Prepu Psych Chapter 1

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What's this?
Chapter 1: Psychiatric-Mental Health Nursing and Evidence-Based Practice

15 quizzes taken
8
Your mastery
8
Class average
View performance for all chapters
Answer Key
Question 1 See full question
Which statements about mental illness are true? Select all that apply.
You Selected:
• Mental illness can cause significant distress, impaired functioning, or both.
Correct response:

• Individuals suffering from mental illness are usually able to cope effectively with daily
life.
• Individuals suffering from mental illness may experience dissatisfaction with
relationships and self.
Explanation:
Reference:
Boyd, M.A. Psychiatric Nursing: Contemporary Practice, 5th ed., Enhanced Update,
Philadelphia, Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 2:
Mental Health and Mental Disorders: Fighting Stigma and Promoting Recovery, pp. 13-
14.
In 1909, the National Mental Health Committee for Mental Hygiene was responsible for
the development of what?
You Selected:
• Mental health nurse training
Correct response:
• Prison clinics
Explanation:
Reference:
Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 5th ed., Enhanced Update,
Psychiatric-Mental Health Nursing and Evidence-Based Practice, p. 7.
Legislation enacted in 1963 was largely responsible for which shift in care for the
mentally ill?
You Selected:
Correct response:
• The widespread use of community-based services
Explanation:
Reference:
Psychiatric-Mental Health Nursing and Evidence-Based Practice, pp. 8-9.
The first training of nurses to work with persons with mental illness was in 1882 in which
state?
You Selected:
• California
Correct response:
• Massachusetts
Explanation:
Reference:
Who was the first trained nurse in the United States?

You Selected:
• Linda Richards
Correct response:
• Linda Richards
Explanation:
Reference:
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COMPLETED IN6m 48s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
The nurse consults the DSM for what purpose?

You Selected:
Correct response:
• To serve as a guide for client assessment
Explanation:
Reference:
Mental Health and Mental Disorders: Fighting Stigma and Promoting Recovery, p. 13.
Freud’s personality theory was based on what?

You Selected:
• Drives
Correct response:
• Drives
Explanation:
Reference:
Which were major problems with large state institutions? Select all that apply.
You Selected:
•
•
Correct response:
• Attendants were accused of abusing the residents

• Clients were geographically isolated from family and community
• Clients were not given proper nutrition or clothed properly
Explanation:
Reference:
You Selected:

life.
Correct response:

life.
Explanation:
Reference:
14.
A client grieving the recent loss of her husband asks if she is becoming mentally ill
because she is so sad. Which is the nurse's best response?
You Selected:
Correct response:
• "You are not mentally ill. This is an expected reaction to the loss you have
experienced."
Explanation:
Reference:
14.
Until the onset of the Renaissance, the general population held which belief regarding
the presence of sickness?
You Selected:
• It was punishment for sins and wrongdoing.
Correct response:
Explanation:
Reference:
Psychiatric-Mental Health Nursing and Evidence-Based Practice, p. 5, Table 1-1.
Which piece of legislation put consumers of mental health care back in charge of their
care?
You Selected:
• The Patient Protection and Affordable Care Act
Correct response:
Explanation:
Reference:
What is meant by the term "revolving door effect" in mental health care?
You Selected:
Correct response:
• Shorter and more frequent hospital stays for persons with severe and persistent mental
illness
Explanation:
Reference:
Which of the following is inconsistent with an evidence-based approach?

You Selected:
• Nurse-centered decision making
Correct response:
Explanation:
Reference:
A new graduate nurse has accepted a staff position at an inpatient mental health facility.
The graduate nurse can expect to be responsible for basic-level functions, including ...
You Selected:
• using effective communication skills.
Correct response:
Explanation:
Reference:
Ethics, Standards and Nursing Frameworks, pp. 54-55.
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COMPLETED IN13m 5s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
Nursing education has become broad in practice settings. The addition of psychiatric
nursing became a requirement in nursing education in 1950 by whom?
You Selected:
Correct response:
• National League of Nursing
Explanation:
In the 1800s, humane and supportive rehabilitative attitudes toward caring for the
mentally ill in the United States were influenced by the
You Selected:
• Quakers
Correct response:
• Quakers
Explanation:
Reference:
state?
You Selected:
• Massachusetts
Correct response:
• Massachusetts
Explanation:
Reference:
Dorothea Dix’s solution to gain humane treatment for the mentally ill population included
what?
You Selected:
• State hospitals
Correct response:
• State hospitals
Explanation:
Reference:
Psychiatric-Mental Health Nursing and Evidence-Based Practice, p. 5-6.
Which is a standard of practice?

You Selected:
• Outcomes identification
Correct response:
Explanation:
Reference:
Ethics, Standards and Nursing Frameworks, p. 53 Box 6-3.
Which is included in Healthy People 2020 objectives?

You Selected:
• To increase the number of people who are identified, diagnosed, treated, and helped to
live healthier lives
Correct response:
Explanation:
Reference:
Which religious group was instrumental in stopping the practice of bloodletting?

You Selected:
• Quakers
Correct response:
• Quakers
Explanation:
Reference:
There are many areas of practice in psychiatric mental health nursing. One of those is
advanced-level practice. What is considered an advanced-level function?
You Selected:
• Evaluation
Correct response:
• Evaluation
Explanation:
Reference:
During the moral treatment period, clients were routinely placed into which
environment?
You Selected:
• Asylums
Correct response:
• Asylums
Explanation:
Reference:
In mental health nursing, the most relevant evidence is ideally from which of the
following sources?
You Selected:
• Research
Correct response:
• Research
Explanation:
Reference:
During the 1800s, Pinel believed that the cure for mental illness was ...
You Selected:
• moral treatment.
Correct response:
Explanation:
Reference:

You Selected:
• Linda Richards
Correct response:
• Linda Richards
Explanation:
Reference:
The goal of the 1963 Community Mental Health Centers Act was to ...
You Selected:
• deinstitutionalize state hospitals
Correct response:
Explanation:
Reference:
Before developing a procedure, a nurse reviews all current research-based literature on

insertion of a nasogastric tube. What type of nursing will be practiced based on this
review?
You Selected:
• evidence-based nursing
Correct response:
Explanation:
Reference:
A major problem with large state institutions was that they ...
You Selected:
• kept clients geographically isolated from family and community
Correct response:
Explanation:
Reference:
Psychiatric nursing became required in nursing education in which year?

You Selected:
• 1950
Correct response:
• 1950
Explanation:
Reference:
Psychiatric-Mental Health Nursing and Evidence-Based Practice, p. 3 Box 1-2.
During the mid-20th century, the focus of treatment centered on treating

neurotransmitter dysfunction in the brain. As a result hospital stays were shortened due
to the introduction of which?
You Selected:
• Psychopharmacology
Correct response:
Explanation:
Reference:
Which was the belief about mental illness during the later medieval era (1000–1300)?
You Selected:
• It was caused by contaminated environments.
Correct response:
Explanation:
Reference:
mentally ill?
You Selected:
Correct response:
Explanation:
Reference:
According to Freud, if there was any interference in overall normal development, a

person would be predisposed to which of the following? Select all that apply.
You Selected:
• Neurosis
• Psychosis
Correct response:
• Neurosis
• Psychosis
Explanation:
Reference:
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COMPLETED IN5m 32s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
Hydrotherapy, a primitive treatment, was used for what in the mentally ill population?
You Selected:
• Calming effect
Correct response:
• Calming effect
Explanation:
Reference:
The creation of asylums during the 1800s was meant to:
You Selected:
• provide food and shelter for the mentally ill.
Correct response:
Explanation:
Reference:
What is one of the American Nurses Association standards of practice for psychiatric–
mental health nursing?
You Selected:
• Some aspects of Standard 5: Implementation may only be carried out by psychiatric–

mental health advanced practice nurses.
Correct response:

Explanation:
Reference:
According to Freud, in which phase does the toddler develop a sense of autonomy
through withholding?
You Selected:
• Anal
Correct response:
• Anal
Explanation:
Reference:
Which was the initial focus of community mental health centers (CMHCs)?
You Selected:
• Alcoholism and addiction
Correct response:
Explanation:
Reference:
Deinstitutionalization has resulted in which of the following?

You Selected:
• A revolving door of repetitive hospital admission
Correct response:
Explanation:
Reference:
Which is a premise underlying the 1963 Mental Retardation Facilities and Community
Mental Health Centers Construction Act?
You Selected:
• Institutionalization was viewed as contributing to illness.
Correct response:
Explanation:
Reference:
Which is accurate regarding institutionalization? Select all that apply.

You Selected:
• Clients suffered physical abuse

• Clients had little hope of re-entering society
• Clients were socially isolated
Correct response:

Explanation:
Reference:
One of the primary reforms accomplished by Dorothea Lynde Dix was the ...
You Selected:
• establishment or enlargement of state hospitals.
Correct response:
Explanation:
Reference:
During which stage of Freud’s developmental model does a toddler develop a sense of
autonomy by withholding?
You Selected:
• Anal
Correct response:
• Anal
Explanation:
Reference:
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COMPLETED IN10m 20s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
One of the unforeseen effects of the movement toward community mental health
services is ...
You Selected:
• an increased number of admissions to available hospital services.
Correct response:
Explanation:
Reference:
Mental Health Care in the Community, pp. 38-39.
Who was the first to introduce the concept of interpersonal relations and the therapeutic
relationship?
You Selected:
• Hildegard Peplau
Correct response:
Explanation:
Reference:
state?
You Selected:
• Massachusetts
Correct response:
• Massachusetts
Explanation:
Reference:
The nurse knows that mental health issues are constantly changing. Which is a
standard of professional performance to keep in current practice?
You Selected:
• Education
Correct response:
• Education
Explanation:
Reference:
Ethics, Standards and Nursing Frameworks, p. 54 Table 6-1.
Before the period of the enlightenment, treatment of the mentally ill included:
You Selected:
• placing the mentally ill on display for the public's amusement.
Correct response:
Explanation:
Reference:
Psychiatric-Mental Health Nursing and Evidence-Based Practice, p. 5 Table 1-1.
A client diagnosed with a mild anxiety disorder has been referred to treatment in a
community mental health center. Treatment most likely provided at the center includes
...
You Selected:
• medical management of symptoms.
Correct response:
Explanation:
Reference:
A significant change in the treatment of people with mental illness occurred in the 1950s
when:
You Selected:
Correct response:
• psychotropic drugs became available for use.
Explanation:
Reference:
Which is true regarding mental health and mental illness?

You Selected:
•
Correct response:
• In most cases, mental health is a state of emotional, psychological, and social wellness
evidenced by satisfying interpersonal relationships, effective behavior and coping,
positive self-concept, and emotional stability.
Explanation:
Reference:
Which classification of medications was initially used to treat the people with mental
illness?
You Selected:
• Barbiturates
Correct response:
• Barbiturates
Explanation:
Reference:
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?
You Selected:
• Peplau
Correct response:
• Peplau
Explanation:
Reference:
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COMPLETED IN6m 25s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
You Selected:
• establishment of “commitment” laws in state legislatures.
Correct response:
Explanation:
Reference:
During which period of the premoral treatment era did mental diseases start to be
viewed as treatable illnesses?
You Selected:
• Colonial
Correct response:
• Colonial
Explanation:
Reference:
Which accurately reflects characteristic life for people living with mental illness in early
psychiatric institutions?
You Selected:
• Deplorable living conditions
Correct response:
Explanation:
Reference:
You Selected:
• Baptists
Correct response:
• Quakers
Explanation:
Reference:
Which of the following would be a reason for a student nurse to use the DSM-5?
You Selected:
• Understand the reason for the admission and the nature of psychiatric illnesses.
Correct response:
Explanation:
Reference:
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COMPLETED IN3m 33s
What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key

You Selected:
• remove dangerous people with mental illness from the community.
Correct response:
Explanation:
Reference:
You Selected:

• Social/cultural factors that relate to mental illness include excessive dependency on or
withdrawal from relationships.
Correct response:

life.
Explanation:
Reference:
14.

