lOMoAR 99ni99c
99PSD|
9 9 117
00591
TEST BANK FOR 9 9 9 9
Psychiatric–MentalHealthNursing9thEditionbySheilaL.
Videbeck
99
AllChapters(1-24)
TableOfContents
UNIT 1 Current Theories and Practice
9 9 9 9 9 9 9 9 9 9
Chapter 1. Foundations of Psychiatric–Mental Health Nursing
9 9 9 9 9 9 9 9 9 9 9 9
Chapter 2. Neurobiologic Theories and Psychopharmacology
9 9 9 9 9 9 9 9 9 9 9 9
Chapter 3. Psychosocial Theories and Therapy
99 9 9 9 9 9 9 9 9 9 9
Chapter 4. Treatment Settings and Therapeutic 9 9 9 9 9 9 9 9 9 9
ProgramsUNIT 2 Building the Nurse–Client
99 9 9 9 9 9 9 9 9 9
Relationship Chapter 5. Therapeutic Relationships
99 9 9 9 9 9 9
Chapter 6. Therapeutic Communication
99 9 9 9 9 9 9
Chapter 7. Client’s Response to 9 9 9 9 9 9 9 9
Illness Chapter8.Assessment
9 9 99 9
UNIT 3 Current Social and Emotional Concerns
9 9 9 9 9 9 9 9 9 9 9 9
Chapter9.LegalandEthicalIssues 9 9 9
Chapter10.GriefandLoss
99 9
Chapter11.Anger,Hostility,and Aggression Chapter 9 9 9 ni 99
12. Abuse and Violence
9 9 9 9 9 9 9 9
UNIT 4 Nursing Practice for Psychiatric
9 9 9 9 9 9 9 9 9 9
Disorders Chapter 13. Trauma and Stressor-
9 9 9 9 9 9 9 9 9 9 9 9
Related Disorders Chapter 14. Anxiety and 9 9 99 9 9 9 9 9 9
9Anxiety Disorders
9 9 9
Chapter 15. Obsessive–Compulsive and Related Disorders
9 9 9 9 9 9 9 9 9 9
Chapter16.Schizophrenia
99 9
Chapter17.Mood Disordersand Suicide ni 9
Chapter 18. Personality Disorders
99 99 99 99
Chapter19.Addiction
99 9
Chapter 20. Eating Disorders 99 99 99
Chapter21.SomaticSymptom Illnesses
99 9 ni
Chapter22.NeurodevelopmentalDisorders 9 9
Chapter23.DisruptiveBehaviorDisorders
99 9
Chapter 24. Cognitive Disorders
99 9 9 9 9 9 9
Chapter1
1. Thenurseisassessingthefactorscontributingtothewell-beingofanewlyadmittedclient. 9 9
Whichofthefollowingwouldthenurseidentifyashaving apositiveimpactonthe
9 9 ni ni ni ni 9
individual'smentalhealth? 99
A) Notneedingothersforcompanionship ni
B) Theabilitytoeffectivelymanagestress ni
C) Afamilyhistoryofmentalillness
D) Strivingfortotalself- ni
reliance Ans: B 99 99
Feedback:
Individualfactorsinfluencingmentalhealthincludebiologicmakeup,autonomy, 9
independence,self-esteem,capacityforgrowth,vitality,abilitytofindmeaninginlife,
99 9 9
emotionalresilienceorhardiness,senseofbelonging,realityorientation,and copingorstress
99 9 9 ni
managementabilities.Interpersonalfactors such as intimacyandabalanceofseparatenessand
99 9 ni ni ni ni ni
connectednessarebothneededforgoodmentalhealth,andthereforea
99 ni ni ni
, lOMoAR 99ni99c
99PSD|
9 9 117
00591
healthypersonwouldneedothersforcompanionship.Afamilyhistoryofmentalillnesscould
ni ni ni
9 relatetothebiologicmakeupofanindividual,whichmayhaveanegativeimpactonan
9 9
9individual'smentalhealth,aswellasanegativeimpactonanindividual'sinterpersonaland
9 9 9
9 socialñculturalfactorsofhealth.Totalself-relianceisnotpossible,andapositive
9 9
social/culturalfactorisaccesstoadequateresources.
