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,Nursing students are studying the historical perspectives of the treatment of mental illness. How would
you describe the progression of institutionalization during the Age of Enlightenment?
a. The treatment of mental illness progressed from asylums to behavioral centers
b. The treatment of mental illness progress from state hospital to behavioral centers
c. The treatment of mental illness progressed from institutions to asylums
d. The treatment of mental illness progressed from institutions to state hospitals - correct ans:c. The
treatment of mental illness progressed from institutions to asylums
Standards of professional performance are mandated by the American Nurses Association and the State
Boards of Nursing. It is therefore legally binding that the nurse acquires and maintains licensure to
practice nursing. When legal issues are present, which of the following standards of professional
behavior is involved?
a. Quality of care
b. Performance appraisal
c. Education
d. Collegiality - correct ans:c. Education
Many years ago, the number of public health hospital beds has been reduced since the advent of
deinstitutionalization. However, the result of this widespread effort to decrease the cost of mental
health illness has caused which of the following effects on the population by 90% according to the
Department of Health and Human Services?
a. Causes the effect of an increased level of wellness after discharge from the inpatient setting
b. Caused the effect of new federal legislation for the rights of the mentally ill
c. Caused the effect of an increased number of recidivism in the inpatient setting
d. Caused the effect of an increased amount of federal funding to the inpatient setting - correct ans:c.
Caused the effect of an increased number of recidivism in the inpatient setting
Student nurses are conducting a psychological assessment of the residents of one of the local behavioral
centers. In their assessment, the students have discovered that the general criteria common for
diagnosing mental illness are which of the following statements? Select all that apply.
,a. Lack of personal growth is a problem
b. Unsatisfying relationships are common
c. Ineffective coping can be depressing
d. Satisfaction with one's place in the world is most important - correct ans:a. Lack of personal growth is
a problem
b. Unsatisfying relationships are common
c. Ineffective coping can be depressing
Throughout ancient history into the early Christian era, disease and infirmity were characterized as
evolving from either divine or evil sources. Utilizing the information from your readings, determine
which period in history began the movement of mental illness from the result of an evil entity into
institutionalism?
a. The Greek and Roman period
b. The early 20th century
c. Th Dark Ages
d. The Age of Enlightenment - correct ans:d. The Age of Enlightenment
Student nurses were assigned to assess the local community that might be available for a mental health
client with a diagnosis of schizophrenia who had recently divorced and was living in public housing.
What should the student nurses understand regarding the purpose of the DSM and its relevance to the
community-based services in the event that a client is experiencing a socioeconomic crisis situation that
may impact the client's mental stability?
a. the DSM does not discuss community-based programs
b. the DSM classifies characteristics of psychosocial and environmental problems
c. the DSM is not designed to deal with problems that affect prognosis
d. the DSM is used by the psychiatric-mental health nurse to develop nursing plans of care - correct
ans:b. the DSM classifies characteristics of psychosocial and environmental problems
, Research regarding interpersonal factors related to mental health has been conducted. Detect which of
the following statements is most accurate when describing interpersonal factors related to mental
health?
a. the genetic makeup of the person
b. the level of the person's self-esteem
c. the effectiveness of communication
d. the level of the person's autonomy - correct ans:c. the effectiveness of communication
The student is reading a client's chart whose admitting diagnosis is schizophrenia. The progress notes in
the patient's chart refer to the American Psychiatric Association's Diagnosis and Statistical Manual of
Mental Disorders as the basis for reporting the client's diagnosis. What information does the student
nurse understand as an inaccurate statement regarding the purpose of the DSM?
a. the DSM provides a standardized nomenclature and language for all mental health professionals
b. the DSM assists in identifying the underlying causes of disorders
c. the DSM presents defining characteristics or symptoms that differentiate specific diagnoses
d. the DSM assists the nurse with a basis for diagnoses of the psychiatric clients' disorders - correct
ans:d. the DSM assists the nurse with a basis for diagnoses of the psychiatric clients' disorders
While researching a mental health community project, a student nurse discovers that only a small
number of adults are receiving the mental health services that they actually require. Determine the
reason for this discrepancy of delivery of care in community-based facilities.
a. mental illness is inadequately reported
b. inpatient psychiatric treatment is less expensive
c. mental health services are culturally relevant
d. federal legislation provides adequate income for the mentally ill - correct ans:a. mental illness is
inadequately reported
There was a shift in the US in the mid-20th century. Deinstitutionalization meant the mentally ill who
were being treated in state hospitals were relocated to community-based facilities. What would the