Foundations of Mental Health Care 8th
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Edition by Morrison-Valfre
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,Chapter 01: The History of Mental Health Care
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MULTIPLEfCHOICE
1. ThefbelieffoffthefancientfGreekfphilosopherfPlatofthatfthefrationalf soulfc
ontrolledfthefirrationalfsoulcouldfbefcomparedfwithfthefbelieffoffthefmor
efrecentfpsychologicalftheorist:
a. Freud.
b. Pinel.
c. Fisher.
d. Rush.
ANS:f A
SigmundfFreudfbelievedfthatfmentalfillnessfwas,finfpart,fcausedfbyfforcesfbothfwithinfandfoutsidefthefperso
nality.fPhilippefPinelfadvocatedfacceptancefoffmentallyfillfindividualsfasfhumanfbeingsfinfneedfoffmedicalfa
ssistance.fAlicefFisherfwasfafFlorencefNightingalefnursefwhofcaredfforfthefmentallyfill,fandfDr.fBenjaminfR
ushfwasfthefauthorfoffthefbookfDiseasesfoffthefMind.
DIF: CognitivefLevel:fComprehension OBJ:f 2
TOP:f EarlyfYearsfoffMentalfHealth
KEY:fNursingfProcessfStep:fAssessmentf
MSC:f ClientfNeeds:fPsychosocialfIntegrity
2. Duringfthefmid-
1500s,fbehaviorsfassociatedfwithfmentalfillnessfwerefmorefaccuratelyfrecordedfbyfprofessionals.fThisf
practicefledfto _fforfdifferentfabnormalfbehaviors.
a. classifications
b. diagnosing
c. treatment
d. education
ANS:f A
Classificationfoffabnormalfbehaviorsfdidfnotfbeginfuntilfthisftime,fafterfthefpracticefoffmorefaccuratefrecor
dingfoffbehaviorsfwasfbegun.fDiagnoses,ftreatmentfguidelines,fandfanyfeducationfregardingfmentalfhealth
fdisordersfwerefnotfavailablefduringfthisfperiod.
DIF: CognitivefLevel:fKnowledge
OBJ:f3fTOP:f MentalfIllnessfDuringfthefRenai
ssance
KEY:f NursingfProcessfStep:fAssessment MSC:f ClientfNeeds:fPsychosocialfIntegrity
,3. Duringftheflatterfpartfoffthef18thfcentury,fpsychiatryfbecamefafseparatefbranchfoffmedicine,fandfinh
umaneftreatmentfwasfgreatlyfdiminishedfbyfthefFrenchfhospitalfdirector:
a. Dix.
b. Beers.
c. Pinel.
d. Carter.
ANS:f C
PhilippefPinelfadvocatedfacceptancefoffthefmentallyfill,fasfwellfasfproperftreatment.fDorotheafDixfcrusade
dfforfconstructionfoffmentalfhealthfhospitals.fCliffordfBeersfwrotefthefbookfAfMindfThatfFoundfItself.fPres
identfJimmyfCarterfestablishedfthefPresident’sfCommissionfonfMentalfHealthfinf1978.
DIF: CognitivefLevel:fKnowledge OBJ:f 4
TOP:f MentalfIllnessfinfthef18thfCentury
KEY:fNursingfProcessfStep:fAssessmentf
MSC:f ClientfNeeds:fPsychosocialfIntegrity
4. Inf1841,
surveyedfasylums,fjails,fandfalmshousesfthroughoutfthefUnitedfStates,fCan
ada,fandfScotlandfandfisfcreditedfwithfbringingfaboutfpublicfawarenessfandfreformfforfthefcarefoffthefment
allyfill.
a. SigmundfFreud
b. JohnfCade
c. FlorencefNightingale
d. DorotheafDix
ANS:f D
DorotheafDixfspentf20fyearsfsurveyingffacilitiesfthatfhousedfmentallyfillfindividualsfandfisfcreditedfwithfm
ajorfchangesfinfthefcarefoffthefmentallyfill.fSigmundfFreudfintroducedfthefconceptfoffpsychoanalysis,fJohnf
Cadefdiscoveredflithiumfcarbonatefforftheftreatmentfoffbipolarfdisorder,fandfFlorencefNightingaleftrainedf
nursesfinfEnglandfinfthef1800s.