99
2. Whichofthefollowingstatementsabout mentalillnessaretrue? Selectallthat apply. ni ni 9 9 9 ni ni
A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth. ni
B) Mentalillnessisonlyduetosocial/cultural factors. 9
C) Social/culturalfactorsthatrelatetomentalillnessincludeexcessivedependencyon ni
orwithdrawalfromrelationships.
9 9 ni
D) Individualssufferingfrommentalillnessareusuallyabletocopeeffectivelywith daily ni ni
life. 9 9
E) Individualssufferingfrommentalillnessmayexperiencedissatisfactionwith ni ni ni
relationshipsandself.
99
Ans:A,D,E 9 9
Feedback:
Mentalillnesscancausesignificantdistress, impairedfunctioning,orboth.Mentalillness 9 9
mayberelatedtoindividual,interpersonal,orsocial/culturalfactors.Excessivedependency
99 9 9 9
onorwithdrawalfromrelationshipsareinterpersonalfactorsthatrelatetomentalillness.
99
Individualssuffering frommentalillnesscanfeeloverwhelmed withdailylife.Individuals ni ni 9
sufferingfrommentalillnessmayexperiencedissatisfactionwith relationshipsand self.
99 ni ni ni ni ni
3. Whichofthefollowingaretrueregardingmentalhealthand mentalillness?
ni 9 ni ni 9 ni
A) Behaviorthatmaybeviewedasacceptableinonecultureisalwaysunacceptablein ni ni ni
othercultures.
9 9
B) Itis easytodetermineifapersonismentallyhealthyormentallyill.
ni 9 9 ni
C) Inmost cases,mentalhealthisastateofemotional,psychological,and social
ni 9 9 9 ni
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehavior
99 ni ni ni ni
and coping,positiveself-concept,andemotionalstability.
99 ni 9 9
D) Personswhoengageinfantasiesarementallyill. ni
Ans: C
99 99
Feedback:
Whatonesocietymayviewasacceptableandappropriatebehavior,anothersocietymaysee
9 thatasmaladaptive,andinappropriate.Mentalhealth andmentalillnessaredifficulttodefine
9 9 9 ni
precisely.In mostcases,mentalhealthisastateofemotional,psychological,andsocial
99 9 ni 9 9
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehaviorandcoping,
99 ni 9 9
9positiveself-concept,andemotionalstability.Personswhoengagein fantasiesmaybe
9 9 9 ni
mentallyhealthy,buttheinabilitytodistinguish realityfromfantasyisanindividualfactor
99 9 ni
thatmaycontributetomentalillness.
99
4. Aclientgrievingtherecentlossofherhusbandasksifsheisbecomingmentallyill ni 9 9
9becausesheissosad.Thenurse'sbestresponsewouldbe,
9 9
A) ìYoumayhaveatemporarymentalillnessbecauseyouareexperiencingsomuchpain.î ni ni
B) ìYouarenotmentallyill.Thisisanexpectedreactiontothelossyou have ni 9 ni
experienced.î 99
C) ìWereyougenerallydissatisfiedwithyourrelationshipbeforeyourhusband's ni
death?î 99
D) ìTrynottoworryabout that right now.Youneverknowwhat thefuturebrings.î Ans: B
ni ni ni ni ni 9 9 9 9
Feedback:
Mentalillnessincludesgeneraldissatisfactionwith self,ineffectiverelationships,ineffective ni 9 9
coping,andlackofpersonalgrowth.Additionallythebehaviormust notbe
99 ni 9 ni ni
, lOMoAR 99ni99c
99PSD|
9 9 117
00591
culturallyexpected. Acutegriefreactionsareexpectedand thereforenotconsideredmental 9 ni
illness.Falsereassurance oroveranalysisdoesnotaccuratelyaddresstheclient's concerns.
99 ni ni ni
5. Thenurseconsultsthe DSMforwhichofthefollowingpurposes? 99
A) Todeviseaplanofcareforanewlyadmittedclient ni
B) Topredicttheclient'sprognosisof treatmentoutcomes ni ni
C) Todocumenttheappropriatediagnosticcodeintheclient'smedicalrecord
D) Toserveasaguideforclientassessment ni
Ans: D
99 99
Feedback:
The DSMprovidesstandardnomenclature,presentsdefiningcharacteristics, andidentifies
99 99
underlyingcausesofmentaldisorders. Itdoesnotprovidecareplansorprognosticoutcomes
99 9
oftreatment.DiagnosisofmentalillnessisnotwithinthegeneralistRN'sscopeofpractice,so
99 ni
documentingthecodein themedicalrecordwouldbeinappropriate.
