Psychiatric Nursing Contemporary Practice 7th Edition by Ann Boyd Test Bank
,Chapter 01: Psychiatric–Mental Health Nursing and Evidence-Based Practice
1. A group of nurses 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 nurses
demonstrate an understanding of this information when they identify that the report recommended an increase in
what?
A) Number of mental health hospitals
B) Institutionalization of clients with mental health problems
C) Number of clinics supplemented by general hospital units
D) Use of psychotherapy by psychiatrists
ANS: C
Feedback:
The final report of the Joint Commission on Mental Illness and Health, called Action for Mental Health,
recommended increased numbers of community clinics supplemented by general hospital units for mental
illness care. The ideas in the report shifted responsibility for mental health care to the federal, state, and local
governments.
PTS: 1 REF: 9, A New National Objective: Community Treatment
OBJ: 5 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Remember
NOT: Multiple Choice
2. A nurse is reviewing literature that sanctions the involvement of psychiatric–mental 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 as most strongly linked to this holistic approach?
A) Sigmund Freud’s psychoanalytic theory
B) Florence Nightingale’s Notes on Nursing
C) Lavinia Lloyd Dock’s Materia Medica for Nurses
D) Clifford Beers’ A Mind That Found Itself
ANS: B
Feedback:
The American Nurses Association’s Statement on Psychiatric Nursing Practice (1967) officially sanctioned a
holistic approach to nursing care for the first time. The roots of this contemporary psychiatric–mental health
nursing thought can be traced to Florence Nightingale’s Notes on Nursing, which presented a holistic view of
the patient, with the view of the patient as living within a family and community. Freud’s psychoanalytic theory
focused on personality development and unconscious motivations for drives. Beers’ autobiography described
the inhumane treatments used for mental illness, which led to the formation of a National Committee for Mental
Hygiene.
PTS: 1 REF: 2–3, Emergence of Modern Nursing Perspectives
OBJ: 2 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Analyze
NOT: Multiple Choice
3. A psychiatric–mental health nurse 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 would the nurse most likely 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.
ANS: A
Feedback:
During World War II, mental illness was beginning to be seen as a problem that could happen to anyone. Many
“normal” people who volunteered for service were disqualified on the grounds that they were psychologically
unfit to serve. Others who had already served a tour of duty developed psychiatric and emotional problems
related to their wartime experiences. The biologic understanding of mental illness continues to evolve.
Deinstitutionalization and the community mental health movement occurred during the 1960s. In the early 20th
century, Freud categorized mental illness as either a psychosis or neurosis.
PTS: 1 REF: 8, National Action OBJ: 4
NAT: Client Needs: Health Promotion and Maintenance
KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Apply
NOT: Multiple Choice
4. A nurse is presenting a discussion of the history of psychiatric–mental health nursing and its place within
nursing history. Which would be most appropriate to include?
A) Certification for the psychiatric–mental health nursing specialty was first emphasized by
Mary Adelaide Nutting.
B) Psychiatric nurses played a part in seeing that all deinstitutionalized clients got treatment
at community mental health centers.
C) There is a historical link between the first nursing program to admit male students and the
first training school for psychiatric nursing.
D) The first graduate program in psychiatric nursing was established in response to the
publication of psychiatric nursing specialty journals.
ANS: C
Feedback:
In 1882, the first training school for psychiatric nursing was established at the McLean Asylum by E. Cowles;
this was also the first nursing program to admit men. Nutting emphasized psychiatric–mental health nursing role
development. Unfortunately, deinstitutionalization failed. Hildegard E. Peplau was responsible for establishing
the first graduate program in psychiatric–mental health nursing, in 1954. Publication of journals soon followed,
beginning in the 1960s.
PTS: 1 REF: 3, Box 1.2 History of Psychiatric–Mental Health Nursing
OBJ: 2 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Analyze
NOT: Multiple Choice
5. When reviewing the evolution of mental health and illness care, which event is associated with mental disorders
beginning to be viewed as illnesses requiring treatment?
