b
Test Bank for Foundations of Mental Health Care
b b b b
8th Edition
b
TESTBANK b
,Michelle Morrison-Valfre: Foundations of Mental Health Care 8th Edition
b b b b b b b b b
Chapter 01: The History of Mental Care
b b b b b b
MULTIPLE CHOICE b
1. The belief of the ancient Greek philosopher Plato that the rational soul controlled the
b b b b b b b b b b b b b
birrational soul could be compared with the belief of the more recent psychological theorist:
b b b b b b b b b b b b b
a. Freud
b. Pinel
c. Fisher
d. Rush
ANS: A b
Sigmund Freud believed that mental illness was, in part, caused by forces both within and
b b b b b b b b b b b b b b
outside the personality. Philippe Pinel advocated acceptance of mentally ill individuals as
b b b b b b b b b b b b
human beings in need of medical assistance. Alice Fisher was a Florence Nightingale nurse
b b b b b b b b b b b b b b
who cared for the mentally ill, and Dr. Benjamin Rush was the author of the book Diseases of
b b b b b b b b b b b b b b b b b b
the Mind.
b b
PTS: 1 DIF: Cognitive Level: Comprehension
b REF: p. 4 b b b b
OBJ: 2
b TOP: Early Years of Mental Health
b b b b b b
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
b b b b b b b b
2. During the mid-1500s, behaviors associated with mental illness were more accurately
b b b b b b b b b b
recorded by professionals. This practice led to
b b b b b b b for different abnormal
b b
behaviors.
b
a. Classifications
b. Diagnosing
c. Treatment
d. Education
ANS: A b
Classification of abnormal behaviors did not begin until this time, after the practice of more
b b b b b b b b b b b b b b
accurate recording of behaviors was begun. Diagnoses, treatment guidelines, and any
b b b b b b b b b b b
education regarding mental health disorders were not available during this period.
b b b b b b b b b b b
PTS: 1 DIF: Cognitive Level: Knowledge
b REF: p. 5 b b b b
OBJ: 3
b TOP: Mental Illness During the Renaissance
b b b b b b
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
b b b b b b b b
3. During the latter part of the eighteenth century, psychiatry became a separate branch of
b b b b b b b b b b b b b
medicine, and inhumane treatment was greatly diminished by the French hospital director:
b b b b b b b b b b b b
a. Dix
b. Beers
c. Pinel
d. Carter
ANS: C b
, Philippe Pinel advocated acceptance of the mentally ill, as well as proper treatment. Dorothea
b b b b b b b b b b b b b
Dix crusaded for construction of mental health hospitals. Clifford Beers wrote the book A
b b b b b b b b b b b b b b
Mind That Found Itself. President Jimmy Carter established the President’s Commission on
b b b b b b b b b b b b
Mental Health in 1978.
b b b b
PTS: 1 DIF: Cognitive Level: Knowledge
b REF: p. 5 b b b b
OBJ: 4
b TOP: Mental Illness in the Eighteenth Century
b b b b b b b
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
b b b b b b b b
4. In 1841,
b surveyed asylums, jails, and almshouses throughout the United b b b b b b b
States, Canada, and Scotland and is credited with bringing about public awareness and reform
b b b b b b b b b b b b b b
for the care of the mentally ill.
b b b b b b b
a. Sigmund Freud b
b. John Cade b
c. Florence Nightingale b
d. Dorothea Dix b
ANS: D b
Dorothea Dix spent 20 years surveying facilities that housed mentally ill individuals and is
b b b b b b b b b b b b b
credited with major changes in the care of the mentally ill. Sigmund Freud introduced the
b b b b b b b b b b b b b b b
concept of psychoanalysis, John Cade discovered lithium carbonate for the treatment of
b b b b b b b b b b b b
bipolar disorder, and Florence Nightingale trained nurses in England in the 1800s.
