Test Bank - Foundations of Mental Health Care 6th Edition (Morrison-Valfre, 2017)
TEST BANK
Foundations of Mental Health Care
Michelle Morrison Valfre
6th Edition
, Test Bank - Foundations of Mental Health Care 6th Edition (Morrison-Valfre, 2017)
Table of Contents
1. The History of Mental Health Care
2. Current Mental Health Care
3. Ethical and Legal Issues
4. Sociocultural Issues
5. Theories and Therapies
6. Complementary and Alternative Therapies
7. Psychotherapeutic Drug Therapy
8. Skills and Principles of Mental Health Care
9. Mental Health Assessment Skills
10. Therapeutic Communication
11. The Therapeutic Relationship
12. The Therapeutic Environment
13. Problems of Childhood
14. Problems of Adolescence
15. Problems of Adulthood
16. Problems of Late Adulthood
17. Cognitive Impairment, Alzheimer’s Disease, and Dementia
18. Managing Anxiety
19. Illness and Hospitalization
20. Loss and Grief
21. Depression and Other Mood Disorders
22. Physical Problems, Psychological Sources
23. Eating and Sleeping Disorders
24. Dissociative Disorders
25. Anger and Aggression
26. Outward-Focused Emotions: Violence
27. Inward-Focused Emotions: Suicide
28. Substance-Related Disorders
29. Sexual Disorders
30. Personality Disorders
31. Schizophrenia and Other Psychoses
32. Chronic Mental Health Disorders
33. Challenges for the Future
,Chapter 01: The History of Mental Health Care
Morrison-Valfre: Foundations of Mental Health Care, 6th Edition
MULTIPLE CHOICE
1. The belief of the ancient Greek philosopher Plato that the rational soul controlled the
irrational soul could be compared with the belief of the more recent psychological theorist:
a. Freud
b. Pinel
c. Fisher
d. Rush
ANS: A
Sigmund Freud believed that mental illness was, in part, caused by forces both within and
outside the personality. Philippe Pinel advocated acceptance of mentally ill individuals as
human beings in need of medical assistance. Alice Fisher was a Florence Nightingale nurse
who cared for the mentally ill, and Dr. Benjamin Rush was the author of the book Diseases of
the Mind.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 4
OBJ: 2 TOP: Early Years of Mental Health
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
2. During the mid-1500s, behaviors associated with mental illness were more accurately
recorded by professionals. This practice led to ______________ for different abnormal
behaviors.
a. Classifications NURSINGTB.COM
b. Diagnosing
c. Treatment
d. Education
ANS: A
Classification of abnormal behaviors did not begin until this time, after the practice of more
accurate recording of behaviors was begun. Diagnoses, treatment guidelines, and any
education regarding mental health disorders were not available during this period.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 5
OBJ: 3 TOP: Mental Illness During the Renaissance
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
3. During the latter part of the eighteenth century, psychiatry became a separate branch of
medicine, and inhumane treatment was greatly diminished by the French hospital director:
a. Dix
b. Beers
c. Pinel
d. Carter
ANS: C
, Philippe Pinel advocated acceptance of the mentally ill, as well as proper treatment. Dorothea
Dix crusaded for construction of mental health hospitals. Clifford Beers wrote the book A
Mind That Found Itself. President Jimmy Carter established the PresidenW¶V&RPPLVVLRQRQ
Mental Health in 1978.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 5
OBJ: 4 TOP: Mental Illness in the Eighteenth Century
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
4. In 1841, _______________ surveyed asylums, jails, and almshouses throughout the United
States, Canada, and Scotland and is credited with bringing about public awareness and reform
for the care of the mentally ill.
