A nurse caring for clients in a residential mental health facility is explaining to a new nurse what the goal of the 1963 Community Mental Health Construction Act was. What was the goal of this?

To deinstitutionalize state hospitals.

To provide funds to build hospitals with psychiatric units.

To ensure clients' rights for the mentally ill.

To treat people with mental illness in a humane fashion.

Answer and Explanation

The Correct Answer is A

A. To deinstitutionalize state hospitals: The goal of the 1963 Community Mental Health Construction Act, also known as the Community Mental Health Centers Act, was to shift the focus of mental health care from large, centralized state hospitals to community-based care settings. This act aimed to deinstitutionalize state hospitals by providing funding for the establishment and expansion of community mental health centers, where individuals with mental illness could receive treatment and support services in a less restrictive environment.

B. To provide funds to build hospitals with psychiatric units: While the act did involve funding, its primary goal was not to build hospitals with psychiatric units. Instead, it sought to promote community-based care and reduce reliance on large psychiatric hospitals.

C. To ensure clients' rights for the mentally ill: While protecting clients' rights and advocating for humane treatment were important aspects of mental health reform, the specific goal of the 1963 Community Mental Health Construction Act was more focused on restructuring mental health care delivery through community-based services.

D. To treat people with mental illness in a humane fashion: While this goal aligns with broader principles of mental health reform and human rights, the specific objective of the 1963 Community Mental Health Construction Act was to transition away from institutionalized care towards community-based mental health services.

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Correct Answer is B

Explanation

A. Identifying possible solutions for the client's problems:
While identifying possible solutions is an important aspect of problem-solving and goal-setting in therapy, it is not the primary focus during the working phase of a therapeutic relationship. The focus is more on exploring and understanding the client's problems, feelings, and behaviors before moving on to generating and evaluating potential solutions.

B. Encouraging the client to clarify feelings and behavior.
During the working phase of a therapeutic relationship, the nurse's role is to facilitate the exploration of the client's problems, emotions, thoughts, and behaviors. Encouraging the client to clarify their feelings and behaviors helps them gain insight into their challenges, triggers, and coping mechanisms, which is essential for problem exploration and resolution. This action promotes self-awareness, reflection, and deeper understanding of the issues at hand, leading to more meaningful discussions and therapeutic progress.

C. Referring the client to a self-help group:
Referring the client to a self-help group can be beneficial for ongoing support, peer connection, and learning from others' experiences. However, during the working phase of a therapeutic relationship, the emphasis is on individual exploration, understanding, and processing of problems within the therapeutic context before considering external resources like self-help groups.

D. Comparing past and present coping strategies:
Comparing past and present coping strategies can provide valuable insights into the client's progress, strengths, and areas for growth. However, this action is more relevant to the assessment and evaluation phases of therapy rather than the working phase focused on exploring and addressing current problems and challenges.

A. smell, hearing, memory, and emotional expression. B. organization of thought, body movement memories, emotions, and moral behavior. C. language generation, and visual interpretation. D. taste, touch, and spatial orientation.

Correct Answer is B

Explanation

A. Smell, hearing, memory, and emotional expression:
Dysfunction in the frontal lobe typically does not directly affect sensory functions such as smell and hearing. Memory and emotional expression can be influenced by frontal lobe dysfunction, but they are not the primary functions associated with this brain region.

B. Organization of thought, body movement memories, emotions, and moral behavior:
This choice is the most accurate regarding frontal lobe dysfunction. The frontal lobe is responsible for higher-order cognitive functions, including the organization of thoughts, executive functions such as planning and decision-making, regulation of body movements, emotional regulation, and moral behavior. Dysfunctions in the frontal lobe can lead to deficits in these areas, such as difficulty organizing thoughts, impaired body movements (e.g., apraxia), emotional instability, and changes in moral judgment.

C. Language generation and visual interpretation:
Language generation is primarily associated with areas such as Broca's area, which is located in the frontal lobe but is more specifically related to language production and speech. Visual interpretation is more associated with the occipital lobe, which processes visual information. While frontal lobe dysfunction can impact aspects of language and executive functions related to visual tasks, these are not the primary functions typically affected by frontal lobe dysfunction.

D. Taste, touch, and spatial orientation:
Dysfunction in the frontal lobe is not typically associated with deficits in taste, touch, or spatial orientation. These functions are more related to other brain regions, such as the parietal lobe (for spatial orientation) and the sensory cortex (for taste and touch).

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A nurse caring for clients in a residential mental health facility is explaining to a new nurse what the goal of the 1963 Community Mental Health Construction Act was. What was the goal of this?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in a mental health setting. During the working phase of a therapeutic relationship, which action by the nurse would best help the client to explore problems?

Correct Answer is B

Explanation

A nurse Is preparing to care for a client with dysfunctions in the lobe of the brain labeled as "A". The nurse would expect to observe abnormal assessment findings with the following:

Correct Answer is B

Explanation

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The nurse Is preparing to give a medication to a client with depression. The order is for Desipramine 100 mg PO. The nurse has Desipramine 125 mg/5 ml available. How many mL will the nurse give? A calculator is activated within your exam. Enter numeric value only. Do not label.

When reviewing the history of mental health care in the United States, a psychiatric-mental health nurse reads about advocating for the moral treatment of the mentally ill and opening of state hospitals. The nurse would attribute this concept of care as the idea supported by: