NURS 316 Exam1 Questions and
answers
What was the first psychotropic med? - ✅✅Thorazine in 1954
What are the two major movements in 1960's? - ✅✅1. Comprehensive Mental
Health bill in 1964
2. Medicare and Medicaid Acts in 1966
(1)Deinstitutionalization
- Introduction of outpatient, day and night, pre care, after care, diagnostic
services
- Psych patients released back into society (homelessness increased)
- Replaced lifelong institutionalizations with less isolated community mental
health services
2) Community Health Movement
- Insurance coverage for mental health began due to Comprehensive Mental
Health bill ('64) and Medicare/Medicaid Bills ('66)
→Led to reduction of use of current mental health institutions and gave rise to
private hospitals/psych wings (decreased long term/full care facilities)
- Treating people outside a hospital
-Treatments got less cruel)
What is the role of the nurse in milieu therapy? - ✅✅- first nursing intervention
in establishing a foundation of trust and maintaining a therapeutic milieu
- Orient new client to environment
- To his/his rights and responsibilities within unit milieu
- To structured activities designed for personal growth
,- To any limits or restrictions necessary to maintain safety
- Use of nursing process→nurses manage therapeutic environment on 24 hr basis
- Nurses have responsibility for meeting clients physiological and psychological
needs
- Responsibilities: med admin, develop one-to-one relationship, set limits on
unacceptable behaviors, client edu
what are NIMH prevalence statistics? - ✅✅Mental illness: 59.3 million (23.1%)
adults
Depression: 21 million (8.3%) adults
Bipolar: 2.8% adults
Anxiety: 19.1% adults
Personality disorders: 9.1% adults;
Borderline personality: 1.4% adults
Eating disorder: 1.2% adults
Schizophrenia: 0.25% and 0.64% adults
How do you calculate DALY, YLD, YLL? - ✅✅- Disability-adjusted life years is a
measure of overall disease burden, expressed as the number of years lost due to
ill-health, disability, or early death
- DALY=YLL+YLD
- YLD=years of years of healthy life lost due to disability; ex: if you got cancer at
60, and died at 65, your YLD is 5 years
- YLL=years of life lost due to premature mortality; ex: if you die at 60, but the
expected is 80, you subtract 80-60 so the life of years lost is 20
, what are the boundaries in the nurse-client relationship? - ✅✅Material
boundaries
Social boundaries
Personal boundaries
Professional boundaries
what are concerns regarding professional boundaries? - ✅✅Self-disclosure
Gift-giving
Touch
Friendship or romantic association
what are warning signs that professional boundaries of the nurse-patient
relationship may be in jeopardy? - ✅✅Favoring one patient's care over
another's
Keeping secrets with a client
Changing dress style when working with a
particular client
Swapping patient assignments to care for a particular patient
Giving special attention or treatment to one patient over others
Spending free time with a patient
Frequently thinking about the patient when
away from work
Sharing personal information or work concerns with the patient
Receiving of gifts or continued contact and communication with the patient after
discharge
answers
What was the first psychotropic med? - ✅✅Thorazine in 1954
What are the two major movements in 1960's? - ✅✅1. Comprehensive Mental
Health bill in 1964
2. Medicare and Medicaid Acts in 1966
(1)Deinstitutionalization
- Introduction of outpatient, day and night, pre care, after care, diagnostic
services
- Psych patients released back into society (homelessness increased)
- Replaced lifelong institutionalizations with less isolated community mental
health services
2) Community Health Movement
- Insurance coverage for mental health began due to Comprehensive Mental
Health bill ('64) and Medicare/Medicaid Bills ('66)
→Led to reduction of use of current mental health institutions and gave rise to
private hospitals/psych wings (decreased long term/full care facilities)
- Treating people outside a hospital
-Treatments got less cruel)
What is the role of the nurse in milieu therapy? - ✅✅- first nursing intervention
in establishing a foundation of trust and maintaining a therapeutic milieu
- Orient new client to environment
- To his/his rights and responsibilities within unit milieu
- To structured activities designed for personal growth
,- To any limits or restrictions necessary to maintain safety
- Use of nursing process→nurses manage therapeutic environment on 24 hr basis
- Nurses have responsibility for meeting clients physiological and psychological
needs
- Responsibilities: med admin, develop one-to-one relationship, set limits on
unacceptable behaviors, client edu
what are NIMH prevalence statistics? - ✅✅Mental illness: 59.3 million (23.1%)
adults
Depression: 21 million (8.3%) adults
Bipolar: 2.8% adults
Anxiety: 19.1% adults
Personality disorders: 9.1% adults;
Borderline personality: 1.4% adults
Eating disorder: 1.2% adults
Schizophrenia: 0.25% and 0.64% adults
How do you calculate DALY, YLD, YLL? - ✅✅- Disability-adjusted life years is a
measure of overall disease burden, expressed as the number of years lost due to
ill-health, disability, or early death
- DALY=YLL+YLD
- YLD=years of years of healthy life lost due to disability; ex: if you got cancer at
60, and died at 65, your YLD is 5 years
- YLL=years of life lost due to premature mortality; ex: if you die at 60, but the
expected is 80, you subtract 80-60 so the life of years lost is 20
, what are the boundaries in the nurse-client relationship? - ✅✅Material
boundaries
Social boundaries
Personal boundaries
Professional boundaries
what are concerns regarding professional boundaries? - ✅✅Self-disclosure
Gift-giving
Touch
Friendship or romantic association
what are warning signs that professional boundaries of the nurse-patient
relationship may be in jeopardy? - ✅✅Favoring one patient's care over
another's
Keeping secrets with a client
Changing dress style when working with a
particular client
Swapping patient assignments to care for a particular patient
Giving special attention or treatment to one patient over others
Spending free time with a patient
Frequently thinking about the patient when
away from work
Sharing personal information or work concerns with the patient
Receiving of gifts or continued contact and communication with the patient after
discharge
