NUR2140 EXAM #1 QUESTIONS WITH
CORRECT ANSWERS
During which stage of Freud's developmental model does a toddler develop a sense
of autonomy by withholding? (CH1)
A) Oral
B) Anal
C) Genital
D) Oedipal - ANSWER-B) Anal
According to Freud, a toddler develops a sense of autonomy through withholding in
the anal stage of development. Infants pass through the oral stage, experiencing the
world through symbolic oral ingestion. In the genital stage a beginning sense of
sexuality emerges within the framework of the Oedipal relationship.
The creation of asylums during the 1800s was meant to: (CH1)
A) improve treatment of mental disorders.
B) provide food and shelter for the mentally ill.
C) punish people with mental illness who were believed to be possessed.
D) remove dangerous people with mental illness from the community. - ANSWER-B)
provide food and shelter for the mentally ill.
The asylum was meant to be a safe haven with food, shelter, and humane treatment
for the mentally ill. Asylums were not used to improve treatment of mental disorders
or to punish mentally ill people who were believed to be possessed. The asylum was
not created to remove the dangerously mentally ill from the community.
One of the primary reforms accomplished by Dorothea Lynde Dix was the ... (CH1)
A) establishment of "commitment" laws in state legislatures.
B) establishment or enlargement of state hospitals.
C) use of music to treat mentally ill clients.
D) use of exercise therapy to treat mentally ill clients. - ANSWER-B) establishment
or enlargement of state hospitals.
One of the primary reforms accomplished by Dorothea Lynde Dix was the
establishment or enlargement of state hospitals to treat the mentally ill. She also was
instrumental in the establishment of mental hospitals in England, Canada, and
Europe in the 19th century.
The nurse knows that mental health issues are constantly changing. Which is a
standard of professional performance to keep in current practice? (CH1)
A) Assessment
B) Education
C) Planning
D) Implementation - ANSWER-B) Education
Education is a standard of professional performance. Other standards of
professional performance include the quality of practice, professional practice
evaluation, collegiality, collaboration, ethics, research, resource utilization, and
,leadership. Assessment, planning, and implementation are components of the
nursing process, not standards of professional performance.
A nurse is reading a journal article about the evolution of psychiatric-mental health
nursing. Which individual would the nurse identify as being the first to address the
education of psychiatric nursing? (Ch1)
A) Effie Taylor
B) Linda Richards
C) Harriet Bailey
D) Hildegarde Peplau - ANSWER-A) Effie Taylor
Linda Richards, the first trained nurse in the United States, opened the Boston City
Hospital Training School for Nurses in 1882 at McLean Hospital, a mental health
facility (Cowles, 1887). Employees of McLean were recruited into the nursing
program to learn to provide physical care for patients with mental disorders who
developed medical illnesses. In 1913, Effie Taylor integrated psychiatric nursing
content into the curriculum at Johns Hopkins' Phipps Clinic. The first psychiatric
nursing textbook, Nursing Mental Disease, was written by Harriet Bailey in 1920.
Gradually, nursing education programs in psychiatric hospitals were phased into
mainstream nursing education programs. In 1952, Hildegarde Peplau published her
landmark work which introduced psychiatric-mental health nursing practice to the
concepts of interpersonal relations and the therapeutic relationship.
Deinstitutionalization has resulted in which of the following? (Ch1)
A) Increased community resources
B) Ability of community-based programs to get increased funding
C) A revolving door of repetitive hospital admission
D) Ability of a majority of mental health clients to achieve independence - ANSWER-
C) A revolving door of repetitive hospital admission
Deinstitutionalization has resulted in a revolving door of repetitive hospital admission.
It has decreased community resources, with less funding, and it has made it more
difficult for mental health clients to achieve independence.
The application of psychiatric mental health nursing theory to promote holistic client
care in the therapeutic relationship is grounded in the work of which historical figure?
(Ch1)
A) Benner
B) Peplau
C) Freud
D) Dix - ANSWER-B) Peplau
In 1952, Peplau published the landmark work, Interpersonal Relations in Nursing. It
introduced psychiatric and mental health nursing practice to the concepts of
interpersonal relations and the importance of the therapeutic relationship. The nurse-
client relationship supported a holistic perspective on client care.
