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Table of Contents
z! z!
Chapter 01 The History of Mental Health Care
z! z! z! z! z! z! z! 1
Chapter 02 Current Mental Health Care Systems
z! z! z! z! z! z! 9
Chapter 03 Ethical and Legal Issues
z! z! z! z! z! 17
Chapter 04 Sociocultural Issues
z! z! z! 26
Chapter 05 Theories and Therapies
z! z! z! z! 34
Chapter 06 Complementary and Alternative Therapies
z! z! z! z! z! 43
Chapter 07 Psychotherapeutic Medication Therapy
z! z! z! z! 51
Chapter 08 Principles and Skills of Mental Health Care
z! z! z! z! z! z! z! z! 60
Chapter 09 Mental Health Assessment Skills
z! z! z! z! z! 69
Chapter 10 Therapeutic Communication
z! z! z! 78
Chapter 11 The Therapeutic Relationship
z! z! z! z! 88
Chapter 12 The Therapeutic Environment
z! z! z! z! 98
Chapter 13 Challenges of Childhood
z! z! z! z! 107
Chapter 14 Challenges of Adolescence
z! z! z! z! 116
Chapter 15 Challenges of Adulthood
z! z! z! z! 125
Chapter 16 Challenges of Late Adulthood
z! z! z! z! z! 134
Chapter 17 Cognitive Impairment, Alzheimer's Disease, and Dementia
z! z! z! z! z! z! z! 141
Chapter 18 Managing Anxiety
z! z! z! 150
Chapter 19 Illness and Hospitalization
z! z! z! z! 159
Chapter 20 Loss and Grief
z! z! z! z! 168
Chapter 21 Depression and Other Mood Disorders
z! z! z! z! z! z! 177
Chapter 22 Physical Challenges, Psychological Sources
z! z! z! z! z! 185
Chapter 23 Eating and Sleeping Disorders
z! z! z! z! z! 193
Chapter 24 Dissociative Disorders
z! z! z! 201
Chapter 25 Anger and Aggression
z! z! z! z! 210
Chapter 26 Outward-Focused Emotions-Violence
z! z! z! 218
Chapter 27 Inward-Focused Emotions-Suicide
z! z! z! 226
Chapter 28 Substance-Related Disorders
z! z! z! 234
Chapter 29 Sexuality and Sexual Disorders
z! z! z! z! z! 242
Chapter 30 Personality Disorders
z! z! z! 250
Chapter 31 Brain Function, Schizophrenia, and Other Psychoses
z! z! z! z! z! z! z! 258
Chapter 32 Chronic Mental Health Disorders
z! z! z! z! z! 266
Chapter 33 Challenges for the Future
z! z! z! z! z! 274
Wantz!toz!earnz!$1.236
Distributionz!ofz!thisz!documentz!isz!illeg extraz!perz!year
al ?
,Chapter 1: The History of Mental Health Care
z! z! z! z! z! z! z!
Morrison-Valfre’s Foundations of Mental Health Care in Canada, second Edition z! z! z! z! z! z! z! z! z!
MULTIPLE CHOICE z!
1. The belief of the ancient Greek philosopher Plato that the rational soul controlled the irration
z! z! z! z! z! z! z! z! z! z! z! z! z! z !
al soul could be compared with the belief of which more recent psychological theorist?
z! z! z! z! z! z! z! z! z! z! z! z! z!
a. Freud
b. Pinel
c. Fisher
d. Rush
ANS: A z !
Sigmund Freud believed that mental illness was, in part, caused by forces both within and ou
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
tside the personality. Philippe Pinel advocated acceptance of mentally ill individuals as huma
z! z! z! z! z! z! z! z! z! z! z! z!
n beings in need of medical assistance. Alice Fisher was a nurse who trained at the Florence
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
Nightingale Training School and cared for the mentally ill. Dr. Benjamin Rush was the author
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
of the book Diseases of the Mind.
z! z! z! z! z! z! z!
PTS: z ! z ! 1 DIF: Cognitive Level: Comprehension z! z! REF: Early Years z!z! z!
OBJ: z ! z ! 1 KEY: Nursing Process Step: Assessment
z ! z! z! z! MSC: Foundations of Practice z ! z! z!
2. During the mid- z! z!
1500s, behaviours associated with mental illness began to be more accurately recorded by pro
z! z! z! z! z! z! z! z! z! z! z! z! z!
fessionals. This practice led to z! z! z! z! z!
for different abnormal beha z! z! z!
viours.
a. Classifications
b. Diagnosing
c. Treatment
d. Education
ANS: A z !