a. Sigmund Freud
b. John Cade
c. Florence Nightingale
d. Dorothea Dix
ANS: D
Dorothea Dix spent 20 years surveying facilities that housed mentally ill individuals and is
credited with major changes in the care of the mentally ill. Sigmund Freud introduced the
concept of psychoanalysis, John Cade discovered lithium carbonate for the treatment of
bipolar disorder, and Florence Nightingale trained nurses in England in the 1800s.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6
OBJ: 4 TOP: Mental Illness in the Nineteenth Century
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
5. $VDGLUHFWUHVXOWRI&OLIIRUG%HHUV¶ZRUNDQGERRNA
NURSINGTB.COM Mind That Found Itself, the Committee
for Mental Hygiene was formed in 1909 with a focus on prevention of mental illness and:
a. Early detection of symptoms of mental illness
b. Education of caregivers
c. Current treatment options
d. Removing the stigma attached to mental illness
ANS: D
&OLIIRUG%HHUV¶ERRNUHIOHFWHGRQKLVDWWHPSWDWVXLFLGHIROORZHGE\WKHGHSORUDble care he
UHFHLYHGIRUWKHQH[W\HDUVLQPHQWDOKRVSLWDOV%HHUV¶ZRUNDQGERRNUDLVHGWKH
consciousness of people throughout the country regarding prevention and removal of the
stigma of having a mental illness. Early detection of symptoms, education of caregivers, and
current treatment options regarding mental illness were not the focus of his book, nor were
they a priority for the Committee for Mental Hygiene.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6
OBJ: 4 TOP: Mental Illness in the Twentieth Century
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
6. During the 1930s, what common treatment for schizophrenia caused clients to fall into a coma
that could last as long as 50 hours?
a. Electroconvulsive therapy
b. Insulin therapy
c. Humoral therapy
, d. Amphetamine therapy
ANS: B
Insulin therapy was believed to successfully treat schizophrenia in the early 1900s.
Amphetamines were used to treat depression, and electroconvulsive therapy was used for
severe depression. Humoral therapy, which originated in ancient Greece and Rome, was a
belief that mental illness resulted from an imbalance of the humors of air, fire, water, and
earth.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 8
OBJ: 5 TOP: Influences of War on Mental Health Therapies
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
7. In the 1930s, what mental health disorder was electroconvulsive therapy (ECT) most often
used to treat?
a. Schizophrenia
b. Bipolar disorder
c. Severe depression
d. Violent behavior
ANS: C
ECT was found to be an effective treatment for severe depression in the 1930s. During this
period, schizophrenia was treated with insulin therapy, and violent behavior was treated with a
lobotomy. In 1949, lithium carbonate was discovered as a treatment for bipolar disorder.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6
OBJ: 5 TOP: Influences of War on Mental Health Therapies
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
8. In the early twentieth century, a frontal lobotomy was a common treatment for violent
behaviors. Which description of this procedure is accurate?
a. A procedure that delivers an electrical stimulus to the frontal lobes of the brain
b. A surgical procedure that drills holes in the front of the skull to drain fluid
c. A surgical procedure that severs the frontal lobes of the brain from the thalamus
d. A surgical procedure that inserts implants into the frontal lobes of the brain
ANS: C
A frontal lobotomy is a surgical procedure in which the frontal lobes of the brain are severed