Dorothea Dix's solution to gain humane treatment for the mentally ill population
included what? (CH1)
A) Community centers
B) Asylums
C) State hospitals
D) Locked wards - ANSWER-C) State hospitals
, Dorothea Dix, a vigorous crusader for the humane treatment of clients with mental
illness, was responsible for much of the reform of the mental health care system in
the 19th century. Her solution was state hospitals.
A universal condition that shapes the way we think, feel and communicate refers to:
(CH2)
A) mental illness.
B) mental wellness.
C) mental health.
D) mental stability. - ANSWER-C) mental health.
A universal condition that shapes the way we think, feel and communicate refers to
mental health.
Which statement is most accurate about the Diagnostic and Statistical Manual of
Mental Disorders-5? (CH2)
A) The diagnoses avoid the inclusion of subtypes.
B) Specifiers for classification are extremely rare.
C) Boundaries separating disorders are not absolute.
D) The manifestations of disorders are consistent over time. - ANSWER-C)
Boundaries separating disorders are not absolute.
Mental disorders are organized and diagnosed according to criteria published in the
Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5; American
Psychiatric Association, 2013). The current DSM-5 system contains subtypes and
other specifiers that further classify disorders. Although the DSM-5 specifies criteria
for diagnosing mental disorders, there are no absolute boundaries separating one
disorder from another, and disorders often have different manifestations at different
points in time.
A psychiatric-mental health nurse is providing care to a client with post-traumatic
stress disorder who is homeless. The nurse is collaborating with the client to find a
stable group home so that the client no longer lives on the street. The nurse is
addressing which dimension of recovery? (Ch2)
A) Health
B) Home
C) Purpose
D) Community - ANSWER-B) Home
Trying to find the client a safe and stable place to live addresses the dimension of
home. Other dimensions include: health (managing disease and living in a physically
and emotionally healthy way), purpose (meaningful daily activities and
independence, resources, and income), and community (relationships and social
networks).
A key element in the definition of mental illness is that ... (CH2)
A) The individual must have difficulties in functioning that cause distress and/or
impairment of some type.
B) The individual must need medications in order for the diagnosis to be of mental
origin.
C) The individual must acknowledge that he or she is having difficulties in
functioning.
CORRECT ANSWERS
During which stage of Freud's developmental model does a toddler develop a sense
of autonomy by withholding? (CH1)
A) Oral
B) Anal
C) Genital
D) Oedipal - ANSWER-B) Anal
According to Freud, a toddler develops a sense of autonomy through withholding in
the anal stage of development. Infants pass through the oral stage, experiencing the
world through symbolic oral ingestion. In the genital stage a beginning sense of
sexuality emerges within the framework of the Oedipal relationship.
The creation of asylums during the 1800s was meant to: (CH1)
A) improve treatment of mental disorders.
B) provide food and shelter for the mentally ill.
C) punish people with mental illness who were believed to be possessed.
D) remove dangerous people with mental illness from the community. - ANSWER-B)
provide food and shelter for the mentally ill.
The asylum was meant to be a safe haven with food, shelter, and humane treatment
for the mentally ill. Asylums were not used to improve treatment of mental disorders
or to punish mentally ill people who were believed to be possessed. The asylum was
not created to remove the dangerously mentally ill from the community.
One of the primary reforms accomplished by Dorothea Lynde Dix was the ... (CH1)
A) establishment of "commitment" laws in state legislatures.
B) establishment or enlargement of state hospitals.
C) use of music to treat mentally ill clients.
D) use of exercise therapy to treat mentally ill clients. - ANSWER-B) establishment
or enlargement of state hospitals.
One of the primary reforms accomplished by Dorothea Lynde Dix was the
establishment or enlargement of state hospitals to treat the mentally ill. She also was
instrumental in the establishment of mental hospitals in England, Canada, and
Europe in the 19th century.
The nurse knows that mental health issues are constantly changing. Which is a
standard of professional performance to keep in current practice? (CH1)
A) Assessment
B) Education
C) Planning
D) Implementation - ANSWER-B) Education
Education is a standard of professional performance. Other standards of
professional performance include the quality of practice, professional practice
evaluation, collegiality, collaboration, ethics, research, resource utilization, and
,leadership. Assessment, planning, and implementation are components of the
nursing process, not standards of professional performance.
