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Mental health concepts, programmes and legal aspects

30 Kerala PSC Staff Nurse Gr II practice questions on Mental health concepts, programmes and legal aspects, part of Mental Health Nursing. The first 25 are below; the first 5 with answers and explanations (tap Show answer after you have chosen), the rest in Learn with a free account.

  1. Question 1 · Easy

    Dorothea Dix is remembered in the history of psychiatry for:

    1. ADescribing the therapeutic community
    2. BStarting the first psychiatric nursing school
    3. CIntroducing electroconvulsive therapy
    4. DCampaigning for state mental hospitals
    Show answer

    Answer: D · Campaigning for state mental hospitals

    Dorothea Dix was a teacher and social reformer in the USA in the 1800s. She found mentally ill people kept in jails and poorhouses and campaigned for state-funded hospitals for them. Many state mental hospitals were opened because of her work. She is a landmark in the move towards humane care.

    • A: The therapeutic community was described by Maxwell Jones.
    • B: The first nursing school in a mental hospital is linked with Linda Richards.
    • C: ECT was introduced by Cerletti and Bini in 1938.
  2. Question 2 · Easy

    Who is known as the first American psychiatric nurse?

    1. AHildegard Peplau
    2. BLinda Richards
    3. CFlorence Nightingale
    4. DDorothea Dix
    Show answer

    Answer: B · Linda Richards

    Linda Richards, the first trained nurse in the USA, set up nursing services and a training school in a mental hospital in the 1880s. She held that the mentally ill should get the same quality of nursing as the physically ill. For this she is called the first American psychiatric nurse. Peplau later gave psychiatric nursing its theory.

    • A: Peplau is called the mother of psychiatric nursing for her interpersonal theory.
    • C: Nightingale founded modern nursing but did not work in psychiatry.
    • D: Dix was a social reformer, not a nurse leader in mental hospitals.
  3. Question 3 · Easy

    The Mental Healthcare Act 2017 repealed and replaced the:

    1. APersons with Disabilities Act 1995
    2. BIndian Lunacy Act 1912
    3. CNDPS Act 1985
    4. DMental Health Act 1987
    Show answer

    Answer: D · Mental Health Act 1987

    The Mental Healthcare Act 2017 replaced the Mental Health Act 1987. The 1987 Act had itself replaced the Indian Lunacy Act 1912. The new Act is rights-based and follows the UN Convention on the Rights of Persons with Disabilities. It came into force in 2018.

    • A: The disability law of 1995 was replaced by the RPwD Act 2016, not by MHCA.
    • B: The Lunacy Act 1912 had already been replaced by the 1987 Act.
    • C: The NDPS Act deals with narcotic drugs and is still in force.
  4. Question 4 · Easy

    Hildegard Peplau is called the mother of psychiatric nursing mainly for her:

    1. ASelf-care deficit theory
    2. BHierarchy of human needs
    3. CTheory of moral treatment
    4. DTheory of interpersonal relations
    Show answer

    Answer: D · Theory of interpersonal relations

    Peplau published her theory of interpersonal relations in nursing in 1952. She saw the nurse-patient relationship itself as the therapeutic tool. Her work gave psychiatric nursing a theory of its own. Her phases of the relationship are still taught in every nursing course.

    • A: Self-care deficit theory belongs to Dorothea Orem.
    • B: The hierarchy of needs was described by Abraham Maslow.
    • C: Moral treatment was Pinel's approach.
  5. Question 5 · Medium

    Section 95 of the Mental Healthcare Act 2017 prohibits all of the following EXCEPT:

    1. ASterilisation as a treatment
    2. BChaining a patient in any manner
    3. CECT with anaesthesia for an adult
    4. DECT for a minor without approval
    Show answer

    Answer: C · ECT with anaesthesia for an adult

    Section 95 bans ECT without muscle relaxants and anaesthesia, ECT for minors except with special approval, sterilisation as a treatment for mental illness, and chaining in any manner. Modified ECT under anaesthesia for an adult with informed consent is allowed. These rules protect dignity and prevent abuse. A nurse must refuse to take part in any prohibited practice.

    • A: Sterilisation may never be used as a treatment for mental illness.
    • B: Chaining is banned in every form and setting.
    • D: ECT for minors is barred unless the Board permits it.
  6. Question 7 · Medium

    Under the Mental Healthcare Act 2017, which group is entitled to free mental health treatment in government facilities?

