TEST BANK
Psychiatric Mental Health Nursing
Sheila L. Videbeck
10th Edition
,Table of Contents
Chapter 01: Foundations of Psychiatric–Mental Health Nursing 1
Chapter 02: Neurobiologic Theories and Psychopharmacology 15
Chapter 03: Psychosocial Theories and Therapy 29
Chapter 04: Treatment Settings and Therapeutic Programs 42
Chapter 05: Therapeutic Relationships 56
Chapter 06: Therapeutic Communication 70
Chapter 07: Client’s Response to Illness 83
Chapter 08: Assessment 98
Chapter 09: Legal and Ethical Issues 112
Chapter 10: Grief and Loss 127
Chapter 11: Anger, Hostility, and Aggression 142
Chapter 12: Abuse and Violence 157
Chapter 13: Trauma and Stressor-Related Disorders 172
Chapter 14: Anxiety and Anxiety Disorders 187
Chapter 15: Obsessive-Compulsive and Related Disorders 201
Chapter 16: Schizophrenia 215
Chapter 17: Mood Disorders and Suicide 229
Chapter 18: Personality Disorders 242
Chapter 19: Substance-Related Disorders 256
Chapter 20: Eating Disorders 271
Chapter 21: Somatic Symptom Illnesses 285
Chapter 22: Neurodevelopmental Disorders 300
Chapter 23: Disruptive Behavior Disorders 315
Chapter 24: Cognitive Disorders 330
,______________________________________________________________________________________________
Test Bank - Psychiatric Mental Health Nursing, 10th Edition (Videbeck, 2026)
Test Bank Questions, Chapter 1: Foundations of
Psychiatric–Mental Health Nursing
1. Prior to the period of the enlightenment, which treatment of the mentally ill
was prevalent?
A) Creating large institutions to provide custodial care
B) Focusing on religious education to improve their souls
C) Placing the mentally ill on display for the public's amusement
D) Providing a safe refuge or haven offering protection
2. A client is experiencing a "revolving door effect" due to their mental health
disorder. Which is the meaning behind this phenomenon?
A) An overall reduction in incidence of severe mental illness
B) Shorter and more frequent hospital stays for persons with severe and
persistent mental illness
C) Flexible treatment settings for the mentally ill
D) Most effective and least expensive treatment settings
3. The nurse is talking with family members of a client with a mental health
disorder, and they are relaying their issues with the treatment of their family
member in general. Which statement by the nurse to the client's family will
provide them with an explanation for this issue?
A) A client with a substance use disorder is effectively treated with brief
hospitalization.
B) Financial resources are reallocated from state hospitals to community
programs and support.
C) Only one in four people needing mental health services are receiving those
services.
D) Emergency department visits by persons who are acutely disturbed are
declining.
4. The nurse is providing an educational seminar for the nursing staff including
objectives from Healthy People 2030. Which priority objective for mental health
does the educator include?
A) Improved inpatient care
B) Primary prevention of emotional problems
C) Stress reduction and management
D) Treatment of mental illness
5. A client diagnosed with a mild anxiety disorder has been referred to treatment
in a community mental health center. Which treatment will be most beneficial
that the client will receive in this setting?
A) Medical management of symptoms
B) Daily psychotherapy
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Psychiatric Mental Health Nursing, 10th Edition (Videbeck, 2026)
C) Constant staff supervision
D) Psychological stabilization
6. Nursing education is broad in practice settings. The addition of psychiatric
nursing became a requirement in nursing education in 1950 by which regulation?
A) State Boards of Nursing
B) American Nurses Association
C) National League of Nursing
D) Nurse Practice Act
7. A novice nurse accepts a staff position at an inpatient mental health facility.
Which basic-level responsibility will the nurse expect to have?
A) Providing clinical supervision
B) Using effective communication skills
C) Adjusting client medications
D) Directing program development
8. A psychiatric–mental health nurse is conducting an in-service program for a
group of nurses which includes a review about the American Nurses Association
standards of practice for psychiatric–mental health nursing. After describing
these standards, the nurse determines that the teaching was successful when
the group identifies which information?
A) Prescriptive authority is granted to any psychiatric–mental health registered
nurses.
B) All aspects of the standard for implementation apply to psychiatric–mental
health registered nurses.
C) Advanced practice nurses have a different set of standards from those of the
psychiatric–mental health registered nurse.
D) Psychiatric–mental health advanced practice nurses are the only ones who
may provide psychotherapy.
