2026/2027 Grand canyon university
Q1. Which historical development contributed significantly to
movement from large psychiatric institutions toward community-
based care?
A. Deinstitutionalization
B. Increased use of restraints
C. Elimination of outpatient services
D. Expansion of isolated asylums
Correct Answer: A
Rationale: Deinstitutionalization shifted treatment away from long-term
institutionalization toward community-based services when appropriate.
Q2. Which organization was established in the United States to
advance research related to mental health?
A. National Institute of Mental Health
B. Federal Bureau of Investigation
C. Food and Drug Administration
D. Occupational Safety and Health Administration
Correct Answer: A
Rationale: The National Institute of Mental Health supports research and
education related to mental health and mental illness.
**Q3. Which development helped transform treatment of serious mental
illness during the twentieth century?
A. Introduction of effective antipsychotic medications
B. Elimination of community mental-health services
C. Increased use of permanent institutionalization
D. Elimination of psychotherapy
Correct Answer: A
Rationale: Effective antipsychotic medications contributed to changes in
treatment and supported the movement toward community-based care for
many clients.
**Q4. According to Freud's structural model of personality, which component
operates according to the pleasure principle?
, A. Id
B. Ego
C. Superego
D. Conscious mind
Correct Answer: A
Rationale: The id is the instinctive component of personality and seeks
immediate gratification of basic drives.
**Q5. Which component of Freud's personality model attempts to balance
impulses with reality?
A. Id
B. Ego
C. Superego
D. Instinct
Correct Answer: B
Rationale: The ego operates according to the reality principle and attempts
to manage impulses in a realistic manner.
**Q6. Which component is associated with internalized morals and ideals?
A. Id
B. Ego
C. Superego
D. Unconscious instinct
Correct Answer: C
Rationale: The superego represents internalized moral standards and
ideals.
**Q7. Which defense mechanism involves unconsciously refusing to accept
an unpleasant reality?
A. Denial
B. Projection
C. Displacement
D. Sublimation
Correct Answer: A
Rationale: Denial protects the individual from distress by refusing to
acknowledge an unacceptable reality.