lOk9PSD
MoARk9ni
| k9c
k00591
9 117
TEST BANK FOR k 9 k 9
Psychiatric–MentalHealthNursing9thEditionbySheilaL.
Videbeck
k9
AllChapters(1-24)
TableOfContents
UNIT 1 Current Theories and Practice
k 9 k 9 k 9 k 9 k 9
Chapter 1. Foundations of Psychiatric–Mental Health Nursing
k 9 k 9 k 9 k 9 k 9 k 9
Chapter 2. Neurobiologic Theories and Psychopharmacology
k 9 k 9 k 9 k 9 k 9 k 9
Chapter 3. Psychosocial Theories and Therapy
k9 k 9 k 9 k 9 k 9 k 9
Chapter 4. Treatment Settings and Therapeutick 9 k 9 k 9 k 9 k 9
ProgramsUNIT 2 Building the Nurse–Client
k9 k9 k 9 k 9 k 9 k 9
Relationship Chapter 5. Therapeutic Relationships
k9 k 9 k 9 k 9
Chapter 6. Therapeutic Communication
k9 k 9 k 9 k 9
Chapter 7. Client’s Response to k 9 k 9 k 9 k 9
Illness Chapter8.Assessment
k 9 k9 k9
UNIT 3 Current Social and Emotional Concerns
k 9 k 9 k 9 k 9 k 9 k 9
Chapter9.Legaland EthicalIssues k9 k9 k9
Chapter10.GriefandLoss
k9 k9
Chapter11.Anger,Hostility,and Aggression Chapter k9 k9 k9 ni k9
12. Abuse and Violence
k 9 k 9 k 9 k 9
UNIT 4 Nursing Practice for Psychiatric
k 9 k 9 k 9 k 9 k 9
Disorders Chapter 13. Trauma and Stressor-
k 9 k 9 k 9 k 9 k 9 k 9
Related Disorders Chapter 14. Anxiety and k 9 k9 k 9 k 9 k 9
kAnxiety Disorders
9 k 9
Chapter 15. Obsessive–Compulsive and Related Disorders
k 9 k 9 k 9 k 9 k 9
Chapter16.Schizophrenia
k9 k9
Chapter17.MoodDisordersand Suicide ni k9
Chapter 18. Personality Disorders
k9 k9 k9 k9
Chapter19.Addiction
k9 k9
Chapter 20. Eating Disorders k9 k9 k9
Chapter21.SomaticSymptomIllnesses
k9 k9 ni
Chapter22.NeurodevelopmentalDisorders k9 k9
Chapter23.DisruptiveBehaviorDisorders
k9 k9
Chapter 24. Cognitive Disorders
k9 k 9 k 9 k 9
Chapter1
1. Thenurseisassessingthefactorscontributingtothewell-beingofanewlyadmittedclient. k 9
Which of thefollowingwould thenurseidentifyashaving apositiveimpact onthe
k 9 ni ni ni ni k9
individual'smentalhealth? k9
A) Notneedingothersforcompanionship ni
B) The abilitytoeffectivelymanagestress ni
C) Afamilyhistoryofmentalillness
D) Strivingf ortotalself- ni
reliance Ans: B k9 k9
Feedback:
Individualfactorsinfluencingmentalhealthincludebiologicmakeup, autonomy, k9
independence,self-esteem,capacityforgrowth,vitality,abilitytofindmeaninginlife,
k9 k9 k9
emotionalresilienceorhardiness, senseofbelonging,realityorientation, and copingorstress
k9 k9 k9 ni
managementabilities. I nterpersonalfactors such as intimacyand a balanceof separateness and
k9 k9 ni ni ni ni ni
connectednessarebothneededforgoodmentalhealth,and thereforea
k9 ni ni ni
, lOk9PSD
MoARk9ni
| k9c
k00591
9 117
healthyperson wouldneedothersforcompanionship.Afamilyhistoryof mentalillnesscould
ni ni ni
k relatetothebiologicmakeupofanindividual, whichmayhaveanegativeimpactonan
9 k9
kindividual'smentalhealth,aswellasanegativeimpactonanindividual'sinterpersonaland
9 k 9
k socialñculturalfactorsofhealth. Totalself-relianceisnotpossible,andapositive
9 k9
social/culturalfactorisaccesstoadequateresources.