9. The nurse identifies that mental health issues are constantly evolving. Which
is a standard of professional performance to keep in current practice?
A) Assessment
B) Education
C) Planning
D) Implementation
10. The student nurse is working in a forensic unit of the psychiatric inpatient
facility. Which is the nurse's priority action when a client becomes aggressive?
A) Assist other staff on the unit to take down the client safely
B) Maintain a safe distance from the client and call for assistance
C) Keep the client secluded from others
D) Reinforce boundaries when aggression is seen to maintain a safe environment
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Psychiatric Mental Health Nursing, 10th Edition (Videbeck, 2026)
11. If a client states, "I carry this lucky rabbit's foot for luck, my parent did too,
and it really works," which statement by the nurse reflects respect for the
client's belief?
A) "A rabbit's foot has never brought me luck. I don't know why people carry
them."
B) "Yes, the rabbit's foot can bring luck to some."
C) "I can accept that you feel it is lucky, so let's get to our activities for the
day."
D) "It is not appropriate to harm small animals for their parts."
12. A client with schizophrenia has been noncompliant with medications. The
client requires frequent admissions to the psychiatric unit for acute psychotic
episodes. Which process does the nurse address when creating a plan of care for
the client?
A) Escalated admissions
B) Revolving door
C) Deinstitutionalization
D) Boarding
13. The nurse is revising policies on the behavioral health unit to align with
current standards of practice to ensure safe, quality care. Which regulations that
guide the nursing profession will guide the nurse?
A) APNA (American Psychiatric Nurses Association)
B) DSM-5-TR (Diagnostic and Statistical Manual of Mental Disorders-5th ed.)
C) ANA (American Nurses Association)
D) USDHHS (U. S. Department of Health and Human Services)
14. The nurse is assessing a newly admitted client with cholecystitis. When
performing the admission assessment, which statement by the client is an
indicator of optimal mental health?
A) "I practice yoga regularly since it helps manage any stress I am feeling."
B) "I don't need anyone in my life, I manage well on my own."
C) "My family has several people with mental health problems."
D) "I had a history of alcohol use disorder and have been sober for 2 months."
15. The nurse is using the DSM-5-TR for a newly admitted client diagnosed with
bipolar I disorder. Which information will the nurse obtain to assist with the use
of this resource?
A) Use as a guide for client assessment
B) Devise a plan of care for a newly admitted client
C) Predict the client's prognosis of treatment outcomes
D) Document the appropriate diagnostic code in the client's medical record
16. A client with the inability to work due to relapsing schizophrenia is receiving
Social Security Benefits. Which benefit will this provide to the client experiencing
serious mental illness?
A) The client will be able to maintain some level of independence financially.
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Psychiatric Mental Health Nursing, 10th Edition (Videbeck, 2026)
B) The client will have the option to only obtain inpatient treatment.
C) The client will be able to pay all of their bills as well as purchase medication.
D) The client will have the ability to obtain psychiatric service regardless of
setting.
17. The nurse working in the ED of an urban hospital notifies the manager that
there are several clients with mental health disorders still present in the ED that
have been there over 48 hours. Which issue related to this phenomenon does
the nurse discuss with the manager?
A) Decision to practice boarding
B) Temporary detaining orders for clients
C) The revolving door for clients
D) The cost of holding clients in the ED for over 48 hours
18. The nurse is working in an inpatient mental health facility and caring for
several clients. Which client is most likely to experience the revolving door
phenomenon?
A) A client with a dual diagnosis of heroin use disorder and bipolar I disorder
B) A client living with both parents that adheres to prescribed medication
regimen
C) A client that has depression on antidepressants receiving electroconvulsive
therapy
D) A client with an acute situational crisis due to a natural disaster
19. The nurse is working in an inpatient mental health facility and caring for
several clients. Which client is most likely to experience the revolving door
phenomenon?
A) A client with a dual diagnosis of heroin use disorder and bipolar I disorder.
B) A client living with both parents that adheres to prescribed medication
regimen.
C) A client that has depression on antidepressants receiving electroconvulsive
therapy.
D) A client with an acute situational crisis due to a natural disaster.
20. The nurse is caring for a young adult client that is unable to work due to
chronic schizophrenia and the inability to procure the required medications for
treatment. Which referral to the case manager will the nurse make to assist the
client in obtaining the needed medications?
