TEST BANK: PSYCHIATRIC NURSING, 2ND EDITION, DEBORAH ANTAI-OTONG

CHAPTER 1—HISTORY OF PSYCHIATRIC NURSING MULTIPLE CHOICE 1. The major driving force behind current mental health treatment models is which of the following forces? a. potential to cause harm b. managed care principles c. availability of improved neuroleptic medications d. concern for humane treatment of the mentally ill ANS: B Because of the dramatic influence of managed care on health care delivery systems, acutely ill clients are most likely to be diverted from hospitalization or receive shorter lengths of stay. PTS: 1 2. Persons experiencing an acute crisis related to a mental illness are most likely to receive which of the following types of care? a. long-term commitment to a state hospital b. brief care in the least restrictive environment c. intensive psychotherapy with a private practitioner d. 14 days of treatment in a private psychiatric hospital ANS: B Because of the dramatic influence of managed care on health care delivery systems, acutely ill clients are most likely to be diverted from hospitalization or receive shorter lengths of stay. PTS: 1 3. Pinel is best known for which of the following major changes in mental health treatment? a. removing the chains from the mentally ill and providing humane treatment b. discovering the benefit of chlorpromazine (Thorazine) for treating the mentally ill c. promoting the use of better trained personnel in hospitals for the mentally ill d. moving the treatment of the mentally ill from the large state institutions to the community ANS: A Philippe Pinel was placed in charge of Bicetre, a large hospital for the mentally ill. He demonstrated that the mentally ill improved when released from their chains and provided humane treatment. His work brought sweeping changes in French institutions for the mentally ill. PTS: 1 4. A student nurse is suffering from test anxiety and is referred to a mental health professional, who provides a variety of treatment modalities. Which of the following treatments would the student be able to attribute to the early work of Mesmer? a. hypnosis c. dream analysis b. paradoxical intention d. desensitization ANS: A Franz Mesmer used techniques that were a form of hypnotism and which stemmed from the ancient use of trances. His work later became the basis of hypnosis. PTS: 1