A) Establishment of Pennsylvania Hospital in Philadelphia
B) Quaker establishment of asylums
C) Creation of the state hospital system
D) Freud’s views on the causes of mental illnesses
ANS: A
Feedback:
, Mental disorders began to be viewed as illnesses with the establishment of Pennsylvania Hospital, the first
institution in the United States to receive those with mental disorders for treatment and cure. The Quaker
establishment of asylums reflected the impetus toward moral treatment. Dorothea L. Dix advocated for the
humane treatment of clients with mental illness with the creation of state hospitals. Freud believed that the
primary causes of mental illnesses were psychological and a result of disturbed personality development and
faulty parenting.
PTS: 1 REF: 5, Table 1.1 Premoral Treatment Era
OBJ: 2 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Apply
NOT: Multiple Choice
6. A psychiatric–mental health nurse is working on a committee that is developing programs that integrate the
objectives for mental health and mental disorders, as identified in Healthy People 2030. Which type of program
would be least appropriate?
A) Single substance abuse treatment programs
B) Depression-screening programs for primary care providers
C) Mental health programs for the homeless population
D) Employment programs for those with serious mental illness
ANS: A
Feedback:
The objectives of Healthy People 2030 identify the need to increase the proportion of persons with co-occurring
substance abuse and mental disorders receiving treatment for both disorders. Thus, single substance abuse
treatment programs would be least beneficial. The objectives call for an increase in depression screening by
primary care providers, an increase in the proportion of homeless adults with mental health problems who
receive mental health treatment, and an increase in the proportion of persons with serious mental illness who are
employed.
PTS: 1 REF: 10, National Mental Health Objectives
OBJ: 5 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Analyze
NOT: Multiple Choice
7. The following events are important in the development of psychiatric–mental health nursing practice. Which
event occurred first?
A) Publication of Standards of Psychiatric-Mental Health Nursing by the ANA
B) Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nursing
Practice
C) Establishment of the first graduate program in psychiatric nursing at Rutgers University
D) Publication of the first psychiatric nursing text, Nursing Mental Disease, by Harriet Bailey
ANS: D
Feedback:
In 1920, the first psychiatric nursing text was published. In 1954, the first graduate program in psychiatric
nursing was established. In 1967, the ANA published the Standards of Psychiatric-Mental Health Nursing. In
1985, the Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice was published.
PTS: 1 REF: 2, Early Founders OBJ: 2
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Remember
NOT: Multiple Choice
,Chapter 01: Psychiatric–Mental Health Nursing and Evidence-Based Practice
1. A group of nurses 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 nurses
demonstrate an understanding of this information when they identify that the report recommended an increase in
what?
A) Number of mental health hospitals
B) Institutionalization of clients with mental health problems
C) Number of clinics supplemented by general hospital units
D) Use of psychotherapy by psychiatrists
ANS: C
Feedback:
The final report of the Joint Commission on Mental Illness and Health, called Action for Mental Health,
recommended increased numbers of community clinics supplemented by general hospital units for mental
illness care. The ideas in the report shifted responsibility for mental health care to the federal, state, and local
governments.
PTS: 1 REF: 9, A New National Objective: Community Treatment
OBJ: 5 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Remember
NOT: Multiple Choice
2. A nurse is reviewing literature that sanctions the involvement of psychiatric–mental 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 as most strongly linked to this holistic approach?
A) Sigmund Freud’s psychoanalytic theory
B) Florence Nightingale’s Notes on Nursing
C) Lavinia Lloyd Dock’s Materia Medica for Nurses
D) Clifford Beers’ A Mind That Found Itself
ANS: B
Feedback:
The American Nurses Association’s Statement on Psychiatric Nursing Practice (1967) officially sanctioned a
holistic approach to nursing care for the first time. The roots of this contemporary psychiatric–mental health
nursing thought can be traced to Florence Nightingale’s Notes on Nursing, which presented a holistic view of
the patient, with the view of the patient as living within a family and community. Freud’s psychoanalytic theory
focused on personality development and unconscious motivations for drives. Beers’ autobiography described
the inhumane treatments used for mental illness, which led to the formation of a National Committee for Mental
Hygiene.
PTS: 1 REF: 2–3, Emergence of Modern Nursing Perspectives
OBJ: 2 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Analyze
NOT: Multiple Choice
3. A psychiatric–mental health nurse 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 would the nurse most likely 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.