k9
2. Whichofthefollowing statementsabout mentalillnessaretrue? Select allthat apply. ni ni k9 k 9 ni ni
A) Mentalillnesscan causesignificantdistress,impaired functioning,orboth. ni
B) Mentalillnessisonlyduetosocial/cultural f actors. k9
C) Social/culturalfactorsthat relatetomentalillnessincludeexcessivedependencyon ni
orwithdrawalfrom relationships.
k 9 ni
D) Individualssuffering frommentalillnessareusuallyabletocopeeffectivelywith daily ni ni
life. k 9
E) Individualssufferingfrom mentalillnessmayexperiencedissatisfactionwith ni ni ni
relationshipsandself.
k9
Ans:A,D,E k9 k9
Feedback:
Mentalillnesscancausesignificantdistress, impairedfunctioning,orboth.Mentalillness k9 k9
mayberelatedtoindividual,interpersonal,orsocial/cultural f actors.Excessivedependency
k9 k9 k9 k9
onorwithdrawalfromrelationshipsareinterpersonalfactorsthatrelatetomentalillness.
k9
Individualssuffering f rommentalillnesscanfeeloverwhelmed withdailylife.Individuals ni ni k9
sufferingfrommentalillnessmayexperiencedissatisfactionwithrelationshipsand self.
k9 ni ni ni ni ni
3. Which ofthef ollowing aretrueregarding mentalhealthand mentalillness?
ni k9 ni ni k9 ni
A) Behaviorthat maybeviewedasacceptablein onecultureisalwaysunacceptablein ni ni ni
othercultures.k 9
B) It is easytodetermineifaperson ismentallyhealthyormentallyill.
ni k 9 ni
C) Inmost cases,mentalhealthisastateofemotional,psychological, and social
ni k9 k9 k9 ni
wellnessevidenced bysatisfyinginterpersonalrelationships,effectivebehavior
k9 ni ni ni ni
and coping,positiveself-concept,andemotionalstability.
k9 ni k9 k9
D) Personswhoengagein f antasiesarementallyill. ni
Ans: C
k9 k9
Feedback:
Whatonesocietymayviewasacceptableandappropriatebehavior,anothersocietymaysee
k thatasmaladaptive,andinappropriate. Mentalhealth and mentalillnessaredifficulttodefine
9 k9 k9 ni
precisely. I n mostcases,mentalhealthisastateofemotional,psychological,andsocial
k9 k9 ni k9 k9
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehaviorand coping,
k9 ni k 9
kpositiveself-concept,andemotionalstability.Personswhoengagein f antasiesmaybe
9 k9 k9 ni
mentallyhealthy,buttheinabilitytodistinguish realityfromfantasyisanindividualfactor
k9 k9 ni
thatmaycontributetomentalillness.
k9
4. Aclientgrievingtherecentlossof herhusbandasksifsheisbecomingmentallyill ni k 9
kbecausesheissosad.Thenurse'sbestresponsewouldbe,
9 k9
A) ìYoumayhaveatemporarymentalillness becauseyouareexperiencingsomuchpain.î ni ni
B) ìYouarenotmentallyill.Thisisanexpected reactiontothelossyouhave ni k9 ni
experienced.î k9
C) ìWereyou generallydissatisfiedwithyourrelationshipbeforeyourhusband's ni
death?î k9
D) ìTrynot t oworryabout t hatright now.Youneverknowwhat t hefuturebrings.î Ans: B
ni ni ni ni ni k 9 k 9
Feedback:
Mentalillnessincludesgeneraldissatisfactionwith self,ineffectiverelationships,ineffective ni k9 k9
coping,andlack ofpersonalgrowth.Additionallythebehaviormust not be
k9 ni k9 ni ni
, lOk9PSD
MoARk9ni
| k9c
k00591
9 117
culturallyexpected. A cutegrief reactionsareexpected and t hereforenotconsidered mental
k9 ni
illness.Falsereassurance oroveranalysisdoes notaccuratelyaddresstheclient's concerns.
