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TESTBANK n n n
n




TestBankforFoundations of Mental Health Care
n n n n




8thEdition
n




TESTBANK n

,MichelleMorrison-Valfre:FoundationsofMentalHealthCare8thEdition
n n n n n n n n n




Chapter01:TheHistory ofMentalCare
n n n n n n




MULTIPLECHOICE n




1. The belief of the ancient Greek philosopher Plato that the rational soul controlled the irrational
n n n n n n n n n n n n n n




nsoulcouldbecomparedwiththebeliefofthemorerecentpsychologicaltheorist:
n n n n n n n n n n n n




a. Freud
b. Pinel
c. Fisher
d. Rush
ANS:A n




Sigmund Freud believed that mental illness was, in part, caused by forces both within and outside the
n n n n n n n n n n n n n n n n




personality. Philippe Pinel advocated acceptance of mentally ill individuals as human beings in
n n n n n n n n n n n n n




need of medical assistance. Alice Fisher was a Florence Nightingale nurse whocared forthe
n n n n n n n n n n n n n n n




mentallyill,and Dr. BenjaminRushwastheauthorofthe book Diseases of the Mind.
n n n n n n n n n n n n n n n n




PTS: 1 DIF: Cognitive Level: Comprehension
n REF:p.4 n n n n




OBJ: 2
n TOP: Early Years of Mental Health
n n n n n n




KEY: NursingProcess Step: Assessmentn MSC:ClientNeeds: Psychosocial Integrity n n n n n n n




2. During the mid-1500s, behaviors associated with mental illness were more accurately
n n n n n n n n n n




recorded by professionals. This practice led to
n n n n n n n fordifferentabnormal n n




behaviors.
n




a. Classifications
b. Diagnosing
c. Treatment
d. Education
ANS:A n




Classificationofabnormal behaviorsdidnot beginuntilthistime,afterthepracticeofmore accurate n n n n n n n n n n n n n n n




recording of behaviors was begun. Diagnoses, treatment guidelines, and any education regarding
n n n n n n n n n n n n




mental health disorders were not available during this period.
n n n n n n n n n




PTS: 1 DIF: Cognitive Level: Knowledge
n REF:p.5 n n n n




OBJ: 3
n TOP: Mental Illness During the Renaissance
n n n n n n




KEY: NursingProcess Step: Assessmentn MSC:ClientNeeds: Psychosocial Integrity n n n n n n n




3. During the latter part of the eighteenth century, psychiatry became a separate branch of
n n n n n n n n n n n n n




nmedicine,andinhumanetreatmentwas greatlydiminishedbythe Frenchhospital director:
n n n n n n n n n n n




a. Dix
b. Beers
c. Pinel
d. Carter
ANS:C n

, PhilippePineladvocatedacceptanceofthementallyill,aswell aspropertreatment. Dorothea Dix
n n n n n n n n n n n n n n




crusaded for construction of mental health hospitals. Clifford Beers wrote the book A Mind That
n n n n n n n n n n n n n n n




Found Itself. President Jimmy Carter established the President’s Commission on Mental Health in
n n n n n n n n n n n n n




1978.
n




PTS: 1 DIF: Cognitive Level: Knowledge
n REF:p.5 n n n n




OBJ: 4
n TOP: Mental Illness in the Eighteenth Century
n n n n n n n




KEY: NursingProcess Step: Assessment n MSC:ClientNeeds: Psychosocial Integrity n n n n n n n




4. In 1841,
n surveyed asylums, jails, and almshouses throughout the United n n n n n n n




States,Canada,andScotlandandiscreditedwithbringingaboutpublicawarenessand reform for the
n n n n n n n n n n n n n n n n




care of the mentally ill.
n n n n n




a. SigmundFreud n




b. John Cade n




c. FlorenceNightingale n




d. DorotheaDix n




ANS:D n




DorotheaDix spent20 yearssurveyingfacilitiesthathousedmentallyillindividualsandis credited
n n n n n n n n n n n n n n




with major changes in the care of the mentally ill. Sigmund Freud introduced the concept of
n n n n n n n n n n n n n n n n




psychoanalysis, John Cade discovered lithium carbonate for the treatment of bipolar disorder, and
n n n n n n n n n n n n n




Florence Nightingale trained nurses in England in the 1800s.
n n n n n n n n n




PTS: 1 DIF: Cognitive Level: Knowledge
n REF:p.6 n n n n




OBJ: 4
n TOP: Mental Illness in the Nineteenth Century
n n n n n n n




KEY: NursingProcess Step: Assessment n MSC:ClientNeeds: Psychosocial Integrity n n n n n n n




5. As adirectresultofCliffordN
B e eRr s ’ I
worG
k a nBd .b oCo k ,MA MindThatFound Itself,theCommitteefor
U with a focus on prevention of mental illness and:
n n n n n n n n n n n n n n n




