Evolution of Psychiatric-Mental Health Care
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Questions and Answers

Which theory focuses primarily on observable actions of an individual rather than internal mental states?

  • Psychoanalytic Theory
  • Cognitive Theory
  • Behavioral Theory (correct)
  • Cognitive-Behavioral Theory
  • A nursing framework that considers both actions and information processing would be most related to which theory?

  • Psychosocial Assessment
  • Cognitive-Behavioral Model (correct)
  • Behavioral Theory
  • General Assessment
  • What does the term 'psychosocial assessment' primarily involve?

  • Collecting data, organization, and analysis of client information (correct)
  • Evaluating only the past behavior of the client
  • Analyzing observable physical responses only
  • Focusing solely on cognitive processing
  • Which aspect is NOT a component in a General Assessment?

    <p>Formulating treatment plans (C)</p> Signup and view all the answers

    What is a key focus of cognitive theory?

    <p>Mental processes involved in knowing (B)</p> Signup and view all the answers

    Which factor is NOT categorized as a biological influence on mental health?

    <p>Family values (D)</p> Signup and view all the answers

    A nurse exploring a client's behavior is primarily looking for:

    <p>The underlying need the behavior serves. (B)</p> Signup and view all the answers

    Which of these is a central idea related to achieving mental health peace?

    <p>Being at peace with oneself, others, nature, and a higher power. (D)</p> Signup and view all the answers

    When a nurse views a client's behavior nonjudgmentally, their main goal is to:

    <p>Help the client learn more effective adaptations. (D)</p> Signup and view all the answers

    Which of these is an example of a psychological factor affecting mental health?

    <p>Family trauma (D)</p> Signup and view all the answers

    During the 15th-13th centuries, what was a common belief regarding individuals with mental illness?

    <p>They lacked feelings and understanding, akin to animals. (C)</p> Signup and view all the answers

    Which of the following was a common treatment practiced during the 15th-13th centuries for those with mental illness?

    <p>Administering ice baths which could cause hypothermia. (B)</p> Signup and view all the answers

    What was the primary focus advocated by Philippe Pinel in the late 18th century regarding the care of mentally ill people?

    <p>Implementing kind and moral approach. (D)</p> Signup and view all the answers

    What is Benjamin Rush's contribution to the field of mental health?

    <p>Championing the need for humane care and a comfortable environment. (B)</p> Signup and view all the answers

    Which of the following best describes William Tuke’s approach to treating mental illness?

    <p>Advocating for humane treatment and respecting human dignity. (C)</p> Signup and view all the answers

    What was the general attitude towards mental illness during the 15th-13th centuries?

    <p>Skepticism about the curability of mental illness. (A)</p> Signup and view all the answers

    What event in the 15th-13th centuries contributed significantly to the negative perceptions of mental illness?

    <p>Witch hunts and executions. (C)</p> Signup and view all the answers

    What is the significance of Linda Richards in psychiatric care?

    <p>She is noted as the first Psychiatric Nurse. (B)</p> Signup and view all the answers

    What was the prevalent method of care administration in the 15th-13th centuries?

    <p>Attendants were in-charge of care administration. (A)</p> Signup and view all the answers

    What was a significant outcome of releasing the insane from chains in the late 18th century?

    <p>It contributed to a reformation of societal attitudes towards individuals with mental illness. (B)</p> Signup and view all the answers

    Which of these actions is NOT generally recommended when interacting with patients experiencing hallucinations or delusions?

    <p>Arguing with the patient about their hallucinations (D)</p> Signup and view all the answers

    When interacting with patients, which approach is most helpful for managing emotional reactions?

    <p>Allowing and encouraging verbalization of feelings (C)</p> Signup and view all the answers

    Which of the following is considered a key characteristic of anxiety?

    <p>It is often provoked by the unknown. (B)</p> Signup and view all the answers

    When working with withdrawn patients, what is recommended as an initial interaction strategy?

    <p>Starting with one-to-one interactions (B)</p> Signup and view all the answers

    Of the following, which is NOT one of the domains used to differentiate fear and anxiety?

    <p>Level of physical sensation (A)</p> Signup and view all the answers

    What is the best approach to take regarding patient behaviors?

    <p>Accept patients as they are, but not all behaviors. (B)</p> Signup and view all the answers

    Which action should be avoided when interacting with patients, especially in settings where they may be unable to hear conversations?

    <p>Whispering or laughing when they can’t fully hear (D)</p> Signup and view all the answers

    How should competitive activities be handled with some patients?

    <p>They should be avoided with certain patients. (B)</p> Signup and view all the answers

    Which of the following is NOT typically associated with a sharpened sense as it relates to anxiety?

    <p>Irritability (B)</p> Signup and view all the answers

    According to the provided content, what is the relationship between self-esteem and anxiety?

    <p>Low self-esteem is linked to a predisposition to anxiety (D)</p> Signup and view all the answers

    According to the learning theory of anxiety, what is the most significant way that a parent influences a child's response to anxiety?

    <p>By having an appropriate emotional response to the child's anxiety. (C)</p> Signup and view all the answers

    Which of these is a physiological response that can be associated with anxiety?

    <p>Fidgeting (A)</p> Signup and view all the answers

    Which of the following is NOT identified as a coping mechanism to relieve anxiety in stressful conditions?

    <p>Hyperventilation (C)</p> Signup and view all the answers

    Which of the following best reflects a nursing intervention to help a patient with anxiety?

    <p>Recognize the anxiety and explore its causes with the patient (D)</p> Signup and view all the answers

    Which of the following is an example of a physical manifestation of anxiety?

    <p>GI 'butterflies' (B)</p> Signup and view all the answers

    What is the first step a nurse should follow while assisting an anxious patient?