k9 ni ni ni
5. Thenurseconsultsthe DSMforwhichofthefollowingpurposes? k9
A) Todeviseaplan of careforanewlyadmittedclient ni
B) Topredicttheclient's prognosisof treatmentoutcomes ni ni
C) Todocumenttheappropriatediagnosticcodeintheclient'smedicalrecord
D) Toserveasaguideforclient assessment ni
Ans: D
k9 k9
Feedback:
The DSMprovidesstandardnomenclature,presentsdefiningcharacteristics, andidentifies
k9 k9
underlyingcausesofmentaldisorders. I tdoesnotprovidecareplansorprognosticoutcomes
k9 k9
oftreatment.Diagnosisof mentalillnessisnotwithinthegeneralistRN'sscopeofpractice,so
k9 ni
documenting t hecode in the medicalrecord wouldbeinappropriate.
k9 ni ni ni ni ni k9
6. Whichwould bea reasonf ora studentnurseto usetheDSM? ni k9 ni k9 k9
A) Identifyingt hemedicaldiagnosis ni
B) Treat clients ni
C) Evaluatetreatments
D) Understand thereasonfortheadmissionandthenatureofpsychiatricillnesses.Ans:
ni ni k9
kD 9
Feedback:
Althoughstudentnursesdonot usetheDSMtodiagnoseclients,t heywillfind ita helpful ni k9 k9 k9 ni ni
resourcetounderstandthereasonfortheadmissionandtobeginbuildingknowledgeabout
k9 k 9
k thenatureof psychiatric illnesses. I dentifyingt he medicaldiagnosis,t reating,and evaluating
9 ni ni k9 ni ni k9 k9 ni
treatmentsarenotapartofthenursingprocess.
k9
7. Thelegislationenacted in 1963waslargelyresponsibleforwhichofthefollowingshiftsin care
ni ni ni ni k 9
kforthementallyill?
9
A) The w idespread useofcommunity-basedservices
ni k9
B) The advancement inpharmacotherapies
ni k9
C) Increased access t ohospitalization ni ni
D) Improvedrights f orclientsinlong-term institutionalcare ni ni
Ans: A
k9 k9
Feedback:
The CommunityMental Health Centers ConstructionActof1963accomplished therelease
ni k9 ni ni ni k9
ofindividualsfromlong-termstaysinstateinstitutions,t hedecreasein admissionsto
k9 k9 ni
hospitals,andthedevelopmentofcommunity-basedservicesasanalternativetohospital
k9 k9
care.
k9
8. Whichoneof thefollowing isaresult of federallegislation? ni ni k9
A) Making it easiertocommit peopleformentalhealth t reatment againsttheirwill.
ni ni k9 ni k9
B) Making it moredifficult t ocommit peopleformentalhealth t reatment against t heir
ni ni ni ni ni ni k9
will. k9
C) Statementalinstitutions beingtheprimarysource ofcareformentallyillpersons. ni k9
D) Improvedcareformentallyillpersons. ni
Ans: B
k9 k9
Feedback:
, lOk9PSD
MoARk9ni
| k9c
k00591
9 117
Commitmentlawschangedintheearly1970s,making itmoredifficulttocommitpeoplefor ni k 9
kmentalhealthtreatment against t heirwill.Deinstitutionalizationaccomplished t herelease
9 ni ni k9 ni
ofindividualsfromlong-termstaysinstateinstitutions.Deinstitutionalizationalsohad
k9 k9
negativeeffectsinthatsomementallyillpersonsaresubjectedtotherevolvingdooreffect,
k9 ni ni k 9
kwhichmaylimit careformentallyillpersons.
9 ni
9. Thegoalofthe1963 CommunityMentalHealth CentersActwasto k9 k9
A) ensurepatients'rightsfor thementallyill. k 9
B) deinstitutionalizestatehospitals.
C) provide f undstobuild hospitalswithpsychiatricunits.
ni ni
D) treat peoplewith mental illnessin ahumane f ashion.
ni ni ni ni ni
Ans: B
k9 k9
Feedback:
The 1963CommunityMental Health CentersActintimatedthemovementtoward t reating
k9 k9 k9 ni ni
thosewithmentalillnessinalessrestrictiveenvironment. Thislegislationresulted in t he
k9 k9 ni
shiftofclientswithmentalillnessfromlargestateinstitutionstocarebasedinthe
k9 k 9
k community.AnswerchoicesA,C, and Dwerenotpurposesofthe1963CommunityMental
9 ni ni k9 k9
HealthCentersAct.
k9 k9
10. Thecreationofasylums d uring t he1800swas meant t o k9 ni ni k9
A) improvetreatment ofmentaldisorders. k9
B) providefoodandshelterforthementallyill.
