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,Chapter 01: The History Of Mental Health Care
Morrison-Valfre: Foundations Of Mental Health Care, 6th Edition


Multiple Choice

1. The Belief Of The Ancient Greek Philosopher Plato That The Rational Soul Controlled
The Irrational Soul Could Be Compared With The Belief Of The More Recent
Psychological Theorist:
a. Freud
b. Pinel
c. Fisher
d. Rush

Ans: A
Sigmund Freud Believed That Mental Illness Was, In Part, Caused By Forces Both Within
And Outside The Personality. Philippe Pinel Advocated Acceptance Of Mentally Ill
Individuals As Human Beings In Need Of Medical Assistance. Alice Fisher Was A Florence
Nightingale Nurse Who Cared For The Mentally Ill, And Dr. Benjamin Rush Was The
Author Of The Book Diseases OfThe Mind.

Pts: 1 Dif: Cognitive Level: Comprehension Ref: P. 4
Obj: 2 Top: Early Years Of Mental Health
Key: Nursing Process Step: Assessment Msc: Client Needs: Psychosocial Integrity

2. During The Mid-1500s, Behaviors Associated With Mental Illness Were More
Accurately Recorded By Professionals. This Practice Led To For Different
Abnormal
Behaviors.
a. Classifications Nurs IngTb.Com
b. Diagnosing
c. Treatment
d. Education

Ans: A

Classification Of Abnormal Behaviors Did Not Begin Until This Time, After The Practice
Of MoreAccurate Recording Of Behaviors Was Begun. Diagnoses, Treatment Guidelines,
And Any Education Regarding Mental Health Disorders Were Not Available During This
Period.

Pts: 1 Dif: Cognitive Level: Knowledge Ref: P. 5
Obj: 3 Top: Mental Illness During The Renaissance
Key: Nursing Process Step: Assessment Msc: Client Needs: Psychosocial Integrity

3. During The Latter Part Of The Eighteenth Century, Psychiatry Became A Separate
Branch Of Medicine, And Inhumane Treatment Was Greatly Diminished By The French
Hospital Director:
a. Dix
b. Beers
c. Pinel
d. Carter

Ans: C

, Philippe Pinel Advocated Acceptance Of The Mentally Ill, As Well As Proper Treatment.
DorotheaDix Crusaded For Construction Of Mental Health Hospitals. Clifford Beers Wrote
The Book A Mind That Found Itself. President Jimmy Carter Established The President’s
Commission On Mental Health In 1978.

Pts: 1 Dif: Cognitive Level: Knowledge Ref: P. 5
Obj: 4 Top: Mental Illness In The Eighteenth Century
Key: Nursing Process Step: Assessment Msc: Client Needs: Psychosocial Integrity

4. In 1841, Surveyed Asylums, Jails, And Almshouses Throughout The
United States, Canada, And Scotland And Is Credited With Bringing About Public
Awareness And ReformFor The Care Of The Mentally Ill.
a. Sigmund Freud
b. John Cade
c. Florence Nightingale
d. Dorothea Dix

Ans: D
Dorothea Dix Spent 20 Years Surveying Facilities That Housed Mentally Ill Individuals
And IsCredited With Major Changes In The Care Of The Mentally Ill. Sigmund Freud
Introduced The Concept Of Psychoanalysis, John Cade Discovered Lithium Carbonate For
The Treatment Of Bipolar Disorder, And Florence Nightingale Trained Nurses In England
In The 1800s.

Pts: 1 Dif: Cognitive Level: Knowledge Ref: P. 6
Obj: 4 Top: Mental Illness In The Nineteenth Century
Key: Nursing Process Step: Assessment Msc: Client Needs: Psychosocial Integrity

5. As A Direct Result Of Clifford Neer
bu ’I
rsswonrg
kTanb
d.Bc km
ooo, A Mind That Found Itself, The
Committee For Mental Hygiene Was Formed In 1909 With A Focus On Prevention Of
Mental Illness And:
a. Early Detection Of Symptoms Of Mental Illness
b. Education Of Caregivers
c. Current Treatment Options
d. Removing The Stigma Attached To Mental Illness

Ans: D
Clifford Beers’ Book Reflected On His Attempt At Suicide Followed By The Deplorable
Care He Received For The Next 3 Years In Mental Hospitals. Beers’ Work And Book
Raised The Consciousness Of People Throughout The Country Regarding Prevention And
Removal Of The Stigma Of Having A Mental Illness. Early Detection Of Symptoms,
Education Of Caregivers, AndCurrent Treatment Options Regarding Mental Illness Were
Not The Focus Of His Book, Nor Were They A Priority For The Committee For Mental
Hygiene.