b b b b b b b b b b b b
PTS: 1 DIF: Cognitive Level: Knowledge
b REF: p. 6 b b b b
OBJ: 4
b TOP: Mental Illness in the Nineteenth Century
b b b b b b b
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
b b b b b b b b
5. As a direct result of CliffordN
B e eRr s ’ I
w o rkG a nBd .b oCo k ,MA Mind That Found Itself, the Committee
b
b
b
b
for Mental Hygiene was formedU in 1909 with a focus on prevention of mental illness and:
b
b
b b
b
b
b
b
b b b b b b
b
b
b b
b b
b b
b
b
b
a. Early detection of symptoms of mental illnessb b b b b b
b. Education of caregivers b b
c. Current treatment options b b
d. Removing the stigma attached to mental illness b b b b b b
ANS: D b
Clifford Beers’ book reflected on his attempt at suicide followed by the deplorable care he
b b b b b b b b b b b b b b
received for the next 3 years in mental hospitals. Beers’ work and book raised the
b b b b b b b b b b b b b b b
consciousness of people throughout the country regarding prevention and removal of the
b b b b b b b b b b b b
stigma of having a mental illness. Early detection of symptoms, education of caregivers, and
b b b b b b b b b b b b b b
current treatment options regarding mental illness were not the focus of his book, nor were
b b b b b b b b b b b b b b b
they a priority for the Committee for Mental Hygiene.
b b b b b b b b b
PTS: 1 DIF: Cognitive Level: Knowledge
b REF: p. 6 b b b b
OBJ: 4
b TOP: Mental Illness in the Twentieth Century
b b b b b b b
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
b b b b b b b b
6. During the 1930s, what common treatment for schizophrenia caused clients to fall into a coma
b b b b b b b b b b b b b b
that could last as long as 50 hours?
b b b b b b b b
a. Electroconvulsive therapy b
b. Insulin therapy b
c. Humoral therapy b
, d. Amphetamine therapy b
ANS: B b
Insulin therapy was believed to successfully treat schizophrenia in the early 1900s.
b b b b b b b b b b b
bAmphetamines were used to treat depression, and electroconvulsive therapy was used for
b b b b b b b b b b b
bsevere depression. Humoral therapy, which originated in ancient Greece and Rome, was a
b b b b b b b b b b b b
bbelief that mental illness resulted from an imbalance of the humors of air, fire, water, and
b b b b b b b b b b b b b b b
bearth.
PTS: 1 b DIF: Cognitive Level: Knowledge REF: p. 8 b b b b
OBJ: 5
b b TOP: Influences of War on Mental Health Therapies b b b b b b b
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
b b b b b b b b
7. In the 1930s, what mental health disorder was electroconvulsive therapy (ECT) most often
b b b b b b b b b b b b
used to treat?
b b b
a. Schizophrenia
b. Bipolar disorder b
c. Severe depression b
d. Violent behavior b
ANS: C b
ECT was found to be an effective treatment for severe depression in the 1930s. During this
b b b b b b b b b b b b b b b
period, schizophrenia was treated with insulin therapy, and violent behavior was treated with a
b b b b b b b b b b b b b b
lobotomy. In 1949, lithium carbonate was discovered as a treatment for bipolar disorder.
b b b b b b b b b b b b b
PTS: 1 b DIF: Cognitive Level: Knowledge REF: p. 6 b b b b
OBJ: 5
b b TOP: Influences of War on Mental Health Therapies b b b b b b b
b NssesR
KEY: Nursing Process Step: A s meI
nt GMSB
C:.C
ClienM
t Needs: Psychosocial Integrity
b b b b b b b
USNT b b b b b O
8. In the early twentieth century, a frontal lobotomy was a common treatment for violent
b b b b b b b b b b b b b
behaviors. Which description of this procedure is accurate?
b b b b b b b
a. A procedure that delivers an electrical stimulus to the frontal lobes of the brain
b b b b b b b b b b b b b
b. A surgical procedure that drills holes in the front of the skull to drain fluid
b b b b b b b b b b b b b b
c. A surgical procedure that severs the frontal lobes of the brain from the thalamus
b b b b b b b b b b b b b
d. A surgical procedure that inserts implants into the frontal lobes of the brain
b b b b b b b b b b b b
ANS: C b
A frontal lobotomy is a surgical procedure in which the frontal lobes of the brain are severed
b b b b b b b b b b b b b b b b
from the thalamus.
b b b
PTS: 1 b DIF: Cognitive Level: Knowledge REF: p. 6 b b b b
OBJ: 5
b b TOP: Influences of War on Mental Health Therapies b b b b b b b
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
b b b b b b b b
9. Which class of drugs was introduced in the 1930s for the treatment of depression?
b b b b b b b b b b b b b
a. SSRIs
b. Tricyclic antidepressants b
c. MAOIs
d. Amphetamines
ANS: D b