A nurse is reading a journal article about the evolution of psychiatric-mental health
nursing. Which individual would the nurse identify as being the first to address the
education of psychiatric nursing? (Ch1)
A) Effie Taylor
B) Linda Richards
C) Harriet Bailey
D) Hildegarde Peplau - ANSWER-A) Effie Taylor
Linda Richards, the first trained nurse in the United States, opened the Boston City
Hospital Training School for Nurses in 1882 at McLean Hospital, a mental health
facility (Cowles, 1887). Employees of McLean were recruited into the nursing
program to learn to provide physical care for patients with mental disorders who
developed medical illnesses. In 1913, Effie Taylor integrated psychiatric nursing
content into the curriculum at Johns Hopkins' Phipps Clinic. The first psychiatric
nursing textbook, Nursing Mental Disease, was written by Harriet Bailey in 1920.
Gradually, nursing education programs in psychiatric hospitals were phased into
mainstream nursing education programs. In 1952, Hildegarde Peplau published her
landmark work which introduced psychiatric-mental health nursing practice to the
concepts of interpersonal relations and the therapeutic relationship.
Deinstitutionalization has resulted in which of the following? (Ch1)
A) Increased community resources
B) Ability of community-based programs to get increased funding
C) A revolving door of repetitive hospital admission
D) Ability of a majority of mental health clients to achieve independence - ANSWER-
C) A revolving door of repetitive hospital admission
Deinstitutionalization has resulted in a revolving door of repetitive hospital admission.
It has decreased community resources, with less funding, and it has made it more
difficult for mental health clients to achieve independence.
The application of psychiatric mental health nursing theory to promote holistic client
care in the therapeutic relationship is grounded in the work of which historical figure?
(Ch1)
A) Benner
B) Peplau
C) Freud
D) Dix - ANSWER-B) Peplau
In 1952, Peplau published the landmark work, Interpersonal Relations in Nursing. It
introduced psychiatric and mental health nursing practice to the concepts of
interpersonal relations and the importance of the therapeutic relationship. The nurse-
client relationship supported a holistic perspective on client care.
Dorothea Dix's solution to gain humane treatment for the mentally ill population
included what? (CH1)
A) Community centers
B) Asylums
C) State hospitals
D) Locked wards - ANSWER-C) State hospitals
, Dorothea Dix, a vigorous crusader for the humane treatment of clients with mental
illness, was responsible for much of the reform of the mental health care system in
the 19th century. Her solution was state hospitals.
A universal condition that shapes the way we think, feel and communicate refers to:
(CH2)
A) mental illness.
B) mental wellness.
C) mental health.
D) mental stability. - ANSWER-C) mental health.
A universal condition that shapes the way we think, feel and communicate refers to
mental health.
Which statement is most accurate about the Diagnostic and Statistical Manual of
Mental Disorders-5? (CH2)
A) The diagnoses avoid the inclusion of subtypes.
B) Specifiers for classification are extremely rare.
C) Boundaries separating disorders are not absolute.
D) The manifestations of disorders are consistent over time. - ANSWER-C)
Boundaries separating disorders are not absolute.
Mental disorders are organized and diagnosed according to criteria published in the
Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5; American
Psychiatric Association, 2013). The current DSM-5 system contains subtypes and
other specifiers that further classify disorders. Although the DSM-5 specifies criteria
for diagnosing mental disorders, there are no absolute boundaries separating one
disorder from another, and disorders often have different manifestations at different
points in time.
A psychiatric-mental health nurse is providing care to a client with post-traumatic
stress disorder who is homeless. The nurse is collaborating with the client to find a
stable group home so that the client no longer lives on the street. The nurse is
addressing which dimension of recovery? (Ch2)
A) Health
B) Home
C) Purpose
D) Community - ANSWER-B) Home
Trying to find the client a safe and stable place to live addresses the dimension of
home. Other dimensions include: health (managing disease and living in a physically
and emotionally healthy way), purpose (meaningful daily activities and
independence, resources, and income), and community (relationships and social
networks).
A key element in the definition of mental illness is that ... (CH2)
A) The individual must have difficulties in functioning that cause distress and/or
impairment of some type.
B) The individual must need medications in order for the diagnosis to be of mental
origin.
C) The individual must acknowledge that he or she is having difficulties in
functioning.
