Test Bank For Psychiatric Mental Health Nursing 9th Edition
Chapter 1 qk
1. The nurse is assessing the factors contributing to the wel
qk qk qk qk qk qk qk qk qk
l-
being of a newly admitted client. Which of the followi
qk qk qk qk qk qk qk qk qk qk
ng would the nurse identify as having a positive impact o
qk qk qk qk qk qk qk qk qk qk
nthe individual's mental health?
qk qk qk
A) Not needing others for companionship qk qk qk qk
B) The ability to effectively manage stress qk qk qk qk qk
C) A family history of mental illness
qk qk qk qk qk
D) Striving for total self- qk qk qk
reliance Ans: B qk q k
Feedback:
Individual factors influencing mental health include biolo
qk qk qk qk qk qk
gic makeup, autonomy, independence, self-
qk qk qk qk
esteem, capacity for growth, vitality, ability to find meani
qk qk qk qk qk qk qk qk
ng in life, emotional resilience or hardiness, sense of belo
qk qk qk qk qk qk qk qk qk
nging, reality orientation, and coping or stress manageme
qk qk qk qk qk qk qk
nt abilities. Interpersonal factors such as intimacy and a b
qk qk qk qk qk qk qk qk qk
alance of separateness and connectedness are both needed
qk qk qk qk qk qk qk
for good mental health, and therefore ahealthy person would need others for compan
qk qk qk qk qk qk qk qk qk qk qk qk
ionship. A family history of mental illnesscould relate to the biologic makeup of an
qk qk qk qk qk qk qk qk qk qk qk qk qk qk
individual, which may have a negative impacton an individual's mental health, as wel
qk qk qk qk qk qk qk qk qk qk qk qk
l as a negative impact on an individual's interpersonal and socialñcultural factors of h
qk qk qk qk qk qk qk qk qk qk qk qk qk
ealth. Total self- qk qk
reliance is not possible, and a positive social/cultural factor is access to adequate res
qk qk qk qk qk qk qk qk qk qk qk qk qk
ources.
2. Which of the following statements about mental illness are true? Select all that apply.
qk qk qk qk qk qk qk qk qk qk qk qk qk
A) Mental illness can cause significant distress, impaired functioning, or both.
qk qk qk qk qk qk qk qk qk
B) Mental illness is only due to social/cultural factors. qk qk qk qk qk qk qk
C) Social/cultural factors that relate to mental illness include excessive dependenc qk qk qk qk qk qk qk qk qk
y on or withdrawal from relationships.
qk qk qk qk qk
D) Individuals suffering from mental illness are usually able to cope effectively wit qk qk qk qk qk qk qk qk qk qk qk
h daily life. qk qk
E) Individuals suffering from mental illness may experience dissatisfaction wit qk qk qk qk qk qk qk qk
h relationships and self. qk qk qk
Ans: A, D, E qk qk qk
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental il
qk qk qk qk qk qk qk qk qk qk qk
lness may be related to individual, interpersonal, or social/cultural factors. Excessive
qk qk qk qk qk qk qk qk qk qk q
kdependency on or withdrawal from relationships are interpersonal factors that relate
qk qk qk qk qk qk qk qk qk qk qk
to mental illness. Individuals suffering from mental illness can feel overwhelmed wit
qk qk qk qk qk qk qk qk qk qk qk
h daily life. Individuals suffering from mental illness may experience dissatisfaction
qk qk qk qk qk qk qk qk qk qk qk
with relationships and self.
qk qk qk
,3. Which of the following are true regarding mental health and mental illness?
qk qk qk qk qk qk qk qk qk qk qk
A) Behavior that may be viewed as acceptable in one culture is always unacceptab
qk qk qk qk qk qk qk qk qk qk qk qk
le in other cultures. qk qk qk
B) It is easy to determine if a person is mentally healthy or mentally ill.