You Selected:
Correct response:
Explanation:
Reference:
Why is the document Mental Health: A Report of the Surgeon General (1999)
significant?
You Selected:
• Because it states clearly that there are effective treatments for mental illness
Correct response:
Explanation:
Reference:
The goal of the 1963 Community Mental Health Centers Act was to:
You Selected:
Correct response:
• deinstitutionalize state hospitals.
Explanation:
Reference:
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COMPLETED IN2m 8s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
Which law prevents insurance companies from excluding people because of preexisting
conditions?
You Selected:
Correct response:
Explanation:
Reference:
state?
You Selected:
• Massachusetts
Correct response:
• Massachusetts
Explanation:
Reference:
You Selected:
• Calming effect
Correct response:
• Calming effect
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:

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COMPLETED IN3m 40s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key

You Selected:
Correct response:
Explanation:
Reference:
services is ...
You Selected:
Correct response:
Explanation:
Reference:
...
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• use of chains.
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
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Results
COMPLETED IN3m 55s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
You Selected:
• Identifying the medical diagnosis
Correct response:
Explanation:
Reference:
You Selected:
•
Correct response:
experienced."
Explanation:
Reference:
14.
state?
You Selected:
• Massachusetts
Correct response:
• Massachusetts
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
following sources?
You Selected:
• Research
Correct response:
• Research
Explanation:
Reference:
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Results
COMPLETED IN2m 1s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
The psychiatric mental health nurse is planning the care of a client. What
action best addresses the client's needs in the social domain?
You Selected:
• Collaborating with the client's family to organize support
Correct response:
Explanation:
Which of the following laws prevents insurance companies from excluding people
because of preexisting conditions?
You Selected:
• Patient Protection and Affordable Care Act
Correct response:
Explanation:
Reference:
when:
You Selected:
•
Correct response:
Explanation:
Reference:
The nurse is assessing the factors contributing to the well-being of a newly admitted
client. Which would the nurse identify as having a positive impact on the individual's
mental health?
You Selected:
Correct response:
• The ability to effectively manage stress
Explanation:
Reference:
13.
significant?
You Selected:
Correct response:
Explanation:
Reference:
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COMPLETED IN2m 1s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
You Selected:
Correct response:
Explanation:
You Selected:
Correct response:
Explanation:
Reference:
when:
You Selected:
Correct response:
Explanation:
Reference:
mental health?
You Selected:
•
Correct response:
Explanation:
Reference:
13.
significant?
You Selected:
Correct response:
Explanation:
Reference:
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Results
COMPLETED IN3m 48s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key

You Selected:
Correct response:
Explanation:
Reference:
Which are contributions of Hildegard Peplau? Select all that apply.

You Selected:
• Published the landmark work Interpersonal Relations in Nursing

• Developed the first graduate nursing program in psychiatric nursing
• Conceptualized nursing practice as independent of physicians
Correct response:

Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Treatment focus
Correct response:
Explanation:
Reference:
conditions?
You Selected:
Correct response:
Explanation:
Reference:
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COMPLETED IN2m 37s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
You Selected:
Correct response:
Explanation:

You Selected:
Correct response:
Explanation:
Reference:
The nurse's primary commitment is to the health, safety, and welfare of people placed in
his or her care, as well as to the public. This commitment is provided through evidence-
based care. What does the term evidence-based care mean?
You Selected:
• Care that integrates the best available evidence from research with clinical expertise
Correct response:
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
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COMPLETED IN2m 20s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
conditions?
You Selected:
• National Mental Health Act
Correct response:
Explanation:
Reference:
significant?
You Selected:
• Because it allocates research money to psychiatric facilities
Correct response:
Explanation:
Reference:
You Selected:
• Peplau
Correct response:
• Peplau
Explanation:
Reference:
You Selected:
• Dialoguing with a client about the client's feelings around a traumatic event
Correct response:
Explanation:
You Selected:
Correct response:
Explanation:
Reference:
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COMPLETED IN2m 16s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key

You Selected:
Correct response:
Explanation:
Reference:
state?
You Selected:
• Massachusetts
Correct response:
• Massachusetts
Explanation:
Reference:
mental health?
You Selected:
Correct response:
Explanation:
Reference:
13.
You Selected:
Correct response:
Explanation:
You Selected:
•
Correct response:
experienced."
Explanation:
Reference:
14.
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COMPLETED IN1m 5s

What's this?
14 quizzes taken
8
Your mastery
8
Class average
Answer Key
Which of the following are examples of characteristics of evidence-based practice?

Select all that apply.
You Selected:
• It uses the best evidence available.
• It is not concerned with client preferences.
• It is a problem-solving approach.
Correct response:
• It uses the best evidence available.
• It blends the science and art of nursing.
Explanation:
Reference:
You Selected:
• Evaluation
Correct response:
• Evaluation
Explanation:
Reference:

You Selected:
• Drives
Correct response:
• Drives
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
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COMPLETED IN1m 33s

What's this?
14 quizzes taken
8
Your mastery
8
Class average
Answer Key

You Selected:
Correct response:
Explanation:
Reference:
environment?
You Selected:
• Asylums
Correct response:
• Asylums
Explanation:
Reference:

You Selected:
• Quakers
Correct response:
• Quakers
Explanation:
Reference:
when:
You Selected:
Correct response:
Explanation:
Reference:
what?
You Selected:
• Asylums
Correct response:
• State hospitals
Explanation:
Reference:
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Results
COMPLETED IN57s

What's this?
14 quizzes taken
8
Your mastery
8
Class average
Answer Key
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Quakers
Correct response:
• Quakers
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
relationship?
You Selected:
Correct response:
Explanation:
Reference:
mentally ill?
You Selected:
Correct response:
Explanation:
Reference:
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Results
COMPLETED IN56s

What's this?
14 quizzes taken
8
Your mastery
8
Class average
Answer Key
care?
You Selected:
Correct response:
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Calming effect
Correct response:
• Calming effect
Explanation:
Reference:
state?
You Selected:
• Massachusetts
Correct response:
• Massachusetts
Explanation:
Reference:

You Selected:

Correct response:

Explanation:
Reference:
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Results
COMPLETED IN1m 15s

What's this?
14 quizzes taken
8
Your mastery
8
Class average
Answer Key

You Selected:
• Drives
Correct response:
• Drives
Explanation:
Reference:
You Selected:
• Education
Correct response:
• Education
Explanation:
Reference:
You Selected:
• Peplau
Correct response:
• Peplau
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Some aspects of Standard 5: Implementation may only be carried out by
psychiatric–mental health advanced practice nurses.
Correct response:

Explanation:
Reference:
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Results
COMPLETED IN59s

What's this?
14 quizzes taken
8
Your mastery
8
Class average
Answer Key
The appropriate action for a student nurse who says the wrong thing is to ...
You Selected:
• pretend that the student nurse did not say it.
Correct response:
• restate it by saying, “That didn't come out right. What I meant was...”
Explanation:
Reference:
Communication and the Therapeutic Relationship, pp. 105 Box 9-2, 106-107.
environment?
You Selected:
• Asylums
Correct response:
• Asylums
Explanation:
Reference:

You Selected:
• Quakers
Correct response:
• Quakers
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
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Results
COMPLETED IN1m 10s

What's this?
14 quizzes taken
8
Your mastery
8
Class average
Answer Key
You Selected:
Correct response:
Explanation:
Reference:
conditions?
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
significant?
You Selected:
Correct response:
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:
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Results
COMPLETED IN59s

What's this?
14 quizzes taken
8
Your mastery
8
Class average
Answer Key
Which act provided federal support for hospital construction to expand the number of
psychiatric units in general hospitals?
You Selected:
Correct response:
• Hill-Burton Act
Explanation:
Reference:
...
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
•
Correct response:
Explanation:

You Selected:
• Linda Richards
Correct response:
• Linda Richards
Explanation:
Reference:
state?
You Selected:
• Massachusetts
Correct response:
• Massachusetts
Explanation:
Reference:
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Results
COMPLETED IN4m 8s

What's this?
14 quizzes taken
8
Your mastery
8
Class average
Answer Key

You Selected:
Correct response:
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Peplau
Correct response:
• Peplau
Explanation:
Reference:
You Selected:
Correct response:
• Shorter and more frequent hospital stays for persons with severe and persistent
mental illness
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:

review?
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
You Selected:
Correct response:
Explanation:
Reference:
According to the theory proposed by Sigmund Freud, a psychosis or neurosis would

develop in an individual if ...
You Selected:
• there was interference in normal development.
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:

Correct response:

Explanation:
Reference:
following sources?
You Selected:
• Research
Correct response:
• Research
Explanation:
Reference:
mental health?
You Selected:
Correct response:
Explanation:
Reference:
13.
The creation of asylums during the 1800s was meant to ...

You Selected:
• provide food and shelter for the mentally ill
Correct response:
Explanation:
Reference:

You Selected:
Correct response:
• In most cases, mental health is a state of emotional, psychological, and social

wellness evidenced by satisfying interpersonal relationships, effective behavior
and coping, positive self-concept, and emotional stability.
Explanation:
Reference:

You Selected:
• Psychosis
• Neurosis
Correct response:
• Neurosis
• Psychosis
Explanation:
Reference:
services is ...
You Selected:

Correct response:
Explanation:
Reference:
The Hill-Burton Act provided which type of federal support for health care?
You Selected:
• Hospital construction
Correct response:
Explanation:
Reference:
You Selected:
• Education
Correct response:
• Education
Explanation:
Reference:
Which is a positive aspect of treating clients with mental illness in a community-based

care?
You Selected:
• “You will have someone in your home at all times to ask questions if you have
any concerns.”
Correct response:
• “You will be able to live in your own home while you still see a therapist
regularly.”
Explanation:
Reference:
Mental Health Care in the Community, p. 39.
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COMPLETED IN4m 5s

What's this?
14 quizzes taken
8
Your mastery
8
Class average
Answer Key
In early Christian times, what was thought to cause mental illness?

You Selected:
• Contaminated environments
Correct response:
• Demonic control
Explanation:
Reference:
You Selected:
• Prison clinics
Correct response:
• Prison clinics
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:

You Selected:
• Drives
Correct response:
• Drives
Explanation:
Reference:
Who opened the first training school for nurses in 1882?

You Selected:
• Florence Nightingale
Correct response:
• Linda Richards
Explanation:
Reference:
Psychiatric-Mental Health Nursing and Evidence-Based Practice, p. 2 and 10.

