Test Bank For Psychiatric and Mental Health Nursing for Canadian Practice, 5th Edition Diane
Kunyk
Test Generator Questions, Chapter 1, Psychiatric and Mental
Health Nursing: From Past to Present
1. During the 1800s, moral treatment became the influential
idea that led to the belief that which was the cure for mental
illness?
A) arrest and confinement
B) early psychotherapy
C) humane treatment
D) the use of chains
Ans: C
Feedback:
During the 1800s, Pinel claimed that the cure for mental illness was humane
treatment, defined as kindness, compassion, and a pleasant environment. Pinel
opposed earlier strategies such as confinement and chains. Psychotherapy had
not yet been introduced at this time.
Format: Multiple Choice
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Understand
Difficulty: Easy
Header: A Revolutionary Idea: Humane Treatment
Integrated Process: Nursing Process
Objective: 1, 3
Page: 3
Page 1
, Test Bank For Psychiatric and Mental Health Nursing for Canadian Practice, 5th Edition Diane
Kunyk
2. Who was the psychiatrist who suggested the term “mental hygiene”?
A) Clarence Hincks
B) Sigmund Freud
C) Philippe Pinel
D) Adolf Meyer
Ans: D
Feedback:
The psychiatrist who suggested the term “mental hygiene” was Adolf Meyer. He
chose the term because it was consistent with his view of mental health as the
expression of physiologic and emotional “cleanliness.”
Format: Multiple Choice
Chapter: 1
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Remember
Difficulty: Easy
Header: Life Within Early Institutions
Integrated Process: Nursing Process
Objective: 1, 3, 4
Page: 6
3. Before the 19th century, seriously mentally ill clients with severely disturbing
behaviour were usually cared for by:
A) family members at home.
B) spiritual healers in asylums.
C) laypersons in hospitals.
D) staff in prisons and poorhouses.
Ans: D
Feedback:
Page 2
, Test Bank For Psychiatric and Mental Health Nursing for Canadian Practice, 5th Edition Diane
Kunyk
Until the 19th century, mentally ill people were kept mostly at home, cared for by
their families. Only the most seriously afflicted people whose behaviour was
severely disturbing or dangerous to themselves, their families, or other citizens
were locked up often in prisons or a separate wing of a local poorhouse.
Format: Multiple Choice
Chapter: 1
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Understand
Difficulty: Moderate
Header: Introduction
Integrated Process: Caring
Objective: 1, 3, 5
Page: 2
4. Which variable of communities had the most influence on the early forms of
institutional ways of caring for the mentally ill people?
A) quality of housing and number of professionals
B) social stability and availability of resources
C) political climate and public policy
D) legal structure and role of nurses
Ans: B
Feedback:
History reflects that, generally, social fears and tolerance for what is deemed as
“deviant behaviour” are related to social stability and availability of resources. In
periods of relative social stability, individuals with mental disorders often have a
better chance to live safely within their communities. Professionalism and nursing
were not well-developed at this early stage of care. Public policy was not usually
formulated explicitly.
Format: Multiple Choice
Chapter: 1
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Understand
Page 3
, Test Bank For Psychiatric and Mental Health Nursing for Canadian Practice, 5th Edition Diane
Kunyk
Difficulty: Moderate
Header: Early Forms of Institutional Care
Integrated Process: Nursing Process
Objective: 1, 3, 5
Page: 2
5. Which factor has been historically related to increased intolerance and ill
treatment of people with mental disorders?
A) social change and instability
B) increased family size and mobility
C) emphasis on religious beliefs
D) increased number of asylums treating mentally ill
Ans: A
Feedback:
History reflects that, generally, in periods of relative social stability, there are
fewer fears and more tolerances for deviant behaviour, and it is easier for
individuals with mental disorders to live safely within their communities. During
periods of rapid social change and instability, there are more general anxieties
and fears and, subsequently, more intolerance and ill treatment of people with
mental disorders.