C) punishpeoplewithmentalillnesswhowerebelieved tobepossessed. ni
D) removedangerous peoplewithmentalillnessfromthe community. ni ni
Ans: B
k9 k9
Feedback:
Theasylumwasmeanttobe asafehavenwithfood,shelter,andhumanetreatmentforthe ni ni ni
k mentallyill.Asylumswerenotusedtoimprovetreatmentofmental disordersortopunish
9 ni k 9
k mentallyillpeoplewhowerebelievedtobepossessed. Theasylumwasnotcreatedto
9 k9
kremovethedangerouslymentallyillfromthecommunity.
9
11. Themajorproblemswithlargestateinstitutionsare: Select all thatapply. k9 ni k9
A) attendantswereaccusedof abusing the residents. ni ni k9
B) stigmaassociated withresidenceinan insaneasylum. ni
C) clients weregeographicallyisolated fromfamilyand community.
ni k9 k 9 ni
D) increasingf inancial costs t oindividualresidents. ni ni ni
Ans: A,C
k9 k9
Feedback:
Clientswereoftenfarremoved f rom t helocalcommunity,family,and friendsbecausestate ni ni k9 ni k9
institutionswereusuallyinruralorremotesettings. ChoicesBandDwerenotmajor
k9 k9
kproblemsassociatedwith largestateinstructions.
9 ni
12. Asignificantchangeinthetreatmentofpeoplewith mentalillness occurredinthe1950swhen ni ni
A) communitysupport serviceswereestablished. k9
B) legislationdramaticallychanged civil commitment procedures. ni ni k9
C) the Patient'sBill ofRightswasenacted.
ni k9 ni
D) psychotropicdrugs becameavailableforuse. ni ni
Ans: D
k9 k9
Feedback:
Thedevelopmentofpsychotropicdrugs,ordrugsusedtotreatmentalillness,beganin the ni ni
k 1950s. AnswerchoicesA,B,and Cdidnotoccurinthe1950s.
9 k9 k9 ni k9
13. Before t he period oftheenlightenment,treatmentof thementallyillincluded
ni k 9 ni
MoARk9ni
| k9c
k00591
9 117
TEST BANK FOR k 9 k 9
Psychiatric–MentalHealthNursing9thEditionbySheilaL.
Videbeck
k9
AllChapters(1-24)
TableOfContents
UNIT 1 Current Theories and Practice
k 9 k 9 k 9 k 9 k 9
Chapter 1. Foundations of Psychiatric–Mental Health Nursing
k 9 k 9 k 9 k 9 k 9 k 9
Chapter 2. Neurobiologic Theories and Psychopharmacology
k 9 k 9 k 9 k 9 k 9 k 9
Chapter 3. Psychosocial Theories and Therapy
k9 k 9 k 9 k 9 k 9 k 9
Chapter 4. Treatment Settings and Therapeutick 9 k 9 k 9 k 9 k 9
ProgramsUNIT 2 Building the Nurse–Client
k9 k9 k 9 k 9 k 9 k 9
Relationship Chapter 5. Therapeutic Relationships
k9 k 9 k 9 k 9
Chapter 6. Therapeutic Communication
k9 k 9 k 9 k 9
Chapter 7. Client’s Response to k 9 k 9 k 9 k 9
Illness Chapter8.Assessment
k 9 k9 k9
UNIT 3 Current Social and Emotional Concerns
k 9 k 9 k 9 k 9 k 9 k 9
Chapter9.Legaland EthicalIssues k9 k9 k9
Chapter10.GriefandLoss
k9 k9
Chapter11.Anger,Hostility,and Aggression Chapter k9 k9 k9 ni k9
12. Abuse and Violence
k 9 k 9 k 9 k 9
UNIT 4 Nursing Practice for Psychiatric
k 9 k 9 k 9 k 9 k 9
Disorders Chapter 13. Trauma and Stressor-
k 9 k 9 k 9 k 9 k 9 k 9
Related Disorders Chapter 14. Anxiety and k 9 k9 k 9 k 9 k 9
kAnxiety Disorders
9 k 9
Chapter 15. Obsessive–Compulsive and Related Disorders
k 9 k 9 k 9 k 9 k 9
Chapter16.Schizophrenia
k9 k9
Chapter17.MoodDisordersand Suicide ni k9
Chapter 18. Personality Disorders
k9 k9 k9 k9
Chapter19.Addiction
