Exam 2: Historical Issues

Freud's contribution to psychiatry that most affects current psychiatric nursing is:

The greatest impact in the care of the mentally ill over the past 50 years has resulted from progress and improvement in which area?

A key factor motivating passage of the Community Mental Health Centers Act in 1963 was that mentally ill individuals had been:

A person says, "Now that many state hospitals are closed, patients with psychiatric problems are free in our community. It is not safe for me." The nurse's reply should be based on knowledge that:

An adult with serious mental illness is being admitted to a community behavioral health inpatient unit. Recognizing current trends in hospitalization, this patient is likely to:

A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a patient's insurance form. Which resource should the nurse use to discern the criteria used to establish this diagnosis?

A shift in the psychiatric nursing focus during the community mental health period of the 1960s resulted in:

Which changes in psychiatric nursing practice are directly attributable to events occurring during the Decade of the Brain? Select all that apply.

What concerns were shared by society during both the Period of Enlightenment and the Period of Community Mental Health?

Which individual should the nurse assess as having the highest risk for homelessness?

The broadened scope of psychiatric nursing practice is attributable primarily to:

A former pediatric nurse begins working in a clinic housed in a homeless shelter. The nurse asks the clinic director, "What topic should I review to improve my effectiveness as I begin my new job?" Which topic should the clinic director suggest?

A newcomer to a community support meeting asks a nurse, "Why aren't people with mental illnesses treated at state institutions anymore?" What would be the nurse's accurate responses? Select all that apply.

Select the most accurate characterization of treatment of the mentally ill prior to the Period of Enlightenment.

A patient with mental illness was initially treated in an outpatient setting and then hospitalized for a week when the disorder became acute. After discharge to a halfway house, this patient's care was managed by a community mental health nurse. Which inference applies to this community?

An adult with schizophrenia is discharged from a state mental hospital after 20 years of institutionalization. When planning care in the community, which premise applies? This patient is likely to:

A community mental health nurse works in a mental health services system that is undergoing change to become a seamless system. To promote integrity of the new system, the nurse should focus on (select all that apply)

Which skill is most important to a nurse working as a member of a community mental health team that strives to use a seamless continuum of care?

When a nurse working in a well-child clinic asks a parent's address, the parent responds, "My children and I are homeless." The nurse can assess this response as:

Put these services in order from least to most intensive.