Format: Multiple Choice
Chapter: 1
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Understand
Difficulty: Moderate
Header: Early Forms of Institutional Care
Integrated Process: Nursing Process
Objective: 1
Page: 2
Page 4
Kunyk
Test Generator Questions, Chapter 1, Psychiatric and Mental
Health Nursing: From Past to Present
1. During the 1800s, moral treatment became the influential
idea that led to the belief that which was the cure for mental
illness?
A) arrest and confinement
B) early psychotherapy
C) humane treatment
D) the use of chains
Ans: C
Feedback:
During the 1800s, Pinel claimed that the cure for mental illness was humane
treatment, defined as kindness, compassion, and a pleasant environment. Pinel
opposed earlier strategies such as confinement and chains. Psychotherapy had
not yet been introduced at this time.
Format: Multiple Choice
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Understand
Difficulty: Easy
Header: A Revolutionary Idea: Humane Treatment
Integrated Process: Nursing Process
Objective: 1, 3
Page: 3
Page 1
, Test Bank For Psychiatric and Mental Health Nursing for Canadian Practice, 5th Edition Diane
Kunyk
2. Who was the psychiatrist who suggested the term “mental hygiene”?
A) Clarence Hincks
B) Sigmund Freud
C) Philippe Pinel
D) Adolf Meyer
Ans: D
Feedback:
The psychiatrist who suggested the term “mental hygiene” was Adolf Meyer. He
chose the term because it was consistent with his view of mental health as the
expression of physiologic and emotional “cleanliness.”
Format: Multiple Choice
Chapter: 1
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Remember
Difficulty: Easy
Header: Life Within Early Institutions
Integrated Process: Nursing Process
Objective: 1, 3, 4
Page: 6
3. Before the 19th century, seriously mentally ill clients with severely disturbing
behaviour were usually cared for by:
A) family members at home.
B) spiritual healers in asylums.
C) laypersons in hospitals.
D) staff in prisons and poorhouses.
Ans: D
Feedback:
Page 2
, Test Bank For Psychiatric and Mental Health Nursing for Canadian Practice, 5th Edition Diane
Kunyk
Until the 19th century, mentally ill people were kept mostly at home, cared for by
their families. Only the most seriously afflicted people whose behaviour was
severely disturbing or dangerous to themselves, their families, or other citizens
were locked up often in prisons or a separate wing of a local poorhouse.
Format: Multiple Choice
Chapter: 1
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Understand
Difficulty: Moderate
Header: Introduction
Integrated Process: Caring
Objective: 1, 3, 5
Page: 2
4. Which variable of communities had the most influence on the early forms of
institutional ways of caring for the mentally ill people?
A) quality of housing and number of professionals
B) social stability and availability of resources
C) political climate and public policy
D) legal structure and role of nurses
Ans: B
Feedback:
History reflects that, generally, social fears and tolerance for what is deemed as
“deviant behaviour” are related to social stability and availability of resources. In
periods of relative social stability, individuals with mental disorders often have a
better chance to live safely within their communities. Professionalism and nursing
were not well-developed at this early stage of care. Public policy was not usually
formulated explicitly.
Format: Multiple Choice
Chapter: 1
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Understand
Page 3
, Test Bank For Psychiatric and Mental Health Nursing for Canadian Practice, 5th Edition Diane
Kunyk
Difficulty: Moderate
Header: Early Forms of Institutional Care
Integrated Process: Nursing Process
Objective: 1, 3, 5
Page: 2
5. Which factor has been historically related to increased intolerance and ill
treatment of people with mental disorders?
A) social change and instability
B) increased family size and mobility
C) emphasis on religious beliefs
D) increased number of asylums treating mentally ill
Ans: A
Feedback:
History reflects that, generally, in periods of relative social stability, there are
fewer fears and more tolerances for deviant behaviour, and it is easier for
individuals with mental disorders to live safely within their communities. During
periods of rapid social change and instability, there are more general anxieties
and fears and, subsequently, more intolerance and ill treatment of people with
mental disorders.
Format: Multiple Choice
Chapter: 1
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Understand
Difficulty: Moderate
Header: Early Forms of Institutional Care
Integrated Process: Nursing Process
Objective: 1
Page: 2
Page 4