99 ni ni ni ni ni 9
6. Whichwouldbeareasonfora studentnurseto usetheDSM? ni 9 ni 99 9
A) Identifyingthemedicaldiagnosis ni
B) Treatclients ni
C) Evaluatetreatments
D) Understandthereasonfortheadmissionandthenatureofpsychiatricillnesses.Ans: ni ni 9
9 D 9
Feedback:
Althoughstudentnursesdonot usetheDSMtodiagnoseclients,theywillfind ita helpful ni 9 9 9 ni ni
resourcetounderstandthereasonfortheadmissionandtobeginbuildingknowledgeabout
99 9 9
9 thenatureofpsychiatricillnesses.Identifyingthemedicaldiagnosis,treating,and evaluating
9 ni ni 9 ni ni 9 9 ni
treatmentsarenotapartofthenursingprocess.
99
7. Thelegislationenactedin1963waslargelyresponsibleforwhichofthefollowingshiftsin care ni ni ni ni 9 9
9forthementallyill?
9
A) Thewidespreaduseofcommunity-basedservices
ni 9
B) Theadvancementinpharmacotherapies
ni 9
C) Increasedaccesstohospitalization ni ni
D) Improvedrightsforclientsinlong-terminstitutionalcare ni ni
Ans: A
99 99
Feedback:
TheCommunityMentalHealthCentersConstructionActof1963accomplishedtherelease
ni 9 ni ni ni 9
ofindividualsfromlong-termstaysinstateinstitutions,thedecreasein admissionsto
99 9 ni
hospitals,andthedevelopmentofcommunity-basedservicesasanalternativetohospital
99 9
care.
99
8. Whichoneofthefollowingisaresult offederallegislation? ni ni 9
A) Makingit easiertocommitpeopleformentalhealth treatmentagainsttheirwill.
ni ni 9 ni 9
B) Makingitmoredifficulttocommit peopleformentalhealthtreatment againsttheir
ni ni ni ni ni ni 9
will. 99
C) Statementalinstitutionsbeingtheprimarysource ofcareformentallyillpersons. ni 99
D) Improvedcareformentallyillpersons. ni
Ans: B
99 99
Feedback:
, lOMoAR 99ni99c
99PSD|
9 9 117
00591
Commitmentlawschangedintheearly1970s,making itmoredifficulttocommitpeoplefor ni 9 9
9 mentalhealthtreatment against theirwill.Deinstitutionalizationaccomplished therelease
9 ni ni 9 ni
ofindividualsfromlong-termstaysinstateinstitutions.Deinstitutionalizationalsohad
99 9
negativeeffectsinthatsomementallyillpersonsaresubjectedtotherevolvingdooreffect,
99 ni ni 9 9
9 whichmaylimitcareformentallyillpersons.
9 ni
9. Thegoalofthe1963 CommunityMentalHealthCentersActwasto 99 9
A) ensurepatients'rightsfor thementallyill. 9 9
B) deinstitutionalizestatehospitals.
C) providefundstobuild hospitalswithpsychiatricunits. ni ni
D) treatpeoplewithmentalillnessin ahumanefashion. ni ni ni ni ni
Ans: B
99 99
Feedback:
The1963CommunityMentalHealth CentersActintimatedthemovementtoward treating
9 9 9 ni ni
thosewithmentalillnessinalessrestrictiveenvironment.Thislegislationresultedin the
99 9 ni
shiftofclientswithmentalillnessfromlargestateinstitutionstocarebasedinthe
99 9 9
9 community.AnswerchoicesA,C, and Dwerenotpurposesofthe1963CommunityMental
9 ni ni 9 9
HealthCentersAct.
99 9
10. Thecreationofasylumsduringthe1800swas meantto 9 ni ni 9
A) improvetreatment ofmentaldisorders. 99
B) providefoodandshelterforthementallyill.