A) Medicaid services
B) Social Security Administration
C) A private insurance company
D) Permanent inpatient psychiatric placement
21. A novice nurse is beginning work on a behavioral health unit and states to
the preceptor, "What if I encounter a client that is sexually aggressive?" Which is
the appropriate response by the preceptor?
A) "Set firm limits and boundaries for the client."
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Psychiatric Mental Health Nursing, 10th Edition (Videbeck, 2026)
B) "It happens frequently so just ignore it, they will stop."
C) "Walk away and have someone else take care of the client."
D) "Tell the client that the nurse is going to report to the director of the unit"
22. The geriatric psychiatry nurse reviews the DSM-5-TR for the specific criteria
associated with a client's diagnosis. Which purpose does the nurse identify will
be obtained from reviewing this data? Select all that apply.
A) To provide the practitioner with standards of care for all clients
B) To provide a standardized nomenclature and language for all mental health
professionals
C) To provide standards for hospital and community-based institutions
D) To present defining characteristics or symptoms that differentiate specific
diagnoses
E) To assist in identifying the underlying causes of disorders
23. The nurse is performing an admission assessment for a client admitted to
the behavioral health unit. Which social/cultural category will the nurse
document that may be contributing to the client's degree of mental illness?
Select all that apply.
A) The client is unable to find work and does not have enough money for
housing.
B) The client states that they are discriminated against due to their country of
origin.
C) The client attributes life's problems to being without family support.
D) The client reports being unable to find anything meaningful within their life.
E) The client reports not belonging anywhere and is without family support.
24. The nurse is caring for clients in an outpatient facility for those that have
persistent or severe mental health disorders. Which factor(s) does the nurse
assess that indicates the outcome of nontreatment of this client population?
Select all that apply.
A) criminal behavior and incarceration
B) deterioration of personal relationships
C) worsening of the untreated mental health disorder
D) physical health disorders
E) seeking assistance from other mental health providers
25. A nurse is conducting a program about the current impact of consumers on
mental health recovery for a local community group tasked with providing
community mental health services. Which information would the nurse most
likely include in this program?
A) Consumers and professionals work collaboratively in a partnership.
B) Less support for mental health services is being demanded.
C) The traditional medical model is the focus of recovery care.
D) Recovery from mental illness is unrealistic but still a goal.
______________________________________________________________________________________________
5|Page
, ______________________________________________________________________________________________
Test Bank - Psychiatric Mental Health Nursing, 10th Edition (Videbeck, 2026)
Test Bank Answer Key, Chapter 1: Foundations
of Psychiatric–Mental Health Nursing
1. C. In 1775, visitors at St. Mary of Bethlehem were charged a fee for viewing
and ridiculing the mentally ill, who were seen as animals, less than human.
Custodial care was not often provided as persons who were considered harmless
were allowed to wander in the countryside or live in rural communities, and
more dangerous lunatics were imprisoned, chained, and starved. In early
Christian times, primitive beliefs and superstitions were strong. The mentally ill
were viewed as evil or possessed. Priests performed exorcisms to rid evil spirits,
and in the colonies, witch hunts were conducted with offenders burned at the
stake. It was not until the period of enlightenment when persons who were
mentally ill were offered asylum as a safe refuge or haven offering protection at
institutions.
Format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Remember
Integrated Process: Nursing Process (Clinical Problem-solving Process)
Page and Header: 3, Ancient Times
2. B. The revolving door effect refers to shorter, but more frequent, hospital
stays. Clients are quickly discharged into the community where services are not
adequate; without adequate community services, clients become acutely ill and
require rehospitalization. The revolving door effect does not refer to flexible
treatment settings for the mentally ill. This phenomenon is known to be costly
and inefficient. The revolving door effect does not relate to the incidence of
severe mental illness; it is associated with the ongoing treatment of chronic
illness.
Format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Remember
Integrated Process: Communication and Documentation
Page and Header: 4, MENTAL ILLNESS IN THE 21ST CENTURY
3. C. Only one in four adults needing mental health care receives the needed
services. Substance use disorders cannot be dealt within 3 to 5 days typical for
admissions in the current managed care environment. Money saved by states
when state hospitals were closed has not been transferred to community
programs and support. Although people with severe and persistent mental illness
have shorter hospital stays, they are admitted to hospitals more frequently. In
some cities, emergency department visits for acutely disturbed persons have
increased by 400% to 500%.
