CHAPTER 31 Community Mental Health Nursing

CHAPTER 31 Community Mental Health Nursing

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The deinstitutionalization of clients who were mentally ill occurred when clients and services were shifted from state mental hospitals to community settings, and massive numbers of clients were released to nursing homes, rest homes, or apartments. This shift initially led to decreased quality of life for those who were mentally ill, due to which of the following reasons?

a.	lack of interest in people who are mentally ill on the part of their families
b.	unwillingness of professionals to care for the clients
c.	poor initial funding of community mental health centers
d.	lack of available support services in many communities

 

 

ANS:  D

Deinstitutionalization resulted from the belief that people who were mentally ill would be better cared for in their home communities surrounded by those who were not mentally ill. Unfortunately, adequate support services were not in place in many communities, and a decreased quality of life for people who were mentally ill resulted.

 

PTS:   1                    DIF:    Analysis

REF:   Federal Government in Mental Health Care| Deinstitutionalization

 

2. Which force favored the movement of mental health care to the community?

a.	state hospital employees’ job-loss concerns
b.	reimbursement for hospital care by the states
c.	strong advocacy movements
d.	public fear and discrimination

 

 

ANS:  C

Strong advocacy movements favored the movement of mental health care to the community. The National Alliance for the Mentally Ill (NAMI) was the first consumer group to advocate for better services. Today there are at least seven consumer advocacy and self-help organizations. Advocacy groups focus on the principles that services should be delivered in the least restrictive environment and consumers should be involved in the treatment plan.

 

PTS:   1                    DIF:    Comprehension                               REF:   The Changing Focus of Care

 

3. Community mental health nursing is BEST defined as:

a.	public health nursing that focuses on mental health only
b.	public health nursing with emphasis on mental health
c.	synonymous with psychiatric home health nursing
d.	outpatient private-practice psychiatric nursing

 

 

ANS:  B

Community mental health is viewed as a synthesis of community health nursing and public health with particular emphasis on mental health (though not to the exclusion of physical health).

 

PTS:   1                    DIF:    Knowledge    REF:   Competencies

 

4. Thirty-two state hospitals were established throughout the United States in the mid- to late 1800s. Most of the hospitals were constructed in rural areas. The reason these mental hospitals were built in rural areas was to:

a.	protect those who were mentally ill from abusive family members
b.	provide a cheap labor force for underserved rural farms
c.	create an insulated therapeutic environment in which to best cure those who were mentally ill
d.	remove those who were mentally ill far away from the communities that feared them

 

 

ANS:  D

In the 1800s, state hospitals were established in rural communities to remove those who were mentally ill far away from the communities that feared them. The concept of mental illness at that time was very negative. Patients were often stereotyped because of their behaviors.

 

PTS:   1                    DIF:    Comprehension                               REF:   The Changing Focus of Care

 

5. Around 1900, the state hospitals in this country had become overcrowded and understaffed. Some people used the term warehousing of clients to indicate that little care was given. At that time, Adolf Meyer recommended which of the following actions?

a.	more state hospitals be built in each state
b.	better medications be developed and made available
c.	clinics for those who were mentally ill be established in communities
d.	families take care of their relatives who were mentally ill at home

 

 

ANS:  C

Adolph Meyer recommended clinics for those who were mentally ill. Meyer’s efforts marked the beginning of the movement for mental health care to return to the community, instead of being isolated away from the mentally ill individual’s families and friends.

 

PTS:   1                    DIF:    Knowledge    REF:   The Changing Focus of Care