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Foundations of Mental Health Care 8th
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Edition by Morrison-Valfre
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,Chapter 01: The History of Mental Health Care YFT L YFT L YFT L YFT L YFT L YFT L L
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1. The belief of the ancient Greek philosopher Plato that the rational
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Y soul controlled the irrational soulcould be compared with the belief
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a. Freud.
b. Pinel.
c. Fisher.
d. Rush.
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Sigmund Freud believed that mental illness was, in part, caused by forces both within and outside
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the personality. Philippe Pinel advocated acceptance of mentally ill individuals as human beings in
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need of medical assistance. Alice Fisher was a Florence Nightingale nurse who cared for the
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mentally ill, and Dr. Benjamin Rush was the author of the book Diseases of the Mind.
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DIF: Cognitive Level: Comprehension OBJ: 2 L
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TOP: Early Years of Mental Health KEY: Nursing Process Step: Assessment
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MSC: Client Needs: Psychosocial Integrity
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2. During the mid-1500s, behaviors associated with mental illness were more accurately recorded
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a. classifications
b. diagnosing
c. treatment
d. education
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Classification of abnormal behaviors did not begin until this time, after the practice of more accurate L
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recording of behaviors was begun. Diagnoses, treatment guidelines, and any education regarding
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mental health disorders were not available during this period.
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DIF: Cognitive Level: Knowledge OBJ: 3 YF T L Y FT L L
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TOP: Mental Illness During the Renaissance
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KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
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,3. During the latter part of the 18th century, psychiatry became a separate branch of medicine,
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YFT L and inhumane treatment was greatly diminished by the French hospital director:
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a. Dix.
b. Beers.
c. Pinel.
d. Carter.
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Philippe Pinel advocated acceptance of the mentally ill, as well as proper treatment. Dorothea Dix
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crusaded for construction of mental health hospitals. Clifford Beers wrote the book A Mind That
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Found Itself. President Jimmy Carter established the President’s Commission on Mental Health in
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1978.
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TOP: Mental Illness in the 18th Century KEY: Nursing Process Step:
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Assessment MSC: Client Needs: Psychosocial Integrity
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4. In 1841, L
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YFT Canada, and Scotland and is credited with bringing about public awareness and reform for the care
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a. Sigmund Freud YFT L
b. John Cade L
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c. Florence Nightingale L
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d. Dorothea Dix L
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Dorothea Dix spent 20 years surveying facilities that housed mentally ill individuals and is credited
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with major changes in the care of the mentally ill. Sigmund Freud introduced the concept of
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psychoanalysis, John Cade discovered lithium carbonate for the treatment of bipolar disorder, and
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Florence Nightingale trained nurses in England in the 1800s.
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DIF: Cognitive Level: Knowledge OBJ: 4 L
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TOP: Mental Illness in the 19th Century KEY: Nursing Process Step:
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Assessment MSC: Client Needs: Psychosocial Integrity
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5. As a direct result of Clifford Beers’ work and book, A Mind That Found Itself, the Committee
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YFT for Mental Hygiene was formed in 1909 with a focus on prevention of mental illness and:
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a. early detection of symptoms of mental illness. L
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b. education of caregivers. YFT L YF
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c. current treatment options. L
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d. removing the stigma attached to mental illness. YFT L YFT L YFTL YFT L L
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Clifford Beers’ book reflected on his attempt at suicide followed by the deplorable care he received
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for the next 3 years in mental hospitals. Beers’ work and book raised the consciousness of people
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throughout the country regarding prevention and removal of the stigma of having a mental illness.
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Early detection of symptoms, education of caregivers, and current treatment options regarding mental
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illness were not the focus of his book, nor were they a priority for the Committee for Mental
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Hygiene.
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, TOP: Mental Illness in the 20th Century KEY: Nursing Process Step:
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Assessment MSC: Client Needs: Psychosocial Integrity
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6. During the 1930s, what common treatment for schizophrenia caused clients to fall into a coma
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a. Electroconvulsive therapy YF
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b. Insulin therapy YFT L
c. Humoral therapy L
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d. Amphetamine therapy YFT L
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Insulin therapy was believed to successfully treat schizophrenia in the early 1900s. Amphetamines
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were used to treat depression, and electroconvulsive therapy was used for severe depression.
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Humoral therapy, which originated in ancient Greece and Rome, was a belief that mental illness
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resulted from an imbalance of the humors of air, fire, water, and earth.
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DIF: Cognitive Level: Knowledge OBJ: 5 YF T L Y FT L Y FT L
TOP: Influences of War on Mental Health
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Therapies
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7. In the 1930s, what mental health disorder was electroconvulsive therapy (ECT) most often used
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a. Schizophrenia
b. Bipolar disorder YFTL
c. Severe depression L
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d. Violent behavior YFTL
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ECT was found to be an effective treatment for severe depression in the 1930s. During this period,
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schizophrenia was treated with insulin therapy, and violent behavior was treated with a lobotomy. In
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1949, lithium carbonate was discovered as a treatment for bipolar disorder.
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DIF: Cognitive Level: Knowledge OBJ: 5 YF T L Y FT L Y FT L
TOP: Influences of War on Mental Health
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Therapies
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KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
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8. In the early 20th century, a frontal lobotomy was a common treatment for violent behaviors.
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a. A procedure that delivers an electrical stimulus to the frontal lobes of the brain.
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b. A surgical procedure that drills holes in the front of the skull to drain fluid.
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c. A surgical procedure that severs the frontal lobes of the brain from the
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d. A surgical procedure that inserts implants into the frontal lobes of the brain.
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ANS: C Y F T L
A frontal lobotomy is a surgical procedure in which the frontal lobes of the brain are severed from the
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thalamus.
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TOP: Influences of War on Mental Health
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Therapies
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KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
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