CARE
8TH EDITION
• AUTHOR(S)MICHELLE
MORRISON-VALFRE
TEST BANK
1. Reference: Ch. 1 — The History of Mental Health Care —
Early Years
Question Stem: A nursing instructor is teaching a class about
ancient theories of mental illness. One student notes that early
treatments were often harsh and based on the belief that
abnormal behavior was caused by supernatural forces. The
instructor asks the class to identify which ancient thinker first
proposed that mental illness had natural, physical causes and
should be treated humanely.
,Options:
A. Hippocrates
B. Sigmund Freud
C. Dorothea Dix
D. Philippe Pinel
Correct Answer: A. Hippocrates
Rationales:
• Correct Option (A): Hippocrates, a Greek physician, is
considered the "Father of Medicine." He rejected
supernatural explanations for mental illness and classified
mental disturbances into categories like mania,
melancholia, and phrenitis (brain fever), believing they
were caused by imbalances in the body's four humors. This
was a foundational step toward a medical and humane
view of mental disorders.
• Incorrect Option (B): Sigmund Freud’s work on the
unconscious mind and psychoanalysis occurred in the late
19th and early 20th centuries, thousands of years after
Hippocrates.
• Incorrect Option (C): Dorothea Dix was a 19th-century
activist who lobbied for humane conditions and the
creation of state mental hospitals in the United States.
• Incorrect Option (D): Philippe Pinel was a French
physician in the late 18th and early 19th centuries who is
known for initiating "moral treatment" and removing
, chains from patients in asylums.
Teaching Point: Hippocrates was a pivotal figure in shifting
the understanding of mental illness from supernatural
causes to natural, physical imbalances.
Citation: Morrison-Valfre, M. (2023). Foundations of
Mental Health Care (8th ed.). Ch. 1.
2. Reference: Ch. 1 — The History of Mental Health Care —
Early Years
Question Stem: During the Middle Ages in Europe, the
prevailing view of mental illness led to specific societal
responses. A nurse studying this era understands that a person
exhibiting erratic behavior would most likely be:
Options:
A. Treated with rest and a balanced diet in a monastery
infirmary.
B. Viewed as a witch or possessed and subjected to exorcisms.
C. Diagnosed with an imbalance of humors and prescribed
bloodletting.
D. Committed to a state-funded asylum for custodial care.
Correct Answer: B. Viewed as a witch or possessed and
subjected to exorcisms.
Rationales:
• Correct Option (B): During the Middle Ages, the
influence of the church led to a regression in the
understanding of mental illness. It was often attributed to
, demonic possession, witchcraft, or sin, leading to
treatments like exorcism, torture, or even execution.
• Incorrect Option (A): Rest and a balanced diet were
more aligned with the later moral treatment movement or
early Greek medicine, not the dominant beliefs of the
Middle Ages.
• Incorrect Option (C): Diagnosing and treating humoral
imbalances was a practice associated with Greek and
Roman medicine (like that of Hippocrates and Galen),
which was largely suppressed during the early Middle Ages
in Europe.
• Incorrect Option (D): State-funded asylums for
custodial care did not emerge as a common societal
response until the 18th and 19th centuries.
Teaching Point: In the Middle Ages, societal fear and
superstition led to the view of mental illness as demonic
possession, resulting in cruel and punitive "treatments."
Citation: Morrison-Valfre, M. (2023). Foundations of
Mental Health Care (8th ed.). Ch. 1.
3. Reference: Ch. 1 — The History of Mental Health Care —
Nineteenth-Century United States
Question Stem: A student is writing a paper on the history of
mental health reform in the United States. They are focusing on
the individual who led a massive campaign to create state