Chapter 02: Historical Issues

Chapter 02: Historical Issues

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A person says, “Now that many state hospitals are closed, patients with psychiatric problems are free in our community. It is not safe for me.” The nurse’s reply should be based on knowledge that:

ANS:  C

Four of the top medical disorders causing disability are psychiatric disorders (i.e., major depression, schizophrenia, bipolar disorder, and alcohol abuse). The other options are not true statements.

DIF:    Cognitive level: Understanding        REF:   p. 9

TOP:   Nursing process: Implementation     MSC:  NCLEX: Psychosocial Integrity

2. Select the most accurate characterization of treatment of the mentally ill prior to the Period of Enlightenment.

ANS:  D

In the 1700s it was common practice for caretakers to display mentally ill patients for the amusement of the paying public. The creation of large asylums took place during the Period of Enlightenment. Mental illness was first studied during the Period of Scientific Study. Dealing with stress and meeting basic needs are concerns of the modern era.

DIF:    Cognitive level: Understanding        REF:   p. 10

TOP:   Nursing process: Assessment           MSC:  NCLEX: Safe, Effective Care Environment

3. What concerns were shared by society during both the Period of Enlightenment and the Period of Community Mental Health?

ANS:  C

The use of asylums signaled concern for meeting basic needs of the mentally ill, who in earlier times often wandered the countryside. With deinstitutionalization, many patients who were poorly equipped to provide for their own needs were returned to the community. The current system must now concern itself with ensuring that patients have such basic needs as food, shelter, and clothing. Studying brain structure and function is more a concern of modern times, as is the provision of medication.

DIF:    Cognitive level: Applying                REF:   pp. 10-11        TOP:   Nursing process: Planning

MSC:  NCLEX: Safe, Effective Care Environment

4. A key factor motivating passage of the Community Mental Health Centers Act in 1963 was that mentally ill individuals had been:

ANS:  B

State hospitals were often located a great distance from the patients’ homes, making family visits difficult during hospitalization. The Community Mental Health Centers Act in 1963 served as the impetus for deinstitutionalization, allowing patients and families to receive care close to home. Admission only for behavior that endangers self or others is more consistent with current admission criteria. Early discharge rarely occurred before the community mental health movement. Unethical pharmacologic research was not a major issue leading to community mental health legislation.

DIF:    Cognitive level: Understanding        REF:   p. 13               TOP:   Nursing process: Planning

MSC:  NCLEX: Safe, Effective Care Environment