Chapterg1:gThegHistorygofgMentalgHealthgCaregTes
tgBank
MULTIPLEgCHOICE
1. ThegbeliefgofgthegancientgGreekgphilosophergPlatogthatgthegrationalgsoulgcontr
olledgthegirrationalgsoulgcouldgbegcomparedgwithgthegbeliefgofgthegmoregrecentgp
sychologicalgtheorist:
a. Freud
b. Pinel
c. Fisher
d. Rush
ANS:gA
SigmundgFreudgbelievedgthatgmentalgillnessgwas,gingpart,gcausedgbygforcesgbothg
withingandgoutsidegthegpersonality.gPhilippegPinelgadvocatedgacceptancegofgmen
tallygillgindividualsgasghumangbeingsgingneedgofgmedicalgassistance.gAlicegFisher
gwasgagFlorencegNightingalegnursegwhogcaredgforgthegmentallygill,gandgDr.gBenja
mingRushgwasgthegauthorgofgthegbook,gDiseasesgofgthegMind.
DIF:gCognitivegLevel:gComprehensiongREF:gp.g2gOBJ:g2
TOP:gEarlygYearsgofgMentalgHealthgKEY:gNursinggProcessgStep:gAssessment
gMSC:gClientgNeeds:gPsychosocialgIntegrity
2. Duringgthegmid-
1500s,gbehaviorsgassociatedgwithgmentalgillnessgweregmoregaccuratelygrecordedg
bygprofessionals.gThisgpracticegledgtog
forgdifferentgabnormalgbehaviors.
a. Classifications
b. Diagnosing
c. Treatment
d. Education
ANS:gA
Classificationgofgabnormalgbehaviorsgdidgnotgbeginguntilgthisgtime,gaftergthegpra
cticegofgmoregaccurategrecordinggofgbehaviorsgwasgbegun.gDiagnoses,gtreatmentg
guidelines,gandganygeducationgregardinggmentalghealthgdisordersgweregnotgavaila
blegduringgthisgperiod.
DIF:gCognitivegLevel:gKnowledgegREF:gp.g3gOBJ:g3g
TOP:gMentalgIllnessgDuringgthegRenaissance
KEY:g Nursingg Processg Step:g Assessmentg MSC:g Clientg Needs:g PsychosocialgI
ntegrity
3. Duringgtheglattergpartgofgthegeighteenthgcentury,gpsychiatrygbecamegagseparate
gbranchgofgmedicine,gandginhumanegtreatmentgwasggreatlygdiminishedgbygthegFr
enchghospitalgdirector:
a. Dix
BygMrgHVQ
,2g|gTestgbankgFoundationsgofgMentalgHealthgCareg5gEdition
b. Beers
c. Pinel
d. Carter
ANS:gC
PhilippegPinelgadvocatedgacceptancegofgthegmentallygill,gasgwellgasgpropergtreat
ment.gDorotheagDixgcrusadedgforgconstructiongofgmentalghealthghospitals.gCliffo
rdgBeersgwrotegthegbook,gAgMindgThatgFoundgItself.gPresidentgJimmygCartergest
ablishedgthegPresident’sgCommissiongongMentalgHealthging1978.
DIF:gCognitivegLevel:gKnowledgegREF:gp.g4gOBJ:g4g
TOP:gMentalgIllnessgingthegEighteenthgCentury
KEY:g Nursingg Processg Step:g Assessmentg MSC:g Clientg Needs:g PsychosocialgI
ntegrity
4. Ing 1841,g
gsurveyedgasylums,gjails,gandgalmshousesgthroughoutgthegUnitedgStates,gCana
da,gandgScotlandgandgisgcreditedgwithgbringinggaboutgpublicgawarenessgandgrefor
mgforgthegcaregofgthegmentallygill.
a. SigmundgFreud
b. JohngCade
c. FlorencegNightingale
d. DorotheagDix
ANS:gD
DorotheagDixgspentg20gyearsgsurveyinggfacilitiesgthatghousedgmentallygillgindivi
dualsgandgisgcreditedgwithgmajorgchangesgingthegcaregofgthegmentallygill.gSigmun
dgFreudgintroducedgthegconceptgofgpsychoanalysis,gJohngCadegdiscoveredglithium
gcarbonategforgthegtreatmentgofgbipolargdisorder,gandgFlorencegNightingalegtrained
gnursesgingEnglandgingtheg1800s.
DIF:gCognitivegLevel:gKnowledgegREF:gp.g5gOBJ:g4g
TOP:gMentalgIllnessgingthegNineteenthgCentury
KEY:g Nursingg Processg Step:g Assessmentg MSC:g Clientg Needs:g PsychosocialgI
ntegrity
5. AsgagdirectgresultgofgCliffordgBeers’gworkgandgbook,gAgMindgThatgFoundgItself,
gthegCommitteegforgMentalgHygienegwasgformedging1909gwithgagfocusgongpreve
ntiongofgmentalgillnessgand:
a. Earlygdetectiongofgsymptomsgofgmentalgillness
b. Educationgofgcaregivers
c. Currentgtreatmentgoptions
d. Removinggthegstigmagattachedgtogmentalgillness
ANS:gD
Cliffordg Beers’g bookg reflectedg ong hisg attemptg atg suicideg followedg byg theg
deplorablegcareghegreceivedgforgthegnextg3gyearsgingmentalghospitals.gBeers’gwork
BygMrgHVQ
,3g|gTestgbankgFoundationsgofgMentalgHealthgCareg5gEdition
andgbookgraisedgthegconsciousnessgofgpeoplegthroughoutgthegcountrygregardingg
preventiongandgremovalgofgthegstigmagofghavinggagmentalgillness.gEarlygdetection
gofgsymptoms,geducationgofgcaregivers,gandgcurrentgtreatmentgoptionsgregardingg
mentalgillnessgweregnotgthegfocusgofghisgbook,gnorgweregtheygagprioritygforgthegC
ommitteegforgMentalgHygiene.