______________________________________________________________________________________________
6|Page
Psychiatric Mental Health Nursing
Sheila L. Videbeck
10th Edition
,Table of Contents
Chapter 01: Foundations of Psychiatric–Mental Health Nursing 1
Chapter 02: Neurobiologic Theories and Psychopharmacology 15
Chapter 03: Psychosocial Theories and Therapy 29
Chapter 04: Treatment Settings and Therapeutic Programs 42
Chapter 05: Therapeutic Relationships 56
Chapter 06: Therapeutic Communication 70
Chapter 07: Client’s Response to Illness 83
Chapter 08: Assessment 98
Chapter 09: Legal and Ethical Issues 112
Chapter 10: Grief and Loss 127
Chapter 11: Anger, Hostility, and Aggression 142
Chapter 12: Abuse and Violence 157
Chapter 13: Trauma and Stressor-Related Disorders 172
Chapter 14: Anxiety and Anxiety Disorders 187
Chapter 15: Obsessive-Compulsive and Related Disorders 201
Chapter 16: Schizophrenia 215
Chapter 17: Mood Disorders and Suicide 229
Chapter 18: Personality Disorders 242
Chapter 19: Substance-Related Disorders 256
Chapter 20: Eating Disorders 271
Chapter 21: Somatic Symptom Illnesses 285
Chapter 22: Neurodevelopmental Disorders 300
Chapter 23: Disruptive Behavior Disorders 315
Chapter 24: Cognitive Disorders 330
,______________________________________________________________________________________________
Test Bank - Psychiatric Mental Health Nursing, 10th Edition (Videbeck, 2026)
Test Bank Questions, Chapter 1: Foundations of
Psychiatric–Mental Health Nursing
1. Prior to the period of the enlightenment, which treatment of the mentally ill
was prevalent?
A) Creating large institutions to provide custodial care
B) Focusing on religious education to improve their souls
C) Placing the mentally ill on display for the public's amusement
D) Providing a safe refuge or haven offering protection
2. A client is experiencing a "revolving door effect" due to their mental health
disorder. Which is the meaning behind this phenomenon?
A) An overall reduction in incidence of severe mental illness
B) Shorter and more frequent hospital stays for persons with severe and
persistent mental illness
C) Flexible treatment settings for the mentally ill
D) Most effective and least expensive treatment settings
3. The nurse is talking with family members of a client with a mental health
disorder, and they are relaying their issues with the treatment of their family
member in general. Which statement by the nurse to the client's family will
provide them with an explanation for this issue?
A) A client with a substance use disorder is effectively treated with brief
hospitalization.
B) Financial resources are reallocated from state hospitals to community
programs and support.
C) Only one in four people needing mental health services are receiving those
services.
D) Emergency department visits by persons who are acutely disturbed are
declining.
4. The nurse is providing an educational seminar for the nursing staff including
objectives from Healthy People 2030. Which priority objective for mental health
does the educator include?
A) Improved inpatient care
B) Primary prevention of emotional problems
C) Stress reduction and management
D) Treatment of mental illness
5. A client diagnosed with a mild anxiety disorder has been referred to treatment
in a community mental health center. Which treatment will be most beneficial
that the client will receive in this setting?
A) Medical management of symptoms
B) Daily psychotherapy
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Psychiatric Mental Health Nursing, 10th Edition (Videbeck, 2026)
C) Constant staff supervision
D) Psychological stabilization
6. Nursing education is broad in practice settings. The addition of psychiatric
nursing became a requirement in nursing education in 1950 by which regulation?
A) State Boards of Nursing
B) American Nurses Association
C) National League of Nursing
D) Nurse Practice Act
7. A novice nurse accepts a staff position at an inpatient mental health facility.
Which basic-level responsibility will the nurse expect to have?
A) Providing clinical supervision
B) Using effective communication skills
C) Adjusting client medications
D) Directing program development
8. A psychiatric–mental health nurse is conducting an in-service program for a
group of nurses which includes a review about the American Nurses Association
standards of practice for psychiatric–mental health nursing. After describing
these standards, the nurse determines that the teaching was successful when
the group identifies which information?
A) Prescriptive authority is granted to any psychiatric–mental health registered
nurses.
B) All aspects of the standard for implementation apply to psychiatric–mental
health registered nurses.
C) Advanced practice nurses have a different set of standards from those of the
psychiatric–mental health registered nurse.
D) Psychiatric–mental health advanced practice nurses are the only ones who
may provide psychotherapy.
