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oo Psychiatric mental health nursing 8th edition by videbeck test bank[ 13
oo oo oo oo oo oo oo oo oo oo
89]
Psychiatric-
MentalooHealthooNursingoo8thooeditionoobyooVidebeckooTestooBanko o Chapteroo1
1. Theoonurseooisooassessingootheoofactorsoocontributingootoootheoowell-
beingooofooaoonewlyooadmittedo o client.ooWhichooofootheoofollowingoowouldootheoonurseooidenti
fyooasoohavingooaoopositiveooimpactooono o theooindividual'soomentaloohealth?
A) Notooneedingooothersoo foroocompanionship
B) Theooabilityo o toooeffectivelyoo manageoostress
C) Aoofamilyoo historyooofoo mentaloo illness
D) Strivingooforoototalooself-
relianceo o Ans:ooB
Feedback:
Individualoofactorsooinfluencingoomentaloohealthooincludeoobiologicoomakeup,ooautonomy,o o i
ndependence,ooself-
esteem,oocapacityooforoogrowth,oovitality,ooabilityootooofindoomeaningooinoolife,o o emotionaloores
ilienceoooroohardiness,oosenseooofoobelonging,oorealityooorientation,ooandoocopingoooro o stressoo
managementooabilities.ooInterpersonaloofactorsoosuchooasoointimacyooandooaoobalanceooofo o sep
aratenessooandooconnectednessooareoobothooneededooforoogoodoomentaloohealth,ooandoothereforeoo
ao o healthyoopersonoowouldooneedooothersooforoocompanionship.ooAoofamilyoohistoryooofoomenta
looillnesso o couldoorelateootoootheoobiologicoomakeupooofooanooindividual,oowhichoomayoohaveooaoo
negativeooimpacto o onooanooindividual'soomentaloohealth,ooasoowellooasooaoonegativeooimpactooono
oanooindividual's o o interpersonalo o ando o socialñculturalo o factorso o ofo o health.o o Totalo o self-
relianceo o iso o noto o possible,o o andooaoopositiveoosocial/culturaloofactorooisooaccessootoooadequat
eooresources.
2. Whichooofootheoo followingoostatementsooaboutoo mentaloo illnessooareootrue?ooSelectooalloothatoo apply.
A) Mentaloo illnessoocanoocauseoosignificantoodistress,ooimpairedoo functioning,oooro o both.
B) Mentaloo illnessooisooonlyoodueootooosocial/culturaloo factors.
C) Social/culturaloofactorsoothatoorelateootooomentalooillnessooincludeooexcessiveoodepende
ncyo o onoooroowithdrawaloofromoorelationships.
D) Individualsoosufferingoofromoomentalooillnessooareoousuallyooableootooocopeooeffectivelyoo
witho o dailyoolife.
E) Individualsoosufferingoofromoomentalooillnessoomayooexperienceoodissatisfactionoow
itho o relationshipsooandooself.
Ans:oo A,ooD,ooE
Feedback:
Mentalooillnessoocanoocauseoosignificantoodistress,ooimpairedoofunctioning,ooorooboth.ooMentalo
o illnessoo mayoo beoorelatedootoooindividual,oointerpersonal, oooroosocial/culturaloo factors. ooExces
siveo o dependencyooonoooroowithdrawaloofromoorelationshipsooareoointerpersonaloofactorsoothat
oorelateootoo o mentalooillness.ooIndividualsoosufferingoo fromoo mentaloo illnessoocanoofeeloooverw
helmedoowitho o dailyoolife.ooIndividualsoosufferingoofromoomentalooillnessoomayooexperienceoo
dissatisfactionoowitho o relationshipsooandooself.
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89]
3. Whichooofootheoo followingooareootrueooregardingoo mentalo o healthooandoo mentaloo illness?
A) Behavioroothatoomayoobeooviewedooasooacceptableooinoooneoocultureooisooalwaysoounaccept
ableo o inoootheroocultures.
B) Itooisooeasyootooodetermineooifooaoopersonooisoomentallyoo healthyoooroo mentallyoo ill.
C) Inoomostoocases,oomentaloohealthooisooaoostateooofooemotional,oopsychological,ooandoosoc
ialo o wellnessooevidencedoobyoosatisfyingoointerpersonaloorelationships,ooeffectiveoob
ehavioro o andoocoping,oopositiveooself-concept,ooandooemotionaloostability.
