MORRISON-VALFRE’SFOUNDATIONSOFMENTAL HEALTHCAREIN CANADA
BORIS BARD, ERIC MACMULLIN, AND JACQUELINE WILLIAMSON
1s Edition
J
,Table of Contents
Chapter 01 The History of Mental Health Care 1
Chapter 02 Curren Mental Health Care Systems
J 9
Chapter 03 Ethical and Legal Issues 17
Chapter 04 Sociocultural Issues 26
Chapter 05 Theories and Therapies 34
Chapter 06 Complementary and Alternative Therapies 43
Chapter 07 Psychotherapeutic Medication Therapy 51
Chapter 08 Principles and Skills of Mental Health Care 60
Chapter 09 Mental Health Assessmen Skills
J 69
Chapter 10 Therapeutic Communication 78
Chapter 11 The Therapeutic Relationship 88
Chapter 12 The Therapeutic Environment 98
Chapter 13 Challenges of Childhood 107
Chapter 14 Challenges of Adolescence 116
Chapter 15 Challenges of Adulthood 125
Chapter 16 Challenges of Late Adulthood 134
Chapter 17 Cognitive Impairment, Alzheimer's Disease, and Dementia 141
Chapter 18 Managing Anxiety 150
Chapter 19 Illness and Hospitalization 159
Chapter 20 Loss and Grief 168
Chapter 21 Depression and Other Mood Disorders 177
Chapter 22 Physical Challenges, Psychological Sources 185
Chapter 23 Eating and Sleeping Disorders 193
Chapter 24 Dissociative Disorders 201
Chapter 25 Anger and Aggression 210
Chapter 26 Outward-Focused Emotions-Violence 218
Chapter 27 Inward-Focused Emotions-Suicide 226
Chapter 28 Substance-Related Disorders 234
Chapter 29 Sexuality and Sexual Disorders 242
Chapter 30 Personality Disorders 250
Chapter 31 Brain Function, Schizophrenia, and Other Psychoses 258
Chapter 32 Chronic Mental Health Disorders 266
Chapter 33 Challenges for the Future 274
, Tes Bank - Morrison-Valfre’s Foundations of Mental Health Care in Canada, 1s Edition (Bard,
J J
2025)
Chapter 1: The History of Mental Health Care
Morrison-Valfre’s Foundations of Mental Health Care in Canada, Firs Edition J
MULTIPLE CHOICE
1. The belief of the ancient Greek philosopher Plato that the rational soul controlled the
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irrational soul could be compared with the belief of which more recent psychological
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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
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outside the personality. Philippe Pinel advocated acceptance of mentally ill individuals as
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human beings in need of medical assistance. Alice Fisher was a nurse who trained at the
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Florence Nightingale Training School and cared for the mentallyill. Dr. Benjamin Rush was the
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author of the book Diseases of the Mind.
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PTS: 1
J DIF: Cognitive Level: Comprehension
J J J REF: Early Years J J J
OBJ: 1 KEY: Nursing Process Step: Assessment J J J MSC: Foundations of J
Practice
2. During the mid-1500s, behaviours associated with mentalillness began to be more accurately
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recorded by professionals. This practice led to
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behaviours.
a. Classifications
b. Diagnosing
c. Treatment
d. Education
ANS: A
Classification of abnormal behaviours did not begin until this time, after the practice of more
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accurately recording behaviours had started. Diagnoses, treatment guidelines, and education
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regarding mental health disorders were not available during this period.
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PTS: 1 DIF: Cognitive Level: Knowledge J J REF: The Renaissance J
OBJ: 1 KEY: Nursing Process Step: Assessment J J J MSC: Foundations of J
Practice
3. During the latter part of the eighteenth century, psychiatry became a separate branch of
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medicine, and inhumane treatment was greatlydiminished bywhich French hospitaldirector?
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a. Dix
b. Beers
c. Pinel
d. Carter
ANS: C
Philippe Pinel advocated acceptance ofthe mentally ill as well as propertreatment. Dorothea Dix
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crusaded for construction of mental health hospitals. Clifford Beers wrote the book A Mind That
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Found Itself. President Jimmy Carter established the President’s Commission on Mental Health
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in 1978.
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, Tes Bank - Morrison-Valfre’s Foundations of Mental Health Care in Canada, 1s Edition (Bard,
J J
2025)
1|Page
PTS: 1 DIF: Cognitive Level: Knowledge J J REF: Eighteenth Century J
OBJ: 4 KEY: Nursing Process Step: Assessment J J J MSC: Foundations of J
Practice
4. In 1841,
J surveyed asylums, jails, and almshouses throughout the United
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States, Canada, and Scotland and is credited with bringing about public awareness and reform for
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the care of the mentally ill.
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a. Sigmund Freud J
b. JohnCade J
c. Florence Nightingale J
d. Dorothea Dix iv
ANS: D
Dorothea Dix spent 20 years surveying facilities that housed mentallyill individuals and is
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credited with ushering in major changes in the care of the mentally ill. Sigmund Freud
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introduced the concept of psychoanalysis, John Cade discovered lithium carbonate for the
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treatment of bipolar disorder, and Florence Nightingale trained nurses in England in the 1800s.
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PTS: 1 DIF: Cognitive Level: Knowledge J J REF: Nineteenth Century J
OBJ: 4 KEY: Nursing Process Step: Assessment J J J MSC: Foundations of J
Practice
5. As a direct result of Clifford Beers’ work and his book, A Mind That Found Itself, the
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Committee for Mental Hygiene was formed in 1909 with a focus on the prevention of mental
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illness and J. J
a. Earlydetection ofsymptoms of mental illness J J J J J J
b. Education of care providers J J J
c. Currenttreatment options J
d. Removing the stigma attached to mental illness iv iv iv iv iv iv
ANS: D
In his book, Clifford Beers reflected on his suicide attempt followed bythe deplorable care he
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received for the next 3 years in mental hospitals. His work and book raised the consciousness of
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people throughout the country regarding the prevention and removal of the stigma of having a
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mental illness. Earlydetection of symptoms, education of care providers, and current treatment
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options regarding mental illness were not the focus of his book, nor were they a priority for the
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Committee for Mental Hygiene. J J J
PTS: 1 DIF: Cognitive Level: Knowledge J J REF: Twentieth Century J
OBJ: 4 KEY: Nursing Process Step: Assessment J J J MSC: Foundations of J
Practice
6. During the 1930s, what commontreatment for schizophrenia caused patients to fall into a
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coma that could last as long as 50 hours?
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a. Electroconvulsive therapy J
b. Insulin therapy iv
c. Humoraltherapy
d. Amphetamine therapy J
ANS: B