Pts: 1 Dif: Cognitive Level: Knowledge Ref: P. 6
Obj: 4 Top: Mental Illness In The Twentieth Century
Key: Nursing Process Step: Assessment Msc: Client Needs: Psychosocial Integrity

6. During The 1930s, What Common Treatment For Schizophrenia Caused Clients To Fall Into
A ComaThat Could Last As Long As 50 Hours?
a. Electroconvulsive Therapy
b. Insulin Therapy
c. Humoral THERAPY

, d. AMPHETAMINE THERAPY
ANS: B
INSULIN THERAPY WAS BELIEVED TO SUCCESSFULLY TREAT
SCHIZOPHRENIA IN THE EARLY 1900S. AMPHETAMINES WERE USED TO
TREAT DEPRESSION, AND ELECTROCONVULSIVE THERAPY WAS USED FOR
SEVERE DEPRESSION. HUMORAL THERAPY, WHICH ORIGINATED IN
ANCIENT GREECE AND ROME, WAS ABELIEF THAT MENTAL ILLNESS
RESULTED FROM AN IMBALANCE OF THE HUMORS OF AIR, FIRE, WATER,
AND EARTH.

PTS: 1 DIF: COGNITIVE LEVEL: KNOWLEDGE REF:
P. 8OBJ: 5 TOP: INFLUENCES OF WAR ON MENTAL
HEALTH THERAPIES
KEY: NURSING PROCESS STEP: ASSESSMENT MSC: CLIENT NEEDS: PSYCHOSOCIAL
INTEGRITY

7. IN THE 1930S, WHAT MENTAL HEALTH DISORDER WAS
ELECTROCONVULSIVE THERAPY (ECT) MOST OFTENUSED TO TREAT?
a. SCHIZOPHRENIA
b. BIPOLAR DISORDER
c. SEVERE DEPRESSION
d. VIOLENT BEHAVIOR

ANS: C
ECT WAS FOUND TO BE AN EFFECTIVE TREATMENT FOR SEVERE DEPRESSION
IN THE 1930S. DURING THIS PERIOD, SCHIZOPHRENIA WAS TREATED WITH
INSULIN THERAPY, AND VIOLENT BEHAVIOR WAS TREATED WITH A
LOBOTOMY. IN 1949, LITHIUM CARBONATE WAS DISCOVERED AS A
TREATMENT FOR BIPOLAR DISORDER.
PTS: 1 DIF: COGNITIVE LEVEL: KNOWLEDGE REF:
P. 6OBJ: 5 TOP: INFLUENCES OF WAR ON MENTAL
HEALTH THERAPIES
KEY: NURSING PROCESS STEP: AN
SSESR
SMEI
NT GMSB
C:.C
CLIEM
NT NEEDS: PSYCHOSOCIAL INTEGRITY
U S N T O
8. IN THE EARLY TWENTIETH CENTURY, A FRONTAL LOBOTOMY WAS A
COMMON TREATMENT FOR VIOLENTBEHAVIORS. WHICH DESCRIPTION
OF THIS PROCEDURE IS ACCURATE?
a. A PROCEDURE THAT DELIVERS AN ELECTRICAL STIMULUS TO THE FRONTAL
LOBES OF THE BRAIN
b. A SURGICAL PROCEDURE THAT DRILLS HOLES IN THE FRONT OF THE SKULL
TO DRAIN FLUID
c. A SURGICAL PROCEDURE THAT SEVERS THE FRONTAL LOBES OF THE BRAIN
FROM THE THALAMUS
d. A SURGICAL PROCEDURE THAT INSERTS IMPLANTS INTO THE FRONTAL
LOBES OF THE BRAIN
ANS: C
A FRONTAL LOBOTOMY IS A SURGICAL PROCEDURE IN WHICH THE FRONTAL
LOBES OF THE BRAIN ARE SEVEREDFROM THE THALAMUS.

PTS: 1 DIF: COGNITIVE LEVEL: KNOWLEDGE REF:
P. 6OBJ: 5 TOP: INFLUENCES OF WAR ON MENTAL
HEALTH THERAPIES
KEY: NURSING PROCESS STEP: ASSESSMENT MSC: CLIENT NEEDS: PSYCHOSOCIAL
INTEGRITY

9. WHICH CLASS OF DRUGS WAS INTRODUCED IN THE 1930S FOR THE TREATMENT

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