D) Personsoowhoooengageooinoofantasiesooareoomentallyoo
ill.o o Ans:ooC
Feedback:
Whatoooneoosocietyoomayooviewooasooacceptableooandooappropriateoobehavior,ooanotheroosocietyo
o mayo o seeoothatooasoomaladaptive, ooandooinappropriate. ooMentaloohealthooandoo mentalooillness oo
areoodifficulto o tooodefineooprecisely.ooInoomostoocases,oomentaloohealthooisooaoostateooofooemotion
al,oopsychological,o o andoosocialoowellnessooevidencedoobyoosatisfyingoointerpersonaloorelation
ships,ooeffectiveo o behaviorooandoocoping,oopositiveooself-
concept,ooandooemotionaloostability.ooPersonsoowhoooengageo o inoofantasiesoomayoobeoomentally
oohealthy,oobutootheooinabilityootooodistinguishoorealityoo fromoo fantasyo o isooanooindividualoo factor
oothatoo mayoocontributeootooomentaloo illness.
4. Aooclientoogrievingootheoorecentoolossooofooheroohusbandooasksooifoosheooisoobecomingoomenta
llyooillo o becauseoosheooisoosooosad.ooTheoonurse'soobestooresponseoowouldoobe,
A) ìYouoomayoohaveooaootemporaryoomentalooillnessoobecauseooyouooareooexperiencingoosooo
mucho o pain.î
B) ìYouooareoonotoomentallyooill.ooThisooisooanooexpectedooreactionootoootheoolossooyouo
ohaveo o experienced.î
C) ìWereooyouoogenerallyoodissatisfiedoowithooyouroorelationshipoobeforeooyouroohusban
d'so o death?î
D) ìTryoonotootoooworryooaboutoothatoorightoonow.ooYouooneverooknowoowhatootheoofutureoobr
ings.îo o Ans:ooB
Feedback:
Mentalooillnessooincludesoogeneraloodissatisfactionoowithooself,ooineffectiveoorelationships,o o i
neffectiveoocoping,ooandoolackooofoopersonaloogrowth.ooAdditionallyootheoobehavioroo mustoonoto
obeo o culturallyooexpected. ooAcuteoogriefooreactions ooareooexpectedooandoothereforeoonotooconsi
deredo o mentalooillness.ooFalseooreassuranceoooroooveranalysisoodoesoonotooaccuratelyooaddress
ootheooclient'so o concerns.
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89]
5. TheoonurseooconsultsootheooDSMooforoowhichooofootheoofollowingoopurposes?
A) Tooodeviseooaooplanooofoocareooforooaoonewlyooadmittedooclient
B) Tooopredictootheooclient'so o prognosisooofootreatmentoooutcomes
C) Tooodocumentootheo o appropriateoodiagnostico o codeooino o theooclient'so o medicaloorecord
D) Toooserveooasooaooguideooforooclientooassessm
ento o Ans:ooD
Feedback:
TheooDSMooprovidesoostandardoonomenclature,oopresentsoodefiningoocharacteristics,ooando o i
dentifiesoounderlyingoocausesooofoomentaloodisorders.ooItoodoesoonotooprovideoocareooplansoooro o
prognosticoooutcomesooofootreatment.ooDiagnosisooofoomentalooillnessooisoonotoowithinootheo o
generalistooRN'sooscopeooofoopractice,oosooodocumentingootheoocodeooinootheoomedicaloorecordoo
wouldo o beooinappropriate.
6. WhichoowouldoobeooaooreasonooforooaoostudentoonurseootooouseootheooDSM?
A) Identifyingo o theo o medicalo o diagnosis
B) Treatooclients
C) Evaluateo o treatments
D) Understandootheooreasonooforootheooadmissionooandootheoonatureooofoopsychiatricooillnes
ses.o o Ans:ooD
Feedback:
AlthoughoostudentoonursesoodooonotoouseootheooDSMootooodiagnoseooclients,ootheyoowilloofindooitoo
ao o helpfulooresourceootooounderstandootheooreasonooforootheooadmissionooandootooobeginoobuildi
ngo o knowledgeooaboutootheoonatureooofoopsychiatricooillnesses.ooIdentifyingootheoomedicaloodi
agnosis,o o treating,ooandooevaluatingootreatmentsooareoonotooaoopartooofootheoonursingooprocess.