9. The nurse identifies that mental health issues are constantly evolving. Which
is a standard of professional performance to keep in current practice?
A) Assessment
B) Education
C) Planning
D) Implementation
10. The student nurse is working in a forensic unit of the psychiatric inpatient
facility. Which is the nurse's priority action when a client becomes aggressive?
A) Assist other staff on the unit to take down the client safely
B) Maintain a safe distance from the client and call for assistance
C) Keep the client secluded from others
D) Reinforce boundaries when aggression is seen to maintain a safe environment
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Psychiatric Mental Health Nursing, 10th Edition (Videbeck, 2026)
11. If a client states, "I carry this lucky rabbit's foot for luck, my parent did too,
and it really works," which statement by the nurse reflects respect for the
client's belief?
A) "A rabbit's foot has never brought me luck. I don't know why people carry
them."
B) "Yes, the rabbit's foot can bring luck to some."
C) "I can accept that you feel it is lucky, so let's get to our activities for the
day."
D) "It is not appropriate to harm small animals for their parts."
12. A client with schizophrenia has been noncompliant with medications. The
client requires frequent admissions to the psychiatric unit for acute psychotic
episodes. Which process does the nurse address when creating a plan of care for
the client?
A) Escalated admissions
B) Revolving door
C) Deinstitutionalization
D) Boarding
13. The nurse is revising policies on the behavioral health unit to align with
current standards of practice to ensure safe, quality care. Which regulations that
guide the nursing profession will guide the nurse?
A) APNA (American Psychiatric Nurses Association)
B) DSM-5-TR (Diagnostic and Statistical Manual of Mental Disorders-5th ed.)
C) ANA (American Nurses Association)
D) USDHHS (U. S. Department of Health and Human Services)
14. The nurse is assessing a newly admitted client with cholecystitis. When
performing the admission assessment, which statement by the client is an
indicator of optimal mental health?
A) "I practice yoga regularly since it helps manage any stress I am feeling."
B) "I don't need anyone in my life, I manage well on my own."
C) "My family has several people with mental health problems."
D) "I had a history of alcohol use disorder and have been sober for 2 months."
15. The nurse is using the DSM-5-TR for a newly admitted client diagnosed with
bipolar I disorder. Which information will the nurse obtain to assist with the use
of this resource?
A) Use as a guide for client assessment
B) Devise a plan of care for a newly admitted client
C) Predict the client's prognosis of treatment outcomes
D) Document the appropriate diagnostic code in the client's medical record
16. A client with the inability to work due to relapsing schizophrenia is receiving
Social Security Benefits. Which benefit will this provide to the client experiencing
serious mental illness?
A) The client will be able to maintain some level of independence financially.
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Psychiatric Mental Health Nursing, 10th Edition (Videbeck, 2026)
B) The client will have the option to only obtain inpatient treatment.
C) The client will be able to pay all of their bills as well as purchase medication.
D) The client will have the ability to obtain psychiatric service regardless of
setting.
17. The nurse working in the ED of an urban hospital notifies the manager that
there are several clients with mental health disorders still present in the ED that
have been there over 48 hours. Which issue related to this phenomenon does
the nurse discuss with the manager?
A) Decision to practice boarding
B) Temporary detaining orders for clients
C) The revolving door for clients
D) The cost of holding clients in the ED for over 48 hours
18. The nurse is working in an inpatient mental health facility and caring for
several clients. Which client is most likely to experience the revolving door
phenomenon?
A) A client with a dual diagnosis of heroin use disorder and bipolar I disorder
B) A client living with both parents that adheres to prescribed medication
regimen
C) A client that has depression on antidepressants receiving electroconvulsive
therapy
D) A client with an acute situational crisis due to a natural disaster
19. The nurse is working in an inpatient mental health facility and caring for
several clients. Which client is most likely to experience the revolving door
phenomenon?
A) A client with a dual diagnosis of heroin use disorder and bipolar I disorder.
B) A client living with both parents that adheres to prescribed medication
regimen.
C) A client that has depression on antidepressants receiving electroconvulsive
therapy.
D) A client with an acute situational crisis due to a natural disaster.
20. The nurse is caring for a young adult client that is unable to work due to
chronic schizophrenia and the inability to procure the required medications for
treatment. Which referral to the case manager will the nurse make to assist the
client in obtaining the needed medications?