qk qk qk qk qk qk qk qk qk qk qk qk qk
C) In most cases, mental health is a state of emotional, psychological, and socia
qk qk qk qk qk qk qk qk qk qk qk qk
l wellness evidenced by satisfying interpersonal relationships, effective behavi
qk qk qk qk qk qk qk qk
or and coping, positive self-concept, and emotional stability.
qk qk qk qk qk qk qk
D) Persons who engage in fantasies are mentally ill qk qk qk qk qk qk qk
. Ans: C
qk q k
Feedback:
What one society may view as acceptable and appropriate behavior, another society ma
qk qk qk qk qk qk qk qk qk qk qk qk
y see that as maladaptive, and inappropriate. Mental health and mental illness are diffi
qk qk qk qk qk qk qk qk qk qk qk qk qk
cult to define precisely. In most cases, mental health is a state of emotional, psycholo
qk qk qk qk qk qk qk qk qk qk qk qk qk qk
gical, and social wellness evidenced by satisfying interpersonal relationships, effective
qk qk qk qk qk qk qk qk qk
behavior and coping, positive self-
qk qk qk qk qk
concept, and emotional stability. Persons who engage in fantasies may be mentally he
qk qk qk qk qk qk qk qk qk qk qk qk
althy, but the inability to distinguish reality from fantasy is an individual factor that
qk qk qk qk qk qk qk qk qk qk qk qk qk qk
may contribute to mental illness.
qk qk qk qk
4. A client grieving the recent loss of her husband asks if she is becoming mentally
qk qk qk qk qk qk qk qk qk qk qk qk qk qk qk
ill because she is so sad. The nurse's best response would be,
qk qk qk qk qk qk qk qk qk qk qk
A) ìYou may have a temporary mental illness because you are experiencing so muc
qk qk qk qk qk qk qk qk qk qk qk qk
h pain.î qk
B) ìYou are not mentally ill. This is an expected reaction to the loss you ha
qk qk qk qk qk qk qk qk qk qk qk qk qk qk
ve experienced.î qk
C) ìWere you generally dissatisfied with your relationship before your husband'
qk qk qk qk qk qk qk qk qk
s death?î qk
D) ìTry not to worry about that right now. You never know what the future brings
qk qk qk qk qk qk qk qk qk qk qk qk qk qk
.î Ans: B
qk q k
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineff
qk qk qk qk qk qk qk qk qk
ective coping, and lack of personal growth. Additionally the behavior must not be cul
qk qk qk qk qk qk qk qk qk qk qk qk qk
turally expected. Acute grief reactions are expected and therefore not considered ment
qk qk qk qk qk qk qk qk qk qk qk
al illness. False reassurance or overanalysis does not accurately address the client's con
qk qk qk qk qk qk qk qk qk qk qk qk
cerns.
,5. The nurse consults the DSM for which of the following purposes?
qk qk qk qk qk qk qk qk qk qk q k
A) To devise a plan of care for a newly admitted client
qk qk qk qk qk qk qk qk qk qk
B) To predict the client's prognosis of treatment outcomes
qk qk qk qk qk qk qk
C) To document the appropriate diagnostic code in the client's medical record
qk qk qk qk qk qk qk qk qk qk
D) To serve as a guide for client assessment
qk qk qk qk qk qk qk qk q k
Ans: D qk
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and ide
qk qk qk qk qk qk qk qk qk
ntifies underlying causes of mental disorders. It does not provide care plans or progn
qk qk qk qk qk qk qk qk qk qk qk qk qk
ostic outcomes of treatment. Diagnosis of mental illness is not within the generalist
qk qk qk qk qk qk qk qk qk qk qk qk qk
RN's scope of practice, so documenting the code in the medical record would be inap
qk qk qk qk qk qk qk qk qk qk qk qk qk qk
propriate.