    1. AOnly government employees
    2. BOnly persons aged above 60
    3. COnly persons with schizophrenia
    4. DHomeless and below-poverty-line persons

    Answer and explanation in LearnFree account

  7. Question 8 · Hard

    A PHC nurse screens every mother with a depression scale at the six-week postnatal visit and refers those with high scores to the psychiatrist. This is:

    1. ASecondary prevention
    2. BPrimary prevention
    3. CTertiary prevention
    4. DRehabilitation

    Answer and explanation in LearnFree account

  8. Question 9 · Medium

    A day-care centre that gives vocational training to people with long-standing schizophrenia is an example of:

    1. ASecondary prevention
    2. BTertiary prevention
    3. CHealth promotion
    4. DPrimary prevention

    Answer and explanation in LearnFree account

  9. Question 10 · Hard

    A man admitted as an independent patient asks at 10 pm to go home at once. The duty psychiatrist finds him agitated, talking of killing himself and unable to weigh up his choices. Under MHCA 2017 he may be kept in hospital for up to:

    1. A72 hours, as emergency treatment
    2. B7 days, until the family arrives
    3. C24 hours, to assess for supported admission
    4. D30 days, without any assessment

    Answer and explanation in LearnFree account

  10. Question 11 · Hard

    Police find a confused, unkempt man wandering on a highway at night who cannot say where he lives. Under MHCA 2017, the police must take him to the nearest public health establishment within:

    1. A72 hours
    2. B48 hours
    3. C24 hours
    4. D7 days

    Answer and explanation in LearnFree account

  11. Question 12 · Hard

    A brother brings a 30-year-old man who has not slept for a week, hears voices and has threatened neighbours with a knife. The man refuses admission and cannot understand his condition. Which admission is appropriate under MHCA 2017?

    1. ASupported admission under Section 89
    2. BA magistrate's reception order
    3. CAdmission by the brother's consent alone
    4. DIndependent admission under Section 86

    Answer and explanation in LearnFree account

  12. Question 14 · Easy

    Under the Mental Healthcare Act 2017, admission of a person with high support needs under Section 89 can last up to:

    1. A90 days
    2. B180 days
    3. C72 hours
    4. D30 days

    Answer and explanation in LearnFree account

  13. Question 15 · Medium

    According to Marie Jahoda, a sign of positive mental health is:

    1. AAbsence of any stress
    2. BAccurate perception of reality
    3. CAgreeing with others always
    4. DFreedom from all anxiety

    Answer and explanation in LearnFree account

  14. Question 16 · Easy

    The toll-free number of India's national tele-mental health helpline, Tele-MANAS, is:

    1. A14416
    2. B1098
    3. C108
    4. D1056

    Answer and explanation in LearnFree account

  15. Question 17 · Medium

    Which patient is suitable for an independent admission?

    1. AA man brought by police while wandering
    2. BA severely psychotic man refusing care
    3. CAn adult with capacity who asks to be admitted
    4. DA 15-year-old whose parents want admission

    Answer and explanation in LearnFree account

  16. Question 18 · Medium

    The introduction of chlorpromazine in the 1950s changed psychiatric care mainly by:

    1. AEnding the use of psychotherapy
    2. BAllowing many patients to leave long-stay hospitals
    3. CCuring schizophrenia permanently
    4. DReplacing the need for psychiatric nurses

    Answer and explanation in LearnFree account

  17. Question 19 · Medium

    A TV channel asks a ward nurse for photographs of a well-known patient admitted with depression. Under MHCA 2017 the nurse should:

    1. AGive them if the face is blurred
    2. BRefuse unless the patient consents
    3. CGive them if the family agrees
    4. DGive them after discharge

    Answer and explanation in LearnFree account

  18. Question 20 · Easy

    The District Mental Health Programme was first tried as a pilot project in which district?

    1. AVellore, Tamil Nadu
    2. BBellary, Karnataka
    3. CKozhikode, Kerala
    4. DPune, Maharashtra

    Answer and explanation in LearnFree account

  19. Question 21 · Easy

    Who removed the chains from mentally ill patients in Paris in the 1790s and is called the father of modern psychiatry?

    1. AEmil Kraepelin
    2. BSigmund Freud
    3. CPhilippe Pinel
    4. DBenjamin Rush

    Answer and explanation in LearnFree account

  20. Question 23 · Medium

    The central strategy of the District Mental Health Programme is to:

    1. ATreat patients only in medical colleges
    2. BKeep chronic patients in custodial care
    3. CBuild a large mental hospital in every district
    4. DIntegrate mental health care with general health services

    Answer and explanation in LearnFree account

  21. Question 24 · Medium

    By the definition in the Mental Healthcare Act 2017, which condition is NOT included as a mental illness?

    1. ABipolar affective disorder
    2. BSchizophrenia
    3. CAlcohol use disorder
    4. DIntellectual disability

    Answer and explanation in LearnFree account

  22. Question 25 · Medium

    Under the Mental Healthcare Act 2017, appeals against a supported admission are heard by the:

    1. AChief Judicial Magistrate Court
    2. BIndian Nursing Council
    3. CDistrict Medical Officer
    4. DMental Health Review Board

    Answer and explanation in LearnFree account

5 more Mental health concepts, programmes and legal aspects questions

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