MENTAL HEALTH NURSING CHAPTER 5 QUESTIONS AND ANSWERS |
CHAPTER 5 STUDY GUIDE & PRACTICE TEST 2026/2027
comorbid conditions (co-occurring) - correct answer ✔✔a term that refers to the occurrence of two or
more illnesses or disorders at the same time
elopement - correct answer ✔✔Escape or leaving a psychiatric treatment facility without medical
authorization, recommendation or being discharged.
least restrictive environment - correct answer ✔✔A setting that provides the necessary care while
allowing the greatest personal freedom.
mental health parity - correct answer ✔✔A law enacted in 1996 that makes it illegal for companies with
more than 50 employees to limit annual or lifetime mental health benefits unless they also limited
benefits for physical illnesses
primary care providers (PCPs) - correct answer ✔✔provides initial care to patients, and include
internists, family physicians, obstetrician/gynecologists, pediatricians, psychiatrists, midwives, and nurse
practitioners
stigma - correct answer ✔✔a powerfully negative label that greatly changes a person's self-concept and
social identity
Therapeutic milieu - correct answer ✔✔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.
Objective 1: Describe the evolution of treatment settings for psychiatric care. - correct answer
✔✔>Asylums were created before the Civil War—for the "insane."
>1940s-1950s: Advent of psychotropic drugs
>1950s: Two options for psychiatric care:
-Private psychiatrist's office
-Mental hospital
>1960s: "Great Society" reform:
-State-run psychiatric hospital population declined with the creation of Medicare and Medicaid.
>1999 Olmstead decision:
-Supreme Court decreed: Keeping people in psychiatric hospitals is "unjustified isolation."
>Community-care systems have largely replaced state hospitals.
>Today: The number of state-run psychiatric hospitals have reduced to approximately
220 facilities.
Objective 2: Compare and contrast inpatient and outpatient treatment environments in which
psychiatric care is provided. - correct answer ✔✔Inpatient
>24-hour nursing care
>Locked units (for safety)
>Crisis care
CHAPTER 5 STUDY GUIDE & PRACTICE TEST 2026/2027
comorbid conditions (co-occurring) - correct answer ✔✔a term that refers to the occurrence of two or
more illnesses or disorders at the same time
elopement - correct answer ✔✔Escape or leaving a psychiatric treatment facility without medical
authorization, recommendation or being discharged.
least restrictive environment - correct answer ✔✔A setting that provides the necessary care while
allowing the greatest personal freedom.
mental health parity - correct answer ✔✔A law enacted in 1996 that makes it illegal for companies with
more than 50 employees to limit annual or lifetime mental health benefits unless they also limited
benefits for physical illnesses
primary care providers (PCPs) - correct answer ✔✔provides initial care to patients, and include
internists, family physicians, obstetrician/gynecologists, pediatricians, psychiatrists, midwives, and nurse
practitioners
stigma - correct answer ✔✔a powerfully negative label that greatly changes a person's self-concept and
social identity
Therapeutic milieu - correct answer ✔✔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.
Objective 1: Describe the evolution of treatment settings for psychiatric care. - correct answer
✔✔>Asylums were created before the Civil War—for the "insane."
>1940s-1950s: Advent of psychotropic drugs
>1950s: Two options for psychiatric care:
-Private psychiatrist's office
-Mental hospital
>1960s: "Great Society" reform:
-State-run psychiatric hospital population declined with the creation of Medicare and Medicaid.
>1999 Olmstead decision:
-Supreme Court decreed: Keeping people in psychiatric hospitals is "unjustified isolation."
>Community-care systems have largely replaced state hospitals.
>Today: The number of state-run psychiatric hospitals have reduced to approximately
220 facilities.
Objective 2: Compare and contrast inpatient and outpatient treatment environments in which
psychiatric care is provided. - correct answer ✔✔Inpatient
>24-hour nursing care
>Locked units (for safety)
>Crisis care
