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Chapter 1: The History of Mental Health Care Test
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Bank
MULTIPLE CHOICE z
1. The belief of the ancient Greek philosopher Plato that the rational soul controll
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ed the irrational soul could be compared with the belief of the more recent psychol
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ogical theorist: z
a. Freud
b. Pinel
c. Fisher
d. Rush
ANS: A z
Sigmund Freud believed that mental illness was, in part, caused by forces both wit
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hin and outside the personality. Philippe Pinel advocated acceptance of mentally i
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ll individuals as human beings in need of medical assistance. Alice Fisher was a Fl
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orence Nightingale nurse who cared for the mentally ill, and Dr. Benjamin Rush w
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as the author of the book, Diseases of the Mind.
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DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: 2
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TOP: Early Years of Mental Health KEY: Nursing Process Step: Assessment M
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SC: Client Needs: Psychosocial Integrity
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2. During the mid- z z
1500s, behaviors associated with mental illness were more accurately recorded b
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y professionals. This practice led to
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for different abnormal behaviors.
z z z
a. Classifications
b. Diagnosing
c. Treatment
d. Education
ANS: A z
Classification of abnormal behaviors did not begin until this time, after the practic
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e of more accurate recording of behaviors was begun. Diagnoses, treatment guide
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lines, and any education regarding mental health disorders were not available duri
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ng this period.
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DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 3 T
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OP: Mental Illness During the Renaissance
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KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Int
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egrity
3. During the latter part of the eighteenth century, psychiatry became a separate br
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anch of medicine, and inhumane treatment was greatly diminished by the French
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hospital director: z
a. Dix
By Mr HVQ z z
,2 | Test bank Foundations of Mental Health Care 5 Edition
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b. Beers
c. Pinel
d. Carter
ANS: C z
Philippe Pinel advocated acceptance of the mentally ill, as well as proper treatme
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nt. Dorothea Dix crusaded for construction of mental health hospitals. Clifford Be
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ers wrote the book, A Mind That Found Itself. President Jimmy Carter established
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zthe President’s Commission on Mental Health in 1978.
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DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 4 T
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OP: Mental Illness in the Eighteenth Century
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KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Int
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egrity
4. In 1841, z z
surveyed asylums, jails, and almshouses throughout the United States, Canada
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, 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 z
b. John Cade z
c. Florence Nightingale z
d. Dorothea Dix z
ANS: D z
Dorothea Dix spent 20 years surveying facilities that housed mentally ill individu
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als and is credited with major changes in the care of the mentally ill. Sigmund Freu
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d introduced the concept of psychoanalysis, John Cade discovered lithium carbona
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te for the treatment of bipolar disorder, and Florence Nightingale trained nurses in
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England in the 1800s. z z z
DIF: Cognitive Level: Knowledge REF: p. 5 OBJ: 4 T
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OP: Mental Illness in the Nineteenth Century
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KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Int
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egrity
5. As a direct result of Clifford Beers’ work and book, A Mind That Found Itself, the
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zCommittee for Mental Hygiene was formed in 1909 with a focus on prevention of z z z z z z z z z z z z z
zmental illness and: z z
a. Early detection of symptoms of mental illness z z z z z z
b. Education of caregivers z z
c. Current treatment options z z
d. Removing the stigma attached to mental illness z z z z z z
ANS: D z
Clifford Beers’ book reflected on his attempt at suicide followed by the de
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plorable care he received for the next 3 years in mental hospitals. Beers’ work
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By Mr HVQ z z
,3 | Test bank Foundations of Mental Health Care 5 Edition
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and book raised the consciousness of people throughout the country regarding pre
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vention and removal of the stigma of having a mental illness. Early detection of sy
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mptoms, education of caregivers, and current treatment options regarding mental
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illness were not the focus of his book, nor were they a priority for the Committee f
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or Mental Hygiene.
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DIF: Cognitive Level: Knowledge REF: p. 5 OBJ: 4 T
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OP: Mental Illness in the Twentieth Century
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KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Int
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egrity
6. During the 1930s, what common treatment for schizophrenia caused clients to
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fall into a coma that could last as long as 50 hours?
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a. Electroconvulsive therapy z
b. Insulin therapy z
c. Humoral therapy z
d. Amphetamine therapy z
ANS: B z
Insulin therapy was believed to successfully treat schizophrenia in the early 1900s
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. Amphetamines were used to treat depression, and electroconvulsive therapy was
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zused for severe depression. Humoral therapy, which originated in ancient Greece
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and Rome, was a belief that mental illness resulted from an imbalance of the humo
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rs of air, fire, water, and earth.
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DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 5 T
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OP: Influences of War on Mental Health Therapies
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KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Int
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egrity
7. In the 1930s, what mental health disorder was electroconvulsive therapy (E
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CT) most often used to treat?
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a. Schizophrenia
b. Bipolar disorder z
c. Severe depression z
d. Violent behavior z
ANS: C z
ECT was found to be an effective treatment for severe depression in the 1930s. Du
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ring this period, schizophrenia was treated with insulin therapy, and violent behav
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ior was treated with a lobotomy. In 1949, lithium carbonate was discovered as a tr
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eatment for bipolar disorder. z z z
DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 5 T
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OP: Influences of War on Mental Health Therapies
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By Mr HVQ z z
, 4 | Test bank Foundations of Mental Health Care 5 Edition
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KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Int
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egrity
8. In the early twentieth century, a frontal lobotomy was a common treatment for
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violent behaviors. Which description of this procedure is accurate?
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a. A procedure that delivers an electrical stimulus to the frontal lobes of the brain
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b. A surgical procedure that drills holes in the front of the skull to drain fluid
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c. A surgical procedure that severs the frontal lobes of the brain from the thal
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amus
d. A surgical procedure that inserts implants into the frontal lobes of the brain
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ANS: C z
A frontal lobotomy is a surgical procedure in which the frontal lobes of the brain are
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severed from the thalamus. z z z
DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 5 T
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OP: Influences of War on Mental Health Therapies
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KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Int
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egrity
9. Which class of drugs was introduced in the 1930s for the treatment of depr
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ession?
a. SSRIs
b. Tricyclic antidepressants z
c. MAOIs
d. Amphetamines
ANS: D z
In the 1930s, amphetamines were found to boost the spirits of depressed people. S
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SRIs, tricyclic antidepressants, and MAOIs are antidepressant agents, but they we
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re not discovered until much later.
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DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 5 T
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OP: Influences of War on Mental Health Therapies
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KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Int
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egrity
10. In 1937, Congress passed the Hill-
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Burton Act, which was significant for the treatment of mental health because it fun
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ded:
a. Research on drugs for the treatment of mental health disorders
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b. Training of mental health professionals z z z z
c. Construction of psychiatric units in facilities throughout North Americaz z z z z z z z
d. Development of community mental health clinics z z z z z
ANS: C z
The Hill-
z
Burton Act provided money for the construction of psychiatric units in the United
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By Mr HVQ z z