k9 k9
Chapter 20. Eating Disorders k9 k9 k9
Chapter21.SomaticSymptomIllnesses
k9 k9 ni
Chapter22.NeurodevelopmentalDisorders k9 k9
Chapter23.DisruptiveBehaviorDisorders
k9 k9
Chapter 24. Cognitive Disorders
k9 k 9 k 9 k 9
Chapter1
1. Thenurseisassessingthefactorscontributingtothewell-beingofanewlyadmittedclient. k 9
Which of thefollowingwould thenurseidentifyashaving apositiveimpact onthe
k 9 ni ni ni ni k9
individual'smentalhealth? k9
A) Notneedingothersforcompanionship ni
B) The abilitytoeffectivelymanagestress ni
C) Afamilyhistoryofmentalillness
D) Strivingf ortotalself- ni
reliance Ans: B k9 k9
Feedback:
Individualfactorsinfluencingmentalhealthincludebiologicmakeup, autonomy, k9
independence,self-esteem,capacityforgrowth,vitality,abilitytofindmeaninginlife,
k9 k9 k9
emotionalresilienceorhardiness, senseofbelonging,realityorientation, and copingorstress
k9 k9 k9 ni
managementabilities. I nterpersonalfactors such as intimacyand a balanceof separateness and
k9 k9 ni ni ni ni ni
connectednessarebothneededforgoodmentalhealth,and thereforea
k9 ni ni ni
, lOk9PSD
MoARk9ni
| k9c
k00591
9 117
healthyperson wouldneedothersforcompanionship.Afamilyhistoryof mentalillnesscould
ni ni ni
k relatetothebiologicmakeupofanindividual, whichmayhaveanegativeimpactonan
9 k9
kindividual'smentalhealth,aswellasanegativeimpactonanindividual'sinterpersonaland
9 k 9
k socialñculturalfactorsofhealth. Totalself-relianceisnotpossible,andapositive
9 k9
social/culturalfactorisaccesstoadequateresources.
k9
2. Whichofthefollowing statementsabout mentalillnessaretrue? Select allthat apply. ni ni k9 k 9 ni ni
A) Mentalillnesscan causesignificantdistress,impaired functioning,orboth. ni
B) Mentalillnessisonlyduetosocial/cultural f actors. k9
C) Social/culturalfactorsthat relatetomentalillnessincludeexcessivedependencyon ni
orwithdrawalfrom relationships.
k 9 ni
D) Individualssuffering frommentalillnessareusuallyabletocopeeffectivelywith daily ni ni
life. k 9
E) Individualssufferingfrom mentalillnessmayexperiencedissatisfactionwith ni ni ni
relationshipsandself.
k9
Ans:A,D,E k9 k9
Feedback:
Mentalillnesscancausesignificantdistress, impairedfunctioning,orboth.Mentalillness k9 k9
mayberelatedtoindividual,interpersonal,orsocial/cultural f actors.Excessivedependency
k9 k9 k9 k9
onorwithdrawalfromrelationshipsareinterpersonalfactorsthatrelatetomentalillness.
k9
Individualssuffering f rommentalillnesscanfeeloverwhelmed withdailylife.Individuals ni ni k9
sufferingfrommentalillnessmayexperiencedissatisfactionwithrelationshipsand self.
k9 ni ni ni ni ni
3. Which ofthef ollowing aretrueregarding mentalhealthand mentalillness?
ni k9 ni ni k9 ni
A) Behaviorthat maybeviewedasacceptablein onecultureisalwaysunacceptablein ni ni ni
othercultures.k 9
B) It is easytodetermineifaperson ismentallyhealthyormentallyill.
ni k 9 ni
C) Inmost cases,mentalhealthisastateofemotional,psychological, and social
ni k9 k9 k9 ni
wellnessevidenced bysatisfyinginterpersonalrelationships,effectivebehavior
k9 ni ni ni ni
and coping,positiveself-concept,andemotionalstability.
