COMPREHENSIVE EXAM BANK 8TH EDITION
OF FOUNDATIONS OF MENTAL HEALTH CARE BY
MORRISON-VALFRE QUESTIONS WITH CORRECT
ANSWERS AND DETAILED RATIONALES
UNIT I: MENTAL HEALTH CARE: PAST AND PRESENT
Chapter 1: The History of Mental Health Care
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. Pinel
b. Fisher
c. Rush
d. Freud
Answer: d. Freud
Rationale: Sigmund Freud theorized that mental illness was caused by forces
within the personality (id, ego, superego), similar to Plato's concept of internal
struggles. Pinel advocated for humane treatment, Fisher was a nurse, and Rush
was an early American psychiatrist .
2. During the mid-1500s, behaviors associated with mental illness were more
accurately recorded. This practice led to __________ for different abnormal
behaviors.
a. Classifications
,b. Diagnosing
c. Treatment
d. Education
Answer: a. Classifications
Rationale: The recording of behaviors allowed professionals to begin
classifying abnormal behaviors. It did not immediately lead to effective
treatments or widespread education .
3. During the latter part of the eighteenth century, inhumane treatment was
greatly diminished by the French hospital director:
a. Dix
b. Beers
c. Pinel
d. Carter
Answer: c. Pinel
Rationale: Philippe Pinel is credited with removing chains from patients and
advocating for humane treatment. Dorothea Dix was an American reformer, and
Beers founded the mental hygiene movement .
4. Which reformer is credited with bringing public awareness to the horrors of
asylums and jails in the United States?
a. Clifford Beers
b. Michelle Morrison-Valfre
c. Dorothea Dix
d. Sigmund Freud
Answer: c. Dorothea Dix
Rationale: Dorothea Dix crusaded for the construction of mental health
hospitals and improved conditions across the U.S. and Canada .
5. In the 1930s, what common but controversial treatment for schizophrenia
caused clients to fall into a prolonged coma?
,a. Electroconvulsive therapy
b. Insulin therapy
c. Hydrotherapy
d. Lobotomy
Answer: b. Insulin therapy
Rationale: Insulin was used to induce daily comas, believed to treat
schizophrenia. ECT was used for depression, and lobotomies were for violent
behavior .
6. The introduction of __________ in the 1950s led to the deinstitutionalization
of many mentally ill individuals.
a. Community Mental Health Centers
b. The DSM
c. Psychotherapeutic drugs
d. Behavior modification
Answer: c. Psychotherapeutic drugs
Rationale: The discovery of antipsychotics (like Thorazine) allowed symptoms
to be controlled, making community living possible and leading to the emptying of
large state hospitals .
Chapter 2: Current Mental Health Care Systems
7. A client is being discharged to a service that provides housing, vocational
training, and social skills education to help them live independently. This
describes:
a. Primary prevention
b. A psychiatric urgent care
c. Psychosocial rehabilitation
d. Respite care
, Answer: c. Psychosocial rehabilitation
Rationale: Psychosocial rehab focuses on restoring community functioning and
independence, not just symptom management .
8. Which member of the multidisciplinary team is primarily responsible for
coordinating community resources, discharge planning, and family therapy?
a. Psychiatrist
b. Occupational therapist
c. Expressive therapist
d. Psychiatric social worker
Answer: d. Psychiatric social worker
Rationale: Social workers specialize in navigating community support systems,
environmental assessments, and the psychosocial aspects of discharge .
Chapter 3: Ethical and Legal Issues
9. A teenage client refuses to drink alcohol because his parents taught him it is
wrong and he has never seen them drink. This is an example of value
transmission through:
a. Moralizing
b. Modeling
c. Laissez-faire
d. Rewards and punishment
Answer: b. Modeling
Rationale: The client learned the value by observing and copying his parents'
behavior (modeling), not just being told rules .
10. The physician explains a surgery to a client, but the nurse obtains the
signature on the consent form. Who holds the legal responsibility for ensuring
the client understands the risks and benefits of the procedure?