You Selected:

• Outcomes were consistently positive
Correct response:

Explanation:
Reference:
Who was responsible for much of the reform of the mental health care system in the
19th century?
You Selected:
• Dorothea Dix
Correct response:
• Dorothea Dix
Explanation:
Reference:
when:
You Selected:
Correct response:
Explanation:
Reference:
...
You Selected:
• psychological stabilization.
Correct response:
Explanation:
Reference:
During which period of the premoral treatment era was the first public asylum built?
You Selected:
• Later medieval
Correct response:
• Colonial
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Evaluation
Correct response:
• Evaluation
Explanation:
Reference:

You Selected:
• 1950
Correct response:
• 1950
Explanation:
Reference:
Which of the following early founders integrated psychiatric nursing content into the
nursing curriculum?
You Selected:
• Florence Nightingale
Correct response:
• Effie Taylor
Explanation:
Reference:
Supporters of the Community Mental Health Centers Construction Act (1963) believed
that institutionalization was contributing to what?
You Selected:
• Stigmatization
Correct response:
• Mental Illness
Explanation:
Reference:
You Selected:
• Calming effect
Correct response:
• Calming effect
Explanation:
Reference:
illness?
You Selected:
• Barbiturates
Correct response:
• Barbiturates
Explanation:
Reference:
You Selected:
• Quakers
Correct response:
• Quakers
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Care that integrates the best available evidence from research with clinical
expertise
Correct response:
expertise
Explanation:
Reference:
Loading...
Results
COMPLETED IN4m 8s

What's this?
14 quizzes taken
8
Your mastery
8
Class average
Answer Key
significant?
You Selected:
Correct response:
Explanation:
Reference:
services is ...
You Selected:
• an increased number of hospital beds available for clients seeking treatment.
Correct response:
Explanation:
Reference:
The Hill-Burton Act provided which type of federal support for health care?
You Selected:
• Mental health programming
Correct response:
Explanation:
Reference:
You Selected:
• Individual psychotherapy
Correct response:
Explanation:
Reference:
You Selected:
• provide funds to build hospitals with psychiatric units
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
mentally ill?
You Selected:
•
Correct response:
Explanation:
Reference:
state?
You Selected:
• Massachusetts
Correct response:
• Massachusetts
Explanation:
Reference:
In the early Christian period, who treated clients thought to be possessed by demons
causing their mental illness?
You Selected:
• Clergymen
Correct response:
• Clergymen
Explanation:
Reference:
You Selected:
Correct response:
experienced."
Explanation:
Reference:
14.

You Selected:
• there was a chemical imbalance in the brain.
Correct response:
Explanation:
Reference:
You Selected:
• Social/cultural factors that relate to mental illness include excessive dependency
on or withdrawal from relationships.
Correct response:

• Individuals suffering from mental illness are usually able to cope effectively with
daily life.
Explanation:
Reference:
14.
In the 1970s, intensive psychoanalysis was the treatment of choice for clients suffering
from severe mental illness in institutions.
You Selected:
• False
Correct response:
• False
Explanation:
Reference:

You Selected:

Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Assessment
Correct response:
• Education
Explanation:
Reference:

You Selected:
• Collegiality
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
conditions?
You Selected:
Correct response:

Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
Loading...
Results
COMPLETED IN4m 14s

What's this?
14 quizzes taken
8
Your mastery
8
Class average
Answer Key

You Selected:
• Ability of community–based programs to get increased funding
Correct response:
Explanation:
Reference:
You Selected:
• It was caused by sin or demonic possession.
Correct response:
Explanation:
Reference:

You Selected:
• Social attributes
Correct response:
• Drives
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
state?
You Selected:
• Massachusetts
Correct response:
• Massachusetts
Explanation:
Reference:
environment?
You Selected:
• Community mental health centers
Correct response:
• Asylums
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:

You Selected:
Correct response:
• Linda Richards
Explanation:
Reference:
You Selected:
• Electrical stimulation
Correct response:
• Calming effect
Explanation:
Reference:
19th century?
You Selected:
• Sigmund Freud
Correct response:
• Dorothea Dix
Explanation:
Reference:
You Selected:
•
•
Correct response:

Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Freud
Correct response:
• Peplau
Explanation:
Reference:
You Selected:
• adjusting client medications.
Correct response:
Explanation:
Reference:

You Selected:
• Substance abuse
• Neurosis
• Regression
Correct response:
• Neurosis
• Psychosis
Explanation:
Reference:
You Selected:
Correct response:
• Prison clinics
Explanation:
Reference:
You Selected:
• arrest and confinement.
Correct response:
Explanation:
Reference:
relationship?
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Case management
Correct response:
• Evaluation
Explanation:
Reference:
You Selected:
• Oral
Correct response:
• Anal
Explanation:
Reference:
Loading...
Results
COMPLETED IN1m 51s

What's this?
14 quizzes taken
8
Your mastery
8
Class average
Answer Key

You Selected:
Correct response:
Explanation:
Reference:

You Selected:
• 1940
Correct response:
• 1950
Explanation:
Reference:
You Selected:
• Healthy People 2020
Correct response:
Explanation:
Reference:

You Selected:
• Methodists
Correct response:
• Quakers
Explanation:
Reference:
mental health?
You Selected:
Correct response:
Explanation:
Reference:
13.
You Selected:
• providing a safe refuge or haven offering protection.
Correct response:
Explanation:
Reference:
You Selected:
• Pleasant alternative to living in the community
Correct response:
Explanation:
Reference:
following sources?
You Selected:
• Research
Correct response:
• Research
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Political influences
Correct response:
• Quakers
Explanation:
Reference:
conditions?
You Selected:
• Mental Retardation Facilities and Community Mental Health Centers

Construction Act
Correct response:
Explanation:
Reference:
significant?
You Selected:
• Because it establishes reimbursement guidelines for third-party payers
Correct response:
Explanation:
Reference:
In early Christian times, what was thought to cause mental illness?

You Selected:
• Demonic control
Correct response:
• Demonic control
Explanation:
Reference:

review?
You Selected:
• factual-based nursing
Correct response:
Explanation:
Reference:
You Selected:
• Nurses
Correct response:
• Clergymen
Explanation:
Reference:
You Selected:
Correct response:
experienced."
Explanation:
Reference:
14.
mentally ill?
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• True
Correct response:
• False
Explanation:
Reference:
You Selected:
Correct response:
Explanation:

You Selected:
Correct response:
• In most cases, mental health is a state of emotional, psychological, and social

wellness evidenced by satisfying interpersonal relationships, effective behavior
and coping, positive self-concept, and emotional stability.
Explanation:
Reference:
Loading...
Results
COMPLETED IN12m 17s

What's this?
14 quizzes taken
8
Your mastery
8
Class average
Answer Key
care?
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
expertise
Correct response:
expertise
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
state?
You Selected:
• New York
Correct response:
• Massachusetts
Explanation:
Reference:

You Selected:
Correct response:
Explanation:

Results
COMPLETED IN8m 2s

What's this?
1 quizzes taken
1
Your mastery
5.06
Class average
Answer Key
You Selected:
expertise
Correct response:
expertise
Explanation:
Evidence-based care involves the conscientious, explicit, and judicious use of current
best evidence in making decisions about the care of individual clients. It is about
integrating the best available evidence from research with clinical expertise to enhance
decision making.
Reference:
significant?
You Selected:
Correct response:
Explanation:
Mental Health: A Report of the Surgeon General stated that mental health is
fundamental to and necessary for a healthy life; mental disorders are real health
conditions with enormous consequences for individuals, families, communities, and the
nation. Effective treatments for mental disorders are available, and those with mental
disorders or symptoms should seek treatment.
Reference:

You Selected:
Correct response:
Explanation:
In an evidence-based approach, clinical questions are defined, evidence is discovered

and analyzed, the research findings are applied in a practical manner and in
collaboration with the client, and outcomes are evaluated. This approach requires using
competent literature search skills, followed by careful reading and critiquing of the
studies.
Reference:
You Selected:
Correct response:
Explanation:
Despite the good intentions of early reformers, the approach inside the institution was
one of custodial care and practical management, and treatment rarely occurred.
Although a medical superintendent usually directed an institution, overcrowded wards
and few resources created rowdy, dangerous, and unbearable situations.
Reference:

You Selected:
Correct response:
Explanation:
Support for the biologic approaches received an important boost as successful

symptom management with psychopharmacologic agents became a more widespread
possibility in the early 1950s. Psychopharmacology revolutionized the treatment of
mental illness and led to an increased number of clients discharged into the community,
and the eventual focus on the brain became a key to understanding psychiatric
disorders.
Reference:

You Selected:
Correct response:
Explanation:
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.
Reference:
Which intervention is focused on a goal included in Healthy People 2020 Mental Health
objectives?
You Selected:
• Including a depression screening in the assessment interview conducted by the

staff of a group of family practitioners
Correct response:

Explanation:
One of the Healthy People 2020 Mental Health objectives is to increase depression
screening by primary care providers. While the remaining options may present positive
interventions, none are directly associated with Healthy People 2020 Mental Health
objectives.
Reference:
A client demonstrates sexually inappropriate behavior toward a student nurse. What is

an effective way for the student to respond while protecting and respecting the client?
You Selected:
• Ignore the behavior at the time it occurs but report it to staff before leaving
clinicals for the day.
Correct response:
• Report the incident to staff and the clinical instructor so boundaries can be
reenforced with the client.
Explanation:
Some clients have difficulty recognizing or maintaining interpersonal boundaries. When

a client seeks contact of any type outside the nurse–client relationship, it is important for
the student (with the assistance of the instructor or staff) to clarify the boundaries of the
professional relationship. The behavior should not be ignored or minimized but rather
addressed in a professional, matter-of-fact manner so that the client understands the
limits being placed on such behaviors.
If a client states, "I carry this lucky rabbit's foot for luck, my dad did too, and it really
works," which statement by the nurse reflects respect for the client's belief?
You Selected:
• "I can accept that you feel it is lucky, so let's get to our activities for the day."
Correct response:
Explanation:
At times, a nurse’s values and beliefs will conflict with those of the client or with the
client’s behavior. The nurse must learn to accept these differences among people and
view each client as a worthwhile person regardless of that client’s opinions and lifestyle.
The nurse does not need to share the client’s views and behavior; the nurse merely
needs to accept them as different from the nurse's own and not let them interfere with
care.
What organization developed and maintains standards of practice that are used to
determine safe quality care and that can be used legally if incorporated into the state
practice act or nurse’s rules and regulations that guide the nursing profession?
You Selected:
• USDHHS (U. S. Department of Health and Human Services)
Correct response:
• ANA (American Nurses Association)
Explanation:
The APNA is based off of the ANA standards and applies to psychiatric nurses,
whereas the ANA standards apply to all nurses in all disciplines. The DSM-5 sets
nomenclature and language for all mental health professionals to use along with
defining symptoms. The USDHHA’s objectives were used to develop Healthy People
2010 and now 2020, to aid in supporting community-based interventions, to decrease
suicide and homelessness, and to increase employment of those with mental illness.
Reference:
Psychiatric–Mental Health Nursing and Evidence-Based Practice, p. 1-2.
Results
Congratulations! You've reached Mastery Level 2 for "Chapter 1: Psychiatric-Mental Health Nursing
and Evidence-Based Practice" !
COMPLETED IN9m 10s

What's this?
2 quizzes taken
2
Your mastery
5.12
Class average
Answer Key
Which skill is in the psychiatric–mental health registered nurse's scope of practice?

