nursing leader?
A. Hildegard Peplau
B. Linda Richards
C. Florence Nightingale
D. Dorothea Dix
Answer: B
Rationale: Linda Richards established the first psychiatric nursing education program,
training nurses specifically for mental health care. This marked the formalization of
psychiatric nursing as a specialty .
8. Dorothea Dix is best known for her contributions to:
A. Psychiatric nursing education
B. Mental health reform and establishing asylums
C. Development of psychotropic medications
D. Community mental health movement
Answer: B
Rationale: Dorothea Dix was a schoolteacher who became a leading advocate for mental
health reform, establishing asylums and psychiatric hospitals across the United States and
Europe in the 19th century .
9. The 1999 Olmstead decision by the Supreme Court decreed that:
A. States must provide inpatient psychiatric care
B. Keeping people in psychiatric hospitals constitutes "unjustified isolation"
C. Psychotropic medications must be available to all patients
D. Mental health parity must be achieved
Answer: B
Rationale: The Olmstead decision established that keeping people in psychiatric hospitals
constitutes "unjustified isolation," leading to the expansion of community-based care
options .
, 10. The long-term goal for inpatient mental health treatment is generally to:
A. Return the patient to the community
B. Locate a facility for long-term care
C. Be arrested and placed in prison
D. Be completely cured of the disorder
Answer: A
Rationale: The primary long-term goal of inpatient mental health treatment is stabilization
and successful reintegration into the community, not complete cure or institutionalization .
11. The concept of "therapeutic milieu" refers to:
A. Medication administration protocols
B. The environment in which holistic treatment occurs
C. Outpatient counseling sessions
D. Family therapy interventions
Answer: B
Rationale: The therapeutic milieu is the environment in which holistic treatment occurs
and includes all members of the treatment team, a positive physical setting, interactions
between those who are hospitalized, and activities that promote recovery .
12. Social stigma related to mental illness most accurately refers to:
A. Mental illness is due to wrong thinking
B. Mental illness is a biological condition
C. Mental illness requires hospitalization
D. Mental illness is contagious
Answer: A
Rationale: Social stigma often manifests as the belief that mental illness is due to wrong
thinking or personal weakness, leading to discrimination and prejudice against individuals
with mental health conditions .
13. The Hill-Burton Act primarily addresses:
A. Insurance coverage for mental health
B. Protection for clients who lack insurance coverage and live below the poverty level
C. Involuntary commitment procedures
D. Psychiatric nursing education standards
Answer: B
Rationale: The Hill-Burton Act protects clients with mental illness who lack insurance
coverage and who live below the poverty level, ensuring that they cannot be turned away
because of financial difficulties .
