COMPLETE TEST BANK: For Mental
Health Nursing 6th Edition Latest updated
version 2025 by Robynn Gorman, Linda M.;
Q & A Graded A+
Therapeutic milieu - ANSWER✔ The environment in which holistic treatment
occurs and includes all members of the treatment team, a positive physical setting,
interactions between those who are hospitalized, and activities that promote
recovery.
Objective 1: Describe the evolution of treatment settings for psychiatric care. -
ANSWER✔ >Asylums were created before the Civil War—for the "insane."
>1940s-1950s: Advent of psychotropic drugs
>1950s: Two options for psychiatric care:
-Private psychiatrist's office
-Mental hospital
>1960s: "Great Society" reform:
-State-run psychiatric hospital population declined with the creation of Medicare
and Medicaid.
>1999 Olmstead decision:
-Supreme Court decreed: Keeping people in psychiatric hospitals is "unjustified
isolation."
>Community-care systems have largely replaced state hospitals.
>Today: The number of state-run psychiatric hospitals have reduced to
approximately
220 facilities.
Objective 2: Compare and contrast inpatient and outpatient treatment
environments in which psychiatric care is provided. - ANSWER✔ Inpatient
>24-hour nursing care
>Locked units (for safety)
>Crisis care
>Residential treatment programs
,>State acute care systems
>General hospital psychiatric units
>Private psychiatric hospital acute care
Outpatient
>Primary care providers
>Patient-centered medical homes
>Primary care medical homes
>Community mental health centers
>Psychiatric home care
>Intensive outpatient programs
Objective 3: Discuss the role of mental health professionals in assisting people
with mental illness symptoms or mental illnesses. - ANSWER✔ Multidisciplinary
Treatment Team
>Role of the nurse in Outpatient care settings
> Role of the nurse in the Inpatient care settings
>Advanced-practice psychiatric nurse
>Mental health technician
>Occupational therapist
>Recreational therapist
>Physicians' assistant
>Psychiatrist
>Psychologist
Objective 4: Explain the methods for financing psychiatric care. - ANSWER✔
>Private insurance and/or managed care
>Medicaid, Medicare,Social Security, Veterans' Administration (VA)
>Social Security Disability Insurance (SSDI)—disability
>Supplemental Security Income (SSI)—economic need
>1996: Mental Health Parity Law
>Wellstone-Domenici Mental Health Parity Act
>Problematic coverage for mental illnesses:
-Annual and lifetime caps
>All states must provide:
-Inpatient care, primary care physician services, treatment for those younger than
age 21 years
of age
, Q: Social stigma related to mental illness refers to which one of the following
statements? - ANSWER✔ A: Mental illness is due to wrong thinking.
Q: Which one of the following most correctly defines a psychiatrist? -
ANSWER✔ A: Medical physician
Q: The role of a psychiatric nurse on an inpatient unit would include which one of
the following? - ANSWER✔ A: Maintaining a therapeutic milieu
Q: Private insurance typically covers which one of the following? - ANSWER✔
A: Mental illness with a lifetime cap
Q: Social Security Disability Insurance (SSDI) benefits typically cover needs
based on which one of the following? - ANSWER✔ A: Disability
Q: Which setting is most appropriate for a 24-year-old female diagnosed with
alcohol dependence requiring acute detoxification? - ANSWER✔ A: Acute
inpatient care.
Q: What significat influence allowed psychiatric treatment to move from the
hospital to the community? - ANSWER✔ A: The development of psychotropic
medications.
Q: Name a benefit for for patients being treated for mental health problems by a
primary care physician rather than a psychiatrist? - ANSWER✔ A: Feeling that
there is less stigma attached to treatment.
Q: Who are some of the health team members that could provide initial screening,
and a treatment plan for a 45-year old, who lives 100 miles from the nearest
psychiatrist, and is experiencing increased anxiety symptoms? - ANSWER✔ A:
Primary care provider
Q: What is the most suitable rationale for a nurse supervisor to ask a student nurse
to develop a stress reduction class for the residents in a surrounding community? -
ANSWER✔ A: An imortant concept for community health nursing is to view the
entire community as a patient.
, assault - ANSWER✔ Threat to use force (words not enough) with opportunity and
ability.
autonomy - ANSWER✔ Respecting the rights of others to make their own
decisions
battery - ANSWER✔ harmful or offensive touching, which includes treatment of
a patient without their consent.
beneficence - ANSWER✔ The duty to act so as to promote the good of others
bioethics - ANSWER✔ A more specific term that refers to the ethical questions
that arise in health care. It has five principles:
1. Beneficence
2. Autonomy
3. Justice
4. Fidelity
5. Veracity
child abuse reporting statutes - ANSWER✔ Differs from state-to-state. Generally
includes a definition of child abuse, a list of individuals required or encouraged to
report abuse, and the government agency designated to receive and investigate the
reports.
civil rights - ANSWER✔ Include the right to vote, to civil service ranking, rights
to related to granting, forfeit, or denial of a driver's license, to right to make
purchases, and to enter into contractual relationships, and the right to press charges
against another person.
commitment - ANSWER✔ emergency involuntary hospitalization for a specified
period (1 to 10 days on average) to prevent dangerous behavior that is likely to
cause harm to self or others.
conditional release - ANSWER✔ usually requires outpatient treatment for a
specified period to determine the patient's adherence with medication protocols,
ability to meet basic needs and ability to reintegrate into the community.