6. Which would be a reason for a student nurse to use the DSM?
qk qk qk qk qk qk qk qk qk qk qk qk q k
A) Identifying the medical diagnosis qk qk qk
B) Treat clients qk
C) Evaluate treatments qk
D) Understand the reason for the admission and the nature of psychiatric illnesses.
qk qk qk qk qk qk qk qk qk qk qk qk q k
Ans: D qk
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a h
qk qk qk qk qk qk qk qk qk qk qk qk qk qk qk qk
elpful resource to understand the reason for the admission and to begin building kno
qk qk qk qk qk qk qk qk qk qk qk qk qk
wledge about the nature of psychiatric illnesses. Identifying the medical diagnosis, trea
qk qk qk qk qk qk qk qk qk qk qk
ting, and evaluating treatments are not a part of the nursing process.
qk qk qk qk qk qk qk qk qk qk qk
7. The legislation enacted in 1963 was largely responsible for which of the following shif
qk qk qk qk qk qk qk qk qk qk qk qk qk
ts in care for the mentally ill?
qk qk qk qk qk qk
A) The widespread use of community-based services
qk qk qk qk qk
B) The advancement in pharmacotherapies
qk qk qk
C) Increased access to hospitalization qk qk qk
D) Improved rights for clients in long- qk qk qk qk qk
term institutional care Ans: A
qk qk qk q k
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the r
qk qk qk qk qk qk qk qk qk qk qk
elease of individuals from long-
qk qk qk qk
term stays in state institutions, the decrease in admissions to hospitals, and the devel
qk qk qk qk qk qk qk qk qk qk qk qk qk
opment of community-based services as an alternative to hospital care.
qk qk qk qk qk qk qk qk qk
, 8. Which one of the following is a result of federal legislation?
qk qk qk qk qk qk qk qk qk qk
A) Making it easier to commit people for mental health treatment against their will.
qk qk qk qk qk qk qk qk qk qk qk qk
B) Making it more difficult to commit people for mental health treatment again
qk qk qk qk qk qk qk qk qk qk qk
st their will. qk qk
C) State mental institutions being the primary source of care for mentally ill persons.
qk qk qk qk qk qk qk qk qk qk qk qk
D) Improved care for mentally ill persons qk qk qk qk qk
. Ans: B
qk q k
Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit p
qk qk qk qk qk qk qk qk qk qk qk qk qk
eople for mental health treatment against their will. Deinstitutionalization accomplish
qk qk qk qk qk qk qk qk qk
ed the release of individuals from long-
qk qk qk qk qk qk
term stays in state institutions. Deinstitutionalization also had negative effects in that
qk qk qk qk qk qk qk qk qk qk qk
some mentally ill persons are subjected to the revolving door effect, which may limi
qk qk qk qk qk qk qk qk qk qk qk qk qk qk
t care for mentally ill persons.
qk qk qk qk qk
9. The goal of the 1963 Community Mental Health Centers Act was to
qk qk qk qk qk qk qk qk qk qk qk
A) ensure patients' rights for the mentally ill. qk qk qk qk qk qk
B) deinstitutionalize state hospitals. qk qk
C) provide funds to build hospitals with psychiatric units. qk qk qk qk qk qk qk
D) treat people with mental illness in a humane fashio
qk qk qk qk qk qk qk qk
n. Ans: B
qk q k
Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward tr
qk qk qk qk qk qk qk qk qk qk qk
eating those with mental illness in a less restrictive environment. This legislation res
qk qk qk qk qk qk qk qk qk qk qk qk
ulted in the shift of clients with mental illness from large state institutions to care ba
qk qk qk qk qk qk qk qk qk qk qk qk qk qk qk
sed in the community. Answer choices A, C, and D were not purposes of the 1963 Co
qk qk qk qk qk qk qk qk qk qk qk qk qk qk qk qk
mmunity Mental Health Centers Act. qk qk qk qk
10. The creation of asylums during the 1800s was meant to
qk qk qk qk qk qk qk qk qk
A) improve treatment of mental disorders. qk qk qk qk
B) provide food and shelter for the mentally ill. qk qk qk qk qk qk qk
C) punish people with mental illness who were believed to be possessed.
