The mentally ill were once housed in mental institutions known as:

Hospitals

Free-standing care centers.

Long-term care facilities.

Asylums

Answer and Explanation

The Correct Answer is D

A. Hospitals: While some mentally ill individuals may be treated in psychiatric hospitals today, historically, they were often housed in asylums, which were institutions specifically designated for the long-term care of those with mental illnesses.

B. Free-standing care centers: Free-standing care centers are a more modern concept for community-based care or outpatient services, not a term used historically for institutions that housed the mentally ill.

C. Long-term care facilities: Long-term care facilities typically refer to places that provide care for elderly individuals or those with chronic illnesses, but not specifically for mental illness in the historical context.

D. Asylums: Historically, individuals with mental illness were housed in asylums, which were often large institutions where they received care but were sometimes subject to poor conditions and inadequate treatment. Over time, the concept of mental health care shifted toward more humane and community-based approaches.

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Correct Answer is D

Explanation

In a Mental Status Examination (MSE), thinking/content of thought is one of the key areas assessed. It refers to the content and process of a person's thoughts. The examiner will evaluate whether the person's thinking is coherent, organized, and logical, or if it is fragmented, disorganized, or delusional. They will also look for evidence of hallucinations, obsessions, or compulsions.

Speech and ability to communicate (a) are also assessed in the MSE, but they focus more on how the person expresses themselves, rather than the content of their thoughts. Judgment (b) refers to a person's ability to make decisions and solve problems, and memory (c) is the ability to recall past events and information. While both areas are important to assess in a mental health evaluation, they do not specifically focus on what the person is thinking.

A. Call the physician to ask for clarification. B. Check the states nurse practice act. C. Refer to the facility’s policy and procedures to determine the course of action. D. Contact the nursing supervisor for approval to carry out treatment.

Correct Answer is C

Explanation

When faced with an unfamiliar treatment instruction, it is important for the nurse to consult the facility’s policies and procedures to determine the appropriate course of action. These policies and procedures provide guidance on how to carry out treatments safely and eﬀectively and can help ensure that the patient receives the best possible care.

While it may also be appropriate for the nurse to call the physician for clarification (a), check the state’s nurse practice act (b), or contact the nursing supervisor for approval (d), consulting the facility’s policies and procedures should be the first step in determining the appropriate course of action.

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The mentally ill were once housed in mental institutions known as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In the Mental Health Status Examination, which of the following focuses on what the person is thinking?

Correct Answer is D

Explanation

An order written by the physician is reviewed by the nursing staﬀ, and no one is familiar with the treatment instructions. A nurse who is recently hired knows that this treatment is covered by the states nurse practice act. What is the nurses’ best course of action?

Correct Answer is C

Explanation

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