Health Nursing 6th Edition Latest updated
version 2025 by Robynn Gorman, Linda M.;
Q & A Graded A+
Therapeutic milieu - ANSWER✔ The environment in which holistic treatment
occurs and includes all members of the treatment team, a positive physical setting,
interactions between those who are hospitalized, and activities that promote
recovery.
Objective 1: Describe the evolution of treatment settings for psychiatric care. -
ANSWER✔ >Asylums were created before the Civil War—for the "insane."
>1940s-1950s: Advent of psychotropic drugs
>1950s: Two options for psychiatric care:
-Private psychiatrist's office
-Mental hospital
>1960s: "Great Society" reform:
-State-run psychiatric hospital population declined with the creation of Medicare
and Medicaid.
>1999 Olmstead decision:
-Supreme Court decreed: Keeping people in psychiatric hospitals is "unjustified
isolation."
>Community-care systems have largely replaced state hospitals.
>Today: The number of state-run psychiatric hospitals have reduced to
approximately
220 facilities.
Objective 2: Compare and contrast inpatient and outpatient treatment
environments in which psychiatric care is provided. - ANSWER✔ Inpatient
>24-hour nursing care
>Locked units (for safety)
>Crisis care
>Residential treatment programs
,>State acute care systems
>General hospital psychiatric units
>Private psychiatric hospital acute care
Outpatient
>Primary care providers
>Patient-centered medical homes
>Primary care medical homes
>Community mental health centers
>Psychiatric home care
>Intensive outpatient programs
Objective 3: Discuss the role of mental health professionals in assisting people
with mental illness symptoms or mental illnesses. - ANSWER✔ Multidisciplinary
Treatment Team
>Role of the nurse in Outpatient care settings
> Role of the nurse in the Inpatient care settings
>Advanced-practice psychiatric nurse
>Mental health technician
>Occupational therapist
>Recreational therapist
>Physicians' assistant
>Psychiatrist
>Psychologist
Objective 4: Explain the methods for financing psychiatric care. - ANSWER✔
>Private insurance and/or managed care
>Medicaid, Medicare,Social Security, Veterans' Administration (VA)
>Social Security Disability Insurance (SSDI)—disability
>Supplemental Security Income (SSI)—economic need
>1996: Mental Health Parity Law
>Wellstone-Domenici Mental Health Parity Act
>Problematic coverage for mental illnesses:
-Annual and lifetime caps
>All states must provide:
-Inpatient care, primary care physician services, treatment for those younger than
age 21 years
of age
, Q: Social stigma related to mental illness refers to which one of the following
statements? - ANSWER✔ A: Mental illness is due to wrong thinking.
Q: Which one of the following most correctly defines a psychiatrist? -
ANSWER✔ A: Medical physician
Q: The role of a psychiatric nurse on an inpatient unit would include which one of
the following? - ANSWER✔ A: Maintaining a therapeutic milieu
Q: Private insurance typically covers which one of the following? - ANSWER✔
A: Mental illness with a lifetime cap
Q: Social Security Disability Insurance (SSDI) benefits typically cover needs
based on which one of the following? - ANSWER✔ A: Disability
Q: Which setting is most appropriate for a 24-year-old female diagnosed with
alcohol dependence requiring acute detoxification? - ANSWER✔ A: Acute
inpatient care.
Q: What significat influence allowed psychiatric treatment to move from the
hospital to the community? - ANSWER✔ A: The development of psychotropic
medications.
Q: Name a benefit for for patients being treated for mental health problems by a
primary care physician rather than a psychiatrist? - ANSWER✔ A: Feeling that
there is less stigma attached to treatment.
Q: Who are some of the health team members that could provide initial screening,
and a treatment plan for a 45-year old, who lives 100 miles from the nearest
psychiatrist, and is experiencing increased anxiety symptoms? - ANSWER✔ A:
Primary care provider
Q: What is the most suitable rationale for a nurse supervisor to ask a student nurse
to develop a stress reduction class for the residents in a surrounding community? -
ANSWER✔ A: An imortant concept for community health nursing is to view the
entire community as a patient.
, assault - ANSWER✔ Threat to use force (words not enough) with opportunity and
ability.
autonomy - ANSWER✔ Respecting the rights of others to make their own
decisions
battery - ANSWER✔ harmful or offensive touching, which includes treatment of
a patient without their consent.
beneficence - ANSWER✔ The duty to act so as to promote the good of others
bioethics - ANSWER✔ A more specific term that refers to the ethical questions
that arise in health care. It has five principles:
1. Beneficence
2. Autonomy
3. Justice
4. Fidelity
5. Veracity
child abuse reporting statutes - ANSWER✔ Differs from state-to-state. Generally
includes a definition of child abuse, a list of individuals required or encouraged to
report abuse, and the government agency designated to receive and investigate the
reports.
civil rights - ANSWER✔ Include the right to vote, to civil service ranking, rights
to related to granting, forfeit, or denial of a driver's license, to right to make
purchases, and to enter into contractual relationships, and the right to press charges
against another person.
commitment - ANSWER✔ emergency involuntary hospitalization for a specified
period (1 to 10 days on average) to prevent dangerous behavior that is likely to
cause harm to self or others.
conditional release - ANSWER✔ usually requires outpatient treatment for a
specified period to determine the patient's adherence with medication protocols,
ability to meet basic needs and ability to reintegrate into the community.