7. Theoolegislationooenactedooinoo1963oowasoolargelyooresponsibleooforoowhichooofootheoofollowingoos
hiftso o inoocareooforootheoomentallyooill?
A) Theoo widespreadoouseo o ofoocommunity-basedoo services
B) Theooadvancemento o inoopharmacotherapies
C) Increasedooaccessootooo hospitalization
D) Improvedoorightsooforooclientsooinoolong-
termooinstitutionaloocareo o Ans:ooA
Feedback:
TheooCommunityooMentalooHealthooCentersooConstructionooActooofoo1963ooaccomplishedoothe
o o releaseooofooindividualsoo fromoo long-
termoostaysooinoostateooinstitutions,ootheoodecreaseooino o admissionsootooohospitals,ooandootheoode
velopmentooofoocommunity-basedooservicesooasooano o alternativeootooohospitaloocare.
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89]
8. Whichoooneooofootheoofollowingooisooaooresultooofoo federaloolegislation?
A) Makingooitooeasierootooocommitoopeopleoo foroomentaloohealthootreatmentooagainstootheiroowill.
B) Makingooitoomoreoodifficultootooocommitoopeopleooforoomentaloohealthootreatmentooaga
insto o theiroowill.
C) Stateoo mentaloo institutionsoobeingootheooprimaryoosourceooofoocareooforoo mentallyoo illoopersons.
D) Improvedoocareooforoomentallyooillooperson
s.o o Ans:ooB
Feedback:
Commitmentoolawsoochangedooinootheooearlyoo1970s,oomakingooitoomoreoodifficultootooocommit
o o peopleooforoo mentaloohealthootreatmentooagainstootheiroowill.ooDeinstitutionalizationo o acco
mplishedootheooreleaseooofooindividualsoofromoolong-
termoostaysooinoostateooinstitutions.o o Deinstitutionalizationooalsooohadoonegativeooeffectsooinoot
hatoosomeoomentallyooilloopersonsooareo o subjectedootoootheoorevolvingoodoorooeffect,oowhichoo
mayoolimitoocareoo foroo mentallyoo illoopersons.
9. Theoogoalooofoo theoo1963ooCommunityooMentalooHealthooCentersooActoowasooto
A) ensureoo patients'oorightsoo foro o theoo mentallyoo ill.
B) deinstitutionalizeo o stateo o hospitals.
C) provideoo fundso o tooobuildo o hospitalsoowitho o psychiatricoo units.
D) treatoopeopleoowithoomentalooillnessooinooaoohumaneoofashi
on.o o Ans:ooB
Feedback:
Theoo1963ooCommunityooMentalooHealthooCentersooActoointimatedootheoomovementootowardo
o treatingoothoseoowithoo mentalooillnessooinooaoolessoorestrictiveooenvironment.ooThisoo legislation
o o resultedooinoo theooshiftooofooclientsoowithoo mentaloo illnessoofromoo largeoostateooinstitutions ootooo
careo o basedooinootheoocommunity.ooAnsweroochoicesooA,ooC,ooandooDoowereoonotoopurposesooofo
otheoo1963o o CommunityooMentalooHealthooCenters ooAct.
10. Theoocreationoo ofooasylumsooduringootheoo1800soowasoo meantooto
A) improveootreatmento o ofo o mentaloodisorders.
B) provideoo foodooandooshelteroo forootheoomentallyoo ill.
C) punishoo peopleoowithoo mentaloo illnessoowhooowereoobelievedootooobeoopossessed.
D) removeoodangerousoopeopleoowithoomentalooillnessoofromootheoocommuni
ty.o o Ans:ooB
Feedback:
Theooasylumoowasoomeantootooobeooaoosafeoohavenoowithoofood,ooshelter,ooandoohumaneootreatmen
tooforo o theoomentallyooill.ooAsylumsoowereoonotoousedootoooimproveootreatmentooofoomentaloodis
ordersooorootoo o punishoomentallyooilloopeopleoowhooowereoobelievedootooobeoopossessed.ooTheooa
sylumoowasoonoto o createdootoooremoveootheoodangerouslyoomentallyooilloofromootheoocommunit
y.