You Selected:
• Evaluating the effectiveness of psychiatric medications
Correct response:
Explanation:
Skills and practices of the psychiatric–mental health registered nurse may include
assessing and recording behavior, administering and evaluating the effectiveness of
medications, communicating with other team members, and being in charge of the
psychiatric milieu.
You Selected:
Correct response:
Explanation:
The 1963 Community Mental Health Centers Act intimated the movement toward
treating those with mental illness in a less restrictive environment. This legislation
resulted in the shift of clients with mental illness from large state institutions to care
based in the community. Choices B, C, and D were not purposes of the 1963
Community Mental Health Centers Act.
Reference:
conditions?
You Selected:
Correct response:
Explanation:
In 2010, the Patient Protection and Affordable Care Act was passed, which provided
people with access to affordable, effective treatments for their mental health needs. This
law also prevents insurance companies from excluding people because of preexisting
conditions. The National Mental Health Act of 1946 created a six-member National
Mental Health Advisory Council to oversee and coordinate research and training. In
1999, Mental Health: A Report of the Surgeon General summarized the most current
evidence for the treatment of people with mental illnesses. The Mental Retardation
Facilities and Community Mental Health Centers Construction Act of 1963 shifted
authority for mental health programming to the federal government.
Reference:
When reviewing the historical views about mental illness, which belief best reflected the
thoughts about mental illness during the later medieval era (1000–1300)?
You Selected:
Correct response:

Explanation:
In the later medieval era, contaminated environments were believed to cause mental
illness. In the early Christian period, sin or demonic possession was thought to cause
mental illness. Prehistoric healers practiced an ancient surgical technique of removing a
disk of bone from the skull to let out evil spirits. The causation of a chemical imbalance
was not a belief held in the medieval era.
Reference:
You Selected:
experienced."
Correct response:
experienced."
Explanation:
Acute grief reactions are expected and therefore not considered mental illness.
Downplaying the client's grief does not appropriately address the the client's concerns.
The quality of the relationship does not determine the presence of absence of mental
illness.
Reference:
14.
You Selected:
Correct response:
Explanation:
It was not until 1950 that the National League for Nursing, which accredits nursing
programs, required schools to include an experience in psychiatric nursing. The
American Nurses Association (ANA) is an organization that nurses belong to as a
professional organization. Some state boards of nursing follow the requirements set by
National League of Nursing (NLN). Nurse Practice Acts contains guidelines that can
reflect National League of Nursing and American Nurses Association standards.
What action should a nurse take when unintentionally making an inappropriate or

awkward statement to a client?
You Selected:
• Clarify by saying, "That wasn't what I meant to say."
Correct response:
Explanation:
No one magic phrase can solve a client's problems; likewise, no single statement can
significantly worsen them. Listening carefully, showing genuine interest, and caring
about the client are extremely important. A nurse who possesses these elements but
says something that sounds out of place can simply restate it by saying,"That didn't
come out right. What I meant was…” Pretending that the nurse did not say it, stating
that it was a joke, and ignoring the error are not likely to help the nurse build and
maintain credibility with the client.
Reference:
A client with schizophrenia has been noncompliant with medications. The client requires
frequent admissions to the psychiatric unit for acute psychotic episodes. What is this
process called?
You Selected:
• Revolving door
Correct response:
• Revolving door
Explanation:
The revolving door effect is a result of deinstitutionalization; clients are admitted more
frequently for shorter stays. Boarding is when clients are kept in the emergency
department until the crisis resolves or an inpatient bed is found. Admissions are usually
not escalated but are recurrent.
When reviewing evidence-based practice, which characteristic would the nurse most
likely identify as important? Select all that apply.
You Selected:
• It applies research findings practically..
• It aids in clinical decision making.
Correct response:
Explanation:
Evidence-based practice is a “problem-solving approach to clinical decision making that

involves the conscientious use of the best available evidence (including a systematic
search for and critical appraisal of the most relevant evidence to answer a clinical
question) with ones’ own clinical expertise and patient values and preferences to
improve outcomes for individuals, groups, communities, and systems. In an evidence-
based approach, clinical questions are defined; evidence is discovered and analyzed;
the research findings are applied in a practical manner and in collaboration with the
patient; and outcomes are evaluated.
Reference:
When describing the historical aspects of psychiatric-mental health care, the nurse
addresses the changes in thought about the cause of mental illness from 0 to 1000 CE.
Which cause would the nurse most likely identify as the belief during this period?
You Selected:
• Demonic control
Correct response:
• Demonic control
Explanation:
During early Christian times (1-1000), primitive beliefs and superstitions were strong.
During this time, sin or demonic possession, not physical illness and personal failure,
was thought to cause mental disorders. Contaminated environments were a common
causative belief during the medieval era (1000-1300 AD).
Reference:
Results
COMPLETED IN3m 47s

What's this?

3 quizzes taken
3
Your mastery
5.18
Class average
Answer Key
You Selected:
Correct response:
Explanation:
People of ancient times believed that sickness was a punishment for sins and
wrongdoing. It was not a weakness of physical strength, based on social class, or due
to inadequate parenting.
Reference:
Which is a difference between counseling and psychotherapy?

You Selected:
• Psychotherapy is reserved for clients who have a documented history of failing to

respond to counseling.
Correct response:
• Generalist psychiatric nurses may perform counseling interventions, but psychotherapy

is an advanced practice role.
Explanation:
The psychiatric nurse uses counseling interventions, but psychotherapy requires

advanced certification according to the American Nurses Association. Psychotherapy is
not reserved solely for those who have not responded to counseling. Transference and
countertransference are significant obstacles in both modes, and neither intervention is
appropriate during acute psychotic episodes.
You Selected:
Correct response:
Explanation:

develop in an individual if there were interference in normal development, particularly
early in childhood.
Reference:
You Selected:
• Calming effect
Correct response:
• Calming effect
Explanation:
Hydrotherapy, or baths, was an established procedure in mental institutions. Warm

baths and, in some instances, ice-cold baths produced calming effects for clients with
mental disorders. Success of this treatment, however, was attributed to the restraint of
clients during the bath, and not the physiologic responses that hydrotherapy produced.
Hydrotherapy was not used for pain control, hypnosis, or electrical stimulation.
Reference:
Which is a clinical activity of only the advanced practice registered nurse?

You Selected:
• Triage
Correct response:
• Psychotherapy
Explanation:
Clinical activities of the advanced practice registered nurse include psychotherapy,

community interventions, and clinical supervision. Milieu therapy, crisis intervention, and
triage are clinical activities of the psychiatric-mental health registered nurse.
Reference:
Ethics, Standards, and Nursing Frameworks, p. 54 Box 6-4.
Which sets professional standards of care?

You Selected:
• Professional nursing organizations
Correct response:
Explanation:
States and provinces grant the legal authority to practice nursing, but professional
nursing organizations set standards of care and professional nursing activities.
Reference:
Ethics, Standards, and Nursing Frameworks, p. 55.

review?
You Selected:
Correct response:
Explanation:
Evidence-based nursing practice (EBNP) is the conscientious, explicit, and judicious

use of research-based information in making decisions about the delivery of care. EBNP
does not include institutional practice, authoritative nursing, or factual-based nursing.
Reference:
You Selected:
Correct response:
Explanation:
The 1963 Community Mental Health Centers Act initiated the movement toward treating
those with mental illness in a less restrictive environment. This legislation resulted in the
shift of clients with mental illness from large state institutions to care based in the
community. This Act did not focus on clients' rights, funding for inpatient treatment, or
humane care.
Reference:
You Selected:
Correct response:

Explanation:
In 1775, visitors at St. Mary's of Bethlehem were charged a fee for viewing and
ridiculing the mentally ill, who were seen as animals, less than human. Custodial care
was not often provided as persons who were considered harmless were allowed to
wander in the countryside or live in rural communities, and more dangerous lunatics
were imprisoned, chained, and starved. In early Christian times, primitive beliefs and
superstitions were strong. The mentally ill were viewed as evil or possessed. Priests
performed exorcisms to rid evil spirits, and in the colonies, witch hunts were conducted
with offenders burned at the stake. It was not until the period of enlightenment when
persons who were mentally ill were offered asylum as a safe refuge or haven offering
protection at institutions.
Reference:
You Selected:
Correct response:
Explanation:
Family support exists within the social domain. Feelings and thoughts are within the
psychological domain and medications have a biologic effect.
Results
COMPLETED IN7m 45s

What's this?

4 quizzes taken
3
Your mastery
5.18
Class average
Answer Key
Which individual has experienced the consequences of deinstitutionalization?

You Selected:
• A man who was denied inpatient psychiatric treatment by his health maintenance
organization (HMO)
Correct response:
• A woman who was transferred from a psychiatric hospital to the community because of
the hospital's impending closure
Explanation:
The process of deinstitutionalization involves moving chronically mentally ill clients from
state psychiatric hospitals back to their homes or to community-supervised facilities.
Reference:
Foundations of Psychiatric–Mental Health Nursing, p. 9
A nurse is reviewing information about various legislation that has affected psychiatric-
mental health care. When reading about the Hill-Burton Act, the nurse would most likely
find information about which type of federal support for health care?
You Selected:
Correct response:
Explanation:
The Hill-Burton Act (1946) provided substantial federal support for hospital construction,
which expanded the number of psychiatric units in general hospitals. The Patient
Protection and Affordable Care Act (2010) aims to provide people with access to
affordable, effective treatments for their mental health needs and prevent insurance
companies from excluding people because of preexisting conditions. The National
Mental Health Act (1946) created a six-member National Mental Health Advisory
Council to oversee and coordinate research and training. The Mental Retardation
Facilities and Community Mental Health Centers Construction Act shifted authority for
mental health programming to the federal government.
Reference:
You Selected:
• Quakers
Correct response:
• Quakers
Explanation:
The humane and supportive rehabilitative attitude of the Quakers was seen as an
extremely important influence in changing techniques of caring for those with mental
disorders.
Reference:
what?
You Selected:
• State hospitals
Correct response:
• State hospitals
Explanation:
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.
Reference:
mental health?
You Selected:
Correct response:
Explanation:
Individual factors influencing mental health include coping or stress management

abilities. Interpersonal factors such as intimacy and a balance of separateness and
connectedness are both needed for good mental health, and therefore a healthy person
would need others for companionship. A family history of mental illness could relate to
the biologic makeup of an individual, which may have a negative impact on an
individual's mental health. Total self-reliance is not possible, and striving to attain this is
likely to lead to frustration and isolation.
Reference:
13.

You Selected:
Correct response:
Explanation:
Mental health is a state of emotional, psychological, and social wellness evidenced by

satisfying interpersonal relationships, effective behavior and coping, positive self-
concept, and emotional stability. Concepts of behavior that is acceptable and
unacceptable vary widely between cultures. Consequently, mental health or illness can
be difficult to discern. Persons who engage in fantasies may be mentally healthy, but
the inability to distinguish reality from fantasy is an individual factor that may contribute
to mental illness.
Reference:
A psychiatric nurse is planning an educational program addressing primary prevention

strategies in the community. The nurse explores current research regarding which
health care need?
You Selected:
• Informing parents of the early signs of attention deficit disorder in children
Correct response:
• Assisting high school students to effectively manage stress
Explanation:
Nurses work to provide mental health prevention services to reduce risks to the mental
health of persons, families, and communities. Examples include primary prevention,
such as stress management education; secondary prevention, such as early
identification of potential mental health problems; and tertiary prevention, such as
monitoring and coordinating rehabilitation services for the mentally ill. Primary
prevention focuses on individuals who have not been diagnosed with mental health
disorders.
What nursing action demonstrates the intended impact of the American Nurses
Association (ANA) standards of care on mental health nursing care?
You Selected:
• Referring to the standards to determine if a particularly prescribed treatment falls within

the scope of a nurse's practice.
Correct response:

Explanation:
The American Nurses Association (ANA) develops standards of care as authoritative

statements by professional organizations that describe the responsibilities for which
nurses are accountable, thus identifying the nurse's scope of practice. They are not
legally binding unless they are incorporated into the state nurse practice act or state
board rules and regulations. When legal problems or lawsuits arise, these professional
standards are used to determine safe and acceptable practice and to assess the quality
of care in the court of law. Neither identifying advanced level functions or safety
delegation principles are directly associated with the ANAs nursing standards.

You Selected:
• Report the incident to staff and the clinical instructor so boundaries can be reenforced
with the client.
Correct response:
with the client.
Explanation:
You Selected:
Correct response:
Explanation:
Reference:
Results
COMPLETED IN3m 41s

What's this?

