Mental Health Chapter 1, 2, 3
How can mental health be defined - correct answer No single, universal definition.
Many components influenced by many factors. Dynamic, ever changing
What are influencing factors of mental health - correct answer Individual (personal),
interpersonal (relationships), and social/cultural (environmental)
What is the general criteria for diagnosing mental illness - correct answer
Dissatisfaction with characteristics, abilities, and accomplishments. Ineffective/unsatisfying
relationships, dissatisfaction with one's place in the world, ineffective coping with life events, and lack of
personal growth.
What is the purpose for the Diagnostic and Statistical Manual of Mental Disorders (DSM): - correct
answer Defines all psychiatric diagnoses.
Standardized nomenclature.
Identify defining characteristics or symptoms.
Assist in identifying underlying causes.
Dorothea Dix - correct answer Started hospitals for the mentally ill. Initiated the
idea of asylums/safe heavens for people to be treated in. No discharging left there to die (1790 to early
1800s) Period of enlightenment
Sigmund Freud - correct answer Begin first scientific studying of treatments for
mental illness (early 1800s)Period of enlightenment
Psychopharmacology (1950s) development of psychotropic drugs. What is involved within the
community mental health movement of this time? - correct answer
Deinstitutionalization (pts are being D/C'ed)
Legislation for disability income (mental illness pts able to get income based on disability status)
Changes in commitment laws (use to be able to be committed by spouse/friend, now have to be
voluntarily committed, by court order, or by emergency detention (danger)).
,Now being treated in hopes of stabilizing or improving rather than left in asylums to die.
What is the percentage of americans 18 and older that have diagnosable mental disorder - correct
answer 26%, 15 million adults, 4 million children
T/F the economic burden of mental illness exceeds that by all types of cancer - correct answer
true
What is the revolving door effect - correct answer Shorter hospitals stays (3-5 days),
stabilize within hospital, decompensation at home, re-hospitalization, dual diagnosis (substance abuse
and other psychiatric diagnosis)
Medicare - correct answer over 65 or disabled
Medicaid - correct answer no job, poor
American nurses association and standards of care (box 1.3) - correct answer
Authoritative statements that describe the responsibilities that a nurse is held accountable for. Not
legally binding unless incorporated in state nurse practice act.
Psychiatric mental health nursing phenomena of concern (box 1.2) - correct answer
Describes 13 areas of concern that mental health nurses focus on for mentally ill patients
What are the basic level functions of an RN in a mental health - correct answer
Counseling, milieu therapy, self-care activities, psychobiologic interventions, health teaching, case
management, health promotion and maintenance
Roles of an advanced practice nurse in mental health - correct answer
psychotherapy, prescriptive authority, consultation and liasion, and evaluation
Hospitals established by Dorothea Dix were designed to provide which of the following?
A. Asylum
, B. Confinement
C. Therapeutic milieu
D. Public safety - correct answer A. Asylum ?
The concept of "revolving door" for people with mental illness evolved form which of the following
developments in mental health care.
A. need for shock therapy
B. Availability of psychotropic medications
C. Deinstitutionalization
D. Managed care - correct answer C. Deinstitutionalization
Description of the responsibilities of nurses practicing in mental health settings are listed in
A. state laws
B. ANA standards of care for psychiatric health nurse
C. Ana statement of nursing phenomena of concern
D. In hospital policies - correct answer B ANA standards of care for psychiatric
health nurse
Basic level of functioning for the psychiatric-mental health nurse includes:
A. Crisis intervention, psychobiologic interventions, teach self care activities
B. Psychotherapy, health teaching and case management
C. Clinical supervision and evaluation
D. Program development and management - correct answer A. Crisis intervention,
psychobiologic interventions, teach self care activities
The advantages of community based treatment programs include all of the following except:
A. enjoying personal freedom
B. Loss of motivation and hope
C. Improving functionality in ADLs
D. Contact with family and friends - correct answer B. Loss of motivation and hope
How can mental health be defined - correct answer No single, universal definition.