qk qk qk qk qk qk qk qk qk qk
D) remove dangerous people with mental illness from the community qk qk qk qk qk qk qk qk
. Ans: B
qk q k
Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment for
qk qk qk qk qk qk qk qk qk qk qk qk qk qk qk
the mentally ill. Asylums were not used to improve treatment of mental disorders or t
qk qk qk qk qk qk qk qk qk qk qk qk qk qk qk
o punish mentally ill people who were believed to be possessed. The asylum was not
qk qk qk qk qk qk qk qk qk qk qk qk qk qk qk
created to remove the dangerously mentally ill from the community.
qk qk qk qk qk qk qk qk qk
Chapter 1 qk
1. The nurse is assessing the factors contributing to the wel
qk qk qk qk qk qk qk qk qk
l-
being of a newly admitted client. Which of the followi
qk qk qk qk qk qk qk qk qk qk
ng would the nurse identify as having a positive impact o
qk qk qk qk qk qk qk qk qk qk
nthe individual's mental health?
qk qk qk
A) Not needing others for companionship qk qk qk qk
B) The ability to effectively manage stress qk qk qk qk qk
C) A family history of mental illness
qk qk qk qk qk
D) Striving for total self- qk qk qk
reliance Ans: B qk q k
Feedback:
Individual factors influencing mental health include biolo
qk qk qk qk qk qk
gic makeup, autonomy, independence, self-
qk qk qk qk
esteem, capacity for growth, vitality, ability to find meani
qk qk qk qk qk qk qk qk
ng in life, emotional resilience or hardiness, sense of belo
qk qk qk qk qk qk qk qk qk
nging, reality orientation, and coping or stress manageme
qk qk qk qk qk qk qk
nt abilities. Interpersonal factors such as intimacy and a b
qk qk qk qk qk qk qk qk qk
alance of separateness and connectedness are both needed
qk qk qk qk qk qk qk
for good mental health, and therefore ahealthy person would need others for compan
qk qk qk qk qk qk qk qk qk qk qk qk
ionship. A family history of mental illnesscould relate to the biologic makeup of an
qk qk qk qk qk qk qk qk qk qk qk qk qk qk
individual, which may have a negative impacton an individual's mental health, as wel
qk qk qk qk qk qk qk qk qk qk qk qk
l as a negative impact on an individual's interpersonal and socialñcultural factors of h
qk qk qk qk qk qk qk qk qk qk qk qk qk
ealth. Total self- qk qk
reliance is not possible, and a positive social/cultural factor is access to adequate res
qk qk qk qk qk qk qk qk qk qk qk qk qk
ources.
2. Which of the following statements about mental illness are true? Select all that apply.
qk qk qk qk qk qk qk qk qk qk qk qk qk
A) Mental illness can cause significant distress, impaired functioning, or both.
qk qk qk qk qk qk qk qk qk
B) Mental illness is only due to social/cultural factors. qk qk qk qk qk qk qk
C) Social/cultural factors that relate to mental illness include excessive dependenc qk qk qk qk qk qk qk qk qk
y on or withdrawal from relationships.
qk qk qk qk qk
D) Individuals suffering from mental illness are usually able to cope effectively wit qk qk qk qk qk qk qk qk qk qk qk
h daily life. qk qk
E) Individuals suffering from mental illness may experience dissatisfaction wit qk qk qk qk qk qk qk qk
h relationships and self. qk qk qk
Ans: A, D, E qk qk qk
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental il
qk qk qk qk qk qk qk qk qk qk qk
lness may be related to individual, interpersonal, or social/cultural factors. Excessive
qk qk qk qk qk qk qk qk qk qk q
kdependency on or withdrawal from relationships are interpersonal factors that relate
qk qk qk qk qk qk qk qk qk qk qk
to mental illness. Individuals suffering from mental illness can feel overwhelmed wit
qk qk qk qk qk qk qk qk qk qk qk
h daily life. Individuals suffering from mental illness may experience dissatisfaction
qk qk qk qk qk qk qk qk qk qk qk
with relationships and self.
qk qk qk
,3. Which of the following are true regarding mental health and mental illness?