5 quizzes taken
3
Your mastery
5.18
Class average
Answer Key
While reading a journal article about early mental health care, the nurse learns about
the creation of asylums during the 1800s. Which reason would the nurse most likely
identify as underlying their creation?
You Selected:
Correct response:
Explanation:
the mentally ill. Asylums were not used to improve treatment of mental disorders nor to
Reference:

You Selected:
Correct response:
Explanation:

studies.
Reference:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
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.
Reference:
You Selected:
• False
Correct response:
• False
Explanation:
Freudian ideology dominated psychiatry well into the 1970s. Intensive psychoanalysis,
aimed at repairing the trauma of the original psychological injury, was the treatment of
choice. Psychoanalysis was costly, time-consuming, and required lengthy training.
Thus, thousands of clients in state institutions with severe mental illnesses were
essentially ignored.
Reference:
relationship?
You Selected:
Correct response:
Explanation:
Hildegard Peplau wrote a publication introducing the concepts of interpersonal relations

and the therapeutic relationship within psychiatric-mental health nursing practice.
Reference:

You Selected:
• Quakers
Correct response:
• Quakers
Explanation:
In the United States, the Quakers were instrumental in stopping the practice of
bloodletting; they also placed great emphasis on providing a proper religious
atmosphere. Methodists, Baptists, and Mormons were not instrumental in stopping this
practice.
Reference:
You Selected:
• Education
Correct response:
• Education
Explanation:
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.
Reference:
The newly licensed registered nurse has been hired at the local hospital in the geriatric-
psychiatry unit. Today is the nurse's first day of orientation to this facility. What would be
the nurse's priority action if a client becomes aggressive?
You Selected:
• Assist other staff on the unit to take down the client safely
Correct response:
• Maintain a safe distance from the client
Explanation:
As a newly licensed registered nurse on orientation the first day, the nurse has not been
trained to take down or assist in taking down an aggressive client. Serious injury can
occur. Maintaining a safe distance in this situation is the most prudent, until the nurse
has received the appropriate training. Since the nurse is new to this unit, the nurse is
not in a position to reinforce boundaries at this time, as the client may perceive the
nurse as an outsider and may appear as a threat, thus escalating the situation.
Therapeutic settings are for all clients, acceptable behaviors are reinforced, and
secluding or isolating the client can foster aggressive behavior.
A nurse is reviewing the contribution of Clifford Beers to psychiatric care. The nurse
would identify development of which aspect as being associated with Beers?
You Selected:
• Stress management techniques
Correct response:
• Prison clinics
Explanation:
In 1909, the National Mental Health Committee formed by Clifford Beers was
responsible for the development of child guidance clinics, prison clinics, and industrial
mental health approaches. Graduate level training programs for psychiatric-nurses,
stress reduction techniques and use of hydrotherapy are not associated with Beers.
Reference:
Results
COMPLETED IN4m 23s

What's this?

6 quizzes taken
4
Your mastery
5.24
Class average
Answer Key

You Selected:
Correct response:
Explanation:
psychiatric milieu.

You Selected:

Correct response:

Explanation:

You Selected:
• Anal
Correct response:
• Anal
Explanation:
In the anal phase of development, according to Freud, the toddler develops a sense of
autonomy through withholding. In the oral phase, the infant experiences the world
through symbolic oral ingestion. The beginning sense of sexuality merges within the
framework of the oedipal relationship in the genital stage.
Reference:
You Selected:
• Colonial
Correct response:
• Colonial
Explanation:
During the colonial period (1700-1730), mental diseases began to be viewed as

treatable illnesses. During the later medieval period, Muslims built the first asylums.
During the Renaissance period, people with psychiatric symptoms who presented a
threat to society were apprehended and locked up. In the early Christian and early
medieval periods, people with psychiatric symptoms were incarcerated in dungeons,
beaten, and starved.
Reference:
You Selected:
• Colonial
Correct response:
• Colonial
Explanation:
During the Colonial period, in 1773, the first public, free-standing asylum at
Williamsburg, Virginia, was built. During the later medieval period, Muslims built the first
asylums. During the Renaissance period, people with psychiatric symptoms who
presented a threat to society were apprehended and locked up. In the early Christian
and early medieval periods, those with psychiatric symptoms were incarcerated in
dungeons, beaten, and starved.
Reference:

You Selected:
• Psychotherapy
Correct response:
• Psychotherapy
Explanation:

Reference:

You Selected:
Correct response:
Explanation:
Reference:
Which client statement demonstrates the most positive aspect of treating clients with
mental illness in community-based care?
You Selected:
• "This program will help me have fewer hospitalizations."
Correct response:
• "I can live in my own home and still see a therapist regularly."
Explanation:
While all of the options present true statements, the most positive benefit of a
community-based mental health program is that it provides the client the ability to stay
in a familiar environment and still have access to the required mental health care. The
remaining options address issues of personal not mental health issues that are
important to the client.
Reference:
You Selected:

Correct response:
Explanation:

Reference:
You Selected:
• Demonic control
Correct response:
• Demonic control
Explanation:
Reference:
Results
COMPLETED IN2m 52s

What's this?

7 quizzes taken
5
Your mastery
5.29
Class average
Answer Key

You Selected:
Correct response:
Explanation:
Reference:
environment?
You Selected:
• Asylums
Correct response:
• Asylums
Explanation:
In the moral treatment period (1790–1900), moral treatment and the use of kindness,
compassion, and a pleasant environment was adopted. Clients were routinely removed
from their communities and placed in asylums, which was thought to be best for their
safety and comfort. Community mental health centers, by and large, ignored the legions
of people with serious mental illnesses and instead focused on the treatment of those
with alcoholism and drug addiction. Clients were not placed in psychosocial
rehabilitation centers or group homes during the moral treatment period.
Reference:
You Selected:
Correct response:
Explanation:
The CMHCs, by and large, ignored the legions of people with serious mental illnesses
and instead focused on the treatment of people with alcoholism and drug addiction.
Individual psychotherapy, the primary treatment offered in most centers, was insufficient
for those who needed other types of treatment, housing, and vocational opportunities.
Social-recreational services and group therapy were not the initial focuses of CMHCs.
Reference:
You Selected:
• Peplau
Correct response:
• Peplau
Explanation:
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.
Reference:
You Selected:
• Calming effect
Correct response:
• Calming effect
Explanation:

Reference:
You Selected:
• Anal
Correct response:
• Anal
Explanation:
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.
Reference:

You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
humane care.
Reference:

health care need?
You Selected:
Correct response:
Explanation:
disorders.
You Selected:
Correct response:
Explanation:
Reference:
Results
COMPLETED IN4m 42s

What's this?

8 quizzes taken
6
Your mastery
5.35
Class average
Answer Key
Which activity is a function solely of the advanced practice psychiatric–mental health

nurse?
You Selected:
• Conducting individual psychotherapy
Correct response:
Explanation:
The advanced practice psychiatric–mental health nurse may provide psychotherapy

(individual, group, family). Examples include all common forms of brief or long-term
therapy. The therapist role that the APRN-PMH assumes is formal and structured and
often involves contracts (verbal, written, or both) with clients.

You Selected:
Correct response:
Explanation:
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.
Reference:
state?
You Selected:
• Massachusetts
Correct response:
• Massachusetts
Explanation:
The first training for nurses to work with persons with mental illness was in 1882 at
McLean Hospital in Belmont, Massachusetts.
Reference:

You Selected:

Correct response:

Explanation:
Institutionalization produced clients who were socially isolated. Few trained
professionals could care for the clients, and outcomes were consistently negative. The
clients had little hope of re-entering society, and they suffered adverse physical and
psychological effects.
Reference:
when:
You Selected:
Correct response:
Explanation:
The development of psychotropic drugs, or drugs used to treat mental illness, began in
the 1950s. Community support, client rights, and commitment procedures were
addressed more directly in later decades.
Reference:
services is ...
You Selected:
Correct response:
Explanation:
Although people with severe and persistent mental illness have shorter hospital stays,
they are admitted to hospitals more frequently. Although deinstitutionalization reduced
the number of public hospital beds by 80%, the number of admissions to those beds
correspondingly increased by 90%. The number of individuals with mental illness did not
change.
Reference:
A client has been started on antidepressants. Which interdisciplinary team member

is most responsible for monitoring effectiveness and side effects of this new
medication?
You Selected:
• Psychiatric nurse
Correct response:
Explanation:
The nurse is also an essential team member in evaluating the effectiveness of medical
treatment, particularly medications. The pharmacist has a working knowledge of
medications but has limited contact with the patient. The primary function of the
psychiatrist is diagnosis of mental disorders and prescription of medical treatments. The
clinical psychologist practices therapy.
Reference:
A nurse documents that a client has successfully acquired a job performing janitorial
services at a local manufacturing company. The goal of which level of prevention has
been achieved?
You Selected:
• Tertiary prevention
Correct response:
Explanation:
Examples of prevention services include primary prevention, such as stress

management education; secondary prevention, such as early identification of potential
mental health problems; and tertiary prevention, such as monitoring and coordinating
rehabilitation services for the mentally ill. Obtaining employment is a key aspect of
rehabilitation and is consequently an example of tertiary prevention. Community
prevention is not a recognized category of prevention.
You Selected:

Correct response:

Explanation:

You Selected:
Correct response:
Explanation:
Results
COMPLETED IN3m 8s

What's this?

9 quizzes taken
7
Your mastery
5.41
Class average
Answer Key
You Selected:
Correct response:
Explanation:
Clients were often far removed from the local community, family, and friends because
state institutions were usually in rural or remote settings. Choices A, B, and D were not
major problems associated with large state instructions.
Reference:
conditions?
You Selected:
Correct response:
Explanation:
Reference:
care?
You Selected:
Correct response:
Explanation:
In 2010, the Patient Protection and Affordable Care Act was passed to provide people
with access to affordable, effective treatments for their mental health needs, and to
prevent insurance companies from excluding people because of preexisting conditions.
The intent of this legislation is to put the consumers of mental health care back in
charge of their care. The National Mental Health Act of 1946 created a National Mental
Health Advisory Council to oversee and coordinate research and training. The Report of
the Surgeon General's Conference on Children's Mental Health of 2000 highlights
consensus recommendations for identifying, recognizing, and referring children to
services; increasing access to services for families; and using evidence for evaluating
treatment services, systems of care, and financing. The Mental Retardation Facilities
and Community Mental Health Centers Construction Act shifted authority for mental
health programming to the federal government.
Reference:
You Selected:
Correct response:
Explanation:
century.
Reference:
You Selected:
• Quakers
Correct response:
• Quakers
Explanation:
disorders.
Reference:
relationship?
You Selected:
Correct response:
Explanation:

Reference:
what?
You Selected:
• State hospitals
Correct response:
• State hospitals
Explanation:
Reference:

You Selected:
• Drives
Correct response:
• Drives
Explanation:
Freud developed a personality theory based on unconscious motivations for behavior,

or drives. His personality theory was not based on social attributes, symbols, or
impaired functioning.
Reference:
You Selected:
• Education
Correct response:
• Education
Explanation:

Reference:
The geriatric psychiatry nurse understands that the DSM-5 describes all mental
disorders with specific criteria. Which are the purposes of the the DSM-5? Select all that
apply.
You Selected:
• To present defining characteristics or symptoms that differentiate specific diagnoses.

• To assist in identifying the underlying causes of disorders.
• To provide a standardized nomenclature and language for all mental health
professionals.
Correct response:

professionals.
Explanation:
The DSM-5 has three purposes: (1) to provide a standardized nomenclature and
language for all mental health professionals; (2) to present defining characteristics or
symptoms that differentiate specific diagnoses; and (3) to assist in identifying the
underlying causes of disorders. The DSM-5 was not designed to provide the practitioner
with standards of care for all clients nor to provide standards for hospital and community
based institutions.
T Results
COMPLETED IN1m 19s

What's this?

