Chapter 1. History of Mental Health Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The act of developing a clean environment is a factor in providing effective health care as
demonstrated by:
1. Nightingale.
2. Benner.
3. Swanson.
4. King.
____ 2. What is the name of the publication written by Florence Nightingale?
1. Nursing Sanitation Notes
2. Nursing 101
3. Notes on Nursing
4. Nursing Notes
____ 3. A long-term goal for inpatient mental health treatment is generally to:
1. Return the patient to the community.
2. Locate a facility for long-term care.
3. Be arrested and placed in prison.
4. Be completely cured of the disorder.
____ 4. The mentally ill were once housed in mental institutions known as:
1. Hospitals.
2. Long-term care facilities.
3. Asylums.
4. Free-standing treatment centers.
____ 5. Which nursing theorists promoted the interpersonal theory between the nurse and the patient?
1. Hildegard Peplau
2. Hattie Bessent
3. Mary Mahoney
4. Linda Richards
Completion
Complete each statement.
6. The first psychiatric program of study was established by which nursing leader? ______ _______
_________
7. Which nurse theorist was the first American-trained nurse credited with teaching how to provide
care for people with mental illness? ___________ ____________
, 8. The greatest advance in the early years of mental health care was the introduction of
___________________.
9. The legislation that provided funding for improving the care of the mentally ill is known as the
National Mental Health Act of what year? ______.
10. One of the goals of the American Nurses association (ANA) is to promote ________________ of
nursing care in the United States.
11. ______________ ____________ has always been called the “founder of nursing.”
12. A schoolteacher by the name of _____________ _________helped established asylums and
psychiatric hospitals for the mentally ill.
13. The first psychotropic drug category was known as ____________________.
14. The first major federal law to address mental illness was called the _____-_______ Act.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 15. What trends contributed to the deinstitutionalization of mental health facilities to outpatient care
(select all that apply)?
1. Cost of the facilities
2. The increased use of phenothiazines
3. Staff cost
4. Establishment of outpatient clinics
5. Development of the Patient Bill of Rights
,Chapter 1. History of Mental Health Nursing
Answer Section
MULTIPLE CHOICE
1. ANS: 1
Page: 2
Integrated Processes: Teaching/Learning
Content Area: Community Health
Cognitive Level: Application
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Chapter 1: History of Mental Health Nursing; The Trailblazers; Florence Nightingale
Feedback
1 The relationship between sanitary conditions and healing became known and
accepted due to Nightingale’s observations and diligence. Her commitment to
improved outcomes at a military hospital was directly related to introducing
sanitation methods.
2 Benner did not emphasize developing a clean environment as a factor in
providing effective health care.
3 Swanson did not emphasize developing a clean environment as a factor in
providing effective health care.
4 King did not emphasize developing a clean environment as a factor in providing
effective health care.
PTS: 1
REF: Chapter 1: History of Mental Health Nursing; The Trailblazers; Florence Nightingale
2. ANS: 3
Page: 3
Integrated Processes: Teaching/Learning
Content Area: Nursing Trends
Cognitive Level: Knowledge
Client Need: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Chapter 1: History of Mental Health Nursing; The Trailblazers; Florence Nightingale
Feedback
1 Although Florence Nightingale did write a book on the relationship of sanitary
techniques to medical facilities, it was called Notes on Hospitals, not Nursing
Sanitation Notes.
2 Florence Nightingale did not write Nursing 101.
3 Florence Nightingale wrote the book Notes on Nursing, which was the most
respected nursing textbook of its day.
4 Florence Nightingale did not write Nursing Notes.
PTS: 1
REF: Chapter 1: History of Mental Health Nursing; The Trailblazers; Florence Nightingale
3. ANS: 1
, Page: 8
Integrated Processes: Nursing Process: Planning
Content Area: Mental Health
Cognitive Level: Comprehension
Client Need: Safe and Effective Care Environment: Coordinated Care
Chapter 1: History of Mental Health Nursing; The Breakthroughs
Feedback
1 People who had formerly required long hospital stays were now able to leave
the institutions and return to their communities due to appropriate medications
and deinstitutionalization.
2 Locating a facility for long-term care is not a long-term goal for inpatient mental
health treatment.
3 Being arrested and placed in prison is not a long-term goal for inpatient mental
health treatment.
4 The long-term goal is not to be completely cured of the disorder but control
unwanted behaviors.
PTS: 1 REF: Chapter 1: History of Mental Health Nursing; The Breakthroughs
4. ANS: 3
Page: 7
Integrated Processes: Teaching/Learning
Content Area: Mental Health
Cognitive Level: Comprehension
Client Need: Psychosocial Integrity: Therapeutic Environment
Chapter 1: History of Mental Health Nursing; The Facilities; Asylums
Feedback
1 Hospitals are not mental institutions but can handle patients with psychological
needs according to the size of the hospital and its resources.
2 Long-term care facilities are not mental institutions.
3 Early on, these special facilities were called asylums, which Webster’s online
dictionary defines as “an institution for the care of the needy or sick and
especially of the insane.”
4 Free-standing treatment centers are not mental institutions but can handle
patients that need detoxification (detox centers) or help managing a crisis (crisis
centers).