C) punishpeoplewithmentalillnesswhowerebelievedtobepossessed. ni
D) removedangerouspeoplewithmentalillnessfromthecommunity. ni ni
Ans: B
99 99
Feedback:
Theasylumwasmeanttobeasafehavenwithfood,shelter,andhumanetreatmentforthe ni ni ni
9 mentallyill.Asylumswerenotusedtoimprovetreatmentofmentaldisordersortopunish
9 ni 9 9
9 mentallyillpeoplewhowerebelievedtobepossessed.Theasylumwasnotcreatedto
9 9
9removethedangerouslymentallyillfromthecommunity.
9
11. Themajorproblemswithlargestateinstitutionsare: Select allthatapply. 99 ni 99
A) attendantswereaccusedofabusingthe residents. ni ni 99
B) stigmaassociatedwithresidenceinaninsaneasylum. ni
C) clientsweregeographicallyisolated fromfamilyand community.
ni 9 9 9 ni
D) increasingfinancialcoststoindividualresidents. ni ni ni
Ans: A,C
99 99
Feedback:
Clientswereoftenfarremovedfromthelocalcommunity,family,andfriendsbecausestate ni ni 9 ni 9
institutionswereusuallyinruralorremotesettings.ChoicesBandDwerenotmajor
99 9
9problemsassociatedwithlargestateinstructions.
9 ni
12. Asignificantchangeinthetreatmentofpeoplewithmentalillnessoccurredinthe1950swhen ni ni
A) communitysupport serviceswereestablished. 99
B) legislationdramaticallychanged civilcommitmentprocedures. ni ni 9
C) thePatient'sBillofRightswasenacted.
ni 9 ni
D) psychotropicdrugsbecameavailableforuse. ni ni
Ans: D
99 99
Feedback:
Thedevelopmentofpsychotropicdrugs,ordrugsusedtotreatmentalillness,beganin the ni ni
9 1950s.AnswerchoicesA,B,andCdidnotoccurinthe1950s.
9 9 9 ni 9
13. Beforethe periodoftheenlightenment,treatmentofthementallyillincluded
ni 9 9 ni
99PSD|
9 9 117
00591
TEST BANK FOR 9 9 9 9
Psychiatric–MentalHealthNursing9thEditionbySheilaL.
Videbeck
99
AllChapters(1-24)
TableOfContents
UNIT 1 Current Theories and Practice
9 9 9 9 9 9 9 9 9 9
Chapter 1. Foundations of Psychiatric–Mental Health Nursing
9 9 9 9 9 9 9 9 9 9 9 9
Chapter 2. Neurobiologic Theories and Psychopharmacology
9 9 9 9 9 9 9 9 9 9 9 9
Chapter 3. Psychosocial Theories and Therapy
99 9 9 9 9 9 9 9 9 9 9
Chapter 4. Treatment Settings and Therapeutic 9 9 9 9 9 9 9 9 9 9
ProgramsUNIT 2 Building the Nurse–Client
99 9 9 9 9 9 9 9 9 9
Relationship Chapter 5. Therapeutic Relationships
99 9 9 9 9 9 9
Chapter 6. Therapeutic Communication
99 9 9 9 9 9 9
Chapter 7. Client’s Response to 9 9 9 9 9 9 9 9
Illness Chapter8.Assessment
9 9 99 9
UNIT 3 Current Social and Emotional Concerns
9 9 9 9 9 9 9 9 9 9 9 9
Chapter9.LegalandEthicalIssues 9 9 9
Chapter10.GriefandLoss
99 9
Chapter11.Anger,Hostility,and Aggression Chapter 9 9 9 ni 99
12. Abuse and Violence
9 9 9 9 9 9 9 9
UNIT 4 Nursing Practice for Psychiatric
9 9 9 9 9 9 9 9 9 9
Disorders Chapter 13. Trauma and Stressor-
9 9 9 9 9 9 9 9 9 9 9 9
Related Disorders Chapter 14. Anxiety and 9 9 99 9 9 9 9 9 9
9Anxiety Disorders
9 9 9
Chapter 15. Obsessive–Compulsive and Related Disorders
9 9 9 9 9 9 9 9 9 9
Chapter16.Schizophrenia
99 9
Chapter17.Mood Disordersand Suicide ni 9
Chapter 18. Personality Disorders
99 99 99 99