from the thalamus.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6
OBJ: 5 TOP: Influences of War on Mental Health Therapies
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
9. Which class of drugs was introduced in the 1930s for the treatment of depression?
a. SSRIs
b. Tricyclic antidepressants
c. MAOIs
d. Amphetamines
ANS: D
, In the 1930s, amphetamines were found to boost the spirits of depressed people. SSRIs,
tricyclic antidepressants, and MAOIs are antidepressant agents, but they were not discovered
until much later.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6
OBJ: 5 TOP: Influences of War on Mental Health Therapies
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
10. In 1937, Congress passed the Hill-Burton Act, which was significant for the treatment of
mental health because it funded:
a. Research on drugs for the treatment of mental health disorders
b. Training of mental health professionals
c. Construction of psychiatric units in facilities throughout North America
d. Development of community mental health clinics
ANS: C
The Hill-Burton Act provided money for the construction of psychiatric units in the United
States. Research on drugs was not a part of the Hill-Burton Act. Training of mental health
professionals was funded by the National Mental Health Act of 1946, and community mental
health centers were not instituted until the 1960s.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6
OBJ: 5 | 9 TOP: Influences of War on Mental Health Therapies
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
11. The National Mental Health Act of 1946 provided a means for funding of programs that
promote research on mental health and:
. community
a. Development of mental health clinics in the
b. Training of mental health professionals
c. Treatment for veterans suffering from mental health disorders
d. Educating the public about mental illness
ANS: B
The National Mental Health Act of 1946 provided much needed training for individuals who
cared for patients with mental health disorders. Community mental health clinics were
initiated in the 1960s, treatment for veterans was not funded by this act, and education of the
public occurred later.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6
OBJ: 5 | 9 TOP: Influences of War on Mental Health Therapies
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
12. Which of the following best describes the disorder that was first recognized in veterans
following the Korean and Vietnam Wars?
a. Depression
b. Bipolar disorder
c. Post-traumatic stress disorder
d. Paranoid schizophrenic disorder
ANS: C
, Posttraumatic stress disorder was initially discovered in veterans who had been involved in
armed conflicts. The other disorders also occur in veterans but were not first recognized in
soldiers who were fighting wars.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6
OBJ: 5 TOP: Influences of War on Mental Health Therapies
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
13. The introduction of ___________ in the 1950s led to the deinstitutionalization of many
mentally ill individuals.
a. Psychotherapeutic drugs
b. Community mental health clinics
c. Residential treatment centers
d. State mental health facilities
ANS: A
Psychotherapeutic drugs allowed for better control of behaviors than did other therapies alone
during the 1950s. Patients were being released from state mental health facilities as a result of
psychotherapeutic drug therapy. Community mental health clinics and residential treatment
centers resulted from the deinstitutionalization of patients.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 7
OBJ: 6 TOP: Introduction of Psychotherapeutic Drugs
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
14. In 1949, an Australian physician discovered which therapy to be an effective treatment for
bipolar (manic-depressive) illness?
a. Insulin therapy
b. Water/ice therapy
c. Lithium carbonate therapy
d. Electroconvulsive therapy
ANS: C
To this day, lithium is a treatment that is used to effectively balance the manic states and
depressive states of bipolar disorder. None of the other therapies listed are effective for
bipolar disorder.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 7
OBJ: 6 TOP: Introduction of Psychotherapeutic Drugs
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
15. In the early 1960s, a committee appointed by President John F. Kennedy recommended the
development of a new approach to the way mental health care was administered, with an
emphasis on the introduction of:
a. Psychotherapeutic drugs
b. State mental health care systems
c. Community mental health centers
d. Deinstitutionalization of patients
ANS: C
, The emergence of community mental health centers was necessary, in part because of the
massive deinstitutionalization of patients from state mental health care facilities after the
introduction of psychotherapeutic drugs in the 1950s.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 7
OBJ: 7 TOP: Introduction of Psychotherapeutic Drugs
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
16. The Mental Health Systems Act of 1980 was one of the most progressive mental health bills
in the history of the United States, but its enactment was interrupted by the:
a. Election of a new president
b. Appointment of a new Surgeon General
c. Rapid expansion of community centers
d. National Alliance on Mental Illness (NAMI) surveys
ANS: A
The election of a new president and his administration led to drastic cuts in federal funding for
mental health programs. None of the other three choices were a part of the Mental Health
Systems Act of 1980.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 7
OBJ: 9 TOP: Congressional Actions
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
17. The Omnibus Budget Reform Act (OBRA) of 1987 prevented the housing of people with
chronic mental illness in:
a. Nursing homes
b. State mental health facilities
c. Residential treatment centers
d. Homeless shelters
ANS: A
Many mentally ill, especially elderly, people were inappropriately placed in nursing homes
with personnel who were not trained to care for these people. OBRA prevented this practice.