Mental Hygiene was formed in 1909
n n n n n n n n n n n n n n n




a. Earlydetection ofsymptoms ofmental illness n n n n n n




b. Educationofcaregivers n n




c. Currenttreatmentoptions n n




d. Removingthestigmaattached tomental illness n n n n n n




ANS:D n




Clifford Beers’ book reflected on his attempt at suicide followed by the deplorable care he received
n n n n n n n n n n n n n n n




for the next 3 years in mental hospitals. Beers’ work and book raised the consciousness of people
n n n n n n n n n n n n n n n n n




throughout the country regarding prevention and removal of the stigmaofhavingamentalillness.
n n n n n n n n n n n n n n n




Earlydetectionofsymptoms,educationofcaregivers,and current treatment options regarding
n n n n n n n n n n n n




mental illness were not the focus of his book, nor were they a priority for the Committee for Mental
n n n n n n n n n n n n n n n n n n n




Hygiene.
n




PTS: 1 DIF: Cognitive Level: Knowledge
n REF:p.6 n n n n




OBJ: 4
n TOP: Mental Illness in the Twentieth Century
n n n n n n n




KEY: NursingProcess Step: Assessment n MSC:ClientNeeds: Psychosocial Integrity n n n n n n n




6. Duringthe1930s,whatcommontreatment forschizophreniacaused clients tofallinto acoma that
n n n n n n n n n n n n n n n




ncould last as long as 50 hours? n n n n n n




a. Electroconvulsivetherapy n




b. Insulintherapy n




c. Humoraltherapy n

, d. Amphetaminetherapy n




ANS:B n




Insulin therapy was believed to successfully treat schizophrenia in the early 1900s. Amphetamines
n n n n n n n n n n n n




wereusedto treatdepression,and electroconvulsive therapywas usedfor severedepression.
n n n n n n n n n n n n n




Humoraltherapy,whichoriginatedinancientGreeceandRome,wasa belief that mental illness
n n n n n n n n n n n n n n n




resulted from an imbalanceof thehumors of air, fire, water, and earth.
n n n n n n n n n n n n n




PTS: 1 DIF: Cognitive Level: Knowledge
n REF:p.8 n n n n




OBJ: 5
n TOP: Influences of War on Mental Health Therapies
n n n n n n n n




KEY: NursingProcess Step: Assessment
n MSC:ClientNeeds: Psychosocial Integrity n n n n n n n




7. Inthe1930s,whatmentalhealthdisorderwaselectroconvulsivetherapy(ECT)mostoften used
n n n n n n n n n n n n n




nto treat?
n




a. Schizophrenia
b. Bipolardisorder n




c. Severedepression n




d. Violentbehavior n




ANS:C n




ECT was found to be an effective treatment for severe depression in the 1930s. During this
n n n n n n n n n n n n n n n




period,schizophreniawastreatedwithinsulintherapy, andviolentbehaviorwastreatedwitha
n n n n n n n n n n n n n n




lobotomy. In 1949, lithium carbonate was discovered as a treatment for bipolar disorder.
n n n n n n n n n n n n n




PTS: 1 DIF: Cognitive Level: Knowledge
n REF:p.6 n n n n




OBJ: 5
n TOP: Influences of War on Mental Health Therapies
n n n n n n n n




NssesRsmeI
KEY: NursingProcessStep:A nt GMSB
n C:.CClienM
t Needs:PsychosocialIntegrity n n n n n n n




US N T n n n O
8. Intheearlytwentieth century, afrontallobotomywasacommontreatment forviolent
n n n n n n n n n n n n n




nbehaviors. Which description of this procedure is accurate? n n n n n n n




a. Aprocedurethatdelivers anelectrical stimulus tothefrontal lobesofthe brain
n n n n n n n n n n n n n




b. Asurgical procedurethat drills holes inthefront oftheskull todrain fluid
n n n n n n n n n n n n n n




c. Asurgical procedurethat severs thefrontallobesofthebrain from the thalamus
n n n n n n n n n n n n n




d. Asurgical procedurethat insertsimplants intothefrontallobes ofthe brain
n n n n n n n n n n n n




ANS:C n




Afrontallobotomyisa surgicalprocedureinwhichthefrontal lobesofthe brain aresevered from the
n n n n n n n n n n n n n n n n n n




thalamus.
n




PTS: 1 DIF: Cognitive Level: Knowledge
n REF:p.6 n n n n




OBJ: 5
n TOP: Influences of War on Mental Health Therapies
n n n n n n n n




KEY: NursingProcess Step: Assessment
n MSC:ClientNeeds: Psychosocial Integrity n n n n n n n




9. Whichclass ofdrugswas introduced in the1930s forthetreatment ofdepression?
n n n n n n n n n n n n n




a. SSRIs
b. Tricyclicantidepressants n




c. MAOIs

ANS:D n

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