Foundations of Mental Health Care
Michelle Morrison-Valfre
6th Edition
,
,Mental health is said to be influenced by which of the following factors? (Select
all that apply.)
Diet and nutritional intake
Inherited characteristics
Activities of daily living
Childhood nurturing
Life circumstances
ANS: B, D, E
Mental health is influenced by three factors: inherited characteristics, childhood
nurturing, and life circumstances. The risk for developing ineffective coping
behaviors increases when problems exist in any one of these areas.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 7
OBJ: 2 TOP: Congressional Actions
KEY: Nursing Process Step: Assessment MSC: Client Needs:
Psychosocial Integrity
COMPLETION
1. During the middle ages, mentally ill patients often were burned at the stake
and were greatly mistreated. In an attempt to treat mentally ill people more
humanely, Bethlehem Hospital, more commonly called _ , was
created.
ANS:
Bedlam
Bedlam was the nickname for Bethlehem Hospital, which prevented burning of
mentally ill people at the stake but provided poor care for the mentally ill.
1|Page
, PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 3
OBJ: 3 TOP: Mental Illness in the Middle Ages
KEY: Nursing Process Step: Assessment MSC: Client Needs:
Psychosocial Integrity
Chapter 02: Current Mental Health Care Systems
Morrison-Valfre: Foundations of Mental Health Care, 6th Edition
MULTIPLE CHOICE
Because mental health care is not covered in Australia under the basic health
plan, which citizens are more likely to receive mental health care? a. Wealthy
Homeless
Disabled
Low-income
ANS: A
Wealthy citizens, as well as those with private insurance, are more likely to
receive mental health care in Australia because they are better able to afford
the care than are homeless, disabled, or low-income citizens on the basic health
plan with no mental health care coverage.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 11
OBJ: 1 TOP: Mental Health Care in Australia
KEY: Nursing Process Step: Assessment MSC: Client Needs:
Psychosocial Integrity
Mental health care is available under the universal health care system in Britain,
which is funded primarily by: a. Employers
2|Page
,Private donations
Small businesses
Tax revenues
ANS: D
Tax revenues are the primary funding source for Britain’s universal health care
system. All aspects of health care, except for eye care and limited dental care,
are covered under the standard benefit package for citizens of Britain.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 11
OBJ: 1 TOP: Mental Health Care in Britain
KEY: Nursing Process Step: Assessment MSC: Client Needs:
Psychosocial Integrity
The model views clients holistically with the goal of creating a
support system designed to encourage independence in the client with a mental
health disorder. a. Community support systems
Case management
Multidisciplinary health care team
Client population
ANS: A
The community support systems (CSS) model works by coordinating social,
medical, and psychiatric services. Case management refers to individual
management of clients and takes into consideration psychosocial rehabilitation,
consults, referrals, therapy, and crisis intervention. A multidisciplinary health
care team is made up of all of the professionals who work within a mental health
care system, and client population simply refers to individuals who may
potentially seek mental health care.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 12
OBJ: 3 TOP: Outpatient Care
KEY: Nursing Process Step: Assessment MSC: Client Needs:
Psychosocial Integrity
3|Page
,The home mental health nurse visits a female client to assess her ability to care
for herself at home after discharge from an inpatient setting. Which component
of the case management system does this demonstrate? a. Consultation
Crisis intervention
Resource linkage
Psychosocial rehabilitation
ANS: D
Psychosocial rehabilitation assists clients in gaining independence in activities
of daily living to the best of their individual capabilities. Consultation refers to
assistance obtained from specialists, such as a psychiatrist; crisis intervention
refers to care provided during a crisis event; and resource linkage indicates
referral to community resources.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 14
OBJ: 5 TOP: Case Management Systems
KEY: Nursing Process Step: Intervention MSC: Client Needs: Health Promotion
and Maintenance
Chapter 01: The History of Mental Health Care
Morrison-Valfre: Foundations of Mental Health Care, 6th Edition
MULTIPLE CHOICE
The belief of the ancient Greek philosopher Plato that the rational soul
controlled the irrational soul could be compared with the belief of the more
recent psychological theorist:
Freud
Pinel
Fisher
Rush
4|Page
,ANS: A
Sigmund Freud believed that mental illness was, in part, caused by forces both
within and outside the personality. Philippe Pinel advocated acceptance of
mentally ill individuals as human beings in need of medical assistance. Alice
Fisher was a Florence Nightingale nurse who cared for the mentally ill, and Dr.
Benjamin Rush was the author of the book Diseases of the Mind.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 4
OBJ: 2 TOP: Early Years of Mental Health
KEY: Nursing Process Step: Assessment MSC: Client Needs:
Psychosocial Integrity
During the mid-1500s, behaviors associated with mental illness were more
accurately recorded by professionals. This practice led to for
different abnormal behaviors.
Classifications
Diagnosing
Treatment
Education
ANS: A
Classification of abnormal behaviors did not begin until this time, after the
practice of more accurate recording of behaviors was begun. Diagnoses,
treatment guidelines, and any education regarding mental health disorders
were not available during this period.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 5
OBJ: 3 TOP: Mental Illness During the Renaissance
KEY: Nursing Process Step: Assessment MSC: Client Needs:
Psychosocial Integrity
5|Page
, During the latter part of the eighteenth century, psychiatry became a separate
branch of medicine, and inhumane treatment was greatly diminished by the
French hospital director: a. Dix
Beers
Pinel
Carter
ANS: C
Philippe Pinel advocated acceptance of the mentally ill, as well as proper
treatment. Dorothea Dix crusaded for construction of mental health hospitals.
Clifford Beers wrote the book A Mind That Found Itself. President Jimmy Carter
established the President’s Commission on Mental Health in 1978.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 5
OBJ: 4 TOP: Mental Illness in the Eighteenth Century
KEY: Nursing Process Step: Assessment MSC: Client Needs:
Psychosocial Integrity
In 1841, surveyed asylums, jails, and almshouses throughout the
United
States, Canada, and Scotland and is credited with bringing about public
awareness and reform for the care of the mentally ill. a. Sigmund Freud
John Cade
Florence Nightingale
Dorothea Dix
ANS: D
Dorothea Dix spent 20 years surveying facilities that housed mentally ill
individuals and is credited with major changes in the care of the mentally ill.
Sigmund Freud introduced the concept of psychoanalysis, John Cade
discovered lithium carbonate for the treatment of bipolar disorder, and Florence
Nightingale trained nurses in England in the 1800s.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6
6|Page