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Chapter 02 Historical Issues

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Chapter 02 Historical Issues

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Chapter 02: Historical Issues
Steele: Keltner’s Psychiatric Nursing,




MULTIPLE CHOICE


1. A person says, ―What mental health issues are a major concern for the general population.‖ The
nurse‘s reply should be based on what confirmed fact concerning mental health issues? a.
Bipolar disorder is a rare diagnosis among the general population.
b. A diagnosis of schizophrenia is rarely confirmed during the teenage years.
c. Major depression is very prevalent among the adult population.
d. Alcohol-related issues are minimal considering the entire adult population.


ANS: C
Four of the top medical disorders causing disability are psychiatric disorders (i.e., major
depression, schizophrenia, bipolar disorder, and alcohol abuse). About half of all mental
disorders start by the midteens.


DIF: Cognitive level: Applying TOP: Nursing process: Planning
MSC: Client Needs: Psychosocial Integrity


2. A nurse, preparing a community presentation, should include what information concerning the
most accurate characterization of treatment of the mentally ill prior to the Period of
Enlightenment?
a. Large public asylums provided custodial care.
b. Care for the mentally ill was more compassionate.
c. Care focused on reducing stress and meeting basic human needs.
d. Patients were often displayed for public amusement.


ANS: D
In the 1700s it was common practice for caretakers to display mentally ill patients for the
amusement of the paying public. The creation of large asylums took place during the Period of

, Enlightenment. Mental illness was first studied during the Period of Scientific Study. Dealing
with stress and meeting basic needs are concerns of the modern era.


DIF: Cognitive level: Applying TOP: Nursing process: Planning
MSC: Client Needs: Safe, Effective Care Environment


3. A nurse is preparing to present a discussion to a group of nursing students on meeting the needs
of the mentally ill. What concerns should be identified as the focus of society‘s concerns during
both the Period of Enlightenment and the Period of Community Mental Health?
a. Moving patients out of asylums
b. Studying brain structure and function
c. Meeting basic human needs humanely
d. Providing medication to control symptoms


ANS: C

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