Chapter19.Addiction
99 9
Chapter 20. Eating Disorders 99 99 99
Chapter21.SomaticSymptom Illnesses
99 9 ni
Chapter22.NeurodevelopmentalDisorders 9 9
Chapter23.DisruptiveBehaviorDisorders
99 9
Chapter 24. Cognitive Disorders
99 9 9 9 9 9 9
Chapter1
1. Thenurseisassessingthefactorscontributingtothewell-beingofanewlyadmittedclient. 9 9
Whichofthefollowingwouldthenurseidentifyashaving apositiveimpactonthe
9 9 ni ni ni ni 9
individual'smentalhealth? 99
A) Notneedingothersforcompanionship ni
B) Theabilitytoeffectivelymanagestress ni
C) Afamilyhistoryofmentalillness
D) Strivingfortotalself- ni
reliance Ans: B 99 99
Feedback:
Individualfactorsinfluencingmentalhealthincludebiologicmakeup,autonomy, 9
independence,self-esteem,capacityforgrowth,vitality,abilitytofindmeaninginlife,
99 9 9
emotionalresilienceorhardiness,senseofbelonging,realityorientation,and copingorstress
99 9 9 ni
managementabilities.Interpersonalfactors such as intimacyandabalanceofseparatenessand
99 9 ni ni ni ni ni
connectednessarebothneededforgoodmentalhealth,andthereforea
99 ni ni ni
, lOMoAR 99ni99c
99PSD|
9 9 117
00591
healthypersonwouldneedothersforcompanionship.Afamilyhistoryofmentalillnesscould
ni ni ni
9 relatetothebiologicmakeupofanindividual,whichmayhaveanegativeimpactonan
9 9
9individual'smentalhealth,aswellasanegativeimpactonanindividual'sinterpersonaland
9 9 9
9 socialñculturalfactorsofhealth.Totalself-relianceisnotpossible,andapositive
9 9
social/culturalfactorisaccesstoadequateresources.
99
2. Whichofthefollowingstatementsabout mentalillnessaretrue? Selectallthat apply. ni ni 9 9 9 ni ni
A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth. ni
B) Mentalillnessisonlyduetosocial/cultural factors. 9
C) Social/culturalfactorsthatrelatetomentalillnessincludeexcessivedependencyon ni
orwithdrawalfromrelationships.
9 9 ni
D) Individualssufferingfrommentalillnessareusuallyabletocopeeffectivelywith daily ni ni
life. 9 9
E) Individualssufferingfrommentalillnessmayexperiencedissatisfactionwith ni ni ni
relationshipsandself.
99
Ans:A,D,E 9 9
Feedback:
Mentalillnesscancausesignificantdistress, impairedfunctioning,orboth.Mentalillness 9 9
mayberelatedtoindividual,interpersonal,orsocial/culturalfactors.Excessivedependency
99 9 9 9
onorwithdrawalfromrelationshipsareinterpersonalfactorsthatrelatetomentalillness.
99
Individualssuffering frommentalillnesscanfeeloverwhelmed withdailylife.Individuals ni ni 9
sufferingfrommentalillnessmayexperiencedissatisfactionwith relationshipsand self.
99 ni ni ni ni ni
3. Whichofthefollowingaretrueregardingmentalhealthand mentalillness?
ni 9 ni ni 9 ni
A) Behaviorthatmaybeviewedasacceptableinonecultureisalwaysunacceptablein ni ni ni
othercultures.
9 9
B) Itis easytodetermineifapersonismentallyhealthyormentallyill.
ni 9 9 ni
C) Inmost cases,mentalhealthisastateofemotional,psychological,and social
ni 9 9 9 ni
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehavior
99 ni ni ni ni
and coping,positiveself-concept,andemotionalstability.
