Title: Psychiatric Mental Health Nursing: An Introduction to Theory and Practice Authors: Patricia G. O'Brien, Winifred Z. Kennedy, Karen A. Ballard

H1: Welcome

Please read each question and select your answer from the choices provided. You must complete all of the questions in order to view your results. At the end of each exam, you have the option to e-mail your results to your instructor.

1:  In the eighteenth century, Philippe Pinel introduced the treatment, moral therapy. Advocates of this treatment believed that mental illness was associated with:
A: Possession of demons
B: Faulty upbringing
C: Unconscious motivation
D: Imbalance of chemicals in the brain

2:  According to Freud's theory, the level of consciousness that represents the largest part of the mind is the:
A: Conscious
B: Conscience
C: Preconscious
D: Unconscious

3:  The theory of Harry Stack Sullivan differs from the theory of Sigmund Freud by placing greater emphasis on:
A: Anxiety
B: Psychosexual development
C: Relationships with significant others
D: Positive and negative reinforcement of behavior

4:  The passage of the National Mental Health Act in 1946 stemmed from the nation's concern about the
A: Large number of homeless citizens suffering from mental disorders
B: Lack of community-based care for persons with mental illness
C: Availability of antipsychotic medications to the citizens who needed them
D: Large numbers of men in the armed forces disabled by mental disorders

5:  Hildegard Peplau, often referred to as the "mother of modern psychiatric nursing," viewed the therapeutic role of the psychiatric nurse as focused on the:
A: Client within the family system
B: Administration of prescribed interventions to clients
C: Relationship between client and nurse
D: Importance of culture in personality development

6:  In the late 1980s, the National Institute of Mental Health (NIMH) underwent a major shift in its focus, which had which of these impacts on psychiatric nursing?
A: Lack of funding for graduate education
B: Increased reimbursement for psychiatric nursing services
C: Shift of practice setting from inpatient facilities to community mental health centers
D: Increased autonomy in practice of psychiatric nurses with graduate preparation

7:  In the United States during the 1980s and 1990s, a major paradigm shift occurred in the understanding of causes of major mental illness and the nature of psychiatric treatment. In the new paradigm, greater emphasis is placed on:
A: Interpersonal approaches
B: Psychoanalysis
C: Holistic approaches
D: Neurobiology

8:  The theory of nursing proposed by Imogene King emphasizes which of these concepts?
A: Reciprocal relationship
B: Goal attainment
C: Self-care deficit
D: Symbolic interactionism

9:  Which of the following is a characteristic of a therapeutic milieu?
A: The client is encouraged to express rights, needs, and opinions
B: Decision-making is clearly defined and is the responsibility of staff members
C: There is frequent change of staff members
D: Activity programming is absent

10:  In group therapy, members' testing of each other and the group leader is characteristic of which of these phases of group process?
A: Preaffiliations phase
B: Power and control phase
C: Working phase
D: Termination phase

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