k9 ni k9 k9
D) Personswhoengagein f antasiesarementallyill. ni
Ans: C
k9 k9
Feedback:
Whatonesocietymayviewasacceptableandappropriatebehavior,anothersocietymaysee
k thatasmaladaptive,andinappropriate. Mentalhealth and mentalillnessaredifficulttodefine
9 k9 k9 ni
precisely. I n mostcases,mentalhealthisastateofemotional,psychological,andsocial
k9 k9 ni k9 k9
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehaviorand coping,
k9 ni k 9
kpositiveself-concept,andemotionalstability.Personswhoengagein f antasiesmaybe
9 k9 k9 ni
mentallyhealthy,buttheinabilitytodistinguish realityfromfantasyisanindividualfactor
k9 k9 ni
thatmaycontributetomentalillness.
k9
4. Aclientgrievingtherecentlossof herhusbandasksifsheisbecomingmentallyill ni k 9
kbecausesheissosad.Thenurse'sbestresponsewouldbe,
9 k9
A) ìYoumayhaveatemporarymentalillness becauseyouareexperiencingsomuchpain.î ni ni
B) ìYouarenotmentallyill.Thisisanexpected reactiontothelossyouhave ni k9 ni
experienced.î k9
C) ìWereyou generallydissatisfiedwithyourrelationshipbeforeyourhusband's ni
death?î k9
D) ìTrynot t oworryabout t hatright now.Youneverknowwhat t hefuturebrings.î Ans: B
ni ni ni ni ni k 9 k 9
Feedback:
Mentalillnessincludesgeneraldissatisfactionwith self,ineffectiverelationships,ineffective ni k9 k9
coping,andlack ofpersonalgrowth.Additionallythebehaviormust not be
k9 ni k9 ni ni
, lOk9PSD
MoARk9ni
| k9c
k00591
9 117
culturallyexpected. A cutegrief reactionsareexpected and t hereforenotconsidered mental
k9 ni
illness.Falsereassurance oroveranalysisdoes notaccuratelyaddresstheclient's concerns.
k9 ni ni ni
5. Thenurseconsultsthe DSMforwhichofthefollowingpurposes? k9
A) Todeviseaplan of careforanewlyadmittedclient ni
B) Topredicttheclient's prognosisof treatmentoutcomes ni ni
C) Todocumenttheappropriatediagnosticcodeintheclient'smedicalrecord
D) Toserveasaguideforclient assessment ni
Ans: D
k9 k9
Feedback:
The DSMprovidesstandardnomenclature,presentsdefiningcharacteristics, andidentifies
k9 k9
underlyingcausesofmentaldisorders. I tdoesnotprovidecareplansorprognosticoutcomes
k9 k9
oftreatment.Diagnosisof mentalillnessisnotwithinthegeneralistRN'sscopeofpractice,so
k9 ni
documenting t hecode in the medicalrecord wouldbeinappropriate.
k9 ni ni ni ni ni k9
6. Whichwould bea reasonf ora studentnurseto usetheDSM? ni k9 ni k9 k9
A) Identifyingt hemedicaldiagnosis ni
B) Treat clients ni
C) Evaluatetreatments
D) Understand thereasonfortheadmissionandthenatureofpsychiatricillnesses.Ans:
ni ni k9
kD 9
Feedback:
Althoughstudentnursesdonot usetheDSMtodiagnoseclients,t heywillfind ita helpful ni k9 k9 k9 ni ni
resourcetounderstandthereasonfortheadmissionandtobeginbuildingknowledgeabout
k9 k 9
k thenatureof psychiatric illnesses. I dentifyingt he medicaldiagnosis,t reating,and evaluating
9 ni ni k9 ni ni k9 k9 ni
treatmentsarenotapartofthenursingprocess.
k9
7. Thelegislationenacted in 1963waslargelyresponsibleforwhichofthefollowingshiftsin care
ni ni ni ni k 9
kforthementallyill?