qk qk qk qk qk qk qk qk qk qk qk
A) Behavior that may be viewed as acceptable in one culture is always unacceptab
qk qk qk qk qk qk qk qk qk qk qk qk
le in other cultures. qk qk qk
B) It is easy to determine if a person is mentally healthy or mentally ill.
qk qk qk qk qk qk qk qk qk qk qk qk qk
C) In most cases, mental health is a state of emotional, psychological, and socia
qk qk qk qk qk qk qk qk qk qk qk qk
l wellness evidenced by satisfying interpersonal relationships, effective behavi
qk qk qk qk qk qk qk qk
or and coping, positive self-concept, and emotional stability.
qk qk qk qk qk qk qk
D) Persons who engage in fantasies are mentally ill qk qk qk qk qk qk qk
. Ans: C
qk q k
Feedback:
What one society may view as acceptable and appropriate behavior, another society ma
qk qk qk qk qk qk qk qk qk qk qk qk
y see that as maladaptive, and inappropriate. Mental health and mental illness are diffi
qk qk qk qk qk qk qk qk qk qk qk qk qk
cult to define precisely. In most cases, mental health is a state of emotional, psycholo
qk qk qk qk qk qk qk qk qk qk qk qk qk qk
gical, and social wellness evidenced by satisfying interpersonal relationships, effective
qk qk qk qk qk qk qk qk qk
behavior and coping, positive self-
qk qk qk qk qk
concept, and emotional stability. Persons who engage in fantasies may be mentally he
qk qk qk qk qk qk qk qk qk qk qk qk
althy, but the inability to distinguish reality from fantasy is an individual factor that
qk qk qk qk qk qk qk qk qk qk qk qk qk qk
may contribute to mental illness.
qk qk qk qk
4. A client grieving the recent loss of her husband asks if she is becoming mentally
qk qk qk qk qk qk qk qk qk qk qk qk qk qk qk
ill because she is so sad. The nurse's best response would be,
qk qk qk qk qk qk qk qk qk qk qk
A) ìYou may have a temporary mental illness because you are experiencing so muc
qk qk qk qk qk qk qk qk qk qk qk qk
h pain.î qk
B) ìYou are not mentally ill. This is an expected reaction to the loss you ha
qk qk qk qk qk qk qk qk qk qk qk qk qk qk
ve experienced.î qk
C) ìWere you generally dissatisfied with your relationship before your husband'
qk qk qk qk qk qk qk qk qk
s death?î qk
D) ìTry not to worry about that right now. You never know what the future brings
qk qk qk qk qk qk qk qk qk qk qk qk qk qk
.î Ans: B
qk q k
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineff
qk qk qk qk qk qk qk qk qk
ective coping, and lack of personal growth. Additionally the behavior must not be cul
qk qk qk qk qk qk qk qk qk qk qk qk qk
turally expected. Acute grief reactions are expected and therefore not considered ment
qk qk qk qk qk qk qk qk qk qk qk
al illness. False reassurance or overanalysis does not accurately address the client's con
qk qk qk qk qk qk qk qk qk qk qk qk
cerns.
,5. The nurse consults the DSM for which of the following purposes?
qk qk qk qk qk qk qk qk qk qk q k
A) To devise a plan of care for a newly admitted client
qk qk qk qk qk qk qk qk qk qk
B) To predict the client's prognosis of treatment outcomes
qk qk qk qk qk qk qk
C) To document the appropriate diagnostic code in the client's medical record
qk qk qk qk qk qk qk qk qk qk
D) To serve as a guide for client assessment
qk qk qk qk qk qk qk qk q k
Ans: D qk
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and ide
qk qk qk qk qk qk qk qk qk
ntifies underlying causes of mental disorders. It does not provide care plans or progn
qk qk qk qk qk qk qk qk qk qk qk qk qk
ostic outcomes of treatment. Diagnosis of mental illness is not within the generalist
qk qk qk qk qk qk qk qk qk qk qk qk qk
RN's scope of practice, so documenting the code in the medical record would be inap
qk qk qk qk qk qk qk qk qk qk qk qk qk qk
propriate.