10 quizzes taken
8
Your mastery
5.47
Class average
Answer Key
You Selected:
Correct response:
Explanation:
The supporters of the 1963 legislation believed the exact opposite of what Dorothea Dix
believed during the previous century. That is, instead of viewing an institution as a
peaceful asylum, institutionalization was viewed as contributing to illness.
Institutionalization was not viewed as the least restrictive environment or as a
therapeutic environment.
Reference:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
During the 1800s, the cure for mental illness was believed to be moral treatment,
defined as kindness, compassion, and a pleasant environment. Philippe Pinel was one
of the first physicians who began using moral treatment in France.
Reference:
19th century?
You Selected:
• Dorothea Dix
Correct response:
• Dorothea Dix
Explanation:
19th century.
Reference:
You Selected:
• Colonial
Correct response:
• Colonial
Explanation:

Results
COMPLETED IN8m 2s

What's this?
1 quizzes taken
1
Your mastery
5.06
Class average
Answer Key
You Selected:
expertise
Correct response:
expertise
Explanation:
Evidence-based care involves the conscientious, explicit, and judicious use of current
best evidence in making decisions about the care of individual clients. It is about
integrating the best available evidence from research with clinical expertise to enhance
decision making.
Reference:
significant?
You Selected:
Correct response:
Explanation:
Mental Health: A Report of the Surgeon General stated that mental health is
fundamental to and necessary for a healthy life; mental disorders are real health
conditions with enormous consequences for individuals, families, communities, and the
nation. Effective treatments for mental disorders are available, and those with mental
disorders or symptoms should seek treatment.
Reference:

You Selected:
Correct response:
Explanation:

studies.
Reference:
You Selected:
Correct response:
Explanation:
Despite the good intentions of early reformers, the approach inside the institution was
one of custodial care and practical management, and treatment rarely occurred.
Although a medical superintendent usually directed an institution, overcrowded wards
and few resources created rowdy, dangerous, and unbearable situations.
Reference:

You Selected:
Correct response:
Explanation:
Support for the biologic approaches received an important boost as successful

symptom management with psychopharmacologic agents became a more widespread
possibility in the early 1950s. Psychopharmacology revolutionized the treatment of
mental illness and led to an increased number of clients discharged into the community,
and the eventual focus on the brain became a key to understanding psychiatric
disorders.
Reference:

You Selected:
Correct response:
Explanation:
the mentally ill. Asylums were not used to improve treatment of mental disorders or to
Reference:
objectives?
You Selected:

Correct response:

Explanation:
One of the Healthy People 2020 Mental Health objectives is to increase depression
screening by primary care providers. While the remaining options may present positive
interventions, none are directly associated with Healthy People 2020 Mental Health
objectives.
Reference:

You Selected:
• Ignore the behavior at the time it occurs but report it to staff before leaving
clinicals for the day.
Correct response:
• Report the incident to staff and the clinical instructor so boundaries can be
reenforced with the client.
Explanation:

If a client states, "I carry this lucky rabbit's foot for luck, my dad did too, and it really
works," which statement by the nurse reflects respect for the client's belief?
You Selected:
Correct response:
Explanation:
At times, a nurse’s values and beliefs will conflict with those of the client or with the
client’s behavior. The nurse must learn to accept these differences among people and
view each client as a worthwhile person regardless of that client’s opinions and lifestyle.
The nurse does not need to share the client’s views and behavior; the nurse merely
needs to accept them as different from the nurse's own and not let them interfere with
care.
You Selected:
• USDHHS (U. S. Department of Health and Human Services)
Correct response:
Explanation:
Reference:
Results
COMPLETED IN9m 10s

What's this?
2 quizzes taken
2
Your mastery
5.12
Class average
Answer Key

You Selected:
Correct response:
Explanation:
psychiatric milieu.
You Selected:
Correct response:
Explanation:
The 1963 Community Mental Health Centers Act intimated the movement toward
treating those with mental illness in a less restrictive environment. This legislation
resulted in the shift of clients with mental illness from large state institutions to care
based in the community. Choices B, C, and D were not purposes of the 1963
Community Mental Health Centers Act.
Reference:
conditions?
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:

Explanation:
Reference:
You Selected:
experienced."
Correct response:
experienced."
Explanation:
Acute grief reactions are expected and therefore not considered mental illness.
Downplaying the client's grief does not appropriately address the the client's concerns.
The quality of the relationship does not determine the presence of absence of mental
illness.
Reference:
14.
You Selected:
Correct response:
Explanation:
It was not until 1950 that the National League for Nursing, which accredits nursing
programs, required schools to include an experience in psychiatric nursing. The
American Nurses Association (ANA) is an organization that nurses belong to as a
professional organization. Some state boards of nursing follow the requirements set by
National League of Nursing (NLN). Nurse Practice Acts contains guidelines that can
reflect National League of Nursing and American Nurses Association standards.

You Selected:
Correct response:
Explanation:
Reference:
process called?
You Selected:
• Revolving door
Correct response:
• Revolving door
Explanation:
The revolving door effect is a result of deinstitutionalization; clients are admitted more
frequently for shorter stays. Boarding is when clients are kept in the emergency
department until the crisis resolves or an inpatient bed is found. Admissions are usually
not escalated but are recurrent.
You Selected:
Correct response:
Explanation:

Reference:
You Selected:
• Demonic control
Correct response:
• Demonic control
Explanation:
Reference:
Results
COMPLETED IN3m 47s

What's this?

3 quizzes taken
3
Your mastery
5.18
Class average
Answer Key
You Selected:
Correct response:
Explanation:
People of ancient times believed that sickness was a punishment for sins and
wrongdoing. It was not a weakness of physical strength, based on social class, or due
to inadequate parenting.
Reference:

You Selected:
• Psychotherapy is reserved for clients who have a documented history of failing to

respond to counseling.
Correct response:

Explanation:

You Selected:
Correct response:
Explanation:

develop in an individual if there were interference in normal development, particularly
early in childhood.
Reference:
You Selected:
• Calming effect
Correct response:
• Calming effect
Explanation:

Reference:

You Selected:
• Triage
Correct response:
• Psychotherapy
Explanation:

Reference:

You Selected:
Correct response:
Explanation:
Reference:

review?
You Selected:
Correct response:
Explanation:
Evidence-based nursing practice (EBNP) is the conscientious, explicit, and judicious

use of research-based information in making decisions about the delivery of care. EBNP
does not include institutional practice, authoritative nursing, or factual-based nursing.
Reference:
You Selected:
Correct response:
Explanation:
humane care.
Reference:
You Selected:
Correct response:

Explanation:
In 1775, visitors at St. Mary's of Bethlehem were charged a fee for viewing and
ridiculing the mentally ill, who were seen as animals, less than human. Custodial care
was not often provided as persons who were considered harmless were allowed to
wander in the countryside or live in rural communities, and more dangerous lunatics
were imprisoned, chained, and starved. In early Christian times, primitive beliefs and
superstitions were strong. The mentally ill were viewed as evil or possessed. Priests
performed exorcisms to rid evil spirits, and in the colonies, witch hunts were conducted
with offenders burned at the stake. It was not until the period of enlightenment when
persons who were mentally ill were offered asylum as a safe refuge or haven offering
protection at institutions.
Reference:
You Selected:
Correct response:
Explanation:
Family support exists within the social domain. Feelings and thoughts are within the
psychological domain and medications have a biologic effect.
Results
COMPLETED IN7m 45s

What's this?

4 quizzes taken
3
Your mastery
5.18
Class average
Answer Key

You Selected:
• A man who was denied inpatient psychiatric treatment by his health maintenance
organization (HMO)
Correct response:
Explanation:
Reference:
A nurse is reviewing information about various legislation that has affected psychiatric-
mental health care. When reading about the Hill-Burton Act, the nurse would most likely
find information about which type of federal support for health care?
You Selected:
Correct response:
Explanation:
The Hill-Burton Act (1946) provided substantial federal support for hospital construction,
which expanded the number of psychiatric units in general hospitals. The Patient
Protection and Affordable Care Act (2010) aims to provide people with access to
affordable, effective treatments for their mental health needs and prevent insurance
companies from excluding people because of preexisting conditions. The National
Mental Health Act (1946) created a six-member National Mental Health Advisory
Council to oversee and coordinate research and training. The Mental Retardation
Facilities and Community Mental Health Centers Construction Act shifted authority for
mental health programming to the federal government.
Reference:
You Selected:
• Quakers
Correct response:
• Quakers
Explanation:
disorders.
Reference:
what?
You Selected:
• State hospitals
Correct response:
• State hospitals
Explanation:
Reference:
mental health?
You Selected:
Correct response:
Explanation:
Individual factors influencing mental health include coping or stress management

abilities. Interpersonal factors such as intimacy and a balance of separateness and
connectedness are both needed for good mental health, and therefore a healthy person
would need others for companionship. A family history of mental illness could relate to
the biologic makeup of an individual, which may have a negative impact on an
individual's mental health. Total self-reliance is not possible, and striving to attain this is
likely to lead to frustration and isolation.
Reference:
13.

You Selected:
Correct response:
Explanation:
Mental health is a state of emotional, psychological, and social wellness evidenced by

satisfying interpersonal relationships, effective behavior and coping, positive self-
concept, and emotional stability. Concepts of behavior that is acceptable and
unacceptable vary widely between cultures. Consequently, mental health or illness can
be difficult to discern. Persons who engage in fantasies may be mentally healthy, but
the inability to distinguish reality from fantasy is an individual factor that may contribute
to mental illness.
Reference:

health care need?
You Selected:
• Informing parents of the early signs of attention deficit disorder in children
Correct response:
Explanation:
disorders.
You Selected:

Correct response:

Explanation:


You Selected:
with the client.
Correct response:
with the client.
Explanation:
You Selected:
Correct response:
Explanation:
Reference:
Results
COMPLETED IN3m 41s

What's this?

5 quizzes taken
3
Your mastery
5.18
Class average
Answer Key
You Selected:
Correct response:
Explanation:
the mentally ill. Asylums were not used to improve treatment of mental disorders nor to
Reference:

You Selected:
Correct response:
Explanation:

studies.
Reference:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
century.
Reference:
You Selected:
• False
Correct response:
• False
Explanation:
Freudian ideology dominated psychiatry well into the 1970s. Intensive psychoanalysis,
aimed at repairing the trauma of the original psychological injury, was the treatment of
choice. Psychoanalysis was costly, time-consuming, and required lengthy training.
Thus, thousands of clients in state institutions with severe mental illnesses were
essentially ignored.
Reference:
relationship?
You Selected:
Correct response:
Explanation:

Reference:

You Selected:
• Quakers
Correct response:
• Quakers
Explanation:
In the United States, the Quakers were instrumental in stopping the practice of
bloodletting; they also placed great emphasis on providing a proper religious
atmosphere. Methodists, Baptists, and Mormons were not instrumental in stopping this
practice.
Reference:
You Selected:
• Education
Correct response:
• Education
Explanation:

Reference:
You Selected:
• Assist other staff on the unit to take down the client safely
Correct response:
Explanation:
A nurse is reviewing the contribution of Clifford Beers to psychiatric care. The nurse
would identify development of which aspect as being associated with Beers?
You Selected:
• Stress management techniques
Correct response:
• Prison clinics
Explanation:
In 1909, the National Mental Health Committee formed by Clifford Beers was
responsible for the development of child guidance clinics, prison clinics, and industrial
mental health approaches. Graduate level training programs for psychiatric-nurses,
stress reduction techniques and use of hydrotherapy are not associated with Beers.
Reference:
Results
COMPLETED IN4m 23s

What's this?

6 quizzes taken
4
Your mastery
5.24
Class average
Answer Key

You Selected:
Correct response:
Explanation:
psychiatric milieu.

You Selected:

Correct response:

Explanation:

You Selected:
• Anal
Correct response:
• Anal
Explanation:
In the anal phase of development, according to Freud, the toddler develops a sense of
autonomy through withholding. In the oral phase, the infant experiences the world
through symbolic oral ingestion. The beginning sense of sexuality merges within the
framework of the oedipal relationship in the genital stage.
Reference:
You Selected:
• Colonial
Correct response:
• Colonial
Explanation:

Reference:
You Selected:
• Colonial
Correct response:
• Colonial
Explanation:
During the Colonial period, in 1773, the first public, free-standing asylum at
Williamsburg, Virginia, was built. During the later medieval period, Muslims built the first
asylums. During the Renaissance period, people with psychiatric symptoms who
presented a threat to society were apprehended and locked up. In the early Christian
and early medieval periods, those with psychiatric symptoms were incarcerated in
dungeons, beaten, and starved.
Reference:

You Selected:
• Psychotherapy
Correct response:
• Psychotherapy
Explanation:

Reference:

You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• "This program will help me have fewer hospitalizations."
Correct response:
Explanation:
Reference:
You Selected:

Correct response:
Explanation:

Reference:
You Selected:
• Demonic control
Correct response:
• Demonic control
Explanation:
Reference:
Results
COMPLETED IN2m 52s

What's this?

