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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Individual psychotherapy: Individual psychotherapy typically focuses on exploring and addressing individual thoughts, feelings, and behaviors through therapeutic techniques such as talk therapy. It does not specifically involve the use of rewards or consequences for behavior modification, as seen in the scenario of giving tickets for good behavior.
B. Reality Therapy: Reality Therapy, developed by William Glasser, emphasizes personal responsibility and choices. It involves setting specific goals and evaluating behaviors in relation to these goals. In the context of the scenario, giving tickets for good behavior and not giving them for poor behavior aligns with Reality Therapy's focus on consequences and choices.
C. Cognitive Therapy: Cognitive Therapy focuses on identifying and changing negative thought patterns and beliefs that contribute to emotional distress and maladaptive behaviors. While it may incorporate behavioral techniques, such as behavioral activation, it primarily targets cognitive processes rather than directly using rewards or consequences for behavior modification.
D. Behavioral therapy: Behavioral therapy, including approaches like Applied Behavior Analysis (ABA), focuses on modifying behaviors through reinforcement (positive or negative) and shaping behavior using rewards or consequences. Giving tickets for good behavior and withholding them for poor behavior reflects a behavioral approach to therapy.
Correct Answer is B
Explanation
A. Needs to be taught about medication action and side effects: This problem relates to the client's need for information and understanding about their medication regimen, including its action and potential side effects. While education about medication is important, it may not be the top priority when considering Maslow's hierarchy of needs.
B. Refuses to eat or bathe: This problem directly impacts the client's physiological needs for food and hygiene, which are foundational in Maslow's hierarchy. Therefore, addressing the client's refusal to eat or bathe would take priority over other concerns.
C. Is reluctant to participate in unit social activities: This problem pertains to the client's social and emotional needs, which are higher-level needs in Maslow's hierarchy. While social activities can contribute to the client's well-being, they are not as critical as addressing immediate physiological needs.
D. Reports feelings of alienation from family: This problem relates to the client's sense of belongingness and love, which are also higher-level needs in Maslow's hierarchy. While addressing feelings of alienation is important for the client's overall well-being, it is not as urgent as addressing physiological needs.
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