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oo Psychiatric mental health nursing 8th edition by videbeck test bank[ 13
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89]
Psychiatric-
MentalooHealthooNursingoo8thooeditionoobyooVidebeckooTestooBanko o Chapteroo1
1. Theoonurseooisooassessingootheoofactorsoocontributingootoootheoowell-
beingooofooaoonewlyooadmittedo o client.ooWhichooofootheoofollowingoowouldootheoonurseooidenti
fyooasoohavingooaoopositiveooimpactooono o theooindividual'soomentaloohealth?
A) Notooneedingooothersoo foroocompanionship
B) Theooabilityo o toooeffectivelyoo manageoostress
C) Aoofamilyoo historyooofoo mentaloo illness
D) Strivingooforoototalooself-
relianceo o Ans:ooB
Feedback:
Individualoofactorsooinfluencingoomentaloohealthooincludeoobiologicoomakeup,ooautonomy,o o i
ndependence,ooself-
esteem,oocapacityooforoogrowth,oovitality,ooabilityootooofindoomeaningooinoolife,o o emotionaloores
ilienceoooroohardiness,oosenseooofoobelonging,oorealityooorientation,ooandoocopingoooro o stressoo
managementooabilities.ooInterpersonaloofactorsoosuchooasoointimacyooandooaoobalanceooofo o sep
aratenessooandooconnectednessooareoobothooneededooforoogoodoomentaloohealth,ooandoothereforeoo
ao o healthyoopersonoowouldooneedooothersooforoocompanionship.ooAoofamilyoohistoryooofoomenta
looillnesso o couldoorelateootoootheoobiologicoomakeupooofooanooindividual,oowhichoomayoohaveooaoo
negativeooimpacto o onooanooindividual'soomentaloohealth,ooasoowellooasooaoonegativeooimpactooono
oanooindividual's o o interpersonalo o ando o socialñculturalo o factorso o ofo o health.o o Totalo o self-
relianceo o iso o noto o possible,o o andooaoopositiveoosocial/culturaloofactorooisooaccessootoooadequat
eooresources.
2. Whichooofootheoo followingoostatementsooaboutoo mentaloo illnessooareootrue?ooSelectooalloothatoo apply.
A) Mentaloo illnessoocanoocauseoosignificantoodistress,ooimpairedoo functioning,oooro o both.
B) Mentaloo illnessooisooonlyoodueootooosocial/culturaloo factors.
C) Social/culturaloofactorsoothatoorelateootooomentalooillnessooincludeooexcessiveoodepende
ncyo o onoooroowithdrawaloofromoorelationships.
D) Individualsoosufferingoofromoomentalooillnessooareoousuallyooableootooocopeooeffectivelyoo
witho o dailyoolife.
E) Individualsoosufferingoofromoomentalooillnessoomayooexperienceoodissatisfactionoow
itho o relationshipsooandooself.
Ans:oo A,ooD,ooE
Feedback:
Mentalooillnessoocanoocauseoosignificantoodistress,ooimpairedoofunctioning,ooorooboth.ooMentalo
o illnessoo mayoo beoorelatedootoooindividual,oointerpersonal, oooroosocial/culturaloo factors. ooExces
siveo o dependencyooonoooroowithdrawaloofromoorelationshipsooareoointerpersonaloofactorsoothat
oorelateootoo o mentalooillness.ooIndividualsoosufferingoo fromoo mentaloo illnessoocanoofeeloooverw
helmedoowitho o dailyoolife.ooIndividualsoosufferingoofromoomentalooillnessoomayooexperienceoo
dissatisfactionoowitho o relationshipsooandooself.
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89]
3. Whichooofootheoo followingooareootrueooregardingoo mentalo o healthooandoo mentaloo illness?
A) Behavioroothatoomayoobeooviewedooasooacceptableooinoooneoocultureooisooalwaysoounaccept
ableo o inoootheroocultures.
B) Itooisooeasyootooodetermineooifooaoopersonooisoomentallyoo healthyoooroo mentallyoo ill.
C) Inoomostoocases,oomentaloohealthooisooaoostateooofooemotional,oopsychological,ooandoosoc
ialo o wellnessooevidencedoobyoosatisfyingoointerpersonaloorelationships,ooeffectiveoob
ehavioro o andoocoping,oopositiveooself-concept,ooandooemotionaloostability.