99 ni 9 9
D) Personswhoengageinfantasiesarementallyill. ni
Ans: C
99 99
Feedback:
Whatonesocietymayviewasacceptableandappropriatebehavior,anothersocietymaysee
9 thatasmaladaptive,andinappropriate.Mentalhealth andmentalillnessaredifficulttodefine
9 9 9 ni
precisely.In mostcases,mentalhealthisastateofemotional,psychological,andsocial
99 9 ni 9 9
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehaviorandcoping,
99 ni 9 9
9positiveself-concept,andemotionalstability.Personswhoengagein fantasiesmaybe
9 9 9 ni
mentallyhealthy,buttheinabilitytodistinguish realityfromfantasyisanindividualfactor
99 9 ni
thatmaycontributetomentalillness.
99
4. Aclientgrievingtherecentlossofherhusbandasksifsheisbecomingmentallyill ni 9 9
9becausesheissosad.Thenurse'sbestresponsewouldbe,
9 9
A) ìYoumayhaveatemporarymentalillnessbecauseyouareexperiencingsomuchpain.î ni ni
B) ìYouarenotmentallyill.Thisisanexpectedreactiontothelossyou have ni 9 ni
experienced.î 99
C) ìWereyougenerallydissatisfiedwithyourrelationshipbeforeyourhusband's ni
death?î 99
D) ìTrynottoworryabout that right now.Youneverknowwhat thefuturebrings.î Ans: B
ni ni ni ni ni 9 9 9 9
Feedback:
Mentalillnessincludesgeneraldissatisfactionwith self,ineffectiverelationships,ineffective ni 9 9
coping,andlackofpersonalgrowth.Additionallythebehaviormust notbe
99 ni 9 ni ni
, lOMoAR 99ni99c
99PSD|
9 9 117
00591
culturallyexpected. Acutegriefreactionsareexpectedand thereforenotconsideredmental 9 ni
illness.Falsereassurance oroveranalysisdoesnotaccuratelyaddresstheclient's concerns.
99 ni ni ni
5. Thenurseconsultsthe DSMforwhichofthefollowingpurposes? 99
A) Todeviseaplanofcareforanewlyadmittedclient ni
B) Topredicttheclient'sprognosisof treatmentoutcomes ni ni
C) Todocumenttheappropriatediagnosticcodeintheclient'smedicalrecord
D) Toserveasaguideforclientassessment ni
Ans: D
99 99
Feedback:
The DSMprovidesstandardnomenclature,presentsdefiningcharacteristics, andidentifies
99 99
underlyingcausesofmentaldisorders. Itdoesnotprovidecareplansorprognosticoutcomes
99 9
oftreatment.DiagnosisofmentalillnessisnotwithinthegeneralistRN'sscopeofpractice,so
99 ni
documentingthecodein themedicalrecordwouldbeinappropriate.
99 ni ni ni ni ni 9
6. Whichwouldbeareasonfora studentnurseto usetheDSM? ni 9 ni 99 9
A) Identifyingthemedicaldiagnosis ni
B) Treatclients ni
C) Evaluatetreatments
D) Understandthereasonfortheadmissionandthenatureofpsychiatricillnesses.Ans: ni ni 9
9 D 9
Feedback:
Althoughstudentnursesdonot usetheDSMtodiagnoseclients,theywillfind ita helpful ni 9 9 9 ni ni
resourcetounderstandthereasonfortheadmissionandtobeginbuildingknowledgeabout
99 9 9
9 thenatureofpsychiatricillnesses.Identifyingthemedicaldiagnosis,treating,and evaluating
9 ni ni 9 ni ni 9 9 ni
treatmentsarenotapartofthenursingprocess.
99
7. Thelegislationenactedin1963waslargelyresponsibleforwhichofthefollowingshiftsin care ni ni ni ni 9 9
9forthementallyill?
9
A) Thewidespreaduseofcommunity-basedservices
ni 9
B) Theadvancementinpharmacotherapies
ni 9
C) Increasedaccesstohospitalization ni ni
D) Improvedrightsforclientsinlong-terminstitutionalcare ni ni
Ans: A
99 99
Feedback:
TheCommunityMentalHealthCentersConstructionActof1963accomplishedtherelease
ni 9 ni ni ni 9
ofindividualsfromlong-termstaysinstateinstitutions,thedecreasein admissionsto
99 9 ni
hospitals,andthedevelopmentofcommunity-basedservicesasanalternativetohospital
99 9
care.
