History of Mental Health Care in the United States

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What is the maximum duration a person can be held under an 'emergency hold' without a court order?

48 hours

1 week

72 hours (correct)

24 hours

Which of the following rights does a voluntary patient retain?

The right to refuse treatment

The right to confidentiality

The right to a court hearing

Both a and b (correct)

What is the main criteria for involuntary commitment of a person who is mentally ill?

The patient has been hospitalized before

The patient requests it

The patient is a danger to themselves or others (correct)

The patient is unable to afford voluntary treatment

What right does a patient have during an involuntary commitment?

The right to a court hearing to seek discharge Signup and view all the answers

Which of the following is NOT a right retained by a voluntary patient?

The right to a court hearing Signup and view all the answers

What is the purpose of the initial 72-hour 'emergency hold' for an involuntary patient?

To stabilize the patient and assess if further inpatient treatment is needed Signup and view all the answers

What was the purpose of the 1946 National Mental Health Act?

All of the above Signup and view all the answers

What was the role of the National Institute of Mental Health, organized in 1949?

Provided research and training related to mental illness Signup and view all the answers

Why did deinstitutionalization and outpatient treatment begin in the 1950s?

Based on the belief that psychiatric clients have a higher quality of life in their communities Signup and view all the answers

What is the purpose of Electroconvulsive Therapy (ECT) in the 1950s?

For clients with severe mental illness that have not responded to other treatments Signup and view all the answers

What are common side effects of Electroconvulsive Therapy (ECT)?

Headache, dizziness, and temporary memory loss Signup and view all the answers

Why were state hospitals underfunded and understaffed according to the text?

Inadequate funding from the government Signup and view all the answers

What is one of the main criteria for individuals to be committed to state psychiatric hospitals according to the text?

Posing an imminent danger to themselves or someone else Signup and view all the answers

How did the number of institutionalized patients change from 1955 to 1994?

Decreased from 560K to less than 120K Signup and view all the answers

What is a characteristic of Inpatient care settings?

Offers 24-hour therapeutic surroundings Signup and view all the answers

How does Voluntary adult inpatient psychiatric admission differ from Involuntary admission?

Voluntary admission allows patients to discharge themselves at any time Signup and view all the answers

Which type of healthcare delivery setting may involve commitment via the criminal justice system?

Outpatient/Community-based Signup and view all the answers

What was one of the main effects of the Community Mental Health Centers Act of 1963?

Set strict criteria for hospital admissions Signup and view all the answers

What type of individuals fall under the category of Sexual Psychopathic Personalities (SPP)?

Those who pose a danger to the public due to an inability to control sexual impulses Signup and view all the answers

What is the primary responsibility of the treatment team's therapeutic milieu?

To provide a structured environment for positive changes in the patient Signup and view all the answers

What is the significance of informed consent in healthcare provider-patient agreements?

It enables the patient to participate in treatment decisions Signup and view all the answers

Which type of individuals are considered Sexually Dangerous Persons (SDP)?

Those engaging in harmful sexual conduct due to a mental disorder Signup and view all the answers

What is the key exception in the commitment period for cases involving MI & D, SPP, or SDP?

There is no end date to the commitment period Signup and view all the answers

What obligation do healthcare providers have under 'duty to warn'?

To warn potential victims of harm when there is a risk Signup and view all the answers

Which of the following is true regarding elopement prevention?

Caregivers may be held liable if the patient is injured because of elopement. Signup and view all the answers

What is the role of a nurse in mental health care?

To develop a therapeutic relationship with the patient and assist them in problem-solving and coping. Signup and view all the answers

What is considered a chemical restraint?

The use of a sedative or antipsychotic to sedate the patient. Signup and view all the answers

What is the primary reason for repeated inpatient admissions (recidivism) in mental health care?

Noncompliance with prescribed psychotropic medications. Signup and view all the answers

Which of the following is NOT considered a community mental health delivery system?

Inpatient psychiatric hospitals Signup and view all the answers

What is the purpose of rational-emotive therapy (RET)?

To challenge irrational beliefs that lead to emotional and behavioral distress. Signup and view all the answers

Which of the following is a true statement regarding patient rights in mental health care?

Mental health patients have the right to receive the least restrictive treatment possible. Signup and view all the answers

What is the purpose of follow-up care in mental health treatment?

To facilitate the patient's reintegration into the community and provide early referral if needed. Signup and view all the answers

What is the primary goal of cognitive behavioral therapy (CBT)?

To identify and change negative and unproductive thinking patterns and develop coping strategies. Signup and view all the answers

Which of the following is NOT considered a type of treatment for mental health disorders?

Electroconvulsive therapy (ECT) Signup and view all the answers