History of Psych Nursing
Where was the first training site for nurses to work with persons with mental illness?
Johns Hopkins Hospital, MD
Massachusett General Hosptial, MA
McLean Hospital, Belmont, MA
Pennsylvania Hospital, PA
McLean Hospital, Belmont, MA
Which mental health service is an advanced-level function?
Psychotherapy is only performed by an Advanced Practice Nurse or Physician
Who was the first to introduce the concept of interpersonal relations and the therapeutic relationship?
Hildegard Peplau
Which is the primary role of neurotransmitters?
Communicate information from one cell or cell group to another
A client is experiencing hallucinations and delusions. The nurse would expect the prescribing health care provider to order which class of drug?
Antipsychotic
In early Christian times, what was thought to cause mental illness?
Demonic control
A client demonstrates sexually inappropriate behavior toward a student nurse. What is an effective way for the student to respond while protecting and respecting the client?
Report the incident to staff and the clinical instructor so boundaries can be reenforced with the client.
During the 1800s, Pinel believed that the cure for mental illness was ...
The period of enlightenment included the use of moral treatment and the creation of asylums.
When describing the various neurotransmitters, which would a nurse identify as the primary cholinergic neurotransmitter?
Acetylcholine
A client receives the first dose of fluphenazine. The next day, during the follow-up appointment, the nurse finds the client is confused and mute, and the client's temperature is 103°F. The client also presents with rigidity and diaphoresis. The nurse should investigate further for which condition?
Neuroleptic malignant syndrome
When reviewing the evolution of mental health care in the United States, a psychiatric-mental health nurse reads about the creation of state hospitals for mental health care. The nurse would attribute this concept of care as the idea supported by:
Sigmund Freud
Dorothea Dix
Linda Richards
Emil Kraepelin
Dorthea Dix is a nurse that advocated for the treatment of mental illness, helped establish the first mental asylums in the US, and established or enlargement of state hospitals.
What are the basic-level functions of a psychiatric nurse? Select all that apply.
All of these
What is the primary benefit of the DSM-5 to the student nurse's practice with the mentally ill population?
Encourages the building of a knowledge base about the nature of psychiatric illnesses.
DSM 5. purposes include Standardize nomenclature and language, presenting defining characteristics or symptoms, & Assist in identifying the underlying causes of disorders
Clients diagnosed with myasthenia gravis have a decrease in which receptor?
Acetylcholine
An older adult reports anxiety and is prescribed diazepam by a family physician. The physician asks the office nurse to explain to the client the problematic side effects of this medication. Which instruction about this drug would be most important for the nurse to emphasize?
“You may feel dizzy and be prone to falls after taking this medication.
When comparing the theories of mental illness popular in ancient Greece with those popular in the Middle Ages, which is more applicable to the Middle Ages?
Belief in demonic possession and exorcism was common.
A client with mental illness has come to an outpatient mental health clinical for a counseling session with the community mental health nurse. Which areas should be the focus of counseling for this client? Select all that apply.
Communication skills
Role modeling
Behavior modification
Stress management
Occupational skills
Communication skills
Behavior modification
Stress management
Antidepressants are considered the treatment of choice for major depression; however, they should be used most cautiously in clients with a history of:
Cardiac or seizure disorders.
The function of the thalamus and the hypothalamus is to coordinate:
internal and external responses.
Which is NOT an example of a conventional/first generation antipsychotic drug?
chlorpromazine
thioridazine
haloperidol
Clozapine
Clozapine is an atypical antipsychotic that works on dopamine-receptor and serotonin-receptor blockade, whereas traditional antipsychotics work on the dopamine-receptor blockade.
Pts taking clozapine require weekly blood samples for at least 6 months
During the moral treatment period, clients were routinely placed into which environment?
asylums
Which individual has experienced the consequences of deinstitutionalization?
A woman who was transferred from a psychiatric hospital to the community because of the hospital's impending closure.
When providing care to a client, the psychiatric–mental health nurse is implementing the therapeutic use of self. The nurse is applying concepts based on the work of which individual?
Dorothea L. Dix
Hildegard E. Peplau
Sigmund Freud
Florence Nightingale
Hildegard E. Peplau created the Theory of Interpersonal Relations and considers nursing to be a “significant, therapeutic, interpersonal process.”
A professional boxer has suffered several concussions while boxing. Since retirement, the client has experienced periods of depression and suffers from short-term memory loss. Which provides the best explanation for the neurological basis of the client’s symptoms?
Damage to the hippocampus
The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test?
White blood cell count