State mental health facilities, residential treatment centers, and homeless shelters were not
addressed in the OBRA of 1987.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 8
OBJ: 9 TOP: Congressional Actions
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
18. In the late 1980s, government funding for mental health care dwindled, and most insurance
companies __________ coverage for psychiatric care.
a. Withdrew
b. Increased
c. Decreased
d. Added
ANS: A
Unfortunately, insurance companies followed the trend of the national government to the
point of actually dropping coverage for psychiatric care.
, PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 1
OBJ: 9 TOP: Congressional Actions
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
19. In 2006, the National Alliance on Mental Illness (NAMI) conducted a comprehensive survey
and grading of state mental health care for adults and learned that the overall grade for care
was:
a. ³$´
b. ³%´
c. ³&´
d. ³'´
ANS: D
7KH1$0,JDYHDJUDGHRI³'´WRWKHPHQWDOKHDOWKFDUHV\VWHPEDVHGRQSRRUIXQGing,
OLPLWHGDYDLODELOLW\RIFDUHDQGSDWLHQWV¶ODFNRIDFFHVVWRPHQWDOKHDOWKFDUH
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6
OBJ: 9 TOP: Congressional Actions
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
20. Which of the following persons has the greatest risk for developing ineffective coping
behaviors?
a. The middle-aged man whose diet is high in saturated fat and who has a 20-year
history of tobacco use
b. The single 30-year-old female facing the death of her father
c. The 19-year-old college student with a family history of schizophrenia
d. The 9-year-old whose parents are nurturing but provide chores and responsibilities
.
ANS: C
Mental health is influenced by three factors: inherited characteristics, childhood nurturing, and
life circumstances. The risk for developing ineffective coping behaviors increases when
problems exist in any one of these areas.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 2
OBJ: 2 TOP: Introduction KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
21. In the early 1900s the first theory of mental illness that showed behavior could be changed is
attributed to:
a. Beers
b. Dix
c. Freud
d. Pinel
ANS: C
Freud was the first person who succeeded in explaining human behavior in psychological
terms and in demonstrating that behavior can be changed under the proper circumstances.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 8
OBJ: 5 TOP: Psychoanalysis
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
TEST BANK
Foundations of Mental Health Care
Michelle Morrison Valfre
6th Edition
, Test Bank - Foundations of Mental Health Care 6th Edition (Morrison-Valfre, 2017)
Table of Contents
1. The History of Mental Health Care
2. Current Mental Health Care
3. Ethical and Legal Issues
4. Sociocultural Issues
5. Theories and Therapies
6. Complementary and Alternative Therapies
7. Psychotherapeutic Drug Therapy
8. Skills and Principles of Mental Health Care
9. Mental Health Assessment Skills
10. Therapeutic Communication
11. The Therapeutic Relationship
12. The Therapeutic Environment
13. Problems of Childhood
14. Problems of Adolescence
15. Problems of Adulthood
16. Problems of Late Adulthood
17. Cognitive Impairment, Alzheimer’s Disease, and Dementia
18. Managing Anxiety
19. Illness and Hospitalization
20. Loss and Grief
21. Depression and Other Mood Disorders
22. Physical Problems, Psychological Sources
23. Eating and Sleeping Disorders
24. Dissociative Disorders
25. Anger and Aggression
26. Outward-Focused Emotions: Violence
27. Inward-Focused Emotions: Suicide
28. Substance-Related Disorders
29. Sexual Disorders
30. Personality Disorders
31. Schizophrenia and Other Psychoses
32. Chronic Mental Health Disorders
33. Challenges for the Future
,Chapter 01: The History of Mental Health Care
Morrison-Valfre: Foundations of Mental Health Care, 6th Edition
MULTIPLE CHOICE
1. The belief of the ancient Greek philosopher Plato that the rational soul controlled the
irrational soul could be compared with the belief of the more recent psychological theorist:
a. Freud
b. Pinel
c. Fisher
d. Rush
ANS: A
Sigmund Freud believed that mental illness was, in part, caused by forces both within and
outside the personality. Philippe Pinel advocated acceptance of mentally ill individuals as
human beings in need of medical assistance. Alice Fisher was a Florence Nightingale nurse
who cared for the mentally ill, and Dr. Benjamin Rush was the author of the book Diseases of
the Mind.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 4
OBJ: 2 TOP: Early Years of Mental Health
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
2. During the mid-1500s, behaviors associated with mental illness were more accurately
recorded by professionals. This practice led to ______________ for different abnormal
behaviors.