PTS: 1 REF: Chapter 1: History of Mental Health Nursing; The Facilities; Asylums
5. ANS: 1
Page: 5
Integrated Processes: Communication and Documentation
Content Area: Nursing Trends
Cognitive Level: Knowledge
Client Need: Safe and Effective Care Environment: Coordinated Care
Chapter 1: History of Mental Health Nursing; The Breakthroughs; Deinstitutionalization
Feedback
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The act of developing a clean environment is a factor in providing effective health care as
demonstrated by:
1. Nightingale.
2. Benner.
3. Swanson.
4. King.
____ 2. What is the name of the publication written by Florence Nightingale?
1. Nursing Sanitation Notes
2. Nursing 101
3. Notes on Nursing
4. Nursing Notes
____ 3. A long-term goal for inpatient mental health treatment is generally to:
1. Return the patient to the community.
2. Locate a facility for long-term care.
3. Be arrested and placed in prison.
4. Be completely cured of the disorder.
____ 4. The mentally ill were once housed in mental institutions known as:
1. Hospitals.
2. Long-term care facilities.
3. Asylums.
4. Free-standing treatment centers.
____ 5. Which nursing theorists promoted the interpersonal theory between the nurse and the patient?
1. Hildegard Peplau
2. Hattie Bessent
3. Mary Mahoney
4. Linda Richards
Completion
Complete each statement.
6. The first psychiatric program of study was established by which nursing leader? ______ _______
_________
7. Which nurse theorist was the first American-trained nurse credited with teaching how to provide
care for people with mental illness? ___________ ____________
, 8. The greatest advance in the early years of mental health care was the introduction of
___________________.
9. The legislation that provided funding for improving the care of the mentally ill is known as the
National Mental Health Act of what year? ______.
10. One of the goals of the American Nurses association (ANA) is to promote ________________ of
nursing care in the United States.
11. ______________ ____________ has always been called the “founder of nursing.”
12. A schoolteacher by the name of _____________ _________helped established asylums and
psychiatric hospitals for the mentally ill.
13. The first psychotropic drug category was known as ____________________.
14. The first major federal law to address mental illness was called the _____-_______ Act.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 15. What trends contributed to the deinstitutionalization of mental health facilities to outpatient care
(select all that apply)?
1. Cost of the facilities
2. The increased use of phenothiazines
3. Staff cost
4. Establishment of outpatient clinics
5. Development of the Patient Bill of Rights
,Chapter 1. History of Mental Health Nursing
Answer Section
MULTIPLE CHOICE
1. ANS: 1
Page: 2
Integrated Processes: Teaching/Learning
Content Area: Community Health
Cognitive Level: Application
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Chapter 1: History of Mental Health Nursing; The Trailblazers; Florence Nightingale
Feedback
1 The relationship between sanitary conditions and healing became known and
accepted due to Nightingale’s observations and diligence. Her commitment to
improved outcomes at a military hospital was directly related to introducing
sanitation methods.
2 Benner did not emphasize developing a clean environment as a factor in
providing effective health care.
3 Swanson did not emphasize developing a clean environment as a factor in
providing effective health care.
4 King did not emphasize developing a clean environment as a factor in providing
effective health care.
PTS: 1
REF: Chapter 1: History of Mental Health Nursing; The Trailblazers; Florence Nightingale
2. ANS: 3
Page: 3
Integrated Processes: Teaching/Learning
Content Area: Nursing Trends
Cognitive Level: Knowledge
Client Need: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Chapter 1: History of Mental Health Nursing; The Trailblazers; Florence Nightingale
Feedback
1 Although Florence Nightingale did write a book on the relationship of sanitary
techniques to medical facilities, it was called Notes on Hospitals, not Nursing
Sanitation Notes.
2 Florence Nightingale did not write Nursing 101.
3 Florence Nightingale wrote the book Notes on Nursing, which was the most
respected nursing textbook of its day.
4 Florence Nightingale did not write Nursing Notes.
PTS: 1
REF: Chapter 1: History of Mental Health Nursing; The Trailblazers; Florence Nightingale
3. ANS: 1
, Page: 8
Integrated Processes: Nursing Process: Planning
Content Area: Mental Health
Cognitive Level: Comprehension
Client Need: Safe and Effective Care Environment: Coordinated Care
Chapter 1: History of Mental Health Nursing; The Breakthroughs
Feedback
1 People who had formerly required long hospital stays were now able to leave
the institutions and return to their communities due to appropriate medications
and deinstitutionalization.
2 Locating a facility for long-term care is not a long-term goal for inpatient mental
health treatment.
3 Being arrested and placed in prison is not a long-term goal for inpatient mental
health treatment.
4 The long-term goal is not to be completely cured of the disorder but control
unwanted behaviors.
PTS: 1 REF: Chapter 1: History of Mental Health Nursing; The Breakthroughs
4. ANS: 3
Page: 7
Integrated Processes: Teaching/Learning
Content Area: Mental Health
Cognitive Level: Comprehension
Client Need: Psychosocial Integrity: Therapeutic Environment
Chapter 1: History of Mental Health Nursing; The Facilities; Asylums
Feedback
1 Hospitals are not mental institutions but can handle patients with psychological
needs according to the size of the hospital and its resources.
2 Long-term care facilities are not mental institutions.
3 Early on, these special facilities were called asylums, which Webster’s online
dictionary defines as “an institution for the care of the needy or sick and
especially of the insane.”
4 Free-standing treatment centers are not mental institutions but can handle
patients that need detoxification (detox centers) or help managing a crisis (crisis
centers).
PTS: 1 REF: Chapter 1: History of Mental Health Nursing; The Facilities; Asylums
5. ANS: 1
Page: 5
Integrated Processes: Communication and Documentation
Content Area: Nursing Trends
Cognitive Level: Knowledge
Client Need: Safe and Effective Care Environment: Coordinated Care
Chapter 1: History of Mental Health Nursing; The Breakthroughs; Deinstitutionalization
Feedback