Classification of abnormal behaviours did not begin until this time, after the practice of more acc
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
urately recording behaviours had started. Diagnoses, treatment guidelines, and education regard
z! z! z! z! z! z! z! z! z! z!
ing mental health disorders were not available during this period.
z! z! z! z! z! z! z! z! z!
PTS: z ! z ! 1 DIF: Cognitive Level: Knowledge REF: The Renaissance z! z! z!z! z!
OBJ: z ! z ! 1 KEY: Nursing Process Step: Assessment MSC: Foundations of Practice
z ! z! z! z! z ! z! z!
3. During the latter part of the eighteenth century, psychiatry became a separate branch of medi
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
cine, and inhumane treatment was greatly diminished by which French hospital director?
z! z! z! z! z! z! z! z! z! z! z!
a. Dix
b. Beers
c. Pinel
d. Carter
ANS: C z !
Philippe Pinel advocated acceptance of the mentally ill as well as proper treatment. Dorothea
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
Dix crusaded for construction of mental health hospitals. Clifford Beers wrote the book A Mi
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
nd That Found Itself. President Jimmy Carter established the President’s Commission on Me
z! z! z! z! z! z! z! z! z! z! z! z!
ntal Health in 1978.
z! z! z!
1|Pagez! z! z! z! z!
Wantz!toz!earnz!$1.23
6
extraz!perz!year?
, PTS: z ! z ! 1 DIF: Cognitive Level: Knowledge REF: Eighteenth Century z! z! z!z! z!
OBJ: z ! z ! 4 KEY: Nursing Process Step: Assessment MSC: Foundations of Practice
z ! z! z! z! z ! z! z!
4. In 1841, z! z!
surveyed asylums, jails, and almshouses throughout the United S z! z! z! z! z! z! z! z!
tates, Canada, and Scotland and is credited with bringing about public awareness and reform f
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
or the care of the mentally ill.
z! z! z! z! z! z!
a. Sigmund Freud z!
b. John Cade z!
c. Florence Nightingale z!
d. Dorothea Dix z!
ANS: D z !
Dorothea Dix spent 20 years surveying facilities that housed mentally ill individuals and is cr
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
edited with ushering in major changes in the care of the mentally ill. Sigmund Freud introduc
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
ed the concept of psychoanalysis, John Cade discovered lithium carbonate for the treatment o
z! z! z! z! z! z! z! z! z! z! z! z! z!
f bipolar disorder, and Florence Nightingale trained nurses in England in the 1800s.
z! z! z! z! z! z! z! z! z! z! z! z!
PTS: z ! z ! 1 DIF: Cognitive Level: Knowledge REF: Nineteenth Century z! z! z!z! z!
OBJ: z ! z ! 4 KEY: Nursing Process Step: Assessment MSC: Foundations of Practice
z ! z! z! z! z ! z! z!
5. As a direct result of Clifford Beers’ work and his book, A Mind That Found Itself, the Com
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
mittee for Mental Hygiene was formed in 1909 with a focus on the prevention of mental illne
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
ss and z! . z!
a. Early detection of symptoms of mental illness z! z! z! z! z! z!
b. Education of care providers z! z! z!
c. Current treatment options z! z!
d. Removing the stigma attached to mental illness z! z! z! z! z! z!
ANS: D z !
In his book, Clifford Beers reflected on his suicide attempt followed by the deplorable care he
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z
received for the next 3 years in mental hospitals. His work and book raised the consciousness
! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
of people throughout the country regarding the prevention and removal of the stigma of havi
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
ng a mental illness. Early detection of symptoms, education of care providers, and current trea
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
tment options regarding mental illness were not the focus of his book, nor were they a priorit
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
y for the Committee for Mental Hygiene.
z! z! z! z! z! z!
PTS: z ! z ! 1 DIF: Cognitive Level: Knowledge REF: Twentieth Century z! z! z!z! z!
OBJ: z ! z ! 4 KEY: Nursing Process Step: Assessment MSC: Foundations of Practice
z ! z! z! z! z ! z! z!
6. During the 1930s, what common treatment for schizophrenia caused patients to fall into a
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
coma that could last as long as 50 hours?
z! z! z! z! z! z! z! z!
a. Electroconvulsive therapy z!
b. Insulin therapy z!
c. Humoral therapy z!
d. Amphetamine therapy z!
ANS: B z !
2|Page
z! z! z! z! z!
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z! Thez! Marketplacez!toz! Buyz! andz! Sellz! yourz! Studyz! Material
Wantz!toz!earnz!$1.23
6
extraz!perz!year?