Many components influenced by many factors. Dynamic, ever changing
What are influencing factors of mental health - correct answer Individual (personal),
interpersonal (relationships), and social/cultural (environmental)
What is the general criteria for diagnosing mental illness - correct answer
Dissatisfaction with characteristics, abilities, and accomplishments. Ineffective/unsatisfying
relationships, dissatisfaction with one's place in the world, ineffective coping with life events, and lack of
personal growth.
What is the purpose for the Diagnostic and Statistical Manual of Mental Disorders (DSM): - correct
answer Defines all psychiatric diagnoses.
Standardized nomenclature.
Identify defining characteristics or symptoms.
Assist in identifying underlying causes.
Dorothea Dix - correct answer Started hospitals for the mentally ill. Initiated the
idea of asylums/safe heavens for people to be treated in. No discharging left there to die (1790 to early
1800s) Period of enlightenment
Sigmund Freud - correct answer Begin first scientific studying of treatments for
mental illness (early 1800s)Period of enlightenment
Psychopharmacology (1950s) development of psychotropic drugs. What is involved within the
community mental health movement of this time? - correct answer
Deinstitutionalization (pts are being D/C'ed)
Legislation for disability income (mental illness pts able to get income based on disability status)
Changes in commitment laws (use to be able to be committed by spouse/friend, now have to be
voluntarily committed, by court order, or by emergency detention (danger)).
,Now being treated in hopes of stabilizing or improving rather than left in asylums to die.
What is the percentage of americans 18 and older that have diagnosable mental disorder - correct
answer 26%, 15 million adults, 4 million children
T/F the economic burden of mental illness exceeds that by all types of cancer - correct answer
true
What is the revolving door effect - correct answer Shorter hospitals stays (3-5 days),
stabilize within hospital, decompensation at home, re-hospitalization, dual diagnosis (substance abuse
and other psychiatric diagnosis)
Medicare - correct answer over 65 or disabled
Medicaid - correct answer no job, poor
American nurses association and standards of care (box 1.3) - correct answer
Authoritative statements that describe the responsibilities that a nurse is held accountable for. Not
legally binding unless incorporated in state nurse practice act.
Psychiatric mental health nursing phenomena of concern (box 1.2) - correct answer
Describes 13 areas of concern that mental health nurses focus on for mentally ill patients
What are the basic level functions of an RN in a mental health - correct answer
Counseling, milieu therapy, self-care activities, psychobiologic interventions, health teaching, case
management, health promotion and maintenance
Roles of an advanced practice nurse in mental health - correct answer
psychotherapy, prescriptive authority, consultation and liasion, and evaluation
Hospitals established by Dorothea Dix were designed to provide which of the following?
A. Asylum
, B. Confinement
C. Therapeutic milieu
D. Public safety - correct answer A. Asylum ?
The concept of "revolving door" for people with mental illness evolved form which of the following
developments in mental health care.
A. need for shock therapy
B. Availability of psychotropic medications
C. Deinstitutionalization
D. Managed care - correct answer C. Deinstitutionalization
Description of the responsibilities of nurses practicing in mental health settings are listed in
A. state laws
B. ANA standards of care for psychiatric health nurse
C. Ana statement of nursing phenomena of concern
D. In hospital policies - correct answer B ANA standards of care for psychiatric
health nurse
Basic level of functioning for the psychiatric-mental health nurse includes:
A. Crisis intervention, psychobiologic interventions, teach self care activities
B. Psychotherapy, health teaching and case management
C. Clinical supervision and evaluation
D. Program development and management - correct answer A. Crisis intervention,
psychobiologic interventions, teach self care activities
The advantages of community based treatment programs include all of the following except:
A. enjoying personal freedom
B. Loss of motivation and hope
C. Improving functionality in ADLs
D. Contact with family and friends - correct answer B. Loss of motivation and hope