D) Personsoowhoooengageooinoofantasiesooareoomentallyoo
ill.o o Ans:ooC
Feedback:
Whatoooneoosocietyoomayooviewooasooacceptableooandooappropriateoobehavior,ooanotheroosocietyo
o mayo o seeoothatooasoomaladaptive, ooandooinappropriate. ooMentaloohealthooandoo mentalooillness oo
areoodifficulto o tooodefineooprecisely.ooInoomostoocases,oomentaloohealthooisooaoostateooofooemotion
al,oopsychological,o o andoosocialoowellnessooevidencedoobyoosatisfyingoointerpersonaloorelation
ships,ooeffectiveo o behaviorooandoocoping,oopositiveooself-
concept,ooandooemotionaloostability.ooPersonsoowhoooengageo o inoofantasiesoomayoobeoomentally
oohealthy,oobutootheooinabilityootooodistinguishoorealityoo fromoo fantasyo o isooanooindividualoo factor
oothatoo mayoocontributeootooomentaloo illness.
4. Aooclientoogrievingootheoorecentoolossooofooheroohusbandooasksooifoosheooisoobecomingoomenta
llyooillo o becauseoosheooisoosooosad.ooTheoonurse'soobestooresponseoowouldoobe,
A) ìYouoomayoohaveooaootemporaryoomentalooillnessoobecauseooyouooareooexperiencingoosooo
mucho o pain.î
B) ìYouooareoonotoomentallyooill.ooThisooisooanooexpectedooreactionootoootheoolossooyouo
ohaveo o experienced.î
C) ìWereooyouoogenerallyoodissatisfiedoowithooyouroorelationshipoobeforeooyouroohusban
d'so o death?î
D) ìTryoonotootoooworryooaboutoothatoorightoonow.ooYouooneverooknowoowhatootheoofutureoobr
ings.îo o Ans:ooB
Feedback:
Mentalooillnessooincludesoogeneraloodissatisfactionoowithooself,ooineffectiveoorelationships,o o i
neffectiveoocoping,ooandoolackooofoopersonaloogrowth.ooAdditionallyootheoobehavioroo mustoonoto
obeo o culturallyooexpected. ooAcuteoogriefooreactions ooareooexpectedooandoothereforeoonotooconsi
deredo o mentalooillness.ooFalseooreassuranceoooroooveranalysisoodoesoonotooaccuratelyooaddress
ootheooclient'so o concerns.
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89]
5. TheoonurseooconsultsootheooDSMooforoowhichooofootheoofollowingoopurposes?
A) Tooodeviseooaooplanooofoocareooforooaoonewlyooadmittedooclient
B) Tooopredictootheooclient'so o prognosisooofootreatmentoooutcomes
C) Tooodocumentootheo o appropriateoodiagnostico o codeooino o theooclient'so o medicaloorecord
D) Toooserveooasooaooguideooforooclientooassessm
ento o Ans:ooD
Feedback:
TheooDSMooprovidesoostandardoonomenclature,oopresentsoodefiningoocharacteristics,ooando o i
dentifiesoounderlyingoocausesooofoomentaloodisorders.ooItoodoesoonotooprovideoocareooplansoooro o
prognosticoooutcomesooofootreatment.ooDiagnosisooofoomentalooillnessooisoonotoowithinootheo o
generalistooRN'sooscopeooofoopractice,oosooodocumentingootheoocodeooinootheoomedicaloorecordoo
wouldo o beooinappropriate.
6. WhichoowouldoobeooaooreasonooforooaoostudentoonurseootooouseootheooDSM?
A) Identifyingo o theo o medicalo o diagnosis
B) Treatooclients
C) Evaluateo o treatments
D) Understandootheooreasonooforootheooadmissionooandootheoonatureooofoopsychiatricooillnes
ses.o o Ans:ooD
Feedback:
AlthoughoostudentoonursesoodooonotoouseootheooDSMootooodiagnoseooclients,ootheyoowilloofindooitoo
ao o helpfulooresourceootooounderstandootheooreasonooforootheooadmissionooandootooobeginoobuildi
ngo o knowledgeooaboutootheoonatureooofoopsychiatricooillnesses.ooIdentifyingootheoomedicaloodi
agnosis,o o treating,ooandooevaluatingootreatmentsooareoonotooaoopartooofootheoonursingooprocess.