, Stuvia.comz!-
z! Thez! Marketplacez!toz! Buyz! andz! Sellz! yourz! Studyz! Material
Table of Contents
z! z!
Chapter 01 The History of Mental Health Care
z! z! z! z! z! z! z! 1
Chapter 02 Current Mental Health Care Systems
z! z! z! z! z! z! 9
Chapter 03 Ethical and Legal Issues
z! z! z! z! z! 17
Chapter 04 Sociocultural Issues
z! z! z! 26
Chapter 05 Theories and Therapies
z! z! z! z! 34
Chapter 06 Complementary and Alternative Therapies
z! z! z! z! z! 43
Chapter 07 Psychotherapeutic Medication Therapy
z! z! z! z! 51
Chapter 08 Principles and Skills of Mental Health Care
z! z! z! z! z! z! z! z! 60
Chapter 09 Mental Health Assessment Skills
z! z! z! z! z! 69
Chapter 10 Therapeutic Communication
z! z! z! 78
Chapter 11 The Therapeutic Relationship
z! z! z! z! 88
Chapter 12 The Therapeutic Environment
z! z! z! z! 98
Chapter 13 Challenges of Childhood
z! z! z! z! 107
Chapter 14 Challenges of Adolescence
z! z! z! z! 116
Chapter 15 Challenges of Adulthood
z! z! z! z! 125
Chapter 16 Challenges of Late Adulthood
z! z! z! z! z! 134
Chapter 17 Cognitive Impairment, Alzheimer's Disease, and Dementia
z! z! z! z! z! z! z! 141
Chapter 18 Managing Anxiety
z! z! z! 150
Chapter 19 Illness and Hospitalization
z! z! z! z! 159
Chapter 20 Loss and Grief
z! z! z! z! 168
Chapter 21 Depression and Other Mood Disorders
z! z! z! z! z! z! 177
Chapter 22 Physical Challenges, Psychological Sources
z! z! z! z! z! 185
Chapter 23 Eating and Sleeping Disorders
z! z! z! z! z! 193
Chapter 24 Dissociative Disorders
z! z! z! 201
Chapter 25 Anger and Aggression
z! z! z! z! 210
Chapter 26 Outward-Focused Emotions-Violence
z! z! z! 218
Chapter 27 Inward-Focused Emotions-Suicide
z! z! z! 226
Chapter 28 Substance-Related Disorders
z! z! z! 234
Chapter 29 Sexuality and Sexual Disorders
z! z! z! z! z! 242
Chapter 30 Personality Disorders
z! z! z! 250
Chapter 31 Brain Function, Schizophrenia, and Other Psychoses
z! z! z! z! z! z! z! 258
Chapter 32 Chronic Mental Health Disorders
z! z! z! z! z! 266
Chapter 33 Challenges for the Future
z! z! z! z! z! 274
Wantz!toz!earnz!$1.236
Distributionz!ofz!thisz!documentz!isz!illeg extraz!perz!year
al ?
,Chapter 1: The History of Mental Health Care
z! z! z! z! z! z! z!
Morrison-Valfre’s Foundations of Mental Health Care in Canada, second Edition z! z! z! z! z! z! z! z! z!
MULTIPLE CHOICE z!
1. The belief of the ancient Greek philosopher Plato that the rational soul controlled the irration
z! z! z! z! z! z! z! z! z! z! z! z! z! z !
al soul could be compared with the belief of which more recent psychological theorist?
z! z! z! z! z! z! z! z! z! z! z! z! z!
a. Freud
b. Pinel
c. Fisher
d. Rush
ANS: A z !
Sigmund Freud believed that mental illness was, in part, caused by forces both within and ou
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
tside the personality. Philippe Pinel advocated acceptance of mentally ill individuals as huma
z! z! z! z! z! z! z! z! z! z! z! z!
n beings in need of medical assistance. Alice Fisher was a nurse who trained at the Florence
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
Nightingale Training School and cared for the mentally ill. Dr. Benjamin Rush was the author
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
of the book Diseases of the Mind.
z! z! z! z! z! z! z!
PTS: z ! z ! 1 DIF: Cognitive Level: Comprehension z! z! REF: Early Years z!z! z!
OBJ: z ! z ! 1 KEY: Nursing Process Step: Assessment
z ! z! z! z! MSC: Foundations of Practice z ! z! z!
2. During the mid- z! z!
1500s, behaviours associated with mental illness began to be more accurately recorded by pro
z! z! z! z! z! z! z! z! z! z! z! z! z!
fessionals. This practice led to z! z! z! z! z!
for different abnormal beha z! z! z!
viours.
a. Classifications
b. Diagnosing
c. Treatment
d. Education
ANS: A z !