a. Classifications NURSINGTB.COM
b. Diagnosing
c. Treatment
d. Education
ANS: A
Classification of abnormal behaviors did not begin until this time, after the practice of more
accurate recording of behaviors was begun. Diagnoses, treatment guidelines, and any
education regarding mental health disorders were not available during this period.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 5
OBJ: 3 TOP: Mental Illness During the Renaissance
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
3. During the latter part of the eighteenth century, psychiatry became a separate branch of
medicine, and inhumane treatment was greatly diminished by the French hospital director:
a. Dix
b. Beers
c. Pinel
d. Carter
ANS: C
, Philippe Pinel advocated acceptance of the mentally ill, as well as proper treatment. Dorothea
Dix crusaded for construction of mental health hospitals. Clifford Beers wrote the book A
Mind That Found Itself. President Jimmy Carter established the PresidenW¶V&RPPLVVLRQRQ
Mental Health in 1978.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 5
OBJ: 4 TOP: Mental Illness in the Eighteenth Century
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
4. In 1841, _______________ surveyed asylums, jails, and almshouses throughout the United
States, Canada, and Scotland and is credited with bringing about public awareness and reform
for the care of the mentally ill.
a. Sigmund Freud
b. John Cade
c. Florence Nightingale
d. Dorothea Dix
ANS: D
Dorothea Dix spent 20 years surveying facilities that housed mentally ill individuals and is
credited with major changes in the care of the mentally ill. Sigmund Freud introduced the
concept of psychoanalysis, John Cade discovered lithium carbonate for the treatment of
bipolar disorder, and Florence Nightingale trained nurses in England in the 1800s.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6
OBJ: 4 TOP: Mental Illness in the Nineteenth Century
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
5. $VDGLUHFWUHVXOWRI&OLIIRUG%HHUV¶ZRUNDQGERRNA
NURSINGTB.COM Mind That Found Itself, the Committee
for Mental Hygiene was formed in 1909 with a focus on prevention of mental illness and:
a. Early detection of symptoms of mental illness
b. Education of caregivers
c. Current treatment options
d. Removing the stigma attached to mental illness
ANS: D
&OLIIRUG%HHUV¶ERRNUHIOHFWHGRQKLVDWWHPSWDWVXLFLGHIROORZHGE\WKHGHSORUDble care he
UHFHLYHGIRUWKHQH[W\HDUVLQPHQWDOKRVSLWDOV%HHUV¶ZRUNDQGERRNUDLVHGWKH
consciousness of people throughout the country regarding prevention and removal of the
stigma of having a mental illness. Early detection of symptoms, education of caregivers, and
current treatment options regarding mental illness were not the focus of his book, nor were
they a priority for the Committee for Mental Hygiene.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6
OBJ: 4 TOP: Mental Illness in the Twentieth Century
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
6. During the 1930s, what common treatment for schizophrenia caused clients to fall into a coma
that could last as long as 50 hours?
a. Electroconvulsive therapy
b. Insulin therapy
c. Humoral therapy
, d. Amphetamine therapy
ANS: B
Insulin therapy was believed to successfully treat schizophrenia in the early 1900s.
