Scope and Standards of Practice 2014
Edition Exam Questions With Complete
Solutions
Psychiatric-mental health nursing - CORRECT ANSWER-Nursing practice specialty
committed to promoting mental health through the assessment, diagnosis, and
treatment of behavioral problems, mental disorders, and comorbid conditions across the
lifespan.
Psychiatric-mental health nursing interventions - CORRECT ANSWER-Both an art and
science. Employs a purposeful use of self and a wide range of nursing, psychosocial,
and neurobiological evidence to produce effective outcomes.
Purpose of Scope of Practice - CORRECT ANSWER-To define the boundaries of the
nursing profession and inform society about the parameters of nursing practice. Also to
guide the development of state level nurse practice acts and the rules and regulations
governing nursing practice.
McLean nurse training school - CORRECT ANSWER-Established by Dr. Edward
Cowles at mcLean Asylum in Massachusetts in 1882 to change focus of mental
asylums from restrictive and custodial care to medical and social treatment for the
mentally ill. Beginning of PMH nursing. The use of trained nurses, rather than "keepers",
was central to Cowles' effort to replace public perception of "insanity" as deviance or
infirmity with a belief that mental disorders could be ameliorated or cured with proper
treatment. First opportunity for men to become trained nurses.
First nurse-organized training course for psychiatric nursing within a general nursing
education program - CORRECT ANSWER-Established by Effie Jane Taylor of Johns
Hopkins Hospital in 1913. Served as prototype for other nursing education programs.
, Taylor's colleague Harriet Daily published the first psychiatric nursing textbook "Nursing
Mental Disease" in 1920.
What did nursing leadership provide for psychiatric nursing? - CORRECT ANSWER-
Biopsychosocial approach with specific nursing methods for individuals with mental
disorders. The PMH nurse also began to identify the didactic and clinical components of
training needed to care for persons with mental disorders.
Psychiatric nursing advances in post WWI era - CORRECT ANSWER-"Nursing in
nervous and mental diseases" was added to curriculum guides developed by the
National League for Nursing Education and was eventually required in all educational
programs for RNs
Mental health reform and expansion in psychiatric nursing during WWII - CORRECT
ANSWER-Public health significance of mental disorders became apparent when
significant amount of military recruits deemed unfit due to psychiatric disability.
Increased sympathy and support for combat veterans returning with combat-related
neuropsychiatric casualties.
Laura Fitzsimmons - CORRECT ANSWER-Psychiatric nurse consultant to American
Psychiatric Association during WWII era. Evaluated educational programs for
psychiatric nurses and recommended standards for training. Recommendations
received federal funding to strengthen education and standards of care for psychiatric
nursing.
National Mental Health Act (NMHA) of 1946 - CORRECT ANSWER-Psychiatric nursing
became core mental health discipline named in NMHA along with psychiatry,
psychology, and social work. This act greatly increased funding for psychiatric nursing
education and training. Led to growth in university-level education.
Hildegrad Peplau - CORRECT ANSWER-Established first graduate psychiatric nursing
program at Rutgers University in 1954. Her publication "Interpersonal Relations in
Nursing" emphasized the importance of the therapeutic relationship in helping