    <p>Recognize that the patient is experiencing anxiety. (A)</p> Signup and view all the answers

    Which mental health professional is primarily responsible for administering and interpreting psychological tests?

    <p>Clinical Psychologist (C)</p> Signup and view all the answers

    Which of the following best describes the role of a psychiatric social worker on a mental health team?

    <p>Identifying and addressing social issues affecting clients and families (A)</p> Signup and view all the answers

    Which professional is focused on the use of activities to help clients gain skills to perform ADLs and create therapeutic relationships?

    <p>Occupational Therapist (A)</p> Signup and view all the answers

    Who is primarily responsible for providing direct care to clients under the supervision of a psychiatric nurse?

    <p>Mental Health Worker (B)</p> Signup and view all the answers

    Which of these is NOT considered a complementary health therapy?

    <p>Psychotherapy (C)</p> Signup and view all the answers

    Which of these professionals presents educational programs for the nursing staff?

    <p>Psychiatric clinical nurse specialist (C)</p> Signup and view all the answers

    What was a notable trend with psychiatric facilities in the 1980s, as mentioned in the text?

    <p>A large growth in freestanding facilities leading to abuse (C)</p> Signup and view all the answers

    What is described as the driving force behind treatment approaches in psychiatric-mental health nursing?

    <p>Evidence-based health care (C)</p> Signup and view all the answers

    A key component of the psychiatric nurse's role is the:

    <p>development of one-to-one relationships with clients (C)</p> Signup and view all the answers

    Karen Horney is known for her theory on neuroses, which she believed stems from:

    <p>cultural factors and impaired interpersonal relationships (B)</p> Signup and view all the answers

    What is the focus of Harry Stack Sullivan´s theory?

    <p>Interpersonal relationships (C)</p> Signup and view all the answers

    Who is responsible for making diagnoses and prescribing treatment for clients?

    <p>Psychiatrist (D)</p> Signup and view all the answers

    What is the primary focus of a chaplain on the mental health team?

    <p>Attending to the spiritual needs of clients and their families (A)</p> Signup and view all the answers

    What does the text mean by mental health?

    <p>The ability to respond adaptively to internal and external stressors (C)</p> Signup and view all the answers

    What does the text suggest is a future trend in psychiatric-mental health nursing?

    <p>Demands of Advanced Technology (D)</p> Signup and view all the answers

    Study Notes

    Evolution of Psychiatric-Mental Health Care

    • Early History: Associated with sin, demonic possession, perceived as incurable, and inhumane treatment.

    • Middle Ages: Not cared for by families, often imprisoned or living on the streets, hospitals like St. Mary of Bethlehem housed the destitute and afflicted.

    • 15th-18th Century: Skepticism about curability, belief that the mentally ill lacked feelings, treated like animals, witch hunts, and executions.

    • 18th Century: French and American revolutions, campaigns for abolition of slavery and equal rights for women, care for the impoverished. Benjamin Rush emphasized pleasant surroundings and moral treatment. Phillipe Pinel advocated kindness and moral treatment, releasing the insane from chains.

    Benchmarks in Psychiatric History

    • Rosenblatt's ABC of community response: Assistance (least restrictive), Banishment, Confinement (most restrictive).

    The 19th Century

    • William Tuke: Advocated humane treatment, human dignity, and established the asylum movement.

    • Franz Anton Mesmer: Renewed the art of suggestive healing (a form of hypnotism).

    • Philippe Pinel and William Tuke: Institutions treating the insane as human beings, maintaining their dignity, established humane treatment practices.

    The 20th Century- The Era of Psychiatry

    • Adolph Meyer: Focused on physical and emotional development, emphasized the need to study the whole environment.

    • Dorothea Lynde Dix: Led a crusade for humane treatment, leading to proliferation of state hospitals.

    • Clifford Beers: Advocated preventive care.

    • Emil Kraepelin: Developed a classification of mental disorders.

    Periods of Scientific Study

    • Freud: Emphasized the importance of early life experiences.
    • Kraepelin: Developed classification of mental illness.
    • Bleuler: Optimistic about mental illness treatment.
    • Jung: Introduced concepts of introverted and extroverted personalities.
    • Horney: Neuroses stem from cultural factors and impaired interpersonal relationships.
    • Sullivan: Interpersonal theory.

    Mental Health Team (Interdisciplinary Team)

    • Psychiatrist: Leader of the team, diagnoses, and prescribes treatments.
    • Clinical Psychologist: Administer and interpret psychological testing, provides psychotherapy and behavioral modifications.
    • Other professionals: Dieticians, chaplains, social workers, psychiatric nurses, and occupational therapists.

    Variables Affecting Mental Health

    • Biological: Prenatal and postnatal factors, physical health.
    • Sociocultural: Family, religious influences, values.
    • Psychological: Family trauma.

    Role of Psychiatric Nurse

    • Ward manager: Monitors operations.
    • Socializing agent: Helps recognize and cope with stress.
    • Counselor: Emphatic listener.
    • Patient advocate: Represents the patient's best interests.
    • Teacher: Focused on acquiring skills.
    • Therapist: Using Psychotherapy principles,
    • Reality base: Helps clients make decisions.
    • Health role model,

    Levels of Practice

    • Guiding principles: Nurse views client as holistic, focuses on client's strengths, accepts clients as unique, potential for relationship building.
    • Nursing diagnosis: Examples include altered nutrition, anxiety.

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    Related Documents

    NCM 117 Lecture Preliminary PDF

    Description

    Explore the historical journey of psychiatric and mental health care, from early misconceptions and inhumane treatments to the developments of the 18th and 19th centuries. Learn about key figures like Benjamin Rush and Phillipe Pinel, and the changing perspectives on mental illness through various societal movements.

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