Amphetamines were used to treat depression, and electroconvulsive therapy was used for
severe depression. Humoral therapy, which originated in ancient Greece and Rome, was a
belief that mental illness resulted from an imbalance of the humors of air, fire, water, and
earth.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 8
OBJ: 5 TOP: Influences of War on Mental Health Therapies
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
7. In the 1930s, what mental health disorder was electroconvulsive therapy (ECT) most often
used to treat?
a. Schizophrenia
b. Bipolar disorder
c. Severe depression
d. Violent behavior
ANS: C
ECT was found to be an effective treatment for severe depression in the 1930s. During this
period, schizophrenia was treated with insulin therapy, and violent behavior was treated with a
lobotomy. In 1949, lithium carbonate was discovered as a treatment for bipolar disorder.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6
OBJ: 5 TOP: Influences of War on Mental Health Therapies
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
8. In the early twentieth century, a frontal lobotomy was a common treatment for violent
behaviors. Which description of this procedure is accurate?
a. A procedure that delivers an electrical stimulus to the frontal lobes of the brain
b. A surgical procedure that drills holes in the front of the skull to drain fluid
c. A surgical procedure that severs the frontal lobes of the brain from the thalamus
d. A surgical procedure that inserts implants into the frontal lobes of the brain
ANS: C
A frontal lobotomy is a surgical procedure in which the frontal lobes of the brain are severed
from the thalamus.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6
OBJ: 5 TOP: Influences of War on Mental Health Therapies
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
9. Which class of drugs was introduced in the 1930s for the treatment of depression?
a. SSRIs
b. Tricyclic antidepressants
c. MAOIs
d. Amphetamines
ANS: D
, In the 1930s, amphetamines were found to boost the spirits of depressed people. SSRIs,
tricyclic antidepressants, and MAOIs are antidepressant agents, but they were not discovered
until much later.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6
OBJ: 5 TOP: Influences of War on Mental Health Therapies
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
10. In 1937, Congress passed the Hill-Burton Act, which was significant for the treatment of
mental health because it funded:
a. Research on drugs for the treatment of mental health disorders
b. Training of mental health professionals
c. Construction of psychiatric units in facilities throughout North America
d. Development of community mental health clinics
ANS: C
The Hill-Burton Act provided money for the construction of psychiatric units in the United
States. Research on drugs was not a part of the Hill-Burton Act. Training of mental health
professionals was funded by the National Mental Health Act of 1946, and community mental
health centers were not instituted until the 1960s.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6
OBJ: 5 | 9 TOP: Influences of War on Mental Health Therapies
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
11. The National Mental Health Act of 1946 provided a means for funding of programs that
promote research on mental health and:
. community
a. Development of mental health clinics in the
b. Training of mental health professionals
c. Treatment for veterans suffering from mental health disorders
d. Educating the public about mental illness
ANS: B
The National Mental Health Act of 1946 provided much needed training for individuals who
cared for patients with mental health disorders. Community mental health clinics were
initiated in the 1960s, treatment for veterans was not funded by this act, and education of the
public occurred later.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6
OBJ: 5 | 9 TOP: Influences of War on Mental Health Therapies
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
12. Which of the following best describes the disorder that was first recognized in veterans
following the Korean and Vietnam Wars?
a. Depression
b. Bipolar disorder
c. Post-traumatic stress disorder
d. Paranoid schizophrenic disorder
ANS: C
, Posttraumatic stress disorder was initially discovered in veterans who had been involved in
armed conflicts. The other disorders also occur in veterans but were not first recognized in
soldiers who were fighting wars.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6
OBJ: 5 TOP: Influences of War on Mental Health Therapies
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
13. The introduction of ___________ in the 1950s led to the deinstitutionalization of many
mentally ill individuals.
a. Psychotherapeutic drugs
b. Community mental health clinics
c. Residential treatment centers
d. State mental health facilities
ANS: A
Psychotherapeutic drugs allowed for better control of behaviors than did other therapies alone
during the 1950s. Patients were being released from state mental health facilities as a result of
psychotherapeutic drug therapy. Community mental health clinics and residential treatment
centers resulted from the deinstitutionalization of patients.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 7
OBJ: 6 TOP: Introduction of Psychotherapeutic Drugs
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
14. In 1949, an Australian physician discovered which therapy to be an effective treatment for
bipolar (manic-depressive) illness?