99
8. Whichoneofthefollowingisaresult offederallegislation? ni ni 9
A) Makingit easiertocommitpeopleformentalhealth treatmentagainsttheirwill.
ni ni 9 ni 9
B) Makingitmoredifficulttocommit peopleformentalhealthtreatment againsttheir
ni ni ni ni ni ni 9
will. 99
C) Statementalinstitutionsbeingtheprimarysource ofcareformentallyillpersons. ni 99
D) Improvedcareformentallyillpersons. ni
Ans: B
99 99
Feedback:
, lOMoAR 99ni99c
99PSD|
9 9 117
00591
Commitmentlawschangedintheearly1970s,making itmoredifficulttocommitpeoplefor ni 9 9
9 mentalhealthtreatment against theirwill.Deinstitutionalizationaccomplished therelease
9 ni ni 9 ni
ofindividualsfromlong-termstaysinstateinstitutions.Deinstitutionalizationalsohad
99 9
negativeeffectsinthatsomementallyillpersonsaresubjectedtotherevolvingdooreffect,
99 ni ni 9 9
9 whichmaylimitcareformentallyillpersons.
9 ni
9. Thegoalofthe1963 CommunityMentalHealthCentersActwasto 99 9
A) ensurepatients'rightsfor thementallyill. 9 9
B) deinstitutionalizestatehospitals.
C) providefundstobuild hospitalswithpsychiatricunits. ni ni
D) treatpeoplewithmentalillnessin ahumanefashion. ni ni ni ni ni
Ans: B
99 99
Feedback:
The1963CommunityMentalHealth CentersActintimatedthemovementtoward treating
9 9 9 ni ni
thosewithmentalillnessinalessrestrictiveenvironment.Thislegislationresultedin the
99 9 ni
shiftofclientswithmentalillnessfromlargestateinstitutionstocarebasedinthe
99 9 9
9 community.AnswerchoicesA,C, and Dwerenotpurposesofthe1963CommunityMental
9 ni ni 9 9
HealthCentersAct.
99 9
10. Thecreationofasylumsduringthe1800swas meantto 9 ni ni 9
A) improvetreatment ofmentaldisorders. 99
B) providefoodandshelterforthementallyill.
C) punishpeoplewithmentalillnesswhowerebelievedtobepossessed. ni
D) removedangerouspeoplewithmentalillnessfromthecommunity. ni ni
Ans: B
99 99
Feedback:
Theasylumwasmeanttobeasafehavenwithfood,shelter,andhumanetreatmentforthe ni ni ni
9 mentallyill.Asylumswerenotusedtoimprovetreatmentofmentaldisordersortopunish
9 ni 9 9
9 mentallyillpeoplewhowerebelievedtobepossessed.Theasylumwasnotcreatedto
9 9
9removethedangerouslymentallyillfromthecommunity.
9
11. Themajorproblemswithlargestateinstitutionsare: Select allthatapply. 99 ni 99
A) attendantswereaccusedofabusingthe residents. ni ni 99
B) stigmaassociatedwithresidenceinaninsaneasylum. ni
C) clientsweregeographicallyisolated fromfamilyand community.
ni 9 9 9 ni
D) increasingfinancialcoststoindividualresidents. ni ni ni
Ans: A,C
99 99
Feedback:
Clientswereoftenfarremovedfromthelocalcommunity,family,andfriendsbecausestate ni ni 9 ni 9
institutionswereusuallyinruralorremotesettings.ChoicesBandDwerenotmajor
99 9
9problemsassociatedwithlargestateinstructions.
9 ni
12. Asignificantchangeinthetreatmentofpeoplewithmentalillnessoccurredinthe1950swhen ni ni
A) communitysupport serviceswereestablished. 99
B) legislationdramaticallychanged civilcommitmentprocedures. ni ni 9
C) thePatient'sBillofRightswasenacted.
ni 9 ni
D) psychotropicdrugsbecameavailableforuse. ni ni
Ans: D
99 99
Feedback:
Thedevelopmentofpsychotropicdrugs,ordrugsusedtotreatmentalillness,beganin the ni ni
9 1950s.AnswerchoicesA,B,andCdidnotoccurinthe1950s.
9 9 9 ni 9
13. Beforethe periodoftheenlightenment,treatmentofthementallyillincluded
ni 9 9 ni
