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:

Sigmund Freud

Dorothea Dix

Hildegard Peplau

Linda Richards

Answer and Explanation

The Correct Answer is B

A. Sigmund Freud:
Sigmund Freud was a pioneering figure in the field of psychology, known for his development of psychoanalytic theory. However, his focus was primarily on understanding the unconscious mind, personality development, and psychosexual stages. He did not advocate for the moral treatment of the mentally ill or the opening of state hospitals.

B. Dorothea Dix:
Dorothea Dix was a prominent social reformer and advocate for the rights of individuals with mental illness in the 19th century. She campaigned extensively for the improvement of mental health care, including advocating for the moral treatment of the mentally ill and the establishment of state-funded mental hospitals. Her efforts led to significant reforms in mental health care in the United States. Therefore, this is the correct answer as she is widely recognized for her advocacy and efforts in improving mental health care and promoting the humane treatment of individuals with mental illness.

C. Hildegard Peplau:
Hildegard Peplau was a nurse theorist known for her work on interpersonal relations in nursing. While she made significant contributions to nursing theory and practice, including in the field of psychiatric nursing, her focus was not specifically on advocating for the moral treatment of the mentally ill or the establishment of state hospitals.

D. Linda Richards:
Linda Richards was a pioneering psychiatric nurse and the first trained nurse in the United States. She made important contributions to psychiatric nursing practice and education. However, her work did not involve advocating for the moral treatment of the mentally ill or the opening of state hospitals.

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Correct Answer is A

Explanation

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.

A. Maintaining good eye contact if acceptable with the client B. Crossing their legs when speaking with the client C. Assuming an open body posture with arms unfolded D. Facing the client while sitting behind a desk E. Keeping their hands inside their pockets with speaking with their client

Correct Answer is ["A","C"]

Explanation

A. Maintaining good eye contact if acceptable with the client: Eye contact is an important nonverbal cue that shows attentiveness and interest in the conversation. However, cultural considerations should be kept in mind as some cultures may interpret prolonged eye contact differently.

B. Crossing their legs when speaking with the client: Crossing legs can sometimes convey a closed-off or defensive posture, which may hinder effective communication and rapport-building with clients.

C. Assuming an open body posture with arms unfolded: Open body language, such as having arms unfolded and maintaining an open posture, signals approachability and receptiveness to communication. It encourages clients to feel more comfortable sharing their thoughts and feelings.

D. Facing the client while sitting behind a desk: Sitting behind a desk creates a physical barrier between the nurse and the client, potentially making the interaction less personal and hindering the establishment of a therapeutic relationship.

E. Keeping their hands inside their pockets while speaking with their client: Keeping hands inside pockets can give off an impression of disinterest or lack of engagement in the conversation, which may not align with the goal of conveying interest and willingness to listen.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A new nurse tells a mentor, "I want to convey to my clients that I am interested in them and that I want to listen to what they have to say." Which behaviors are helpful in meeting the nurse's goal? Select all that apply.

Correct Answer is ["A","C"]

Explanation

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?

A nurse explains to the family of a patient who is mentally ill how the nurse-patient relationship differs from social relationships. which is the best explanation?

The nurse is working with a client that is displaying psychotic behavior with poorly controlled emotions. The family of the client asks, What part of the brain controls emotions?"

A nurse is providing care to a client using assertive community treatment (ACT). Which of the following is accurate about this type of treatment?

A nurse is talking to the parents of a pediatric client about mental healthcare. The nurse explains that the factor having influence on the current trend in treatment settings is the fact in recent years:

A nurse is planning to discharge a client from an inpatient mental health facility. A client's ability to remain in the community is closely related to what?

A nurse uses Maslow's hierarchy of needs to plan care for a client with psychosis. Which problem will receive priority?