DIF:gCognitivegLevel:gKnowledgegREF:gp.g5gOBJ:g4g
TOP:gMentalgIllnessgingthegTwentiethgCentury
KEY:g Nursingg Processg Step:g Assessmentg MSC:g Clientg Needs:g PsychosocialgI
ntegrity
6. Duringgtheg1930s,gwhatgcommongtreatmentgforgschizophreniagcausedgclientsgt
ogfallgintogagcomagthatgcouldglastgasglonggasg50ghours?
a. Electroconvulsivegtherapy
b. Insulingtherapy
c. Humoralgtherapy
d. Amphetaminegtherapy
ANS:gB
Insulingtherapygwasgbelievedgtogsuccessfullygtreatgschizophreniagingthegearlyg19
00s.gAmphetaminesgweregusedgtogtreatgdepression,gandgelectroconvulsivegtherap
ygwasgusedgforgseveregdepression.gHumoralgtherapy,gwhichgoriginatedgingancient
gGreecegandgRome,gwasgagbeliefgthatgmentalgillnessgresultedgfromgangimbalanceg
ofgtheghumorsgofgair,gfire,gwater,gandgearth.
DIF:gCognitivegLevel:gKnowledgegREF:gp.g6gOBJ:g5g
TOP:gInfluencesgofgWargongMentalgHealthgTherapies
KEY:g Nursingg Processg Step:g Assessmentg MSC:g Clientg Needs:g PsychosocialgI
ntegrity
7. Ing theg 1930s,g whatg mentalg healthg disorderg wasg electroconvulsiveg therapyg
(ECT)gmostgoftengusedgtogtreat?
a. Schizophrenia
b. Bipolargdisorder
c. Severegdepression
d. Violentgbehavior
ANS:gC
ECTgwasgfoundgtogbegangeffectivegtreatmentgforgseveregdepressiongingtheg1930s.g
Duringgthisgperiod,gschizophreniagwasgtreatedgwithginsulingtherapy,gandgviolentg
behaviorgwasgtreatedgwithgaglobotomy.gIng1949,glithiumgcarbonategwasgdiscover
edgasgagtreatmentgforgbipolargdisorder.
DIF:gCognitivegLevel:gKnowledgegREF:gp.g6gOBJ:g5
gTOP:gInfluencesgofgWargongMentalgHealthgTherapie
s
BygMrgHVQ
, 4g|gTestgbankgFoundationsgofgMentalgHealthgCareg5gEdition
KEY:g Nursingg Processg Step:g Assessmentg MSC:g Clientg Needs:g PsychosocialgI
ntegrity
8. Ingthegearlygtwentiethgcentury,gagfrontalglobotomygwasgagcommongtreatmentgf
orgviolentgbehaviors.gWhichgdescriptiongofgthisgproceduregisgaccurate?
a. Agproceduregthatgdeliversgangelectricalgstimulusgtogthegfrontalglobesgofgthegbrain
b. Agsurgicalgproceduregthatgdrillsgholesgingthegfrontgofgthegskullgtogdraingfluid
c. Ag surgicalg procedureg thatg seversg theg frontalg lobesg ofg theg braing fromg thegt
halamus
d. Agsurgicalgproceduregthatginsertsgimplantsgintogthegfrontalglobesgofgthegbrain
ANS:gC
Agfrontalglobotomygisgagsurgicalgproceduregingwhichgthegfrontalglobesgofgthegbraing
aregseveredgfromgthegthalamus.
DIF:gCognitivegLevel:gKnowledgegREF:gp.g6gOBJ:g5g
TOP:gInfluencesgofgWargongMentalgHealthgTherapies
KEY:g Nursingg Processg Step:g Assessmentg MSC:g Clientg Needs:g PsychosocialgI
ntegrity
9. Whichg classg ofg drugsg wasg introducedg ing theg 1930sg forg theg treatmentg ofg d
epression?
a. SSRIs
b. Tricyclicgantidepressants
c. MAOIs
d. Amphetamines
ANS:gD
Ingtheg1930s,gamphetaminesgweregfoundgtogboostgthegspiritsgofgdepressedgpeople.
gSSRIs,gtricyclicgantidepressants,gandgMAOIsgaregantidepressantgagents,gbutgthe
ygweregnotgdiscoveredguntilgmuchglater.
DIF:gCognitivegLevel:gKnowledgegREF:gp.g6gOBJ:g5g
TOP:gInfluencesgofgWargongMentalgHealthgTherapies
KEY:g Nursingg Processg Step:g Assessmentg MSC:g Clientg Needs:g PsychosocialgI
ntegrity
10. Ing1937,gCongressgpassedgthegHill-
BurtongAct,gwhichgwasgsignificantgforgthegtreatmentgofgmentalghealthgbecausegitg
funded:
a. Researchgongdrugsgforgthegtreatmentgofgmentalghealthgdisorders
b. Traininggofgmentalghealthgprofessionals
c. ConstructiongofgpsychiatricgunitsgingfacilitiesgthroughoutgNorthgAmerica
d. Developmentgofgcommunitygmentalghealthgclinics
ANS:gC
ThegHill-
BurtongActgprovidedgmoneygforgthegconstructiongofgpsychiatricgunitsgingtheg Unit
BygMrgHVQ