Classification of abnormal behaviours did not begin until this time, after the practice of more acc
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
urately recording behaviours had started. Diagnoses, treatment guidelines, and education regard
z! z! z! z! z! z! z! z! z! z!
ing mental health disorders were not available during this period.
z! z! z! z! z! z! z! z! z!
PTS: z ! z ! 1 DIF: Cognitive Level: Knowledge REF: The Renaissance z! z! z!z! z!
OBJ: z ! z ! 1 KEY: Nursing Process Step: Assessment MSC: Foundations of Practice
z ! z! z! z! z ! z! z!
3. During the latter part of the eighteenth century, psychiatry became a separate branch of medi
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
cine, and inhumane treatment was greatly diminished by which French hospital director?
z! z! z! z! z! z! z! z! z! z! z!
a. Dix
b. Beers
c. Pinel
d. Carter
ANS: C z !
Philippe Pinel advocated acceptance of the mentally ill as well as proper treatment. Dorothea
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
Dix crusaded for construction of mental health hospitals. Clifford Beers wrote the book A Mi
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
nd That Found Itself. President Jimmy Carter established the President’s Commission on Me
z! z! z! z! z! z! z! z! z! z! z! z!
ntal Health in 1978.
z! z! z!
1|Pagez! z! z! z! z!
Wantz!toz!earnz!$1.23
6
extraz!perz!year?
, PTS: z ! z ! 1 DIF: Cognitive Level: Knowledge REF: Eighteenth Century z! z! z!z! z!
OBJ: z ! z ! 4 KEY: Nursing Process Step: Assessment MSC: Foundations of Practice
z ! z! z! z! z ! z! z!
4. In 1841, z! z!
surveyed asylums, jails, and almshouses throughout the United S z! z! z! z! z! z! z! z!
tates, Canada, and Scotland and is credited with bringing about public awareness and reform f
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
or the care of the mentally ill.
z! z! z! z! z! z!
a. Sigmund Freud z!
b. John Cade z!
c. Florence Nightingale z!
d. Dorothea Dix z!
ANS: D z !
Dorothea Dix spent 20 years surveying facilities that housed mentally ill individuals and is cr
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
edited with ushering in major changes in the care of the mentally ill. Sigmund Freud introduc
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
ed the concept of psychoanalysis, John Cade discovered lithium carbonate for the treatment o
z! z! z! z! z! z! z! z! z! z! z! z! z!
f bipolar disorder, and Florence Nightingale trained nurses in England in the 1800s.
z! z! z! z! z! z! z! z! z! z! z! z!
PTS: z ! z ! 1 DIF: Cognitive Level: Knowledge REF: Nineteenth Century z! z! z!z! z!
OBJ: z ! z ! 4 KEY: Nursing Process Step: Assessment MSC: Foundations of Practice
z ! z! z! z! z ! z! z!
5. As a direct result of Clifford Beers’ work and his book, A Mind That Found Itself, the Com
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
mittee for Mental Hygiene was formed in 1909 with a focus on the prevention of mental illne
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
ss and z! . z!
a. Early detection of symptoms of mental illness z! z! z! z! z! z!
b. Education of care providers z! z! z!
c. Current treatment options z! z!
d. Removing the stigma attached to mental illness z! z! z! z! z! z!
ANS: D z !
In his book, Clifford Beers reflected on his suicide attempt followed by the deplorable care he
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z
received for the next 3 years in mental hospitals. His work and book raised the consciousness
! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
of people throughout the country regarding the prevention and removal of the stigma of havi
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
ng a mental illness. Early detection of symptoms, education of care providers, and current trea
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
tment options regarding mental illness were not the focus of his book, nor were they a priorit
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
y for the Committee for Mental Hygiene.
z! z! z! z! z! z!
PTS: z ! z ! 1 DIF: Cognitive Level: Knowledge REF: Twentieth Century z! z! z!z! z!
OBJ: z ! z ! 4 KEY: Nursing Process Step: Assessment MSC: Foundations of Practice
z ! z! z! z! z ! z! z!
6. During the 1930s, what common treatment for schizophrenia caused patients to fall into a
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
coma that could last as long as 50 hours?
z! z! z! z! z! z! z! z!
a. Electroconvulsive therapy z!
b. Insulin therapy z!
c. Humoral therapy z!
d. Amphetamine therapy z!
ANS: B z !
2|Page
z! z! z! z! z!
Wantz!toz!earnz!$1.23
6
extraz!perz!year?
