,Unit I: Foundations of Psychiatric-Mental Health
Nursing
Chapter 1: Psychiatric-Mental Health Nursing and
EvidenceBased Practice
(Questions 1-50)
1. A group of nursing students are reviewing information about the evolution of mental
health care and are discussing the recommendations of the final report of the Joint
Commission on Mental Illness and Health. The students demonstrate understanding of
this information when they identify that the report recommended an increase in which
of the following?
A) Numbers of mental health hospitals
B) State funding for mental health care
C) Clinics supplemented by general hospital units
D) Use of psychotherapy by psychiatrists
Answer: C
Rationale: The Joint Commission on Mental Illness and Health (1961) recommended the
development of community mental health centers and clinics supplemented by general
hospital units. This was a significant shift away from large state mental hospitals toward
community-based care. Options A and B represent the old model of institutionalization.
Option D was not a primary recommendation of this report.
,Client Need: Psychosocial Integrity
Cognitive Level: Understanding
Integrated Process: Teaching/Learning
2. A nurse is reviewing the American Nurses Association's Statement on Psychiatric
Nursing Practice published in 1967, which sanctioned the involvement of
psychiatricmental health nurses in the provision of holistic nursing care. Integrating
knowledge of the various theories and views of mental health and illness, the nurse
identifies which of the following as most strongly linked to this holistic approach?
A) Sigmund Freud's psychoanalytic theory
B) Florence Nightingale's Notes on Nursing
C) Hildegard Peplau's Interpersonal Relations in Nursing
D) Clifford Beers' A Mind That Found Itself
Answer: C
Rationale: Hildegard Peplau's "Interpersonal Relations in Nursing" (1952) laid the
foundation for psychiatric-mental health nursing as a specialty. Peplau emphasized the
therapeutic nurse-patient relationship and the nurse's role in promoting mental health.
Her work revolutionized psychiatric nursing from an institutional custodial role to a
therapeutic role based on interpersonal relationships. Nightingale (B) focused on
environmental factors. Freud (A) focused on psychoanalysis. Beers (D) was a mental
health advocate but not a nurse theorist.
Client Need: Psychosocial Integrity
Cognitive Level: Analyzing
Integrated Process: Nursing Process: Evaluation
, 3. A nursing instructor is preparing a presentation about key events and people that
influenced the development of contemporary mental health and illness care. When
describing the effects of World War II, which of the following would the instructor
include?
A) People began to view mental illness as more commonplace and acceptable.
B) The biologic understanding of mental illness was almost fully developed.
C) Deinstitutionalization occurred in response to the community health movement.
D) Mental illnesses became categorized as psychoses or neuroses.
Answer: A
Rationale: During and after World War II, returning veterans with "shell shock" (now
known as PTSD) brought mental health into public consciousness. Mental illness became
viewed as more commonplace, and the stigma began to decrease. Additionally, the
National Mental Health Act of 1946 (which established NIMH) and the Hill-Burton Act
increased funding for mental health services. Option B is incorrect because biologic
understanding was still developing. Deinstitutionalization (C) occurred later in the
1960s-1970s. Categorization as psychoses/neuroses (D) was from the work of Emil
Kraepelin earlier in the 20th century.
Client Need: Psychosocial Integrity
Cognitive Level: Remembering
Integrated Process: Teaching/Learning
4. A nursing student is presenting a discussion of the history of psychiatric-mental
health nursing and its place within nursing history. Which of the following would be
most appropriate to include?
Nursing
Chapter 1: Psychiatric-Mental Health Nursing and
EvidenceBased Practice
(Questions 1-50)
1. A group of nursing students are reviewing information about the evolution of mental
health care and are discussing the recommendations of the final report of the Joint
Commission on Mental Illness and Health. The students demonstrate understanding of
this information when they identify that the report recommended an increase in which
of the following?
A) Numbers of mental health hospitals
B) State funding for mental health care
C) Clinics supplemented by general hospital units
D) Use of psychotherapy by psychiatrists
Answer: C
Rationale: The Joint Commission on Mental Illness and Health (1961) recommended the
development of community mental health centers and clinics supplemented by general
hospital units. This was a significant shift away from large state mental hospitals toward
community-based care. Options A and B represent the old model of institutionalization.
Option D was not a primary recommendation of this report.
,Client Need: Psychosocial Integrity
Cognitive Level: Understanding
Integrated Process: Teaching/Learning
2. A nurse is reviewing the American Nurses Association's Statement on Psychiatric
Nursing Practice published in 1967, which sanctioned the involvement of
psychiatricmental health nurses in the provision of holistic nursing care. Integrating
knowledge of the various theories and views of mental health and illness, the nurse
identifies which of the following as most strongly linked to this holistic approach?
A) Sigmund Freud's psychoanalytic theory
B) Florence Nightingale's Notes on Nursing
C) Hildegard Peplau's Interpersonal Relations in Nursing
D) Clifford Beers' A Mind That Found Itself
Answer: C
Rationale: Hildegard Peplau's "Interpersonal Relations in Nursing" (1952) laid the
foundation for psychiatric-mental health nursing as a specialty. Peplau emphasized the
therapeutic nurse-patient relationship and the nurse's role in promoting mental health.
Her work revolutionized psychiatric nursing from an institutional custodial role to a
therapeutic role based on interpersonal relationships. Nightingale (B) focused on
environmental factors. Freud (A) focused on psychoanalysis. Beers (D) was a mental
health advocate but not a nurse theorist.
Client Need: Psychosocial Integrity
Cognitive Level: Analyzing
Integrated Process: Nursing Process: Evaluation
, 3. A nursing instructor is preparing a presentation about key events and people that
influenced the development of contemporary mental health and illness care. When
describing the effects of World War II, which of the following would the instructor
include?
A) People began to view mental illness as more commonplace and acceptable.
B) The biologic understanding of mental illness was almost fully developed.
C) Deinstitutionalization occurred in response to the community health movement.
D) Mental illnesses became categorized as psychoses or neuroses.
Answer: A
Rationale: During and after World War II, returning veterans with "shell shock" (now
known as PTSD) brought mental health into public consciousness. Mental illness became
viewed as more commonplace, and the stigma began to decrease. Additionally, the
National Mental Health Act of 1946 (which established NIMH) and the Hill-Burton Act
increased funding for mental health services. Option B is incorrect because biologic
understanding was still developing. Deinstitutionalization (C) occurred later in the
1960s-1970s. Categorization as psychoses/neuroses (D) was from the work of Emil
Kraepelin earlier in the 20th century.
Client Need: Psychosocial Integrity
Cognitive Level: Remembering
Integrated Process: Teaching/Learning
4. A nursing student is presenting a discussion of the history of psychiatric-mental
health nursing and its place within nursing history. Which of the following would be
most appropriate to include?