9
A) The w idespread useofcommunity-basedservices
ni k9
B) The advancement inpharmacotherapies
ni k9
C) Increased access t ohospitalization ni ni
D) Improvedrights f orclientsinlong-term institutionalcare ni ni
Ans: A
k9 k9
Feedback:
The CommunityMental Health Centers ConstructionActof1963accomplished therelease
ni k9 ni ni ni k9
ofindividualsfromlong-termstaysinstateinstitutions,t hedecreasein admissionsto
k9 k9 ni
hospitals,andthedevelopmentofcommunity-basedservicesasanalternativetohospital
k9 k9
care.
k9
8. Whichoneof thefollowing isaresult of federallegislation? ni ni k9
A) Making it easiertocommit peopleformentalhealth t reatment againsttheirwill.
ni ni k9 ni k9
B) Making it moredifficult t ocommit peopleformentalhealth t reatment against t heir
ni ni ni ni ni ni k9
will. k9
C) Statementalinstitutions beingtheprimarysource ofcareformentallyillpersons. ni k9
D) Improvedcareformentallyillpersons. ni
Ans: B
k9 k9
Feedback:
, lOk9PSD
MoARk9ni
| k9c
k00591
9 117
Commitmentlawschangedintheearly1970s,making itmoredifficulttocommitpeoplefor ni k 9
kmentalhealthtreatment against t heirwill.Deinstitutionalizationaccomplished t herelease
9 ni ni k9 ni
ofindividualsfromlong-termstaysinstateinstitutions.Deinstitutionalizationalsohad
k9 k9
negativeeffectsinthatsomementallyillpersonsaresubjectedtotherevolvingdooreffect,
k9 ni ni k 9
kwhichmaylimit careformentallyillpersons.
9 ni
9. Thegoalofthe1963 CommunityMentalHealth CentersActwasto k9 k9
A) ensurepatients'rightsfor thementallyill. k 9
B) deinstitutionalizestatehospitals.
C) provide f undstobuild hospitalswithpsychiatricunits.
ni ni
D) treat peoplewith mental illnessin ahumane f ashion.
ni ni ni ni ni
Ans: B
k9 k9
Feedback:
The 1963CommunityMental Health CentersActintimatedthemovementtoward t reating
k9 k9 k9 ni ni
thosewithmentalillnessinalessrestrictiveenvironment. Thislegislationresulted in t he
k9 k9 ni
shiftofclientswithmentalillnessfromlargestateinstitutionstocarebasedinthe
k9 k 9
k community.AnswerchoicesA,C, and Dwerenotpurposesofthe1963CommunityMental
9 ni ni k9 k9
HealthCentersAct.
k9 k9
10. Thecreationofasylums d uring t he1800swas meant t o k9 ni ni k9
A) improvetreatment ofmentaldisorders. k9
B) providefoodandshelterforthementallyill.
C) punishpeoplewithmentalillnesswhowerebelieved tobepossessed. ni
D) removedangerous peoplewithmentalillnessfromthe community. ni ni
Ans: B
k9 k9
Feedback:
Theasylumwasmeanttobe asafehavenwithfood,shelter,andhumanetreatmentforthe ni ni ni
k mentallyill.Asylumswerenotusedtoimprovetreatmentofmental disordersortopunish
9 ni k 9
k mentallyillpeoplewhowerebelievedtobepossessed. Theasylumwasnotcreatedto
9 k9
kremovethedangerouslymentallyillfromthecommunity.
9
11. Themajorproblemswithlargestateinstitutionsare: Select all thatapply. k9 ni k9
A) attendantswereaccusedof abusing the residents. ni ni k9
B) stigmaassociated withresidenceinan insaneasylum. ni
C) clients weregeographicallyisolated fromfamilyand community.
ni k9 k 9 ni
D) increasingf inancial costs t oindividualresidents. ni ni ni
Ans: A,C
k9 k9
Feedback:
Clientswereoftenfarremoved f rom t helocalcommunity,family,and friendsbecausestate ni ni k9 ni k9
institutionswereusuallyinruralorremotesettings. ChoicesBandDwerenotmajor
k9 k9
kproblemsassociatedwith largestateinstructions.
9 ni
12. Asignificantchangeinthetreatmentofpeoplewith mentalillness occurredinthe1950swhen ni ni
A) communitysupport serviceswereestablished. k9
B) legislationdramaticallychanged civil commitment procedures. ni ni k9
C) the Patient'sBill ofRightswasenacted.
ni k9 ni
D) psychotropicdrugs becameavailableforuse. ni ni
Ans: D
k9 k9
Feedback:
Thedevelopmentofpsychotropicdrugs,ordrugsusedtotreatmentalillness,beganin the ni ni
k 1950s. AnswerchoicesA,B,and Cdidnotoccurinthe1950s.
9 k9 k9 ni k9
13. Before t he period oftheenlightenment,treatmentof thementallyillincluded
ni k 9 ni