OF FOUNDATIONS OF MENTAL HEALTH CARE BY
MORRISON-VALFRE QUESTIONS WITH CORRECT
ANSWERS AND DETAILED RATIONALES
UNIT I: MENTAL HEALTH CARE: PAST AND PRESENT
Chapter 1: The History of Mental Health Care
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. Pinel
b. Fisher
c. Rush
d. Freud
Answer: d. Freud
Rationale: Sigmund Freud theorized that mental illness was caused by forces
within the personality (id, ego, superego), similar to Plato's concept of internal
struggles. Pinel advocated for humane treatment, Fisher was a nurse, and Rush
was an early American psychiatrist .
2. During the mid-1500s, behaviors associated with mental illness were more
accurately recorded. This practice led to __________ for different abnormal
behaviors.
a. Classifications
,b. Diagnosing
c. Treatment
d. Education
Answer: a. Classifications
Rationale: The recording of behaviors allowed professionals to begin
classifying abnormal behaviors. It did not immediately lead to effective
treatments or widespread education .
3. During the latter part of the eighteenth century, inhumane treatment was
greatly diminished by the French hospital director:
a. Dix
b. Beers
c. Pinel
d. Carter
Answer: c. Pinel
Rationale: Philippe Pinel is credited with removing chains from patients and
advocating for humane treatment. Dorothea Dix was an American reformer, and
Beers founded the mental hygiene movement .
4. Which reformer is credited with bringing public awareness to the horrors of
asylums and jails in the United States?
a. Clifford Beers
b. Michelle Morrison-Valfre
c. Dorothea Dix
d. Sigmund Freud
Answer: c. Dorothea Dix
Rationale: Dorothea Dix crusaded for the construction of mental health
hospitals and improved conditions across the U.S. and Canada .
5. In the 1930s, what common but controversial treatment for schizophrenia
caused clients to fall into a prolonged coma?
,a. Electroconvulsive therapy
b. Insulin therapy
c. Hydrotherapy
d. Lobotomy
Answer: b. Insulin therapy
Rationale: Insulin was used to induce daily comas, believed to treat
schizophrenia. ECT was used for depression, and lobotomies were for violent
behavior .
6. The introduction of __________ in the 1950s led to the deinstitutionalization
of many mentally ill individuals.
a. Community Mental Health Centers
b. The DSM
c. Psychotherapeutic drugs
d. Behavior modification
Answer: c. Psychotherapeutic drugs
Rationale: The discovery of antipsychotics (like Thorazine) allowed symptoms
to be controlled, making community living possible and leading to the emptying of
large state hospitals .
Chapter 2: Current Mental Health Care Systems
7. A client is being discharged to a service that provides housing, vocational
training, and social skills education to help them live independently. This
describes:
a. Primary prevention
b. A psychiatric urgent care
c. Psychosocial rehabilitation
d. Respite care
, Answer: c. Psychosocial rehabilitation
Rationale: Psychosocial rehab focuses on restoring community functioning and
independence, not just symptom management .
8. Which member of the multidisciplinary team is primarily responsible for
coordinating community resources, discharge planning, and family therapy?
a. Psychiatrist
b. Occupational therapist
c. Expressive therapist
d. Psychiatric social worker
Answer: d. Psychiatric social worker
Rationale: Social workers specialize in navigating community support systems,
environmental assessments, and the psychosocial aspects of discharge .
Chapter 3: Ethical and Legal Issues
9. A teenage client refuses to drink alcohol because his parents taught him it is
wrong and he has never seen them drink. This is an example of value
transmission through:
a. Moralizing
b. Modeling
c. Laissez-faire
d. Rewards and punishment
Answer: b. Modeling
Rationale: The client learned the value by observing and copying his parents'
behavior (modeling), not just being told rules .
10. The physician explains a surgery to a client, but the nurse obtains the
signature on the consent form. Who holds the legal responsibility for ensuring
the client understands the risks and benefits of the procedure?