7. Theoolegislationooenactedooinoo1963oowasoolargelyooresponsibleooforoowhichooofootheoofollowingoos
hiftso o inoocareooforootheoomentallyooill?
A) Theoo widespreadoouseo o ofoocommunity-basedoo services
B) Theooadvancemento o inoopharmacotherapies
C) Increasedooaccessootooo hospitalization
D) Improvedoorightsooforooclientsooinoolong-
termooinstitutionaloocareo o Ans:ooA
Feedback:
TheooCommunityooMentalooHealthooCentersooConstructionooActooofoo1963ooaccomplishedoothe
o o releaseooofooindividualsoo fromoo long-
termoostaysooinoostateooinstitutions,ootheoodecreaseooino o admissionsootooohospitals,ooandootheoode
velopmentooofoocommunity-basedooservicesooasooano o alternativeootooohospitaloocare.
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oo Psychiatric mental health nursing 8th edition by videbeck test bank[ 13
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89]
8. Whichoooneooofootheoofollowingooisooaooresultooofoo federaloolegislation?
A) Makingooitooeasierootooocommitoopeopleoo foroomentaloohealthootreatmentooagainstootheiroowill.
B) Makingooitoomoreoodifficultootooocommitoopeopleooforoomentaloohealthootreatmentooaga
insto o theiroowill.
C) Stateoo mentaloo institutionsoobeingootheooprimaryoosourceooofoocareooforoo mentallyoo illoopersons.
D) Improvedoocareooforoomentallyooillooperson
s.o o Ans:ooB
Feedback:
Commitmentoolawsoochangedooinootheooearlyoo1970s,oomakingooitoomoreoodifficultootooocommit
o o peopleooforoo mentaloohealthootreatmentooagainstootheiroowill.ooDeinstitutionalizationo o acco
mplishedootheooreleaseooofooindividualsoofromoolong-
termoostaysooinoostateooinstitutions.o o Deinstitutionalizationooalsooohadoonegativeooeffectsooinoot
hatoosomeoomentallyooilloopersonsooareo o subjectedootoootheoorevolvingoodoorooeffect,oowhichoo
mayoolimitoocareoo foroo mentallyoo illoopersons.
9. Theoogoalooofoo theoo1963ooCommunityooMentalooHealthooCentersooActoowasooto
A) ensureoo patients'oorightsoo foro o theoo mentallyoo ill.
B) deinstitutionalizeo o stateo o hospitals.
C) provideoo fundso o tooobuildo o hospitalsoowitho o psychiatricoo units.
D) treatoopeopleoowithoomentalooillnessooinooaoohumaneoofashi
on.o o Ans:ooB
Feedback:
Theoo1963ooCommunityooMentalooHealthooCentersooActoointimatedootheoomovementootowardo
o treatingoothoseoowithoo mentalooillnessooinooaoolessoorestrictiveooenvironment.ooThisoo legislation
o o resultedooinoo theooshiftooofooclientsoowithoo mentaloo illnessoofromoo largeoostateooinstitutions ootooo
careo o basedooinootheoocommunity.ooAnsweroochoicesooA,ooC,ooandooDoowereoonotoopurposesooofo
otheoo1963o o CommunityooMentalooHealthooCenters ooAct.
10. Theoocreationoo ofooasylumsooduringootheoo1800soowasoo meantooto
A) improveootreatmento o ofo o mentaloodisorders.
B) provideoo foodooandooshelteroo forootheoomentallyoo ill.
C) punishoo peopleoowithoo mentaloo illnessoowhooowereoobelievedootooobeoopossessed.
D) removeoodangerousoopeopleoowithoomentalooillnessoofromootheoocommuni
ty.o o Ans:ooB
Feedback:
Theooasylumoowasoomeantootooobeooaoosafeoohavenoowithoofood,ooshelter,ooandoohumaneootreatmen
tooforo o theoomentallyooill.ooAsylumsoowereoonotoousedootoooimproveootreatmentooofoomentaloodis
ordersooorootoo o punishoomentallyooilloopeopleoowhooowereoobelievedootooobeoopossessed.ooTheooa
sylumoowasoonoto o createdootoooremoveootheoodangerouslyoomentallyooilloofromootheoocommunit
y.
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