A nursing instructor is reviewing the history of mental health nursing with students. What significant change in the treatment of people with mental illness occurred in the 1950s?

legislation dramatically changed civil commitment procedures

community support services were established

psychotropic drugs became available for use

the Patient's Bill of Rights was enacted

Answer and Explanation

The Correct Answer is C

A. Legislation dramatically changed civil commitment procedures:
While changes in legislation related to civil commitment procedures have occurred over time, such changes were not specifically associated with the 1950s. The 1950s were marked more prominently by advancements in psychopharmacology, leading to the availability of psychotropic medications.

B. Community support services were established:
Although the importance of community support services for mental health became increasingly recognized in the mid to late 20th century, the establishment of comprehensive community support services did not occur as a significant change specifically in the 1950s.

C. Psychotropic drugs became available for use.
One significant change in the treatment of people with mental illness that occurred in the 1950s was the development and availability of psychotropic drugs. Psychotropic drugs are medications that affect brain function and are used to manage symptoms of mental illnesses such as depression, anxiety, schizophrenia, and bipolar disorder. The introduction of psychotropic drugs revolutionized mental health treatment by providing more effective and targeted pharmacological interventions, leading to improvements in symptom management, quality of life, and outcomes for individuals with mental illness.

D. The Patient's Bill of Rights was enacted:
The concept of patient rights and advocacy for ethical and humane treatment in healthcare settings, including mental health facilities, has evolved over time. However, the specific enactment of a Patient's Bill of Rights did not occur as a significant change specifically in the 1950s.

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Correct Answer is C

Explanation

A. "We have to go over these instructions before you can go. Please try to listen." - This response may come across as dismissive or confrontational, which can escalate the client's anger and hinder effective communication. It does not demonstrate empathy or understanding of the client's emotions.

B. "You should be able to regulate your feelings better by now. Why are you angry?" - This response can be perceived as judgmental and invalidating of the client's emotions. It does not promote a supportive or therapeutic environment for the client to express their feelings.

C. "I can sense you are angry. Tell me how you feel about being discharged today." - This response acknowledges the client's emotions empathetically and invites them to express their feelings openly. It demonstrates a therapeutic understanding of the client's perspective and creates an opportunity for effective communication and problem-solving.

D. "Would you rather not be discharged today?" - This response acknowledges the possibility that the client may have concerns or preferences about discharge. It opens the door for further discussion and exploration of the client's feelings and needs regarding the discharge process.

A. Inpatient hospital treatment B. Partial hospitalization C. Residential treatment D. Clubhouse

Correct Answer is A

Explanation

A. Inpatient hospital treatment.

Inpatient hospital treatment is the most appropriate level of care for a client experiencing an acute psychotic episode, especially if the symptoms are severe and require intensive monitoring and management. Inpatient care provides a structured and safe environment where immediate medical and psychiatric interventions can be implemented to stabilize the client's condition. During an acute psychotic episode, the client may be at risk of harm to themselves or others, necessitating a higher level of care that can ensure safety and provide round-the-clock support and supervision.

B. Partial hospitalization:
Partial hospitalization programs (PHPs) are typically used for clients who require intensive treatment but do not need 24-hour hospitalization. These programs offer structured therapy and support during the day, allowing the client to return home in the evenings. However, for a client experiencing a severe and acute psychotic episode, PHP may not provide the level of supervision and immediate intervention needed to address the crisis.

C. Residential treatment:
Residential treatment programs are suitable for clients who need a structured and supportive environment for ongoing management of their mental health condition. These programs offer therapy, medication management, and life skills training in a residential setting. While residential treatment can be beneficial for long-term stabilization and rehabilitation, it may not offer the immediate and intensive care required during an acute psychotic episode.

D. Clubhouse:
Clubhouses are community-based programs that focus on social and vocational support for individuals with mental health conditions. They provide opportunities for socialization, skill-building, and employment assistance. However, a clubhouse setting is not designed to provide the level of clinical care and supervision needed during an acute psychotic episode, making it less appropriate for this situation.

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A nursing instructor is reviewing the history of mental health nursing with students. What significant change in the treatment of people with mental illness occurred in the 1950s?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client being discharged appears angry with the nurse when the nurse attempts to review discharge instructions with the client. The nurse can assist the client in this stage of the nurse-client relationship with which therapeutic response?

Correct Answer is C

Explanation

A client who has continuously experienced severe symptoms of schizoaffective disorder for the past 17 years is experiencing an acute psychotic episode. Which level of care is most appropriate for this client at this time?

Correct Answer is A

Explanation

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