a. Insulin therapy
b. Water/ice therapy
c. Lithium carbonate therapy
d. Electroconvulsive therapy
ANS: C
To this day, lithium is a treatment that is used to effectively balance the manic states and
depressive states of bipolar disorder. None of the other therapies listed are effective for
bipolar disorder.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 7
OBJ: 6 TOP: Introduction of Psychotherapeutic Drugs
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
15. In the early 1960s, a committee appointed by President John F. Kennedy recommended the
development of a new approach to the way mental health care was administered, with an
emphasis on the introduction of:
a. Psychotherapeutic drugs
b. State mental health care systems
c. Community mental health centers
d. Deinstitutionalization of patients
ANS: C
, The emergence of community mental health centers was necessary, in part because of the
massive deinstitutionalization of patients from state mental health care facilities after the
introduction of psychotherapeutic drugs in the 1950s.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 7
OBJ: 7 TOP: Introduction of Psychotherapeutic Drugs
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
16. The Mental Health Systems Act of 1980 was one of the most progressive mental health bills
in the history of the United States, but its enactment was interrupted by the:
a. Election of a new president
b. Appointment of a new Surgeon General
c. Rapid expansion of community centers
d. National Alliance on Mental Illness (NAMI) surveys
ANS: A
The election of a new president and his administration led to drastic cuts in federal funding for
mental health programs. None of the other three choices were a part of the Mental Health
Systems Act of 1980.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 7
OBJ: 9 TOP: Congressional Actions
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
17. The Omnibus Budget Reform Act (OBRA) of 1987 prevented the housing of people with
chronic mental illness in:
a. Nursing homes
b. State mental health facilities
c. Residential treatment centers
d. Homeless shelters
ANS: A
Many mentally ill, especially elderly, people were inappropriately placed in nursing homes
with personnel who were not trained to care for these people. OBRA prevented this practice.
State mental health facilities, residential treatment centers, and homeless shelters were not
addressed in the OBRA of 1987.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 8
OBJ: 9 TOP: Congressional Actions
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
18. In the late 1980s, government funding for mental health care dwindled, and most insurance
companies __________ coverage for psychiatric care.
a. Withdrew
b. Increased
c. Decreased
d. Added
ANS: A
Unfortunately, insurance companies followed the trend of the national government to the
point of actually dropping coverage for psychiatric care.
, PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 1
OBJ: 9 TOP: Congressional Actions
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
19. In 2006, the National Alliance on Mental Illness (NAMI) conducted a comprehensive survey
and grading of state mental health care for adults and learned that the overall grade for care
was:
a. ³$´
b. ³%´
c. ³&´
d. ³'´
ANS: D
7KH1$0,JDYHDJUDGHRI³'´WRWKHPHQWDOKHDOWKFDUHV\VWHPEDVHGRQSRRUIXQGing,
OLPLWHGDYDLODELOLW\RIFDUHDQGSDWLHQWV¶ODFNRIDFFHVVWRPHQWDOKHDOWKFDUH
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6
OBJ: 9 TOP: Congressional Actions
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
20. Which of the following persons has the greatest risk for developing ineffective coping
behaviors?
a. The middle-aged man whose diet is high in saturated fat and who has a 20-year
history of tobacco use
b. The single 30-year-old female facing the death of her father
c. The 19-year-old college student with a family history of schizophrenia
d. The 9-year-old whose parents are nurturing but provide chores and responsibilities
.
ANS: C
Mental health is influenced by three factors: inherited characteristics, childhood nurturing, and
life circumstances. The risk for developing ineffective coping behaviors increases when
problems exist in any one of these areas.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 2
OBJ: 2 TOP: Introduction KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
21. In the early 1900s the first theory of mental illness that showed behavior could be changed is
attributed to:
a. Beers
b. Dix
c. Freud
d. Pinel
ANS: C
Freud was the first person who succeeded in explaining human behavior in psychological
terms and in demonstrating that behavior can be changed under the proper circumstances.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 8
OBJ: 5 TOP: Psychoanalysis
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