A) Medicaid services
B) Social Security Administration
C) A private insurance company
D) Permanent inpatient psychiatric placement
21. A novice nurse is beginning work on a behavioral health unit and states to
the preceptor, "What if I encounter a client that is sexually aggressive?" Which is
the appropriate response by the preceptor?
A) "Set firm limits and boundaries for the client."
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Psychiatric Mental Health Nursing, 10th Edition (Videbeck, 2026)
B) "It happens frequently so just ignore it, they will stop."
C) "Walk away and have someone else take care of the client."
D) "Tell the client that the nurse is going to report to the director of the unit"
22. The geriatric psychiatry nurse reviews the DSM-5-TR for the specific criteria
associated with a client's diagnosis. Which purpose does the nurse identify will
be obtained from reviewing this data? Select all that apply.
A) To provide the practitioner with standards of care for all clients
B) To provide a standardized nomenclature and language for all mental health
professionals
C) To provide standards for hospital and community-based institutions
D) To present defining characteristics or symptoms that differentiate specific
diagnoses
E) To assist in identifying the underlying causes of disorders
23. The nurse is performing an admission assessment for a client admitted to
the behavioral health unit. Which social/cultural category will the nurse
document that may be contributing to the client's degree of mental illness?
Select all that apply.
A) The client is unable to find work and does not have enough money for
housing.
B) The client states that they are discriminated against due to their country of
origin.
C) The client attributes life's problems to being without family support.
D) The client reports being unable to find anything meaningful within their life.
E) The client reports not belonging anywhere and is without family support.
24. The nurse is caring for clients in an outpatient facility for those that have
persistent or severe mental health disorders. Which factor(s) does the nurse
assess that indicates the outcome of nontreatment of this client population?
Select all that apply.
A) criminal behavior and incarceration
B) deterioration of personal relationships
C) worsening of the untreated mental health disorder
D) physical health disorders
E) seeking assistance from other mental health providers
25. A nurse is conducting a program about the current impact of consumers on
mental health recovery for a local community group tasked with providing
community mental health services. Which information would the nurse most
likely include in this program?
A) Consumers and professionals work collaboratively in a partnership.
B) Less support for mental health services is being demanded.
C) The traditional medical model is the focus of recovery care.
D) Recovery from mental illness is unrealistic but still a goal.
______________________________________________________________________________________________
5|Page
, ______________________________________________________________________________________________
Test Bank - Psychiatric Mental Health Nursing, 10th Edition (Videbeck, 2026)
Test Bank Answer Key, Chapter 1: Foundations
of Psychiatric–Mental Health Nursing
1. C. In 1775, visitors at St. Mary of Bethlehem were charged a fee for viewing
and ridiculing the mentally ill, who were seen as animals, less than human.
Custodial care was not often provided as persons who were considered harmless
were allowed to wander in the countryside or live in rural communities, and
more dangerous lunatics were imprisoned, chained, and starved. In early
Christian times, primitive beliefs and superstitions were strong. The mentally ill
were viewed as evil or possessed. Priests performed exorcisms to rid evil spirits,
and in the colonies, witch hunts were conducted with offenders burned at the
stake. It was not until the period of enlightenment when persons who were
mentally ill were offered asylum as a safe refuge or haven offering protection at
institutions.
Format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Remember
Integrated Process: Nursing Process (Clinical Problem-solving Process)
Page and Header: 3, Ancient Times
2. B. The revolving door effect refers to shorter, but more frequent, hospital
stays. Clients are quickly discharged into the community where services are not
adequate; without adequate community services, clients become acutely ill and
require rehospitalization. The revolving door effect does not refer to flexible
treatment settings for the mentally ill. This phenomenon is known to be costly
and inefficient. The revolving door effect does not relate to the incidence of
severe mental illness; it is associated with the ongoing treatment of chronic
illness.
Format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Remember
Integrated Process: Communication and Documentation
Page and Header: 4, MENTAL ILLNESS IN THE 21ST CENTURY
3. C. Only one in four adults needing mental health care receives the needed
services. Substance use disorders cannot be dealt within 3 to 5 days typical for
admissions in the current managed care environment. Money saved by states
when state hospitals were closed has not been transferred to community
programs and support. Although people with severe and persistent mental illness
have shorter hospital stays, they are admitted to hospitals more frequently. In
some cities, emergency department visits for acutely disturbed persons have
increased by 400% to 500%.
______________________________________________________________________________________________
6|Page