7 quizzes taken
5
Your mastery
5.29
Class average
Answer Key

You Selected:
Correct response:
Explanation:
Reference:
environment?
You Selected:
• Asylums
Correct response:
• Asylums
Explanation:
In the moral treatment period (1790–1900), moral treatment and the use of kindness,
compassion, and a pleasant environment was adopted. Clients were routinely removed
from their communities and placed in asylums, which was thought to be best for their
safety and comfort. Community mental health centers, by and large, ignored the legions
of people with serious mental illnesses and instead focused on the treatment of those
with alcoholism and drug addiction. Clients were not placed in psychosocial
rehabilitation centers or group homes during the moral treatment period.
Reference:
You Selected:
Correct response:
Explanation:
The CMHCs, by and large, ignored the legions of people with serious mental illnesses
and instead focused on the treatment of people with alcoholism and drug addiction.
Individual psychotherapy, the primary treatment offered in most centers, was insufficient
for those who needed other types of treatment, housing, and vocational opportunities.
Social-recreational services and group therapy were not the initial focuses of CMHCs.
Reference:
You Selected:
• Peplau
Correct response:
• Peplau
Explanation:
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.
Reference:
You Selected:
• Calming effect
Correct response:
• Calming effect
Explanation:

Reference:
You Selected:
• Anal
Correct response:
• Anal
Explanation:
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.
Reference:

You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
humane care.
Reference:

health care need?
You Selected:
Correct response:
Explanation:
disorders.
You Selected:
Correct response:
Explanation:
Reference:
Results
COMPLETED IN4m 42s

What's this?

8 quizzes taken
6
Your mastery
5.35
Class average
Answer Key

nurse?
You Selected:
Correct response:
Explanation:
The advanced practice psychiatric–mental health nurse may provide psychotherapy

(individual, group, family). Examples include all common forms of brief or long-term
therapy. The therapist role that the APRN-PMH assumes is formal and structured and
often involves contracts (verbal, written, or both) with clients.

You Selected:
Correct response:
Explanation:
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.
Reference:
state?
You Selected:
• Massachusetts
Correct response:
• Massachusetts
Explanation:
The first training for nurses to work with persons with mental illness was in 1882 at
McLean Hospital in Belmont, Massachusetts.
Reference:

You Selected:

Correct response:

Explanation:
Institutionalization produced clients who were socially isolated. Few trained
professionals could care for the clients, and outcomes were consistently negative. The
clients had little hope of re-entering society, and they suffered adverse physical and
psychological effects.
Reference:
when:
You Selected:
Correct response:
Explanation:
The development of psychotropic drugs, or drugs used to treat mental illness, began in
the 1950s. Community support, client rights, and commitment procedures were
addressed more directly in later decades.
Reference:
services is ...
You Selected:
Correct response:
Explanation:
Although people with severe and persistent mental illness have shorter hospital stays,
they are admitted to hospitals more frequently. Although deinstitutionalization reduced
the number of public hospital beds by 80%, the number of admissions to those beds
correspondingly increased by 90%. The number of individuals with mental illness did not
change.
Reference:

medication?
You Selected:
Correct response:
Explanation:
The nurse is also an essential team member in evaluating the effectiveness of medical
treatment, particularly medications. The pharmacist has a working knowledge of
medications but has limited contact with the patient. The primary function of the
psychiatrist is diagnosis of mental disorders and prescription of medical treatments. The
clinical psychologist practices therapy.
Reference:
A nurse documents that a client has successfully acquired a job performing janitorial
services at a local manufacturing company. The goal of which level of prevention has
been achieved?
You Selected:
Correct response:
Explanation:
Examples of prevention services include primary prevention, such as stress

management education; secondary prevention, such as early identification of potential
mental health problems; and tertiary prevention, such as monitoring and coordinating
rehabilitation services for the mentally ill. Obtaining employment is a key aspect of
rehabilitation and is consequently an example of tertiary prevention. Community
prevention is not a recognized category of prevention.
You Selected:

Correct response:

Explanation:

You Selected:
Correct response:
Explanation:
Results
COMPLETED IN3m 8s

What's this?

9 quizzes taken
7
Your mastery
5.41
Class average
Answer Key
You Selected:
Correct response:
Explanation:
Clients were often far removed from the local community, family, and friends because
state institutions were usually in rural or remote settings. Choices A, B, and D were not
major problems associated with large state instructions.
Reference:
conditions?
You Selected:
Correct response:
Explanation:
Reference:
care?
You Selected:
Correct response:
Explanation:
In 2010, the Patient Protection and Affordable Care Act was passed to provide people
with access to affordable, effective treatments for their mental health needs, and to
prevent insurance companies from excluding people because of preexisting conditions.
The intent of this legislation is to put the consumers of mental health care back in
charge of their care. The National Mental Health Act of 1946 created a National Mental
Health Advisory Council to oversee and coordinate research and training. The Report of
the Surgeon General's Conference on Children's Mental Health of 2000 highlights
consensus recommendations for identifying, recognizing, and referring children to
services; increasing access to services for families; and using evidence for evaluating
treatment services, systems of care, and financing. The Mental Retardation Facilities
and Community Mental Health Centers Construction Act shifted authority for mental
health programming to the federal government.
Reference:
You Selected:
Correct response:
Explanation:
century.
Reference:
You Selected:
• Quakers
Correct response:
• Quakers
Explanation:
disorders.
Reference:
relationship?
You Selected:
Correct response:
Explanation:

Reference:
what?
You Selected:
• State hospitals
Correct response:
• State hospitals
Explanation:
Reference:

You Selected:
• Drives
Correct response:
• Drives
Explanation:
Freud developed a personality theory based on unconscious motivations for behavior,

or drives. His personality theory was not based on social attributes, symbols, or
impaired functioning.
Reference:
You Selected:
• Education
Correct response:
• Education
Explanation:

Reference:
apply.
You Selected:

professionals.
Correct response:

professionals.
Explanation:
The DSM-5 has three purposes: (1) to provide a standardized nomenclature and
language for all mental health professionals; (2) to present defining characteristics or
symptoms that differentiate specific diagnoses; and (3) to assist in identifying the
underlying causes of disorders. The DSM-5 was not designed to provide the practitioner
with standards of care for all clients nor to provide standards for hospital and community
based institutions.
T Results
COMPLETED IN1m 19s

What's this?

10 quizzes taken
8
Your mastery
5.47
Class average
Answer Key
You Selected:
Correct response:
Explanation:
The supporters of the 1963 legislation believed the exact opposite of what Dorothea Dix
believed during the previous century. That is, instead of viewing an institution as a
peaceful asylum, institutionalization was viewed as contributing to illness.
Institutionalization was not viewed as the least restrictive environment or as a
therapeutic environment.
Reference:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
During the 1800s, the cure for mental illness was believed to be moral treatment,
defined as kindness, compassion, and a pleasant environment. Philippe Pinel was one
of the first physicians who began using moral treatment in France.
Reference:
19th century?
You Selected:
• Dorothea Dix
Correct response:
• Dorothea Dix
Explanation:
19th century.
Reference:
You Selected:
• Colonial
Correct response:
• Colonial
Explanation:

Reference:
AKE A PRACTI Results 436

COMPLETED IN44s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
You Selected:
Correct response:
life.
Explanation:
Reference:
14.
You Selected:
Correct response:
• Prison clinics
Explanation:
Reference:
mentally ill?
You Selected:
Correct response:
Explanation:
Reference:
state?
You Selected:
• California
Correct response:
• Massachusetts
Explanation:
Reference:

You Selected:
• Linda Richards
Correct response:
• Linda Richards
Explanation:
Reference:
Loading...
Results
COMPLETED IN6m 48s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key

You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Drives
Correct response:
• Drives
Explanation:
Reference:
You Selected:
•
•
Correct response:

Explanation:
Reference:
You Selected:

life.
Correct response:

life.
Explanation:
Reference:
14.
You Selected:
Correct response:
experienced."
Explanation:
Reference:
14.
You Selected:
Correct response:

Explanation:
Reference:
care?
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
illness
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
Loading...
Results
COMPLETED IN13m 5s
What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
You Selected:
Correct response:
Explanation:
You Selected:
• Quakers
Correct response:
• Quakers
Explanation:
Reference:
state?
You Selected:
• Massachusetts
Correct response:
• Massachusetts
Explanation:
Reference:
what?
You Selected:
• State hospitals
Correct response:
• State hospitals
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:

You Selected:
• Quakers
Correct response:
• Quakers
Explanation:
Reference:
You Selected:
• Evaluation
Correct response:
• Evaluation
Explanation:
Reference:
environment?
You Selected:
• Asylums
Correct response:
• Asylums
Explanation:
Reference:
following sources?
You Selected:
• Research
Correct response:
• Research
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:

You Selected:
• Linda Richards
Correct response:
• Linda Richards
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:

review?
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:

Explanation:
Reference:

You Selected:
• 1950
Correct response:
• 1950
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
mentally ill?
You Selected:
Correct response:
Explanation:
Reference:

You Selected:
• Neurosis
• Psychosis
Correct response:
• Neurosis
• Psychosis
Explanation:
Reference:
Loading...
Results
COMPLETED IN5m 32s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
You Selected:
• Calming effect
Correct response:
• Calming effect
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:
You Selected:

Correct response:

Explanation:
Reference:
You Selected:
• Anal
Correct response:
• Anal
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:

You Selected:

Correct response:

Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Anal
Correct response:
• Anal
Explanation:
Reference:
Loading...
Results
COMPLETED IN10m 20s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
services is ...
You Selected:
Correct response:
Explanation:
Reference:
relationship?
You Selected:
Correct response:
Explanation:
Reference:
state?
You Selected:
• Massachusetts
Correct response:
• Massachusetts
Explanation:
Reference:
You Selected:
• Education
Correct response:
• Education
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
...
You Selected:
Correct response:
Explanation:
Reference:
when:
You Selected:
Correct response:
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:
illness?
You Selected:
• Barbiturates
Correct response:
• Barbiturates
Explanation:
Reference:
You Selected:
• Peplau
Correct response:
• Peplau
Explanation:
Reference:
Loading...
Results
COMPLETED IN6m 25s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Colonial
Correct response:
• Colonial
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:

You Selected:
• Baptists
Correct response:
• Quakers
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
Loading...
Results
COMPLETED IN3m 33s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key

You Selected:
Correct response:
Explanation:
Reference:
You Selected:

• Social/cultural factors that relate to mental illness include excessive dependency on or
withdrawal from relationships.
Correct response:

life.
Explanation:
Reference:
14.