DIF: CognitivefLevel:fKnowledge OBJ:f 4
TOP:f MentalfIllnessfinfthef19thfCentury
KEY:fNursingfProcessfStep:fAssessmentf
MSC:f ClientfNeeds:fPsychosocialfIntegrity
5. AsfafdirectfresultfoffCliffordfBeers’fworkfandfbook,fAfMindfThatfFoundfItself,fthefCommitteefforfMent
alfHygienefwasfformedfinf1909fwithfaffocusfonfpreventionfoffmentalfillnessfand:
a. earlyfdetectionfoffsymptomsfoffmentalfillness.
b. educationfoffcaregivers.
c. currentftreatmentfoptions.
d. removingfthefstigmafattachedftofmentalfillness.
ANS:f D
CliffordfBeers’fbookfreflectedfonfhisfattemptfatfsuicideffollowedfbyfthefdeplorablefcarefhefreceivedfforfthefn
extf3fyearsfinfmentalfhospitals.fBeers’fworkfandfbookfraisedfthefconsciousnessfoffpeoplefthroughoutfthefco
untryfregardingfpreventionfandfremovalfoffthefstigmafoffhavingfafmentalfillness.
Earlyfdetectionfoffsymptoms,feducationfoffcaregivers,fandfcurrentftreatmentfoptionsfregardingfmentalfillne
ssfwerefnotftheffocusfoffhisfbook,fnorfwereftheyfafpriorityfforfthefCommitteefforfMentalfHygiene.
DIF: CognitivefLevel:fKnowledge OBJ:f 4
, TOP:f MentalfIllnessfinfthef20thfCentury
KEY:fNursingfProcessfStep:fAssessmentf
MSC:f ClientfNeeds:fPsychosocialfIntegrity
6. Duringfthef1930s,fwhatfcommonftreatmentfforfschizophreniafcausedfclientsftoffallfintofafcomafthatfcoul
dflastfasflongfasf50fhours?
a. Electroconvulsiveftherapy
b. Insulinftherapy
c. Humoralftherapy
d. Amphetamineftherapy
ANS:f B
Insulinftherapyfwasfbelievedftofsuccessfullyftreatfschizophreniafinfthefearlyf1900s.fAmphetaminesfwerefu
sedftoftreatfdepression,fandfelectroconvulsiveftherapyfwasfusedfforfseverefdepression.fHumoralftherapy,fw
hichforiginatedfinfancientfGreecefandfRome,fwasfafbelieffthatfmentalfillnessfresultedffromfanfimbalancefoff
thefhumorsfoffair,ffire,fwater,fandfearth.
DIF: CognitivefLevel:fKnowledge
OBJ:f5fTOP:f InfluencesfoffWarfonfMentalfHea
lthfTherapies
KEY:f NursingfProcessfStep:fAssessment MSC:f ClientfNeeds:fPsychosocialfIntegrity
7. Infthef1930s,fwhatfmentalfhealthfdisorderfwasfelectroconvulsiveftherapyf(ECT)fmostfoftenfusedftoftrea
t?
a. Schizophrenia
b. Bipolarfdisorder
c. Severefdepression
d. Violentfbehavior
ANS:f C
ECTfwasffoundftofbefanfeffectiveftreatmentfforfseverefdepressionfinfthef1930s.fDuringfthisfperiod,fschizop
hreniafwasftreatedfwithfinsulinftherapy,fandfviolentfbehaviorfwasftreatedfwithfaflobotomy.fInf1949,flithiumf
carbonatefwasfdiscoveredfasfaftreatmentfforfbipolarfdisorder.
DIF: CognitivefLevel:fKnowledge
OBJ:f5fTOP:f InfluencesfoffWarfonfMentalfHea
lthfTherapies
KEY:f NursingfProcessfStep:fAssessment MSC:f ClientfNeeds:fPsychosocialfIntegrity
8. Infthefearlyf20thfcentury,faffrontalflobotomyfwasfafcommonftreatmentfforfviolentfbehaviors.fWhichfdes
criptionfoffthisfprocedurefisfaccurate?
a. Afprocedurefthatfdeliversfanfelectricalfstimulusftoftheffrontalflobesfoffthefbrain.
b. Afsurgicalfprocedurefthatf drillsfholesfinftheffrontfoffthefskullftofdrainffluid.
c. Afsurgicalfprocedurefthatf seversftheffrontalflobesfoffthefbrainffromfthefthalamus.
d. Afsurgicalfprocedurefthatfinsertsfimplantsfintoftheffrontalflobesfoffthefbrain.
ANS:f C
Affrontalflobotomyfisfafsurgicalfprocedurefinfwhichftheffrontalflobesfoffthefbrainfarefseveredffromfthefthalam
us.
DIF: CognitivefLevel:fKnowledge
OBJ:f5fTOP:f InfluencesfoffWarfonfMentalfHea
lthfTherapies
KEY:f NursingfProcessfStep:fAssessment MSC:f ClientfNeeds:fPsychosocialfIntegrity