Psychiatric-Mental Health Nursing 8e Videbeck

5.The nurse consults the DSM for which of the following purposes?A)To devise a plan of care for a newly admitted clientB)To predict the client's prognosis of treatment outcomesC)To document the appropriate diagnostic code in the client's medical recordD)To serve as a guide for client assessmentAns: DFeedback:The DSM provides standard nomenclature, presents defining characteristics, andidentifies underlying causes of mental disorders. It does not provide care plans orprognostic outcomes of treatment. Diagnosis of mental illness is not within thegeneralist RN's scope of practice, so documenting the code in the medical record wouldbe inappropriate. 6.Which would be a reason for a student nurse to use the DSM?A)Identifying the medical diagnosisB)Treat clientsC)Evaluate treatmentsD)Understand the reason for the admission and the nature of psychiatric illnesses.Ans: DFeedback:Although student nurses do not use the DSM to diagnose clients, they will find it ahelpful resource to understand the reason for the admission and to begin buildingknowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,treating, and evaluating treatments are not a part of the nursing process. 7.The legislation enacted in 1963 was largely responsible for which of the following shiftsin care for the mentally ill?A)The widespread use of community-based servicesB)The advancement in pharmacotherapiesC)Increased access to hospitalizationD)Improved rights for clients in long-term institutional careAns: AFeedback:The Community Mental Health Centers Construction Act of 1963 accomplished therelease of individuals from long-term stays in state institutions, the decrease inadmissions to hospitals, and the development of community-based services as analternative to hospital care. Page 3 8.Which one of the following is a result of federal legislation?A)Making it easier to commit people for mental health treatment against their will.B)Making it more difficult to commit people for mental health treatment againsttheir will.C)State mental institutions being the primary source of care for mentally ill persons.D)Improved care for mentally ill persons.Ans: BFeedback:Commitment laws changed in the early 1970s, making it more difficult to commitpeople for mental health treatment against their will. Deinstitutionalizationaccomplished the release of individuals from long-term stays in state institutions.Deinstitutionalization also had negative effects in that some mentally ill persons aresubjected to the revolving door effect, which may limit care for mentally ill persons. 9.The goal of the 1963 Community Mental Health Centers Act was toA)ensure patients' rights for the mentally ill.B)deinstitutionalize state hospitals.C)provide funds to build hospitals with psychiatric units.D)treat people with mental illness in a humane fashion.Ans: BFeedback:The 1963 Community Mental Health Centers Act intimated the movement towardtreating those with mental illness in a less restrictive environment. This legislationresulted in the shift of clients with mental illness from large state institutions to carebased in the community. Answer choices A, C, and D were not purposes of the 1963Community Mental Health Centers Act. 10.The creation of asylums during the 1800s was meant toA)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.Ans: BFeedback:The asylum was meant to be a safe haven with food, shelter, and humane treatment forthe mentally ill. Asylums were not used to improve treatment of mental disorders or topunish mentally ill people who were believed to be possessed. The asylum was notcreated to remove the dangerously mentally ill from the community. Page 4 11.The major problems with large state institutions are: Select all that apply.A)attendants were accused of abusing the residents.B)stigma associated with residence in an insane asylum.C)clients were geographically isolated from family and community.D)increasing financial costs to individual residents.Ans: A, CFeedback:Clients were often far removed from the local community, family, and friends becausestate institutions were usually in rural or remote settings. Choices B and D were notmajor problems associated with large state instructions. 12.A significant change in the treatment of people with mental illness occurred in the 1950swhenA)community support services were established.B)legislation dramatically changed civil commitment procedures.C)the Patient's Bill of Rights was enacted.D)psychotropic drugs became available for use.