You Selected:
Correct response:
Explanation:
Reference:
significant?
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
Loading...
Results
COMPLETED IN2m 8s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
conditions?
You Selected:
Correct response:
Explanation:
Reference:
state?
You Selected:
• Massachusetts
Correct response:
• Massachusetts
Explanation:
Reference:
You Selected:
• Calming effect
Correct response:
• Calming effect
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:

Loading...
Results
COMPLETED IN3m 40s

What's this?
15 quizzes taken
8
Your mastery
8
Class average
Answer Key

You Selected:
Correct response:
Explanation:
Reference:
services is ...
You Selected:
Correct response:
Explanation:
Reference:
...
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• use of chains.
Correct response:
Explanation:
Reference:
You Selected:
•
Correct response:
Explanation:
Reference:
Loading...
Results
COMPLETED IN3m 55s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
experienced."
Explanation:
Reference:
14.
state?
You Selected:
• Massachusetts
Correct response:
• Massachusetts
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
following sources?
You Selected:
• Research
Correct response:
• Research
Explanation:
Reference:
Loading...
Results
COMPLETED IN2m 1s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
You Selected:
Correct response:
Explanation:

You Selected:
Correct response:
Explanation:
Reference:
when:
You Selected:
Correct response:
Explanation:
Reference:
mental health?
You Selected:
Correct response:

Explanation:
Reference:
13.
significant?
You Selected:
Correct response:
Explanation:
Reference:
Loading...
Results
COMPLETED IN2m 1s

What's this?
15 quizzes taken
8
Your mastery
8
Class average
Answer Key
You Selected:
Correct response:
Explanation:
You Selected:
Correct response:
Explanation:
Reference:
when:
You Selected:
Correct response:
Explanation:
Reference:
mental health?
You Selected:
Correct response:
Explanation:
Reference:
13.
significant?
You Selected:
Correct response:
Explanation:
Reference:
Loading...
Results
COMPLETED IN3m 48s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key

You Selected:
•
Correct response:
Explanation:
Reference:
Which are contributions of Hildegard Peplau? Select all that apply.

You Selected:

Correct response:

Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Treatment focus
Correct response:
Explanation:
Reference:
conditions?
You Selected:
Correct response:
Explanation:
Reference:
Loading...
Results
COMPLETED IN2m 37s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
You Selected:
Correct response:
Explanation:

You Selected:

Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
Loading...
Results
COMPLETED IN2m 20s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key
conditions?
You Selected:
Correct response:
Explanation:
Reference:
significant?
You Selected:
• Because it allocates research money to psychiatric facilities
Correct response:
Explanation:
Reference:
You Selected:
• Peplau
Correct response:
• Peplau
Explanation:
Reference:
You Selected:
• Dialoguing with a client about the client's feelings around a traumatic event
Correct response:
Explanation:
You Selected:
Correct response:
Explanation:
Reference:
Loading...
Results
COMPLETED IN2m 16s

What's this?

15 quizzes taken
8
Your mastery
8
Class average
Answer Key

You Selected:
Correct response:
Explanation:
Reference:
state?
You Selected:
• Massachusetts
Correct response:
• Massachusetts
Explanation:
Reference:
mental health?
You Selected:
Correct response:
Explanation:
Reference:
13.
You Selected:
Correct response:
Explanation:
You Selected:
Correct response:
experienced."
Explanation:
Reference:
14.
Results
COMPLETED IN2m 27s

What's this?

8 quizzes taken
8
Your mastery
7.29
Class average
Answer Key
You Selected:
Correct response:
Explanation:
Reference:
significant?
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Clergymen
Correct response:
• Clergymen
Explanation:
Reference:
what?
You Selected:
• State hospitals
Correct response:
• State hospitals
Explanation:
Reference:
You Selected:
experienced."
Correct response:
experienced."
Explanation:
Reference:
14.
...
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:

You Selected:
with the client.
Correct response:
with the client.
Explanation:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Demonic control
Correct response:
• Demonic control
Explanation:
Reference:
Results
COMPLETED IN2m 5s

What's this?

8 quizzes taken
8
Your mastery
7.29
Class average
Answer Key

You Selected:
Correct response:
Explanation:
conditions?
You Selected:
Correct response:
Explanation:
Reference:

You Selected:

Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
You Selected:
Correct response:
Explanation:
objectives?
You Selected:
• Including a depression screening in the assessment interview conducted by the staff of

a group of family practitioners
Correct response:
• Including a depression screening in the assessment interview conducted by the staff of

a group of family practitioners
Explanation:
Reference:
process called?
You Selected:
• Revolving door
Correct response:
• Revolving door
Explanation:
You Selected:

Correct response:
Explanation:
Reference:
Results
COMPLETED IN1m 44s

What's this?

8 quizzes taken
8
Your mastery
7.29
Class average
Answer Key

You Selected:

Correct response:

Explanation:

You Selected:
Correct response:

Explanation:
Reference:
Which of the following early founders integrated psychiatric nursing content into the
nursing curriculum?
You Selected:
• Linda Richards
Correct response:
• Effie Taylor
Explanation:
Reference:
You Selected:
• Calming effect
Correct response:
• Calming effect
Explanation:
Reference:

You Selected:
• Drives
Correct response:
• Drives
Explanation:
Reference:
You Selected:
• Colonial
Correct response:
• Colonial
Explanation:
Reference:

You Selected:
• Psychotherapy
Correct response:
• Psychotherapy
Explanation:
Reference:

health care need?
You Selected:
Correct response:
Explanation:
You Selected:

Correct response:

Explanation:
You Selected:
Correct response:
Explanation:
Results
COMPLETED IN1m 56s

What's this?

8 quizzes taken
8
Your mastery
7.29
Class average
Answer Key

You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
environment?
You Selected:
• Asylums
Correct response:
• Asylums
Explanation:
Reference:
You Selected:
• Anal
Correct response:
• Anal
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• False
Correct response:
• False
Explanation:
Reference:
You Selected:
• Anal
Correct response:
• Anal
Explanation:
Reference:
mentally ill?
You Selected:
Correct response:
Explanation:
Reference:
state?
You Selected:
• Massachusetts
Correct response:
• Massachusetts
Explanation:
Reference:
You Selected:
• Education
Correct response:
• Education
Explanation:
Reference:
Results
COMPLETED IN1m 56s

What's this?

8 quizzes taken
8
Your mastery
7.29
Class average
Answer Key

You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
environment?
You Selected:
• Asylums
Correct response:
• Asylums
Explanation:
Reference:
You Selected:
• Anal
Correct response:
• Anal
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• False
Correct response:
• False
Explanation:
Reference:
You Selected:
• Anal
Correct response:
• Anal
Explanation:
Reference:
mentally ill?
You Selected:
Correct response:
Explanation:
Reference:
state?
You Selected:
• Massachusetts
Correct response:
• Massachusetts
Explanation:
Reference:
You Selected:
• Education
Correct response:
• Education
Explanation:
Reference:
Results
COMPLETED IN1m 3s

What's this?

8 quizzes taken
8
Your mastery
7.29
Class average
Answer Key
You Selected:
• Peplau
Correct response:
• Peplau
Explanation:
Reference:

You Selected:

Correct response:

Explanation:
Reference:
services is ...
You Selected:
Correct response:
Explanation:
Reference:

medication?
You Selected:
Correct response:
Explanation:
Reference:

You Selected:
with the client.
Correct response:
with the client.
Explanation:

Results
COMPLETED IN1m 35s

What's this?

8 quizzes taken
8
Your mastery
7.29
Class average
Answer Key

nurse?
You Selected:
Correct response:
Explanation:
You Selected:

Correct response:
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:
state?
You Selected:
• Massachusetts
Correct response:
• Massachusetts
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
care?
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Clergymen
Correct response:
• Clergymen
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Demonic control
Correct response:
• Demonic control
Explanation:
Reference:
Results
COMPLETED IN1m 35s

What's this?

8 quizzes taken
8
Your mastery
7.29
Class average
Answer Key

nurse?
You Selected:
Correct response:
Explanation:
You Selected:
Correct response:
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:
state?
You Selected:
• Massachusetts
Correct response:
• Massachusetts
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
care?
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Clergymen
Correct response:
• Clergymen
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Demonic control
Correct response:
• Demonic control
Explanation:
Reference:
Results
COMPLETED IN1m 45s

What's this?

8 quizzes taken
8
Your mastery
7.29
Class average
Answer Key
following sources?
You Selected:
• Research
Correct response:
• Research
Explanation:
Reference:

You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Quakers
Correct response:
• Quakers
Explanation:
Reference:
relationship?
You Selected:
Correct response:
Explanation:
Reference:

You Selected:
• Quakers
Correct response:
• Quakers
Explanation:
Reference:
what?
You Selected:
• State hospitals
Correct response:
• State hospitals
Explanation:
Reference:

You Selected:
• Drives
Correct response:
• Drives
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
apply.
You Selected:

professionals.
Correct response:

professionals.
Explanation:
You Selected:
Correct response:
Explanation:
Reference:
Results
COMPLETED IN46s

What's this?

8 quizzes taken
8
Your mastery
7.29
Class average
Answer Key

You Selected:
• Effie Taylor
Correct response:
• Linda Richards
Explanation:
Reference:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
• Colonial
Correct response:
• Colonial
Explanation:
Reference:
when:
You Selected:
Correct response:
Explanation:
Reference:
You Selected:
Correct response:
Results
COMPLETED IN2m 16s

What's this?

4 quizzes taken
5
Your mastery
7.8
Class average
Answer Key
A psychiatric-mental health nurse is preparing a presentation about the historical

evolution of psychiatric-mental health nursing as it is today. When describing the
contributions of Hildegard Peplau, which information would the nurse most likely
include? Select all that apply.
You Selected:

• Influenced the expansion of state hospitals in the 19th century
Correct response:

Explanation:
Reference:
care?
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Prepu Psych Chapter 1

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Prepu Psych Chapter 1

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• Take a Practice Quiz

Chapter 1: Psychiatric-Mental Health Nursing and Evidence-Based Practice

• Mental illness can cause significant distress, impaired functioning, or both.

• Mental illness can cause significant distress, impaired functioning, or both.

• Mental health nurse training

• The widespread use of community-based services

Who was the first trained nurse in the United States?

• Take a Practice Quiz

Chapter 1: Psychiatric-Mental Health Nursing and Evidence-Based Practice

The nurse consults the DSM for what purpose?

• To serve as a guide for client assessment

Freud’s personality theory was based on what?

• Attendants were accused of abusing the residents

• Individuals suffering from mental illness may experience dissatisfaction with

• Mental illness can cause significant distress, impaired functioning, or both.

• It was punishment for sins and wrongdoing.

• It was punishment for sins and wrongdoing.

• The Patient Protection and Affordable Care Act

• The Patient Protection and Affordable Care Act

Which of the following is inconsistent with an evidence-based approach?

• Nurse-centered decision making

• Nurse-centered decision making

• using effective communication skills.

• using effective communication skills.

• Take a Practice Quiz

Chapter 1: Psychiatric-Mental Health Nursing and Evidence-Based Practice

• National League of Nursing

Question 2 See full question

Which is a standard of practice?

Which is included in Healthy People 2020 objectives?

Which religious group was instrumental in stopping the practice of bloodletting?

Who was the first trained nurse in the United States?

• deinstitutionalize state hospitals

• deinstitutionalize state hospitals

Before developing a procedure, a nurse reviews all current research-based literature on

• kept clients geographically isolated from family and community

• kept clients geographically isolated from family and community

Psychiatric nursing became required in nursing education in which year?

During the mid-20th century, the focus of treatment centered on treating

• It was caused by contaminated environments.

• It was caused by contaminated environments.

• The widespread use of community-based services

According to Freud, if there was any interference in overall normal development, a

• Take a Practice Quiz

Chapter 1: Psychiatric-Mental Health Nursing and Evidence-Based Practice

• provide food and shelter for the mentally ill.

• provide food and shelter for the mentally ill.

• Some aspects of Standard 5: Implementation may only be carried out by psychiatric–

• Some aspects of Standard 5: Implementation may only be carried out by psychiatric–

• Alcoholism and addiction

• Alcoholism and addiction

Deinstitutionalization has resulted in which of the following?

• A revolving door of repetitive hospital admission

• A revolving door of repetitive hospital admission

• Institutionalization was viewed as contributing to illness.

Which is accurate regarding institutionalization? Select all that apply.

• Clients suffered physical abuse

• Clients were socially isolated

• establishment or enlargement of state hospitals.

• establishment or enlargement of state hospitals.

• Take a Practice Quiz

Chapter 1: Psychiatric-Mental Health Nursing and Evidence-Based Practice