6. Which would be a reason for a student nurse to use the DSM?
qk qk qk qk qk qk qk qk qk qk qk qk q k
A) Identifying the medical diagnosis qk qk qk
B) Treat clients qk
C) Evaluate treatments qk
D) Understand the reason for the admission and the nature of psychiatric illnesses.
qk qk qk qk qk qk qk qk qk qk qk qk q k
Ans: D qk
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a h
qk qk qk qk qk qk qk qk qk qk qk qk qk qk qk qk
elpful resource to understand the reason for the admission and to begin building kno
qk qk qk qk qk qk qk qk qk qk qk qk qk
wledge about the nature of psychiatric illnesses. Identifying the medical diagnosis, trea
qk qk qk qk qk qk qk qk qk qk qk
ting, and evaluating treatments are not a part of the nursing process.
qk qk qk qk qk qk qk qk qk qk qk
7. The legislation enacted in 1963 was largely responsible for which of the following shif
qk qk qk qk qk qk qk qk qk qk qk qk qk
ts in care for the mentally ill?
qk qk qk qk qk qk
A) The widespread use of community-based services
qk qk qk qk qk
B) The advancement in pharmacotherapies
qk qk qk
C) Increased access to hospitalization qk qk qk
D) Improved rights for clients in long- qk qk qk qk qk
term institutional care Ans: A
qk qk qk q k
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the r
qk qk qk qk qk qk qk qk qk qk qk
elease of individuals from long-
qk qk qk qk
term stays in state institutions, the decrease in admissions to hospitals, and the devel
qk qk qk qk qk qk qk qk qk qk qk qk qk
opment of community-based services as an alternative to hospital care.
qk qk qk qk qk qk qk qk qk
, 8. Which one of the following is a result of federal legislation?
qk qk qk qk qk qk qk qk qk qk
A) Making it easier to commit people for mental health treatment against their will.
qk qk qk qk qk qk qk qk qk qk qk qk
B) Making it more difficult to commit people for mental health treatment again
qk qk qk qk qk qk qk qk qk qk qk
st their will. qk qk
C) State mental institutions being the primary source of care for mentally ill persons.
qk qk qk qk qk qk qk qk qk qk qk qk
D) Improved care for mentally ill persons qk qk qk qk qk
. Ans: B
qk q k
Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit p
qk qk qk qk qk qk qk qk qk qk qk qk qk
eople for mental health treatment against their will. Deinstitutionalization accomplish
qk qk qk qk qk qk qk qk qk
ed the release of individuals from long-
qk qk qk qk qk qk
term stays in state institutions. Deinstitutionalization also had negative effects in that
qk qk qk qk qk qk qk qk qk qk qk
some mentally ill persons are subjected to the revolving door effect, which may limi
qk qk qk qk qk qk qk qk qk qk qk qk qk qk
t care for mentally ill persons.
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9. The goal of the 1963 Community Mental Health Centers Act was to
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A) ensure patients' rights for the mentally ill. qk qk qk qk qk qk
B) deinstitutionalize state hospitals. qk qk
C) provide funds to build hospitals with psychiatric units. qk qk qk qk qk qk qk
D) treat people with mental illness in a humane fashio
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n. Ans: B
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Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward tr
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eating those with mental illness in a less restrictive environment. This legislation res
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ulted in the shift of clients with mental illness from large state institutions to care ba
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sed in the community. Answer choices A, C, and D were not purposes of the 1963 Co
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mmunity Mental Health Centers Act. qk qk qk qk
10. The creation of asylums during the 1800s was meant to
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A) improve treatment of mental disorders. qk qk qk qk
B) provide food and shelter for the mentally ill. qk qk qk qk qk qk qk
C) punish people with mental illness who were believed to be possessed.
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D) remove dangerous people with mental illness from the community qk qk qk qk qk qk qk qk
. Ans: B
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Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment for
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the mentally ill. Asylums were not used to improve treatment of mental disorders or t
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o punish mentally ill people who were believed to be possessed. The asylum was not
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created to remove the dangerously mentally ill from the community.
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