ANS: A
Feedback:
During World War II, mental illness was beginning to be seen as a problem that could happen to anyone. Many
“normal” people who volunteered for service were disqualified on the grounds that they were psychologically
unfit to serve. Others who had already served a tour of duty developed psychiatric and emotional problems
related to their wartime experiences. The biologic understanding of mental illness continues to evolve.
Deinstitutionalization and the community mental health movement occurred during the 1960s. In the early 20th
century, Freud categorized mental illness as either a psychosis or neurosis.
PTS: 1 REF: 8, National Action OBJ: 4
NAT: Client Needs: Health Promotion and Maintenance
KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Apply
NOT: Multiple Choice
4. A nurse is presenting a discussion of the history of psychiatric–mental health nursing and its place within
nursing history. Which would be most appropriate to include?
A) Certification for the psychiatric–mental health nursing specialty was first emphasized by
Mary Adelaide Nutting.
B) Psychiatric nurses played a part in seeing that all deinstitutionalized clients got treatment
at community mental health centers.
C) There is a historical link between the first nursing program to admit male students and the
first training school for psychiatric nursing.
D) The first graduate program in psychiatric nursing was established in response to the
publication of psychiatric nursing specialty journals.
ANS: C
Feedback:
In 1882, the first training school for psychiatric nursing was established at the McLean Asylum by E. Cowles;
this was also the first nursing program to admit men. Nutting emphasized psychiatric–mental health nursing role
development. Unfortunately, deinstitutionalization failed. Hildegard E. Peplau was responsible for establishing
the first graduate program in psychiatric–mental health nursing, in 1954. Publication of journals soon followed,
beginning in the 1960s.
PTS: 1 REF: 3, Box 1.2 History of Psychiatric–Mental Health Nursing
OBJ: 2 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Analyze
NOT: Multiple Choice
5. When reviewing the evolution of mental health and illness care, which event is associated with mental disorders
beginning to be viewed as illnesses requiring treatment?
A) Establishment of Pennsylvania Hospital in Philadelphia
B) Quaker establishment of asylums
C) Creation of the state hospital system
D) Freud’s views on the causes of mental illnesses
ANS: A
Feedback:
, Mental disorders began to be viewed as illnesses with the establishment of Pennsylvania Hospital, the first
institution in the United States to receive those with mental disorders for treatment and cure. The Quaker
establishment of asylums reflected the impetus toward moral treatment. Dorothea L. Dix advocated for the
humane treatment of clients with mental illness with the creation of state hospitals. Freud believed that the
primary causes of mental illnesses were psychological and a result of disturbed personality development and
faulty parenting.
PTS: 1 REF: 5, Table 1.1 Premoral Treatment Era
OBJ: 2 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Apply
NOT: Multiple Choice
6. A psychiatric–mental health nurse is working on a committee that is developing programs that integrate the
objectives for mental health and mental disorders, as identified in Healthy People 2030. Which type of program
would be least appropriate?
A) Single substance abuse treatment programs
B) Depression-screening programs for primary care providers
C) Mental health programs for the homeless population
D) Employment programs for those with serious mental illness
ANS: A
Feedback:
The objectives of Healthy People 2030 identify the need to increase the proportion of persons with co-occurring
substance abuse and mental disorders receiving treatment for both disorders. Thus, single substance abuse
treatment programs would be least beneficial. The objectives call for an increase in depression screening by
primary care providers, an increase in the proportion of homeless adults with mental health problems who
receive mental health treatment, and an increase in the proportion of persons with serious mental illness who are
employed.
PTS: 1 REF: 10, National Mental Health Objectives
OBJ: 5 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Analyze
NOT: Multiple Choice
7. The following events are important in the development of psychiatric–mental health nursing practice. Which
event occurred first?
A) Publication of Standards of Psychiatric-Mental Health Nursing by the ANA
B) Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nursing
Practice
C) Establishment of the first graduate program in psychiatric nursing at Rutgers University
D) Publication of the first psychiatric nursing text, Nursing Mental Disease, by Harriet Bailey
ANS: D
Feedback:
In 1920, the first psychiatric nursing text was published. In 1954, the first graduate program in psychiatric
nursing was established. In 1967, the ANA published the Standards of Psychiatric-Mental Health Nursing. In
1985, the Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice was published.
PTS: 1 REF: 2, Early Founders OBJ: 2
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Remember
NOT: Multiple Choice
